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

Allison Milner, Katrina Gisela Witt, Anthony Lamontagne, Isabelle Niedhammer

Research output: Contribution to journalReview ArticleResearchpeer-review

Abstract

Objectives: Job stressors are known determinants of common mental disorders. Over the past 10 years, there has been evidence that job stressors may also be risk factors for suicidality. The current paper sought to examine this topic through the first comprehensive systematic review and meta-analysis of the literature to date.

Methods: We used a three-tier search strategy of seven electronic databases. Studies were included if they reported on a job stressor or job-related stress as an exposure and suicide ideation, self-harm, suicide attempt or suicide as an outcome. Two researchers independently screened articles. All extracted effect estimates were converted to log-transformed ORs.

Results: There were 22 studies that were included in meta-analysis. Overall, exposure to job stressors was associated with elevated risk of suicide ideation and behaviours. The OR for suicide ideation (14 studies) ranged from 1.29 (95% CI 1.15 to 1.44) for poor supervisor and colleague support to 1.96 (95% CI 1.33 to 2.90) for job insecurity. For suicide (six studies), exposure to lower supervisor and collegial support produced an OR of 1.19 (95% CI 1.00 to 1.42), while low job control resulted in an OR of 1.30 (95% CI 1.10 to 1.53). There were only two studies that examined suicide attempt, both of which suggested an adverse effect of exposure to job stressors.

Conclusions: This study provides some evidence that job stressors may be related to suicidal outcomes. However, as most studies in the area were cross-sectional and observational in design, there is a need for longitudinal research to assess the robustness of observed associations.
Original languageEnglish
Pages (from-to)245-253
Number of pages9
JournalOccupational and Environmental Medicine
Volume75
Issue number4
DOIs
Publication statusPublished - 29 Aug 2017

Cite this

Milner, Allison ; Witt, Katrina Gisela ; Lamontagne, Anthony ; Niedhammer, Isabelle. / Psychosocial job stressors and suicidality : A meta-analysis and systematic review. In: Occupational and Environmental Medicine. 2017 ; Vol. 75, No. 4. pp. 245-253.
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abstract = "Objectives: Job stressors are known determinants of common mental disorders. Over the past 10 years, there has been evidence that job stressors may also be risk factors for suicidality. The current paper sought to examine this topic through the first comprehensive systematic review and meta-analysis of the literature to date.Methods: We used a three-tier search strategy of seven electronic databases. Studies were included if they reported on a job stressor or job-related stress as an exposure and suicide ideation, self-harm, suicide attempt or suicide as an outcome. Two researchers independently screened articles. All extracted effect estimates were converted to log-transformed ORs.Results: There were 22 studies that were included in meta-analysis. Overall, exposure to job stressors was associated with elevated risk of suicide ideation and behaviours. The OR for suicide ideation (14 studies) ranged from 1.29 (95{\%} CI 1.15 to 1.44) for poor supervisor and colleague support to 1.96 (95{\%} CI 1.33 to 2.90) for job insecurity. For suicide (six studies), exposure to lower supervisor and collegial support produced an OR of 1.19 (95{\%} CI 1.00 to 1.42), while low job control resulted in an OR of 1.30 (95{\%} CI 1.10 to 1.53). There were only two studies that examined suicide attempt, both of which suggested an adverse effect of exposure to job stressors.Conclusions: This study provides some evidence that job stressors may be related to suicidal outcomes. However, as most studies in the area were cross-sectional and observational in design, there is a need for longitudinal research to assess the robustness of observed associations.",
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Psychosocial job stressors and suicidality : A meta-analysis and systematic review. / Milner, Allison; Witt, Katrina Gisela; Lamontagne, Anthony; Niedhammer, Isabelle.

In: Occupational and Environmental Medicine, Vol. 75, No. 4, 29.08.2017, p. 245-253.

Research output: Contribution to journalReview ArticleResearchpeer-review

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T1 - Psychosocial job stressors and suicidality

T2 - A meta-analysis and systematic review

AU - Milner, Allison

AU - Witt, Katrina Gisela

AU - Lamontagne, Anthony

AU - Niedhammer, Isabelle

PY - 2017/8/29

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N2 - Objectives: Job stressors are known determinants of common mental disorders. Over the past 10 years, there has been evidence that job stressors may also be risk factors for suicidality. The current paper sought to examine this topic through the first comprehensive systematic review and meta-analysis of the literature to date.Methods: We used a three-tier search strategy of seven electronic databases. Studies were included if they reported on a job stressor or job-related stress as an exposure and suicide ideation, self-harm, suicide attempt or suicide as an outcome. Two researchers independently screened articles. All extracted effect estimates were converted to log-transformed ORs.Results: There were 22 studies that were included in meta-analysis. Overall, exposure to job stressors was associated with elevated risk of suicide ideation and behaviours. The OR for suicide ideation (14 studies) ranged from 1.29 (95% CI 1.15 to 1.44) for poor supervisor and colleague support to 1.96 (95% CI 1.33 to 2.90) for job insecurity. For suicide (six studies), exposure to lower supervisor and collegial support produced an OR of 1.19 (95% CI 1.00 to 1.42), while low job control resulted in an OR of 1.30 (95% CI 1.10 to 1.53). There were only two studies that examined suicide attempt, both of which suggested an adverse effect of exposure to job stressors.Conclusions: This study provides some evidence that job stressors may be related to suicidal outcomes. However, as most studies in the area were cross-sectional and observational in design, there is a need for longitudinal research to assess the robustness of observed associations.

AB - Objectives: Job stressors are known determinants of common mental disorders. Over the past 10 years, there has been evidence that job stressors may also be risk factors for suicidality. The current paper sought to examine this topic through the first comprehensive systematic review and meta-analysis of the literature to date.Methods: We used a three-tier search strategy of seven electronic databases. Studies were included if they reported on a job stressor or job-related stress as an exposure and suicide ideation, self-harm, suicide attempt or suicide as an outcome. Two researchers independently screened articles. All extracted effect estimates were converted to log-transformed ORs.Results: There were 22 studies that were included in meta-analysis. Overall, exposure to job stressors was associated with elevated risk of suicide ideation and behaviours. The OR for suicide ideation (14 studies) ranged from 1.29 (95% CI 1.15 to 1.44) for poor supervisor and colleague support to 1.96 (95% CI 1.33 to 2.90) for job insecurity. For suicide (six studies), exposure to lower supervisor and collegial support produced an OR of 1.19 (95% CI 1.00 to 1.42), while low job control resulted in an OR of 1.30 (95% CI 1.10 to 1.53). There were only two studies that examined suicide attempt, both of which suggested an adverse effect of exposure to job stressors.Conclusions: This study provides some evidence that job stressors may be related to suicidal outcomes. However, as most studies in the area were cross-sectional and observational in design, there is a need for longitudinal research to assess the robustness of observed associations.

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EP - 253

JO - Occupational and Environmental Medicine

JF - Occupational and Environmental Medicine

SN - 1351-0711

IS - 4

ER -