ArticlePloS one2022
The association of COVID-19 employment shocks with suicide and safety net use: An early-stage investigation.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.
- Insecure employment and the social determinants of suicide: a narrative synthesis review.Globalization and health · 2026Pooled it
- The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: update of living systematic review.F1000Research · 2020Pooled it
- COVID-19 and suicide in Japan from March 2020 to February 2023.Scientific reports · 2026Article
- Risk stratification and healthcare disparities in COVID-19 outcomes: a retrospective cohort study of treatment pathways before and after infection.BMC infectious diseases · 2025Article
- Emergency Dispatches for Suicide Attempts during the COVID-19 Pandemic in Okayama, Japan: An Interrupted Time-series Analysis.JMA journal · 2024Article
- Impacts of Complete Unemployment Rates Disaggregated by Reason and Duration on Suicide Mortality from 2009-2022 in Japan.Healthcare (Basel, Switzerland) · 2023Article
- What happened to the predicted COVID-19-induced suicide epidemic, and why?The Australian and New Zealand journal of psychiatry · 2023Article
- Impact of the COVID-19 pandemic on suicide rates in Japan through December 2021: An interrupted time series analysis.The Lancet regional health. Western Pacific · 2022Article
- Aggressive measures, rising inequalities, and mass formation during the COVID-19 crisis: An overview and proposed way forward.Frontiers in public health · 2022Review
- Suicidality and COVID-19: Suicidal ideation, suicidal behaviors and completed suicides amidst the COVID-19 pandemic (Review).Experimental and therapeutic medicine · 2022Review
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This paper examines whether the COVID-19-induced employment shocks are associated with increases in suicides and safety net use in the second and third quarters of 2020. We exploit plausibly exogenous regional variation in the magnitude of the employment shocks in Japan and adopt a difference-in-differences research design to examine and control for possible confounders. Our preferred point estimates suggest that a one-percentage-point increase in the unemployment rate in the second quarter of 2020 is associated with, approximately, an additional 0.52 suicides, 28 unemployment benefit recipients, 88 recipients of a temporary loan program, and 10 recipients of public assistance per 100,000 population per month. A simple calculation based on these estimates suggests that if a region experienced a one-percentage-point increase in the unemployment rate caused by the COVID-19 crisis in the second quarter of 2020, which is roughly equivalent to the third-highest regional employment shock, this would be associated with 37.4%, 60.5%, and 26.5% increases in the total, female, and male suicide rates respectively in July 2020 compared with July 2019. These results are primarily correlational rather than causal due to the limitation of our data and research design, but our baseline findings are robust to several different model specifications.
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