Evidence map›Paper›PMID 30542937›Full record

ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2019

Unemployment and suicide in Italy: evidence of a long-run association mitigated by public unemployment spending.

Giorgio Mattei, Barbara Pistoresi

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Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Effects of Financial Expenditure of Prefectures/Municipalities on Regional Suicide Mortality in Japan.International journal of environmental research and public health · 2021
    Article
  14. Impacts of Dual-Income Household Rate on Suicide Mortalities in Japan.International journal of environmental research and public health · 2021
    Article
  15. Article
  16. The impact of the great economic crisis on mental health care in Italy.The European journal of health economics : HEPAC : health economics in prevention and care · 2020
    Article
  17. Article
  18. Unfolding the relationship between mortality, economic fluctuations, and health in Italy.The European journal of health economics : HEPAC : health economics in prevention and care · 2020
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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

2 authors.

Giorgio MatteiDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Via G. Campi, 287, 41125, Modena, Italy. giorgio.mattei@unimore.it.ORCID http://orcid.org/0000-0001-5326-303X
Barbara PistoresiDepartment of Economics and ReCent, University of Modena and Reggio Emilia, Viale Berengario 51, Modena, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

From the mid-1990s on, the suicide rate in Italy declined steadily, then apparently rose again after the onset of the Great Recession, along with a sharp increase in unemployment. The aim of this study is to test the association between the suicide rate and unemployment (i.e., the unemployment rate for males and females in the period 1977-2015, and the long-term unemployment rate in the period 1983-2012) in Italy, by means of cointegration techniques. The analysis was adjusted for public unemployment spending (referring to the period 1980-2012). The study identified a long-run relationship between the suicide rate and long-term unemployment. On the other hand, an association between suicide and unemployment rate emerged, though statistically weaker. A 1% increase in long-term unemployment increases the suicide rate by 0.83%, with a long-term effect lasting up to 18 years. Public unemployment spending (as percentage of the Italian gross domestic product) may mitigate this association: when its annual growth rate is higher than 0.18%, no impact of unemployment on suicide in detectable. A decrease in the suicide rate is expected for higher amounts of social spending, which may be able to compensate for the reduced level of social integration resulting from unemployment, helping the individual to continue to integrate into society. A corollary of this is that austerity in times of economic recession may exacerbate the impact of the economic downturn on mental health. However, a specific "flexicurity" system (intended as a combination of high employment protection, job satisfaction and labour-market policies) may have a positive impact on health.

Indexed as

Economic RecessionFemaleFinancing, GovernmentHumansItalyMaleModels, StatisticalSex FactorsSocial IntegrationSuicideUnemploymentAusterity measuresCointegration analysisECMItalySuicide mortality

Identifiers

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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.