25-Year fatal workplace suicide trends in North Carolina: 1992-2017.
25-Year fatal workplace suicide trends in North Carolina: 1992-2017.
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北卡罗来纳州 25 年工作场所自杀致命趋势：1992-2017 年。
DOI：
10.1002/ajim.23563
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发表时间：
2024
影响因子：
3.5
通讯作者：
Ranapurwala,ShabbarI
中科院分区：
文献类型：
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作者：
Martin,ChelseaL;Richey,Morgan;Richardson,DavidB;Nocera,Maryalice;Cantrell,John;McClure,ElizabethS;Martin,AmeliaT;Marshall,StephenW;Ranapurwala,ShabbarI
背景自杀在美国是一个严重的公共卫生问题，但有限的证据是调查致命的自杀在工作中。有一个实质性的需要来描述工作场所自杀，以告知自杀预防干预措施和目标高风险环境。本研究旨在研究工作场所自杀率在北卡罗来纳州（NC）的工人特征，自杀的手段，和行业之间1992年和2017.MethodsFatal工作场所自杀被确定为从记录的NC办公室的首席体检医师系统和NC死亡证明。性别，年龄，种族，民族，工人阶级，死亡方式和行业被抽象。粗和年龄标准化的凶杀率计算为在工作中发生的自杀人数除以估计的工人年（w-y）。计算率比和95%置信区间（CI），并对致命性工作场所自杀事件在日历时间内的趋势进行总体和行业分析。在男性、自雇人士和65岁以上的工人中观察到了增加的比率。枪支是最常见的死亡方式（63%），其次是绞刑（16%）。加油站工人经历了最高的致命的职业自杀率，11.5倍（95%CI：3.62-36.33）的整体致命的工作场所自杀率，其次是司法，公共秩序，安全工人在3.23倍的整体率（95%CI：1.31-7.97）。建议为脆弱的行业和工人制定有针对性和量身定制的缓解战略。
BackgroundSuicide is a serious public health problem in the United States, but limited evidence is available investigating fatal suicides at work. There is a substantial need to characterize workplace suicides to inform suicide prevention interventions and target high‐risk settings. This study aims to examine workplace suicide rates in North Carolina (NC) by worker characteristics, means of suicide used, and industry between 1992 and 2017.MethodsFatal workplace suicides were identified from records of the NC Office of the Chief Medical Examiner system and the NC death certificate. Sex, age, race, ethnicity, class of worker, manner of death, and industry were abstracted. Crude and age‐standardized homicide rates were calculated as the number of suicides that occurred at work divided by an estimate of worker‐years (w‐y). Rate ratios and 95% confidence intervals (CIs) were calculated, and trends over calendar time for fatal workplace suicides were examined overall and by industry.Results81 suicides over 109,464,430 w‐y were observed. Increased rates were observed in workers who were male, self‐employed, and 65+ years old. Firearms were the most common means of death (63%) followed by hanging (16%). Gas service station workers experienced the highest fatal occupational suicide rate, 11.5 times (95% CI: 3.62–36.33) the overall fatal workplace suicide rate, followed by Justice, Public Order, and Safety workers at 3.23 times the overall rate (95% CI: 1.31–7.97).ConclusionOur findings identify industries and worker demographics that were vulnerable to workplace suicides. Targeted and tailored mitigation strategies for vulnerable industries and workers are recommended.