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High-risk occupations for suicide

  • S. E. Roberts (a1), B. Jaremin (a2) and K. Lloyd (a1)
Abstract
Background

High occupational suicide rates are often linked to easy occupational access to a method of suicide. This study aimed to compare suicide rates across all occupations in Britain, how they have changed over the past 30 years, and how they may vary by occupational socio-economic group.

Method

We used national occupational mortality statistics, census-based occupational populations and death inquiry files (for the years 1979–1980, 1982–1983 and 2001–2005). The main outcome measures were suicide rates per 100 000 population, percentage changes over time in suicide rates, standardized mortality ratios (SMRs) and proportional mortality ratios (PMRs).

Results

Several occupations with the highest suicide rates (per 100 000 population) during 1979–1980 and 1982–1983, including veterinarians (ranked first), pharmacists (fourth), dentists (sixth), doctors (tenth) and farmers (thirteenth), have easy occupational access to a method of suicide (pharmaceuticals or guns). By 2001–2005, there had been large significant reductions in suicide rates for each of these occupations, so that none ranked in the top 30 occupations. Occupations with significant increases over time in suicide rates were all manual occupations whereas occupations with suicide rates that decreased were mainly professional or non-manual. Variation in suicide rates that was explained by socio-economic group almost doubled over time from 11.4% in 1979–1980 and 1982–1983 to 20.7% in 2001–2005.

Conclusions

Socio-economic forces now seem to be a major determinant of high occupational suicide rates in Britain. As the increases in suicide rates among manual occupations occurred during a period of economic prosperity, carefully targeted suicide prevention initiatives could be beneficial.

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Copyright
The online version of this article is published within an Open Access environment subject to the conditions of the Creative Commons Attribution-NonCommercial-ShareAlike licence <http://creativecommons.org/licenses/by-nc-sa/2.5/>. The written permission of Cambridge University Press must be obtained for commercial re-use..
Corresponding author
*Address for correspondence: Dr S. E. Roberts, School of Medicine, Swansea University, Singleton Park, Swansea SA2 8PP, UK. (Email: stephen.e.roberts@swansea.ac.uk)
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K Andersen , J Hawgood , H Klieve , K Kõlves , D De Leo (2010). Suicide in selected occupations in Queensland: evidence from the State suicide register. Australian and New Zealand Journal of Psychiatry 44, 243249.

LF Berkman , M Melchior , JF Chastang , I Niedhammer , A Leclerc , M Goldberg (2004). Social integration and mortality: a prospective study of French employees of Electricity of France – Gas of France: the GAZEL Cohort. American Journal of Epidemiology 159, 167174.

NJ Booth , K Lloyd (2000). Stress in farmers. International Journal of Social Psychiatry 46, 6773.

J Charlton (1995). Trends and patterns in suicide in England and Wales. International Journal of Epidemiology 24 (Suppl. 1), S45S52.

D Gunnell , K Hawton , N Kapur (2011). Coroners' verdicts and suicide statistics in England and Wales. British Medical Journal 343, d6030.

D Gunnell , G Lewis (2005). Studying suicide from the life course perspective: implications for prevention. British Journal of Psychiatry 187, 206208.

K Hawton , E Agerbo , S Simkin , B Platt , RJ Mellanby (2011). Risk of suicide in medical and related occupational groups: a national study based on Danish case population-based registers. Journal of Affective Disorders 134, 320326.

K Hawton , A Clements , C Sakarovitch , S Simkin , JJ Deeks (2001). Suicide in doctors: a study of risk according to gender, seniority and specialty in medical practitioners in England and Wales, 1979–1995. Journal of Epidemiology and Community Health 55, 296300.

K Hawton , A Clements , S Simkin , A Malmberg (2000). Doctors who kill themselves: a study of the methods used for suicide. Quarterly Journal of Medicine 93, 351357.

K Hawton , J Fagg , S Simkin , L Harriss , A Malmberg (1998). Methods used for suicide by farmers in England and Wales. The contribution of availability and its relevance to prevention. British Journal of Psychiatry 173, 320324.

U Hegerl , L Wittenburg , E Arensman , C Van Audenhove , JC Coyne , D McDaid , CM van der Feltz-Cornelis , R Gusmão , M Kopp , M Maxwell , U Meise , S Roskar , M Sarchiapone , A Schmidtke , A Värnik , A Bramesfeld (2009). Optimizing suicide prevention programs and their implementation in Europe (OSPI Europe): an evidence-based multi-level approach. BMC Public Health 9, 428.

T Hemmingsson , I Lundberg , R Nilsson , P Allebeck (1997). Health-related selection to seafaring occupations and its effects on morbidity and mortality. American Journal of Industrial Medicine 31, 662668.

R Jenkins (2002). Addressing suicide as a public-health problem. Lancet 359, 813814.

G Lewis , A Sloggett (1998). Suicide, deprivation, and unemployment: record linkage study. British Medical Journal 317, 12831286.

MJ Mahon , JP Tobin , DA Cusack , C Kelleher , KM Malone (2005). Suicide among regular-duty military personnel: a retrospective case-control study of occupation-specific risk factors for workplace suicide. American Journal of Psychiatry 162, 16881696.

JJ Mann , A Apter , J Bertolote , A Beautrais , D Currier , A Haas , U Hegerl , J Lonnqvist , K Malone , A Marusic , L Mehlum , G Patton , M Phillips , W Rutz , Z Rihmer , A Schmidtke , D Shaffer , M Silverman , Y Takahashi , A Varnik , D Wasserman , P Yip , H Hendin (2005). Suicide prevention strategies: a systematic review. Journal of the American Medical Association 294, 20642074.

PM Marzuk , MK Nock , AC Leon , L Portera , K Tardiff (2002). Suicide among New York City police officers, 1977–1996. American Journal of Psychiatry 159, 20692071.

H Meltzer , C Griffiths , A Brock , C Rooney , R Jenkins (2008). Patterns of suicide by occupation in England and Wales: 2001–2005. British Journal of Psychiatry 193, 7376.

B Platt , K Hawton , S Simkin , RJ Mellanby (2010). Systematic review of the prevalence of suicide in veterinary surgeons. Occupational Medicine 60, 436446.

M Rezaeian , G Dunn , S St Leger , L Appleby (2007). Do hot spots of deprivation predict the rates of suicide within London boroughs? Health and Place 13, 886893.

SE Roberts (2002). Hazardous occupations in Great Britain. Lancet 360, 543544.

B Schneider , K Grebner , A Schnabel , H Hampel , K Georgi , A Seidler (2011). Impact of employment status and work-related factors on risk of completed suicide. A case-control psychological autopsy study. Psychiatry Research 190, 265270.

RC Steppacher , JS Mausner (1974). Suicide in male and female physicians. Journal of the American Medical Association 228, 323328.

S Thoresen , L Mehlum , B Moller (2003). Suicide in peacekeepers – a cohort study of mortality from suicide in 22,275 Norwegian veterans from international peacekeeping operations. Social Psychiatry and Psychiatric Epidemiology 38, 605610.

DL Trout (1980). The role of social isolation in suicide. Suicide and Life-Threatening Behavior 10, 1023.

G Wickstrom , A Leivonniemi (1985). Suicides among male Finnish seafarers. Acta Psychiatrica Scandinavica 71, 575580.

RG Wilkinson , KE Pickett (2007). The problems of relative deprivation: why some societies do better than others. Social Science and Medicine 65, 19651978.

PS Yip (2011). Towards evidence-based suicide prevention programs. Crisis 32, 117120.

PS Yip , E Caine , S Yousuf , S-S Chang , KC-C Wu , YY Chen (2012). Means restriction for suicide prevention. Lancet 379, 23932399.

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Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
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