Evidence map›Paper›PMID 28376757›Full record

ArticleBMC psychiatry2017

Access to means of suicide, occupation and the risk of suicide: a national study over 12 years of coronial data.

A Milner, K Witt, H Maheen, A D LaMontagne

Abstract read
In one paragraph

Article in BMC psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Suicide among transport industry workers: A systematic review and meta-analysis.Scandinavian journal of work, environment & health · 2022
    Pooled it
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  12. [How to best address the challenges of mental health in medical education?]Revista colombiana de obstetricia y ginecologia · 2024
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  13. 25-Year fatal workplace suicide trends in North Carolina: 1992-2017.American journal of industrial medicine · 2024
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  17. Suicide prevention targeting middle-aged males: the role of primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
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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

4 authors.

A MilnerCentre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia. Allison.milner@unimelb.edu.au.ORCID 0000-0003-4657-0503
K WittTurning Point, Eastern Health Clinical School, Monash University, Melbourne, VIC, Australia.
H MaheenWork, Health, & Wellbeing Unit, Centre for Population Health Research, School of Health & Social Development, Deakin University, Melbourne, VIC, Australia.
A D LaMontagneWork, Health, & Wellbeing Unit, Centre for Population Health Research, School of Health & Social Development, Deakin University, Melbourne, VIC, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAvailability of lethal means is a significant risk factor for suicide. This study investigated whether occupations with greater access to lethal means had higher suicide rates than those without access, and further, whether this relationship differed for females versus males.

methodsA retrospective mortality study was conducted across the Australian population over the period 2001 to 2012. Data from the Australian Bureau of Statistics, which collects Census information on occupation for the Australian population, and the National Coroners Information System, which records information on suicide deaths, were combined. Employed suicide records were coded by occupation and work-related access to lethal means. Descriptive analysis and negative binomial regression were used to assess the relationship between access to means and suicide.

resultsPersons in occupations with access to firearms, medicines or drugs, and carbon monoxide more frequently used these methods to end their lives than those without access to means. Females employed in occupations with access to means had suicide rates that were 3.02 times greater (95% CI 2.60 to 3.50, p < 0.001) than those employed in occupations without access. Males in occupations with access had suicide rates that were 1.24 times greater than those without access (95% CI 1.16 to 1.33, p < 0.001).

conclusionWork-related access to means is a risk factor for suicide in the employed population, but is associated with a greater risk for females than males. The findings of this study suggest the importance of controlling access to lethal methods in occupations where these are readily available.

Indexed as

Cause of DeathAdolescentAdultAgedAustraliaChildFemaleHumansMaleMiddle AgedOccupationsRetrospective StudiesRisk FactorsSex FactorsSuicideYoung AdultCoroners’ dataLethal meansOccupation healthSuicide

Identifiers

PMID28376757
PMCPMC5379531

What OpenQuestion holds

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Registered trials

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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.