Title :

Long-term occupational trajectories and suicide: a 22-year follow-up of the gazel cohort study

Author(s) :

Azevedo Da Silva, Marine [Auteur]
Younes, Nadia [Auteur]
Leroyer, Ariane [Auteur]
IMPact de l'Environnement Chimique sur la Santé humaine (IMPECS) - EA 4483
Plancke, Laurent [Auteur]
Lemogne, Cedric [Auteur]
Goldberg, Marcel [Auteur]
Riviere, Mathieu [Auteur]
Melchior, Maria [Auteur]

Journal title :

Scandinavian journal of work, environment & health

Abbreviated title :

Scand J Work Environ Health

Publication date :

2018-09-16

ISSN :

1795-990X

Keyword(s) :

longitudinal cohort
socioeconomic position
risk
psychosocial
depression
mental health

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Objective Most suicides occur among individuals of working age. Risk is elevated in some occupational groups, however relations between long-term occupational trajectories and suicide are not well known. We describe ...
Show more >Objective Most suicides occur among individuals of working age. Risk is elevated in some occupational groups, however relations between long-term occupational trajectories and suicide are not well known. We describe career-long occupational trajectories and examine their influence on suicide. Methods Data come from GAZEL, a French cohort study set among employees of a large national utilities company. Occupational grade was obtained from company records from the time of hiring (1953‒1988). Group-based trajectory models were used to define occupational trajectories over a mean time period of 25.0 (standard deviation 6.5) years. Causes of mortality, coded using the International Classification of Diseases, were recorded from 1993‒2014 and studied using Cox regression models. Results Of the 20 452 participants included in the study, 73 died by suicide between 1993‒2014. Results suggested an increased risk of suicide [hazard ratio (HR) 2.57, 95% confidence interval (CI) 1.08-6.15] among participants with persistently low occupational grade compared to those with higher occupational grade and career development. After adjustment for all covariates, especially psychological factors, this association was reduced and no longer statistically significant (HR 2.02, 95% CI 0.82-4.95). Conclusions Persistently low occupational grade could be related to an elevated risk of suicide. This association partly reflects psychological and health characteristics, which can influence occupational trajectories and be reinforced by unfavorable work conditions.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
Inserm
Université de Lille

Collections :

• IMPact de l'Environnement Chimique sur la Santé humaine (IMPECS) - ULR 4483
• Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286

Submission date :

2022-02-02T10:23:58Z
2022-12-13T09:40:13Z