Evidence map›Paper›PMID 15965145›Full record

ArticleJournal of epidemiology and community health2005

Effect of psychiatric illness and labour market status on suicide: a healthy worker effect?

Esben Agerbo

Open access · bronzeAbstract read
In one paragraph

Article in Journal of epidemiology and community health, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
10.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Increased ASL-CBF in the right amygdala predicts the first onset of depression in healthy young first-degree relatives of patients with major depression.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2020
    Article
  9. Article
  10. Review
  11. New Findings On Gender: The Effects Of Employment Status On Suicide.International journal of women's health · 2019
    Article
  12. Article
  13. Disparities at the intersection of marginalized groups.Social psychiatry and psychiatric epidemiology · 2016
    Review
  14. Work characteristics and suicidal ideation in young adults in France.Social psychiatry and psychiatric epidemiology · 2015
    Article
  15. Assessing the total effect of time-varying predictors in prevention research.Prevention science : the official journal of the Society for Prevention Research · 2006
    Article
  16. Review
  17. Social Status and Suicidal Activity Among Psychiatric Patients: Moderating Effects of Gender, Race and Psychiatric Diagnosis.Archives of suicide research : official journal of the International Academy for Suicide Research
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Esben AgerboNational Centre for Register-based Research, University of Aarhus, DK-8000 Aarhus C, Denmark. ea@ncrr.dk
Aarhus University · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectiveTo describe the association between labour market status and death by suicide with focus on admission with a psychiatric disorder.

designNested case-control study. Data from routine registers.

settingEntire Danish population.

participants9011 people aged 25-60 years who committed suicide during 1982-1997 and 180 220 matched controls. MAIN

resultsIn the general population, not being fully employed is associated with a twofold to threefold increased relative risk of death by suicide, compared with being fully employed. In contrast, fully employed people who have been first admitted to a psychiatric hospital within the past year are at increased suicide risk. Patients who are unemployed, social benefits recipients, disability pensioners, or otherwise marginalised on the labour market have a suicide risk of 0.60 (95% CI: 0.46 to 0.78), 0.41 (0.23 to 0.74), 0.70 (0.45 to 1.08), and 0.86 (0.53 to 1.41), respectively. Although a similar risk decrease is found in women, men, people younger than 30 years, people older than 45 years, and in people who become unemployed, the reversed effect attenuates with time since admission, and little association is seen when a marginal structural model is applied.

conclusionsAlthough the results show an increased suicide mortality associated with unemployment and labour market marginalisation in the general population, the results suggest little or an inverse association between unemployment and suicide in people with psychiatric illness. The associations seen suggest the need to consider healthy worker selection effects when studying the causal pathway from unemployment and psychiatric illness to suicide.

Indexed as

AdultDenmarkEmploymentEpidemiologic MethodsFemaleHealthy Worker EffectHospitalizationHospitals, PsychiatricHumansMaleMental DisordersMiddle AgedSuicideUnemployment

Identifiers

PMID15965145
PMCPMC1757077
OpenAlexW2004294075

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.