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Unemployment and suicide during and after a deep recession: a longitudinal study of 3.4 million Swedish men and women
Stockholm University, Faculty of Social Sciences, Centre for Health Equity Studies (CHESS).
Stockholm University, Faculty of Social Sciences, Centre for Health Equity Studies (CHESS).
2013 (English)In: American Journal of Public Health, ISSN 0090-0036, E-ISSN 1541-0048, Vol. 103, no 6, 1031-1038 p.Article in journal (Refereed) Published
Abstract [en]

Objectives. We tested 2 hypotheses found in studies of the relationship between suicide and unemployment: causal (stress and adversity) and selective interpretation (previous poor health).

Methods. We estimated Cox models for adults (n = 3 424 550) born between 1931 and 1965. We examined mortality during the recession (1993–1996), postrecession (1997–2002), and a combined follow-up. Models controlled for previous medical problems, and social, family, and employer characteristics.

Results. During the recession there was no excess hazard of mortality from suicide or events of undetermined intent. Postrecession, there was an excess hazard of suicide mortality for unemployed men but not unemployed women. However, for unemployed women with no health-problem history there was a modest hazard of suicide. Finally, there was elevated mortality from events of undetermined intent for unemployed men and women postrecession.

Conclusions. A small part of the relationship may be related to health selection, more so during the recession. However, postrecessionary period findings suggest that much of the association could be causal. A narrow focus on suicide mortality may understate the mortality effects of unemployment in Sweden.

Place, publisher, year, edition, pages
2013. Vol. 103, no 6, 1031-1038 p.
National Category
Environmental Health and Occupational Health
Identifiers
URN: urn:nbn:se:su:diva-85187DOI: 10.2105/AJPH.2013.301210OAI: oai:DiVA.org:su-85187DiVA: diva2:582819
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 1017720
Note

AuthorCount: 2;

Available from: 2013-01-07 Created: 2013-01-07 Last updated: 2017-12-06Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • ieee
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  • Other style
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  • de-DE
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