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Psychosocial job stressors and suicidality: a meta-analysis and systematic review
Open accessAbstract
Objectives: Job stressors are known determinants of common mental disorders. Over the past 10 years, there has been evidence that job stressors may also be risk factors for suicidality. The current paper sought to examine this topic through the first comprehensive systematic review and meta-analysis of the literature to date. Methods: We used a three-tier search strategy of seven electronic databases. Studies were included if they reported on a job stressor or job-related stress as an exposure and suicide ideation, self-harm, suicide attempt or suicide as an outcome. Two researchers independently screened articles. All extracted effect estimates were converted to log-transformed ORs. Results: There were 22 studies that were included in meta-analysis. Overall, exposure to job stressors was associated with elevated risk of suicide ideation and behaviours. The OR for suicide ideation (14 studies) ranged from 1.45 (95% CI 1.01 to 2.08) for poor supervisor and colleague support to 1.91 (95% CI 1.22 to 2.99) for job insecurity. For suicide (six studies), exposure to lower supervisor and collegial support produced an OR of 1.16 (95% CI 0.98 to 1.38), while low job control resulted in an OR of 1.23 (95% CI 1.00 to 1.50). There were only two studies that examined suicide attempt, both of which suggested an adverse effect of exposure to job stressors. Conclusions: This study provides some evidence that job stressors may be related to suicidal outcomes. However, as most studies in the area were cross-sectional and observational in design, there is a need for longitudinal research to assess the robustness of observed associations.
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“Previous systematic reviews aiming to determine work-related risk factors for SRD have either not been updated since 2008,10 combined various common mental disorders, such as anxiety, depression and stress-related disorders, as outcome measures11 or used other outcomes, such as suicide.12”
From Work-related psychosocial risk factors for stress-related mental disorders: an updated systematic review and meta-analysis (2020) · cites this paper as [12]
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Citations
Cites
Measuring inconsistency in meta-analyses
Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003) · BMJ · doi:10.1136/bmj.327.7414.557 · Cited by 63,139
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gotzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · BMJ · doi:10.1136/bmj.b2700 · Cited by 17,648
Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009) · doi:10.1002/9780470743386 · Cited by 14,225
Job Demands, Job Decision Latitude, and Mental Strain: Implications for Job Redesign
Karasek, R. A. (1979) · Administrative Science Quarterly · doi:10.2307/2392498 · Cited by 12,597
Psychosocial work environment and mental health—a meta-analytic review
Stansfeld, S., & Candy, B. (2006) · Scandinavian Journal of Work, Environment & Health · doi:10.5271/sjweh.1050 · Cited by 1,875
Psychiatric diagnoses in 3275 suicides: a meta-analysis
Arsenault-Lapierre, G., Kim, C., & Turecki, G. (2004) · BMC Psychiatry · doi:10.1186/1471-244x-4-37 · Cited by 985
A systematic review including meta-analysis of work environment and depressive symptoms
Theorell, T., Hammarström, A., Aronsson, G., Träskman Bendz, L., Grape, T., Hogstedt, C., Marteinsdottir, I., Skoog, I., & Hall, C. (2015) · BMC Public Health · doi:10.1186/s12889-015-1954-4 · Cited by 982
Bonde, J. P. E. (2008) · Occupational and Environmental Medicine · doi:10.1136/oem.2007.038430 · Cited by 919
Harbord, R. M., & Higgins, J. P. T. (2008) · The Stata Journal: Promoting communications on statistics and Stata · doi:10.1177/1536867x0800800403 · Cited by 897
Witte, H. D. (2005) · SA Journal of Industrial Psychology · doi:10.4102/sajip.v31i4.200 · Cited by 756
Sterne, J. A. C., & Harbord, R. M. (2004) · The Stata Journal: Promoting communications on statistics and Stata · doi:10.1177/1536867x0400400204 · Cited by 708
The gender gap in suicide and premature death or: why are men so vulnerable?
M�ller-Leimk�hler, A. M. (2003) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-003-0397-6 · Cited by 527
The Relation between Work-related Psychosocial Factors and the Development of Depression
Netterstrom, B., Conrad, N., Bech, P., Fink, P., Olsen, O., Rugulies, R., & Stansfeld, S. (2008) · Epidemiologic Reviews · doi:10.1093/epirev/mxn004 · Cited by 467
(2017) · doi:10.1017/s003329171600355x · Cited by 467
Self-citationTyssen, R., Vaglum, P., Grønvold, N. T., & Ekeberg, Ø. (2001) · Journal of Affective Disorders · doi:10.1016/s0165-0327(00)00205-6 · Cited by 444
Effort-reward imbalance at work and health
Siegrist, J. (2002) · Research in occupational stress and well being · doi:10.1016/s1479-3555(02)02007-3 · Cited by 436
Suicide by occupation: Systematic review and meta-analysis
Milner, A., Spittal, M. J., Pirkis, J., & LaMontagne, A. D. (2013) · British Journal of Psychiatry · doi:10.1192/bjp.bp.113.128405 · Cited by 387
Self-citationLi, Z., Page, A., Martin, G., & Taylor, R. J. (2010) · Social Science & Medicine · doi:10.1016/j.socscimed.2010.11.008 · Cited by 349
Chronic psychosocial stress at work and risk of depression: evidence from prospective studies
Siegrist, J. (2008) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-008-5024-0 · Cited by 316
Personal debt and suicidal ideation
Meltzer, H., Bebbington, P., Brugha, T. S., Jenkins, R., McManus, S., & Dennis, M. (2010) · Psychological Medicine · doi:10.1017/s0033291710001261 · Cited by 235
Self-reported depression and suicide attempts among U.S. women physicians.
Frank, E., & Dingle, A. D. (1999) · American Journal of Psychiatry · doi:10.1176/ajp.156.12.1887 · Cited by 227
The impact of work environment on mood disorders and suicide: Evidence and implications
Woo, J., & Postolache, T. T. (2008) · International Journal on Disability and Human Development · doi:10.1515/ijdhd.2008.7.2.185 · Cited by 181
Leach, L., Poyser, C., & Butterworth, P. (2016) · Occupational and Environmental Medicine · doi:10.1136/oemed-2016-103726 · Cited by 152
Occupational Health Research in Developing Countries: A Partner for Social Justice
Nuwayhid, I. A. (2004) · American Journal of Public Health · doi:10.2105/ajph.94.11.1916 · Cited by 152
Impact of employment status and work-related factors on risk of completed suicide
Schneider, B., Grebner, K., Schnabel, A., Hampel, H. J., Georgi, K., & Seidler, A. (2011) · Psychiatry Research · doi:10.1016/j.psychres.2011.07.037 · Cited by 143
McEwen, B. S., & Tucker, P. G. (2011) · American Journal of Public Health · doi:10.2105/ajph.2011.300270 · Cited by 136
LaMontagne, A. D., Keegel, T. G., Louie, A., & Ostry, A. (2010) · Advances in Mental Health · doi:10.5172/jamh.9.1.17 · Cited by 120
Self-citationAn exploration of job stress and health in the Norwegian police service: a cross sectional study.
Berg, A. T., Hem, E., Lau, B., & Ekeberg, Ø. (2006) · Journal of Occupational Medicine and Toxicology · doi:10.1186/1745-6673-1-26 · Cited by 113
Historical and Current Perspectives on Stress and Health
Ganster, D. C., & Perrewe, P. L. (2002) · Research in occupational stress and well being · doi:10.1016/s1479-3555(2002)2 · Cited by 101
Social Support, Stress, and Suicidal Ideation in Professional Firefighters
Carpenter, G. S. J., Carpenter, T. P., Kimbrel, N. A., Flynn, E. J., Pennington, M. L., Cammarata, C. M., Zimering, R. T., Kamholz, B. W., & Gulliver, S. B. (2014) · American Journal of Health Behavior · doi:10.5993/ajhb.39.2.5 · Cited by 95
Low Control at Work and the Risk of Suicide in Japanese Men: A Prospective Cohort Study
Tsutsumi, A., Kayaba, K., Ojima, T., Ishikawa, S., & Kawakami, N. (2007) · Psychotherapy and Psychosomatics · doi:10.1159/000099845 · Cited by 78
METAN: Stata module for fixed and random effects meta-analysis
Harris, R., Bradburn, M. J., Deeks, J. J., Harbord, R., Altman, D. G., Steichen, T. J., & Sterne, J. A. C. (2007) · Statistical Software Components · Cited by 71
Takada, M., Suzuki, A., Shima, S., Inoue, K., Kazukawa, S., & HOJOH, M. (2009) · Industrial Health · doi:10.2486/indhealth.47.649 · Cited by 69
Suicidal ideation among surgeons in Italy and Sweden – a cross-sectional study
Wall, M., Schenck-Gustafsson, K. G., Minucci, D., Sendén, M. G., Løvseth, L. T., & Fridner, A. (2014) · BMC Psychology · doi:10.1186/s40359-014-0053-0 · Cited by 68
McLean, C. P., Zang, Y., Zandberg, L. J., Bryan, C. J., Gay, N. G., Yarvis, J. S., & Foa, E. B. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.08.061 · Cited by 66
Gender, Relationship Breakdown, and Suicide Risk
Evans, R., Scourfield, J., & Moore, G. F. (2014) · Journal of Family Issues · doi:10.1177/0192513x14562608 · Cited by 61
Ostry, A., Maggi, S., Tansey, J., Dunn, J. R., Hershler, R., Chen, L., Louie, A., & Hertzman, C. (2007) · Scandinavian Journal of Public Health · doi:10.1080/14034940601048091 · Cited by 61
Loerbroks, A., Cho, S., Dollard, M. F., Zou, J., Fischer, J. E., Jiang, Y., Angerer, P., Herr, R. M., & Li, J. (2016) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2016.09.008 · Cited by 58
Adverse conditions at the workplace are associated with increased suicide risk
Baumert, J., Schneider, B., Lukaschek, K., Emeny, R. T., Meisinger, C., Erazo, N., Dragano, N., & Ladwig, K. (2014) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2014.06.007 · Cited by 57
Milner, A. J., Krnjack, L., & LaMontagne, A. D. (2016) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.3608 · Cited by 57
Self-citationWork characteristics and suicidal ideation in young adults in France
Dalglish, S. L., Melchior, M., Younès, N., & Surkan, P. J. (2014) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-014-0969-y · Cited by 53
Milner, A. J., Butterworth, P., Bentley, R., Kavanagh, A. M., & LaMontagne, A. D. (2015) · American Journal of Epidemiology · doi:10.1093/aje/kwu355 · Cited by 51
Self-citationFridner, A., Belkic, K. L., Minucci, D., Pavan, L., Marini, M., Pingel, B., Putoto, G., Simonato, P., Løvseth, L. T., & Schenck-Gustafsson, K. G. (2011) · Gender Medicine · doi:10.1016/j.genm.2011.05.009 · Cited by 46
Yoon, J., Jeung, D.-Y., & Chang, S. J. (2016) · Journal of Korean Medical Science · doi:10.3346/jkms.2016.31.7.1042 · Cited by 43
Milner, A. J., Spittal, M. J., Pirkis, J., Chastang, J., Niedhammer, I., & LaMontagne, A. D. (2016) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000389 · Cited by 39
Self-citationPsychosocial Working Conditions and Suicide Ideation
Milner, A. J., Page, K. E., Witt, K., & LaMontagne, A. D. (2016) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000000700 · Cited by 38
Self-citationWitt, K., Milner, A. J., Allisey, A., Davenport, L. J., & LaMontagne, A. D. (2017) · American Journal of Industrial Medicine · doi:10.1002/ajim.22676 · Cited by 34
Self-citationSugawara, N., Yasui‐Furukori, N., Sasaki, G., Tanaka, O., Umeda, T., Takahashi, I., Danjo, K., Matsuzaka, M., Kaneko, S., & Nakaji, S. (2012) · Industrial Health · doi:10.2486/indhealth.ms1354 · Cited by 32
Milner, A., Currier, D., LaMontagne, A. D., Spittal, M. J., & Pirkis, J. (2017) · Public Health · doi:10.1016/j.puhe.2017.02.003 · Cited by 32
Self-citationTakusari, E., Suzuki, M., Nakamura, H., & Otsuka, K. (2011) · Industrial Health · doi:10.2486/indhealth.ms1251 · Cited by 22
Law, Y. W., YIP, P. S. F., Zhang, Y., & Caine, E. D. (2014) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.06.031 · Cited by 21
Factors associated with suicide ideation among subway drivers in Korea
Byun, J., Kim, H., Lee, H., Kim, S.-E., & Lee, J. (2016) · Annals of Occupational and Environmental Medicine · doi:10.1186/s40557-016-0120-5 · Cited by 17
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Niedhammer, I., Bertrais, S., & Witt, K. (2021) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.3968 · Cited by 458
Self-citationRugulies, R., Aust, B., Greiner, B. A., Arensman, E., Kawakami, N., LaMontagne, A. D., & Madsen, I. E. H. (2023) · The Lancet · doi:10.1016/s0140-6736(23)00869-3 · Cited by 273
Self-citationvan der Molen, H. F., Nieuwenhuijsen, K., Frings-Dresen, M. H. W., & de Groene, G. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-034849 · Cited by 226
Contributing factors to suicide: Political, social, cultural and economic
Stack, S. J. (2021) · Preventive Medicine · doi:10.1016/j.ypmed.2021.106498 · Cited by 224
Individual-level risk factors for suicide mortality in the general population: an umbrella review
Favril, L., Yu, R., Geddes, J. R., & Fazel, S. (2023) · The Lancet Public Health · doi:10.1016/s2468-2667(23)00207-4 · Cited by 221
Metadata
- Authors
- Milner, A., Witt, K., LaMontagne, A. D., & Niedhammer, I.
- Affiliations
- Deakin University (AU)
- Eastern Health (AU)
- Inserm (FR)
- Corresponding author
- Milner, Allison
- Venue
- Occupational and Environmental Medicine
- Publisher
- BMJ
- Published
- 2017-08-29
- Volume
- 75
- Issue
- 4
- Pages
- 245-253
- ISSN
- 0007-1072 (ISSN-L)
- 1351-0711
- 1470-7926
- OpenAlex
- W2751229340
- Cited by
- 239
- References
- 52
- Citations by year
- 2026: 23 · 2025: 32 · 2024: 40 · 2023: 36 · 2022: 29 · 2021: 26 · 2020: 21 · 2019: 17 · 2018: 11 · 2017: 3
- FWCI
- 2.18
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Occupational and Environmental Medicine (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Own your potential (DEAKIN) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Deakin University
- American Foundation for Suicide Prevention
- The Society for Mental Health Research
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Employment and Welfare Studies
- Keywords
- occupational stressors, suicidality, suicidal ideation, self-harm, suicide attempts, job insecurity, supervisor support, coworker support, job control, psychosocial stress, occupational stress, suicide risk factors
- MeSH terms
- Occupational Stress, Humans, Psychology, Risk Factors, Suicide, Suicide, Attempted, Suicidal Ideation
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