Suicide and employment status during Ireland's Celtic Tiger economy
Suicide and employment status during Ireland's Celtic Tiger economy
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DOI：
10.1093/eurpub/ckp236
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发表时间：
2011-04-01
影响因子：
4.4
通讯作者：
Arensman, Ella
中科院分区：
文献类型：
--
作者：
Corcoran, Paul;Arensman, Ella
背景：研究表明就业是预防自杀的一个保护因素。我们调查了 1996 年至 2006 年这 11 年期间爱尔兰的就业状况和自杀风险，这段时期是俗称“凯尔特之虎”的经济繁荣时期。方法：从爱尔兰中央统计局获得 1996 年至 2006 年爱尔兰登记的 5270 起自杀事件和 789 起意图不明死亡的相关数据以及相关人口数据，并使用泊松回归进行分析。结果：失业率从 1996 年的 12% 下降到 2000 年的 4%，这一水平一直维持到 2006 年。 1996 年至 2006 年期间，男性和女性的自杀率和未确定死亡率保持稳定，尽管失业男性的自杀率有所上升。相对于就业而言，失业与男性自杀和不明死亡的风险增加 2-3 倍相关，但女性自杀和死亡风险通常增加 4-6 倍。与失业率下降时期（1996-2000 年）相比，当失业水平较低时（2001-06 年），失业与自杀和不明死亡风险的增加更大。对于 35-54 岁的男性来说，失业是一个更强的风险因素，而对于女性来说，失业的风险因素随着年龄的增长而增加。 55 岁以上的退休人员与在职人员面临类似的风险。对于 35 岁以上的女性来说，担任家庭主妇会增加患病风险。结论：当前爱尔兰失业率迅速上升的背景表明，利率可能会像之前的衰退一样再次上升。需要采取适当的社会政策应对措施来减轻失业对自杀的潜在影响。
Background: Studies have identified employment as a protective factor against suicide. We examined employment status and risk of suicide in Ireland during the 11-year period 1996-2006, a period of economic boom commonly known as the Celtic Tiger. Methods: Data relating to the 5270 suicides and 789 deaths of undetermined intent registered as occurring in Ireland in 1996-2006 and relevant population data were obtained from the Irish Central Statistics Office and analysed using Poisson regression. Results: Unemployment fell from 12% in 1996 to 4% in 2000, a level at which it remained until 2006. Male and female rates of suicide and undetermined death were stable during 1996-2006 though suicide among unemployed men increased. Relative to employment, unemployment was associated with a 2-3-fold increased risk of male suicide and undetermined death but generally a 4-6-fold increased risk in women. Unemployment was associated with greater increased risk of suicide and undetermined death when its level was low (2001-06) than in the period of decreasing unemployment (1996-2000). Unemployment was a stronger risk factor in men aged 35-54 years and with increasing age in women. Retired persons aged > 55 years had a similar risk to their employed counterparts. Being a homemaker was associated with increased risk in women aged > 35 years. Conclusion: The current Irish context of rapidly increasing unemployment suggests that rates may rise again as in previous recessions. Appropriate social policy responses are required to mitigate the potential impact of unemployment on suicides.