Evidence map›Paper›PMID 39727327›Full record

ArticleJournal of occupational health2025

Suicide deaths by occupation skill level and educational attainment in the United States.

Erick Messias, Enoch K Azasu, Nawar Nayeem, Ping-I Lin, Richard Grucza

Abstract read
In one paragraph

Article in Journal of occupational health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Article
  2. Hawai'i Suicide Rates by Occupation 2013-2023.International journal of environmental research and public health · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. 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

5 authors.

Erick MessiasDepartment of Psychiatry and Behavioral Neuroscience, Saint Louis University School of Medicine, St Louis, MO, United States.ORCID 0000-0002-0717-1166
Enoch K AzasuSchool of Social Work, University of Buffalo, The State University of New York, Buffalo, NY, United States.ORCID 0000-0002-1866-7765
Nawar NayeemDepartment of Psychiatry and Behavioral Neuroscience, Saint Louis University School of Medicine, St Louis, MO, United States.ORCID 0009-0006-3847-9813
Ping-I LinDepartment of Psychiatry and Behavioral Neuroscience, Saint Louis University School of Medicine, St Louis, MO, United States.ORCID 0000-0002-9739-7184
Richard GruczaDepartment of Family and Community Medicine, Saint Louis University School of Medicine, St Louis, MO, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo estimate the association between suicide deaths and both occupational skill level and educational attainment in the United States.

methodsSuicide deaths, employment, education, and demographic data from the 2021 National Center for Health Statistics Multiple Cause of Death Files, for ages 18-64 with a lifetime history of employment, were combined with comparable participants from the 2020-2022 Current Population Survey. Outcomes of interest were associations between suicide death and occupational skill level, assessed as a 5-level variable, and educational attainment. Logistic regression models were used to estimate these associations before and after adjusting for educational attainment, age, and sex, in each racial/ethnic subpopulation.

resultsWe found a significant gradient in suicide death across occupational skill levels, with lower-skill occupations associated with higher suicide rates than higher-skill occupations. This gradient was more pronounced among non-Hispanic White (NHW) people and non-Hispanic Black (NHB) people than Hispanic people. However, upon controlling for educational attainment, this association was attenuated, indicating that the initial link was likely confounded by education.

conclusionsThe results suggest that educational attainment is a more robust predictor of suicide risk than occupational skill level. Targeted interventions addressing educational and ethnic disparities within higher-risk occupational groups can mitigate suicide risk.

Indexed as

Educational StatusOccupationsSuicideAdolescentAdultBlack or African AmericanEmploymentEthnicityFemaleHispanic or LatinoHumansMaleMiddle AgedRisk FactorsUnited StatesWhiteeducationoccupational skillsuicide

Identifiers

PMID39727327
PMCPMC11827085

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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.