Evidence map›Paper›PMID 36203475›Full record

ArticleSSM - population health2022

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

Namkee G Choi, C Nathan Marti, Bryan Y Choi

Abstract read
In one paragraph

Article in SSM - population health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Examining the Etiology of Asian American Suicide in the United States.Journal of racial and ethnic health disparities · 2025
    Article
  8. Article
  9. How future self-continuity mediates the impact of job loss on negative mental health outcomes among transitioning veterans.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2024
    Article
  10. Article
  11. Article
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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

3 authors.

Namkee G ChoiSteve Hicks School of Social Work, University of Texas at Austin, Austin, TX, 78712, USA.
C Nathan MartiSteve Hicks School of Social Work, University of Texas at Austin, Austin, TX, 78712, USA.
Bryan Y ChoiDepartment of Emergency Medicine, Philadelphia College of Osteopathic Medicine and BayHealth, Dover, DE, 19901, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Alcohol misuseDepressionFinancial stressHousing instabilityJob lossSuicide

Identifiers

PMID36203475
PMCPMC9530609

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.