Abstract

Objectives

Unemployment and job loss are among the problems that have serious psychological consequences. This meta-analysis sought to investigate the impact of unemployment on suicidality and put it to comprehensive study and meta-analysis.

Method

Mesh keywords were first extracted and these were formulated to search in PubMed and Scopus. Searches were limited to English, and the search lasted until April 2020. The pooled odds ratio on the relationship between unemployment and suicidality was calculated. Several additional analyzes were performed, including gender-based analysis and analysis based on suicide mortality, suicide attempts, and suicide ideation. All analyses were based on the random effects, and publication bias and heterogeneity analysis was performed.

Result

Unemployment is associated with an increase odd of suicidality. This odd ratio (OR) is 1.85 and is located in a confidence interval (CI) 1.55–2.20 (p < .001). Unemployment is associated with an increase odd of suicide mortality, and OR is 1.87 and CI 1.40–2.50 (p < .001). Also, unemployment is associated with suicide attempts (OR = 1.54; CI 1.26–1.89; p < .001) and suicide ideation (OR = 1.94; CI 1.61–2.34; p < .001). Unemployment in men is associated with increased odds of suicidality, and OR is 1.97 and CI 1.44–2.70 (p < .001). Also, unemployment in women is associated with suicidality (OR = 1.87; CI 1.48–2.37; p < .001).

Discussion

Overall, the findings of this study could be a clinical and health guide for professionals, as it provides a framework that examines one of the most important economic factors for suicidality.

中文翻译：

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失业和自杀死亡率，自杀企图和自杀观念：一项荟萃分析

摘要

目标

失业和失业是严重的心理后果。这项荟萃分析旨在研究失业对自杀的影响，并将其进行综合研究和荟萃分析。

方法

首先提取网格关键字，然后将其配置为在PubMed和Scopus中进行搜索。搜索仅限于英语，搜索持续到2020年4月。计算了失业率与自杀率之间的综合比值比。还进行了其他一些分析，包括基于性别的分析以及基于自杀死亡率，自杀企图和自杀观念的分析。所有分析均基于随机效应，并进行了出版偏倚和异质性分析。

结果

失业与自杀的可能性增加有关。该奇数比（OR）为1.85，位于置信区间（CI）1.55至2.20（p  <.001）中。失业与自杀死亡率的上升几率相关，OR为1.87，CI为1.40-2.50（p  <.001）。另外，失业与自杀未遂（OR = 1.54； CI 1.26–1.89；p  <.001）和自杀观念（OR = 1.94； CI 1.61–2.34；p  <.001）相关。男性失业与自杀率增加相关，OR为1.97，CI为1.44–2.70（p  <.001）。另外，妇女的失业与自杀倾向有关（OR = 1.87； CI 1.48–2.37；p  <.001）。

讨论

总体而言，这项研究的发现可以为专业人士提供临床和健康指导，因为它提供了一个框架，可以研究自杀的最重要经济因素之一。