Association of Selected                     Area-Level Indicators With Suicide Mortality in Slovenian Municipalities

Roškar, Saška; Sedlar, Nataša; Furman, L; Roškar, Maja; Podlešek, Anja

doi:10.1027/0227-5910/a000742

Cited by 4 publications

(4 citation statements)

References 28 publications

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“…A single population based ecological study in Slovenia observed a univariate relationship between sickness absence duration per capita and the rate of suicide at a local area level, however this effect was not observed in statistical models that adjusted for area level socioeconomic and health service characteristics (50). Finally, a single cross-sectional study reported that taking sick leave was associated with decreased odds of current suicidal ideation in people receiving outpatient treatment for depression (51).…”

Section: Intentional Self-harmmentioning

confidence: 97%

The relationship between work disability and subsequent suicide or self-harm: A systematic scoping review

Collie

Gray

2022

Preprint

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Background: Work disability occurs when an injury, illness or other health condition limits the ability of a worker to participate in paid employment. Several lines of evidence suggest that people with work disability are also at increased risk of suicide and intentional self-harm, however the evidence on this relationship has not previously been the subject of systematic review. Objective: This systematic scoping review aims to assess and summarise the research literature regarding the relationship between work disability and subsequent suicide or intentional self-harm. Methods: Peer-reviewed quantitative and qualitative studies published in English from 1st January 2000 were included if they reported suicide or self-harm outcomes in people aged 15 years or older with work disability. Narrative synthesis summarised findings according to the system of work disability income support. Results: Literature search yielded 859 records of which 47 eligible studies were included, including nine set in workers compensation, 20 in sickness absence, 13 in disability pension systems, and five from mixed cohorts. Of 44 quantitative studies, 41 reported a positive relationship between work disability and suicidal behaviour. The relationship is observed consistently across nations, work disability income support systems and in people with a range of health conditions. Several factors elevate risk of suicidal behaviour, including presence of mental health conditions and longer work disability duration. There were few quality studies in some nations and no suicide prevention interventions. Conclusion: The risk of suicide and intentional self-harm is elevated in people experiencing work disability. While further observational research is required to fill evidence gaps, this review suggests the need for governments, employers and those involved in the delivery of care and support to people with work disability to focus on identification and monitoring of those at greatest risk of suicidal behaviour, as well as suicide prevention.

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Section: Intentional Self-harmmentioning

confidence: 97%

The relationship between work disability and subsequent suicide or self-harm: A systematic scoping review

Collie

Gray

2022

Preprint

View full text Add to dashboard Cite

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“…A single population based ecological study in Slovenia observed a univariate relationship between sickness absence duration per capita and the rate of suicide at a local area level, however this effect was not observed in statistical models that adjusted for area level socioeconomic and health service characteristics [51]. Finally, a single cross-sectional study reported that taking sick leave was associated with decreased odds of current suicidal ideation in people receiving outpatient treatment for depression [52].…”

Section: Plos Global Public Healthmentioning

confidence: 97%

The relationship between work disability and subsequent suicide or self-harm: A scoping review

Collie

Gray

2022

PLOS Glob Public Health

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Work disability occurs when an injury or illness limits the ability of a worker to participate in employment. While evidence suggests that people with work disability are at increased risk of suicide and intentional self-harm, this relationship has not been the subject of systematic review. This scoping review aims to assess and summarise the research literature regarding the relationship between work disability and subsequent suicide or intentional self-harm. Review protocol was published on the Open Science Foundation and is reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Peer-reviewed studies published in English from 1st January 2000 were included if they reported suicide or self-harm outcomes in people aged 15 years or older with work disability. Studies were identified via systematic search of Medline, Scopus and Pubmed databases, via recommendation from topic experts, and citation searching of included articles. A narrative synthesis was undertaken. Literature search yielded 859 records of which 47 eligible studies were included, nine set in workers’ compensation, 20 in sickness absence, 13 in disability pension systems, and five from mixed cohorts. Of 44 quantitative studies, 41 reported a positive relationship between work disability and suicidal behaviour. The relationship is observed consistently across nations, work disability income support systems and health conditions. Several factors elevate risk of suicidal behaviour, including presence of mental health conditions and longer work disability duration. There were few studies in some nations and no suicide prevention interventions. The risk of suicide and self-harm is elevated in people experiencing work disability. Further observational research is required to fill evidence gaps. This review suggests the need for governments, employers and those involved in the care of people with work disability to focus on identification and monitoring of those at greatest risk of suicidal behaviour, and suicide prevention.

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“…Previous studies[ 13 - 16 ] indicated that suicide rates were the highest among males, elderly, single individuals, those with less schooling, family disintegration, unemployment, poverty, living in rural areas, with mental illness (especially alcohol misuse). Some authors indicated that males more frequently use highly lethal methods of suicide, such as hanging or firearms, in comparison to females[ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Trends in suicide by hanging, strangulation, and suffocation in Serbia, 1991-2020: A joinpoint regression and age-period-cohort analysis

Ilic¹,

Ilić²

2022

WJP

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BACKGROUND Hanging is one of the most commonly used methods for suicide in both sexes worldwide. In a number of countries, hanging mortality has increased over the last decades. Nevertheless, there is a scarcity of studies that have explored the patterns and trends for mortality of suicide by hanging on global, regional and national levels, as most evaluations are limited to certain populations. AIM To assess the trends of suicide mortality by hanging, strangulation, and suffocation in Serbia, from 1991 to 2020. METHODS This nationwide study, with epidemiological descriptive study design, was carried out based on official data. The age-standardized rates (ASRs, expressed per 100000 persons) were calculated by direct standardization, using the World Standard Population. Mortality trends from suicide by hanging were assessed using the joinpoint regression analysis: The average annual percent change (AAPC) with the corresponding 95% confidence interval (95%CI) was calculated. Age-period-cohort analysis was performed to address the possible underlying reasons for the observed suicide trends. RESULTS Over the 30-year period studied, there were 24340 deaths by hanging (17750 males and 6590 females) in Serbia. In 2020, the ASR of deaths by hanging was 4.5 per 100000 persons in both sexes together (7.6 in males vs 1.7 in females). The trends of suicide mortality by hanging decreased significantly between 1991 and 2020 in both males (AAPC = -1.7% per year; 95%CI: -2.0 to -1.4) and females (AAPC = - 3.5% per year; 95%CI: -3.9 to -3.1). Mortality rates of suicide by hanging had a continuously decreasing tendency in both sexes together in all age groups: The only exception was among males in 40-49 age group, with an increasing trend of suicide by hanging from 1991 to 2011 (by +0.3% per year). CONCLUSION The trends in suicide mortality by hanging have been decreasing in Serbia in the last three decades in both sexes, but this was more pronounced in women than in men. Despite the decreasing trends observed in mortality of suicide by hanging, further research is needed for better clarification of trends and help in suicide prevention in the future.

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Association of Selected Area-Level Indicators With Suicide Mortality in Slovenian Municipalities

Cited by 4 publications

References 28 publications

The relationship between work disability and subsequent suicide or self-harm: A systematic scoping review

The relationship between work disability and subsequent suicide or self-harm: A systematic scoping review

The relationship between work disability and subsequent suicide or self-harm: A scoping review

Trends in suicide by hanging, strangulation, and suffocation in Serbia, 1991-2020: A joinpoint regression and age-period-cohort analysis

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