Purpose

The purpose of this paper is to update the assessment of national data on law enforcement worker suicide based on the National Occupational Mortality Surveillance database (NOMS, Centers for Disease Control and Prevention).

Design/methodology/approach

Death certificate data for 4,441,814 decedents, age 18–90 who died in one of the 26 reporting states were the source of NOMS data. Utilizing proportionate mortality ratios (PMRs), the ratio of suicides in law enforcement occupations in those who are 18–90 years old with a designated usual occupation was calculated.

Findings

Findings indicate a significantly higher proportion of deaths from suicide for law enforcement officers (PMR = 154, 95% CI = 147–162), compared to all the US decedents in the study population who were employed during their lifetime. Law enforcement personnel are 54% more likely to die of suicide than all decedents with a usual occupation. PMRs were highest for African-Americans, Hispanic males and for females. PMRs were similar for detectives, corrections officers and all law enforcement jobs, when not stratified by race, ethnicity and sex.

Research limitations/implications

Bias may arise because a PMR can be affected by disproportionate increased or decreased mortality from causes of death other than suicide.

Practical implications

A better understanding of the scope of law enforcement suicide can inform policy focused on the planning and initiation of prevention programs.

Originality/value

The use of a national database to study law enforcement worker suicide adds to other information available on law enforcement worker suicide in specific geographic areas. The discussion on prevention in this paper presents ideas for policy.

中文翻译：

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执法人员自杀：更新的国家评估

目的

本文的目的是根据国家职业死亡率监测数据库（NOMS，疾病控制和预防中心）更新对执法人员自杀国家数据的评估。

设计/方法/方法

在 26 个报告州之一死亡的 4,441,814 名 18-90 岁死者的死亡证明数据是 NOMS 数据的来源。利用比例死亡率（PMRs），计算了 18-90 岁具有指定通常职业的执法职业中的自杀率。

发现

调查结果表明，与研究人群中在其一生中受雇的所有美国死者相比，执法人员死于自杀的比例显着更高（PMR = 154, 95% CI = 147-162）。执法人员死于自杀的可能性比所有从事普通职业的死者高 54%。非裔美国人、西班牙裔男性和女性的 PMR 最高。当不按种族、民族和性别分层时，侦探、惩教人员和所有执法工作的 PMR 相似。

研究限制/影响

可能会出现偏差，因为 PMR 可能会受到除自杀以外的其他死因导致的死亡率不成比例地增加或减少的影响。

实际影响

更好地了解执法自杀的范围可以为侧重于预防计划的规划和启动的政策提供信息。

原创性/价值

使用国家数据库研究执法人员自杀增加了有关特定地理区域执法人员自杀的其他信息。本文对预防的讨论提出了政策思路。