北卡罗来纳州 25 年致命工作场所自杀趋势:1992-2017 年。

IF 2.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Chelsea L. Martin, Morgan Richey, David B. Richardson, Maryalice Nocera, John Cantrell, Elizabeth S. McClure, Amelia T. Martin, Stephen W. Marshall, Shabbar I. Ranapurwala
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引用次数: 0

摘要

背景:在美国,自杀是一个严重的公共健康问题,但调查工作场所致命自杀事件的证据却很有限。我们亟需了解工作场所自杀事件的特点,以便为自杀预防干预措施提供信息并锁定高风险环境。本研究旨在研究1992年至2017年间北卡罗来纳州(NC)按工人特征、自杀手段和行业划分的工作场所自杀率:从北卡罗来纳州首席法医办公室系统的记录和北卡罗来纳州死亡证书中确定了致命的工作场所自杀事件。摘录了性别、年龄、种族、民族、工人等级、死亡方式和行业。粗略和年龄标准化凶杀率的计算方法是:发生在工作场所的自杀人数除以估计的工人年数(w-y)。计算了比率比和 95% 的置信区间 (CI),并研究了总体和各行业致命性工作场所自杀的历时趋势:在 109,464,430 个工作年中观察到 81 起自杀事件。男性、自营职业者和 65 岁以上工人的自杀率有所上升。枪支是最常见的死亡手段(63%),其次是上吊(16%)。加油站工作人员的致命职业自杀率最高,是整体致命工作场所自杀率的 11.5 倍(95% CI:3.62-36.33),其次是司法、公共秩序和安全工作人员,是整体自杀率的 3.23 倍(95% CI:1.31-7.97):我们的研究结果确定了容易发生职场自杀的行业和工人人口结构。建议针对易受影响的行业和工人制定有针对性的缓解策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
25-Year fatal workplace suicide trends in North Carolina: 1992–2017

Background

Suicide 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.

Methods

Fatal 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.

Results

81 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).

Conclusion

Our findings identify industries and worker demographics that were vulnerable to workplace suicides. Targeted and tailored mitigation strategies for vulnerable industries and workers are recommended.

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来源期刊
American journal of industrial medicine
American journal of industrial medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.90
自引率
5.70%
发文量
108
审稿时长
4-8 weeks
期刊介绍: American Journal of Industrial Medicine considers for publication reports of original research, review articles, instructive case reports, and analyses of policy in the fields of occupational and environmental health and safety. The Journal also accepts commentaries, book reviews and letters of comment and criticism. The goals of the journal are to advance and disseminate knowledge, promote research and foster the prevention of disease and injury. Specific topics of interest include: occupational disease; environmental disease; pesticides; cancer; occupational epidemiology; environmental epidemiology; disease surveillance systems; ergonomics; dust diseases; lead poisoning; neurotoxicology; endocrine disruptors.
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