Long-Term Unemployment and Suicide: A Systematic Review and Meta-Analysis
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{"title"=>"Long-Term Unemployment and Suicide: A Systematic Review and Meta-Analysis", "type"=>"journal", "authors"=>[{"first_name"=>"Allison", "last_name"=>"Milner", "scopus_author_id"=>"26428410400"}, {"first_name"=>"Andrew", "last_name"=>"Page", "scopus_author_id"=>"7201642335"}, {"first_name"=>"Anthony D.", "last_name"=>"LaMontagne", "scopus_author_id"=>"7005939485"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-84872435453", "doi"=>"10.1371/journal.pone.0051333", "sgr"=>"84872435453", "isbn"=>"1932-6203", "pmid"=>"23341881", "issn"=>"19326203", "pui"=>"368133761"}, "id"=>"c108d617-f195-393f-bb2c-aed7f1c4eb4d", "abstract"=>"PURPOSE: There have been a number of reviews on the association+ between unemployment and suicide, but none have investigated how this relationship is influenced by duration of unemployment. METHOD: A systematic review and meta-analysis was conducted of those studies that assessed duration of unemployment as a risk factor for suicide. Studies considered as eligible for inclusion were population-based cohort or case-control designs; population-based ecological designs, or hospital based clinical cohort or case-control designs published in the year 1980 or later. RESULTS: The review identified 16 eligible studies, out of a possible 10,358 articles resulting from a search of four databases: PubMed, Web of Knowledge, Scopus and Proquest. While all 16 studies measured unemployment duration in different ways, a common finding was that longer duration of unemployment was related to greater risk of suicide and suicide attempt. A random effects meta-analysis on a subsample of six cohort studies indicated that the pooled relative risk of suicide in relation to average follow-up time after unemployment was 1.70 (95% CI 1.22 to 2.18). However, results also suggested a possible habituation effect to unemployment over time, with the greatest risk of suicide occurring within five years of unemployment compared to the employed population (RR = 2.50, 95% CI 1.83 to 3.17). Relative risk appeared to decline in studies of those unemployed between 12 and 16 years compared to those currently employed (RR = 1.21, 95% CI 1.10 to 1.33). CONCLUSION: Findings suggest that long-term unemployment is associated with greater incidence of suicide. Results of the meta-analysis suggest that risk is greatest in the first five years, and persists at a lower but elevated level up to 16 years after unemployment. These findings are limited by the paucity of data on this topic.", "link"=>"http://www.mendeley.com/research/longterm-unemployment-suicide-systematic-review-metaanalysis-5", "reader_count"=>120, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Professor > Associate Professor"=>10, "Librarian"=>2, "Researcher"=>21, "Student > Doctoral Student"=>10, "Student > Ph. D. Student"=>19, "Student > Postgraduate"=>7, "Other"=>9, "Student > Master"=>17, "Student > Bachelor"=>12, "Lecturer"=>5, "Lecturer > Senior Lecturer"=>3, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Professor > Associate Professor"=>10, "Librarian"=>2, "Researcher"=>21, "Student > Doctoral Student"=>10, "Student > Ph. D. Student"=>19, "Student > Postgraduate"=>7, "Other"=>9, "Student > Master"=>17, "Student > Bachelor"=>12, "Lecturer"=>5, "Lecturer > Senior Lecturer"=>3, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>7, "Environmental Science"=>1, "Nursing and Health Professions"=>5, "Medicine and Dentistry"=>36, "Agricultural and Biological Sciences"=>4, "Business, Management and Accounting"=>4, "Psychology"=>26, "Social Sciences"=>29, "Decision Sciences"=>1, "Earth and Planetary Sciences"=>1, "Economics, Econometrics and Finance"=>6}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>36}, "Social Sciences"=>{"Social Sciences"=>29}, "Decision Sciences"=>{"Decision Sciences"=>1}, "Psychology"=>{"Psychology"=>26}, "Earth and Planetary Sciences"=>{"Earth and Planetary Sciences"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>6}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>4}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>5}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>4}, "Unspecified"=>{"Unspecified"=>7}, "Environmental Science"=>{"Environmental Science"=>1}}, "reader_count_by_country"=>{"Canada"=>2, "Sweden"=>1, "United States"=>1, "Brazil"=>2, "Chile"=>2, "Australia"=>1, "Portugal"=>2, "Spain"=>1}, "group_count"=>13}

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Figshare

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  • {"files"=>["https://ndownloader.figshare.com/files/505710"], "description"=>"<p>Reference is the employed population.</p>", "links"=>[], "tags"=>["public health and epidemiology"], "article_id"=>176231, "categories"=>["Biotechnology"], "users"=>["Allison Milner", "Andrew Page", "Anthony D. LaMontagne"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0051333.g002", "stats"=>{"downloads"=>0, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Forest_plot_of_suicide_risk_following_unemployment_follow_up_over_time_results_of_meta_analysis_/176231", "title"=>"Forest plot of suicide risk following unemployment, follow up over time, results of meta-analysis.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-01-16 01:43:51"}

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Relative Metric

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