Cargando…

Job loss, financial strain, and housing problems as suicide precipitants: Associations with other life stressors

Previous research has shown that job loss, financial strain, and/or loss of housing (JFH) in midlife elevate suicide risk. In this study based on the 2017–2019 National Violent Death Reporting System, we examined other suicide precipitants and contributors of decedents whose suicide was in part prec...

Descripción completa

Detalles Bibliográficos
Autores principales: Choi, Namkee G., Marti, C. Nathan, Choi, Bryan Y.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9530609/
https://www.ncbi.nlm.nih.gov/pubmed/36203475
http://dx.doi.org/10.1016/j.ssmph.2022.101243
_version_ 1784801720568643584
author Choi, Namkee G.
Marti, C. Nathan
Choi, Bryan Y.
author_facet Choi, Namkee G.
Marti, C. Nathan
Choi, Bryan Y.
author_sort Choi, Namkee G.
collection PubMed
description Previous research has shown that job loss, financial strain, and/or loss of housing (JFH) in midlife elevate suicide risk. In this study based on the 2017–2019 National Violent Death Reporting System, we examined other suicide precipitants and contributors of decedents whose suicide was in part precipitated by JFH and the circumstances under which they died. First, we examined all adult decedents (N = 94,454; 74,042 males [78.4%] and 20,412 females [21.6%]) and then focused on decedents age 45–64 (N = 34,208; 25,640 males [75%] and 8568 females [25.0%]). The 45–64 age group had the highest rate of JFH (22.0% for males and 15.1% for females) as a suicide precipitant. The results of generalized linear models for all adult suicide decedents of both sexes showed that the 45–64 age group (IRR = 2.02, 95% CI = 1.89–2.16), compared to 65+ age group, and relationship problems, mental disorders, and alcohol problems were associated with significantly higher risk of JFH-precipitated suicide. In male decedents age 45–64, JFH was positively associated with depressed mood (IRR = 1.95, 95% CI = 1.85–2.06), alcohol problems (IRR = 1.14, 95% CI = 1.07–1.21), and number of crises (IRR = 1.48, 95% CI = 1.43–1.53). In female decedents age 45–64, JFH was positively associated with relationship problems (IRR = 1.19, 95% CI = 1.05–1.35), legal problems (IRR = 1.27, 95% CI = 1.06–1.54), depressed mood (IRR = 1.78, 95% CI = 1.59–1.99), and number of crises (IRR = 1.58, 95% CI = 1.48–1.68). In both sexes, the risk of JFH was also positively associated with a college education. In female decedents, JFH risk was higher among divorced or never-married individuals. Coroner/medical examiner and law enforcement agency reports show that some experienced depression and started misusing alcohol and/or other substances following a job loss, but others had these problems throughout life, which caused/contributed to JFH. These findings show the significance of suicide prevention approaches at both systemic (generous unemployment insurance, housing subsidies) and individual (treatment of depression and alcohol/substance misuse problems and social support/connection) levels.
format Online
Article
Text
id pubmed-9530609
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-95306092022-10-05 Job loss, financial strain, and housing problems as suicide precipitants: Associations with other life stressors Choi, Namkee G. Marti, C. Nathan Choi, Bryan Y. SSM Popul Health Review Article Previous research has shown that job loss, financial strain, and/or loss of housing (JFH) in midlife elevate suicide risk. In this study based on the 2017–2019 National Violent Death Reporting System, we examined other suicide precipitants and contributors of decedents whose suicide was in part precipitated by JFH and the circumstances under which they died. First, we examined all adult decedents (N = 94,454; 74,042 males [78.4%] and 20,412 females [21.6%]) and then focused on decedents age 45–64 (N = 34,208; 25,640 males [75%] and 8568 females [25.0%]). The 45–64 age group had the highest rate of JFH (22.0% for males and 15.1% for females) as a suicide precipitant. The results of generalized linear models for all adult suicide decedents of both sexes showed that the 45–64 age group (IRR = 2.02, 95% CI = 1.89–2.16), compared to 65+ age group, and relationship problems, mental disorders, and alcohol problems were associated with significantly higher risk of JFH-precipitated suicide. In male decedents age 45–64, JFH was positively associated with depressed mood (IRR = 1.95, 95% CI = 1.85–2.06), alcohol problems (IRR = 1.14, 95% CI = 1.07–1.21), and number of crises (IRR = 1.48, 95% CI = 1.43–1.53). In female decedents age 45–64, JFH was positively associated with relationship problems (IRR = 1.19, 95% CI = 1.05–1.35), legal problems (IRR = 1.27, 95% CI = 1.06–1.54), depressed mood (IRR = 1.78, 95% CI = 1.59–1.99), and number of crises (IRR = 1.58, 95% CI = 1.48–1.68). In both sexes, the risk of JFH was also positively associated with a college education. In female decedents, JFH risk was higher among divorced or never-married individuals. Coroner/medical examiner and law enforcement agency reports show that some experienced depression and started misusing alcohol and/or other substances following a job loss, but others had these problems throughout life, which caused/contributed to JFH. These findings show the significance of suicide prevention approaches at both systemic (generous unemployment insurance, housing subsidies) and individual (treatment of depression and alcohol/substance misuse problems and social support/connection) levels. Elsevier 2022-09-28 /pmc/articles/PMC9530609/ /pubmed/36203475 http://dx.doi.org/10.1016/j.ssmph.2022.101243 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Review Article
Choi, Namkee G.
Marti, C. Nathan
Choi, Bryan Y.
Job loss, financial strain, and housing problems as suicide precipitants: Associations with other life stressors
title Job loss, financial strain, and housing problems as suicide precipitants: Associations with other life stressors
title_full Job loss, financial strain, and housing problems as suicide precipitants: Associations with other life stressors
title_fullStr Job loss, financial strain, and housing problems as suicide precipitants: Associations with other life stressors
title_full_unstemmed Job loss, financial strain, and housing problems as suicide precipitants: Associations with other life stressors
title_short Job loss, financial strain, and housing problems as suicide precipitants: Associations with other life stressors
title_sort job loss, financial strain, and housing problems as suicide precipitants: associations with other life stressors
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9530609/
https://www.ncbi.nlm.nih.gov/pubmed/36203475
http://dx.doi.org/10.1016/j.ssmph.2022.101243
work_keys_str_mv AT choinamkeeg joblossfinancialstrainandhousingproblemsassuicideprecipitantsassociationswithotherlifestressors
AT marticnathan joblossfinancialstrainandhousingproblemsassuicideprecipitantsassociationswithotherlifestressors
AT choibryany joblossfinancialstrainandhousingproblemsassuicideprecipitantsassociationswithotherlifestressors