The Economic Cost of Suicide and Non-Fatal Suicide Behavior in the Australian Workforce and the Potential Impact of a Workplace Suicide Prevention Strategy.
The Economic Cost of Suicide and Non-Fatal Suicide Behavior in the Australian Workforce and the Potential Impact of a Workplace Suicide Prevention Strategy.
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DOI：
10.3390/ijerph14040347
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发表时间：
2017-03-27
影响因子：
--
通讯作者：
Doran CM
中科院分区：
文献类型：
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作者：
Kinchin I;Doran CM
自杀和非致命性自杀行为（NFSB）是大多数国家面临的重大问题。这项研究的目的是量化自杀和NFSB在澳大利亚劳动力的经济成本，并研究引入工作场所自杀预防干预措施，以减少这种负担的潜在影响。该分析使用了最好的自杀数据，一个完善的成本计算方法，以及一个经过验证的工作场所干预。2014年，有903名工人因自杀死亡，2303名工人因伤害自己而完全丧失工作能力，11,242名工人因伤害自己而短暂缺勤。自杀和NFSB的经济成本现值估计为67.3亿美元。我们的分析表明，实施普遍工作场所战略的经济效益将大大超过该战略的成本。每投资1美元，收益将超过1.50美元（1.11 - 3.07美元），这是一项积极的经济投资。关键参数的所有变化都保持正的效益成本比。在澳大利亚和其他地方，自杀率和NFSB都太高了。需要做更多的工作来减轻这一负担。虽然工作场所的策略是适合那些就业，这些干预措施必须在一个多方面的方法，反映了自我伤害行为的复杂性。
Suicide and non-fatal suicide behavior (NFSB) are significant problems faced by most countries. The objective of this research is to quantify the economic cost of suicide and NFSB in the Australian workforce and to examine the potential impact of introducing a workplace suicide prevention intervention to reduce this burden. The analysis used the best available suicide data, a well-established costing methodology, and a proven workplace intervention. In 2014, 903 workers died by suicide, 2303 workers harmed themselves resulting in full incapacity, and 11,242 workers harmed themselves resulting in a short absence from work. The present value of the economic cost of suicide and NFSB is estimated at $6.73 billion. Our analysis suggests the economic benefit of implementing a universal workplace strategy would considerably outweigh the cost of the strategy. For every one dollar invested, the benefits would be in excess of $1.50 ($1.11–$3.07), representing a positive economic investment. All variations of the key parameter hold the positive benefit-cost ratio. Rates of suicide and NFSB are far too high in Australia and elsewhere. More needs to be done to reduce this burden. Although workplace strategies are appropriate for those employed, these interventions must be used within a multifaceted approach that reflects the complex nature of self-harming behavior.