Workplace bullying and the association with suicidal ideation/thoughts and behaviour: a systematic review

Leach, Liana; Poyser, Carmel; Butterworth, Peter

doi:10.1136/oemed-2016-103726

Cited by 109 publications

(80 citation statements)

References 45 publications

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“…The studies identified by our search strategy mainly focused on modifiable task-based stressors, most of which are likely to represent chronic rather than episodic conditions occurring in workplaces. Other stressors that occur in workplace settings that we did not include in this review include bullying and harassment, which have been shown to be related to suicidality in a recent systematic review 20. There may be other, more acute stressors that increase the risk of suicide not considered in this review, such as workplace restructuring or exposure to traumatic incidents at work (such as those experienced by police, firefighters and other emergency responders).…”

Section: Discussionmentioning

confidence: 99%

Psychosocial job stressors and suicidality: a meta-analysis and systematic review

Milner¹,

Witt

LaMontagne³

et al. 2017

Occup Environ Med

166

121

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Section: Discussionmentioning

confidence: 99%

Psychosocial job stressors and suicidality: a meta-analysis and systematic review

Milner¹,

Witt

LaMontagne³

et al. 2017

Occup Environ Med

166

121

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show abstract

“…Suicide is a crucial issue in public and occupational health. Suicide has a multifactorial etiology and recent systematic reviews and meta-analyses have pointed out the role of occupational exposures, mainly psychosocial work stressors, as risk factors for suicide (3,4). Suicide is a very rare event in the general population and still more seldom in the working population.…”

Section: Letter To the Editormentioning

confidence: 99%

Response to letter to the editor from Dr Rahman Shiri: The challenging topic of suicide across occupational groups

Niedhammer

Milner²,

Witt³

et al. 2017

Scand J Work Environ Health

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We thank Dr Rahman Shiri (1) for his careful reading of our systematic review and meta-analysis on suicide among agricultural, forestry, and fishery workers (2). Our paper had the objective of providing a pooled effect size of suicide for this occupational group. Suicide is a crucial issue in public and occupational health. Suicide has a multifactorial etiology and recent systematic reviews and meta-analyses have pointed out the role of occupational exposures, mainly psychosocial work stressors, as risk factors for suicide (3, 4). Suicide is a very rare event in the general population and still more seldom in the working population. Indeed, unemployed and economically inactive people have a higher risk of suicide compared to employed people (5, 6). However, the total number of suicides is greater in the employed population than among the economically inactive or unemployed (6). Shiri's letter (1) questioned several aspects of our review and meta-analysis. One comment related to the single reference database used in our review and a suggestion that our review could not be considered to be systematic. The review was based on Medline because our main interest was in quantitative epidemiologic studies. This is the largest database for biomedical literature and we would argue the most pertinent. Furthermore, we checked the reference lists of the most recent papers and literature reviews, and Shiri did not report any paper that was missing. No review, whether searching one or more databases, can expect to be totally exhaustive. There may always be missing studies, especially if we consider grey literature. Thus we assert that our review was systematic, while acknowledging that it may not be perfectly comprehensive. Shiri suggested an absence of quality assessment of the studies included in our meta-analysis. First, quality was considered in the context of our comments in the discussion section. Second, as suggested by Rothman et al (7), quality assessment was replaced by regression analyses of the effect of each quality item (study characteristics, ie, study design, effect measure, reference group, and adjustment). Third, because most studies included in this review were based on objective data (census, administrative, or register data), they were free of many of the sources of bias that exist in studies where information on exposure and outcome must be collected from participants. Consequently, many of the items related to quality were not pertinent, such as response and follow-up rates, coverage and representativeness of the sample, selection, etc. Contrary to what Shiri suggested, all study designs can be informative in this topic because all of them are able to provide an unbiased estimate of the effect size. In addition, the prospective and case-control studies may have shortcomings. For example, we excluded five studies including three prospective and case-control studies in the sensibility analysis because the group of interest was defined on the basis of the exposure to chemicals (pesticides) rather than job ti...

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“…In this issue of Occupational and Environmental Medicine ( OEM ), Leach et al 1 review the evidence that workplace bullying is associated with suicidal thoughts and behaviours. This is a rapidly developing area of enquiry, as it should be.…”

mentioning

confidence: 99%

Working conditions as modifiable risk factors for suicidal thoughts and behaviours

LaMontagne

Milner

2016

Occup Environ Med

View full text Add to dashboard Cite

Workplace bullying and the association with suicidal ideation/thoughts and behaviour: a systematic review

Cited by 109 publications

References 45 publications

Psychosocial job stressors and suicidality: a meta-analysis and systematic review

Psychosocial job stressors and suicidality: a meta-analysis and systematic review

Response to letter to the editor from Dr Rahman Shiri: The challenging topic of suicide across occupational groups

Working conditions as modifiable risk factors for suicidal thoughts and behaviours

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