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Long-Term Unemployment and Suicide: A Systematic Review and Meta-Analysis

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  • Allison Milner
  • Andrew Page
  • Anthony D LaMontagne

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.

Suggested Citation

  • Allison Milner & Andrew Page & Anthony D LaMontagne, 2013. "Long-Term Unemployment and Suicide: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-6, January.
    • Handle: RePEc:plo:pone00:0051333
    DOI: 10.1371/journal.pone.0051333
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    References listed on IDEAS

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    1. Roger M. Harbord & Ross J. Harris & Jonathan A. C. Sterne, 2009. "Updated tests for small-study effects in meta-analyses," Stata Journal, StataCorp LP, vol. 9(2), pages 197-210, June.
    2. Timothy J. Classen & Richard A. Dunn, 2012. "The effect of job loss and unemployment duration on suicide risk in the United States: a new look using mass‐layoffs and unemployment duration," Health Economics, John Wiley & Sons, Ltd., vol. 21(3), pages 338-350, March.
    3. Roelfs, David J. & Shor, Eran & Davidson, Karina W. & Schwartz, Joseph E., 2011. "Losing life and livelihood: A systematic review and meta-analysis of unemployment and all-cause mortality," Social Science & Medicine, Elsevier, vol. 72(6), pages 840-854, March.
    4. Platt, Stephen, 1984. "Unemployment and suicidal behaviour: A review of the literature," Social Science & Medicine, Elsevier, vol. 19(2), pages 93-115, January.
    5. Garcy, Anthony M. & Vågerö, Denny, 2012. "The length of unemployment predicts mortality, differently in men and women, and by cause of death: A six year mortality follow-up of the Swedish 1992–1996 recession," Social Science & Medicine, Elsevier, vol. 74(12), pages 1911-1920.
    6. Marcus Eliason & Donald Storrie, 2009. "Does Job Loss Shorten Life?," Journal of Human Resources, University of Wisconsin Press, vol. 44(2).
    7. H.M.S. Standish-Barry & A. Clayden & A.C.P. Sims, 1989. "Age, Unemployment and Parasuicide in Leeds," International Journal of Social Psychiatry, , vol. 35(4), pages 303-312, December.
    8. Li, Zhuoyang & Page, Andrew & Martin, Graham & Taylor, Richard, 2011. "Attributable risk of psychiatric and socio-economic factors for suicide from individual-level, population-based studies: A systematic review," Social Science & Medicine, Elsevier, vol. 72(4), pages 608-616, February.
    9. Fergusson, David M. & John Horwood, L. & Woodward, Lianne J., 2001. "Unemployment and psychosocial adjustment in young adults: causation or selection?," Social Science & Medicine, Elsevier, vol. 53(3), pages 305-320, August.
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