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25-Year fatal workplace suicide trends in North Carolina: 1992-2017.
Martin, Chelsea L; Richey, Morgan; Richardson, David B; Nocera, Maryalice; Cantrell, John; McClure, Elizabeth S; Martin, Amelia T; Marshall, Stephen W; Ranapurwala, Shabbar I.
Afiliación
  • Martin CL; Department of Epidemiology, Gillings School of Global Public Health, Chapel Hill, North Carolina, USA.
  • Richey M; Injury Prevention Research Center, Chapel Hill, North Carolina, USA.
  • Richardson DB; Department of Population Sciences, Duke University, Durham, North Carolina, USA.
  • Nocera M; Susan and Henry Samueli College of Health Sciences, Irvine, California, USA.
  • Cantrell J; Department of Epidemiology, Gillings School of Global Public Health, Chapel Hill, North Carolina, USA.
  • McClure ES; Injury Prevention Research Center, Chapel Hill, North Carolina, USA.
  • Martin AT; Department of Epidemiology, Gillings School of Global Public Health, Chapel Hill, North Carolina, USA.
  • Marshall SW; Injury Prevention Research Center, Chapel Hill, North Carolina, USA.
  • Ranapurwala SI; Department of Epidemiology, Gillings School of Global Public Health, Chapel Hill, North Carolina, USA.
Am J Ind Med ; 67(3): 214-223, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38197263
ABSTRACT

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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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Suicidio / Suicidio Completo Tipo de estudio: Prognostic_studies / Screening_studies Aspecto: Determinantes_sociais_saude Límite: Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Am J Ind Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Suicidio / Suicidio Completo Tipo de estudio: Prognostic_studies / Screening_studies Aspecto: Determinantes_sociais_saude Límite: Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Am J Ind Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos