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Cumulative effect of unemployment on suicide mortality in South Korean workers (2018–2019)

Published online by Cambridge University Press:  09 May 2024

Jaehyuk Jung
Affiliation:
Department of Occupational and Environmental Medicine, Ajou University School of Medicine, 164 World cup-ro, Yeongtong-gu, Suwon 16499, Korea
Kyeong-Eun Lee
Affiliation:
Department of Epidemiologic Investigation, Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency, 400 Jongga-ro, Jung-gu, Ulsan 44429, Korea
Seri Hong
Affiliation:
Department of Preventive Medicine and Public Health, Ajou University School of Medicine, 164 World cup-ro, Yeongtong-gu, Suwon 16499, Korea
Jae Bum Park
Affiliation:
Department of Occupational and Environmental Medicine, Ajou University School of Medicine, 164 World cup-ro, Yeongtong-gu, Suwon 16499, Korea
Inchul Jeong*
Affiliation:
Department of Occupational and Environmental Medicine, Ajou University School of Medicine, 164 World cup-ro, Yeongtong-gu, Suwon 16499, Korea
*
Corresponding author: Inchul Jeong; Email: icjeong0101@aumc.ac.kr

Abstract

Background

While unemployment is known to increase the risk of suicide, its cumulative effect remains underexplored. This study investigates how unemployment affects suicide mortality and whether the effect varies based on the number of unemployment spells using two years of nationwide data.

Methods

Using the data from the National Statistical Office and Employment Insurance Database for 2018 and 2019, we identified an average of 2365 cases of suicide over two years among 7.76 million workers aged 25–64 years who had been employed within one year before their suicide. The number of unemployment spells was counted using the employment history of the past five years. We calculated crude suicide mortality rates per 100 000 population, age- and sex- standardized mortality rates (SMRs), and proportionate mortality rates (PMRs) for suicide.

Results

Over the two years, the crude suicide rate was 30.0 per 100 000 among the general population and 30.5 among workers. Workers with no unemployment spells in the past five years had a significantly lower SMR (0.44; 0.42–0.46), while those with four or more unemployment spells had a significantly higher SMR (3.13; 2.92–3.35) than the general population. These findings were consistent across all sex and age groups. Additionally, workers with four or more unemployment spells had a significantly higher PMR than the general population.

Conclusion

The impact of unemployment on suicide mortality intensifies as the number of unemployment spells increases. These results underscore the necessity for additional social and psychological support along with economic assistance for individuals facing recurrent unemployment.

Type
Original Article
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press

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