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P163 Prevalence rate of suicidality six years after occupational injury
  1. Wei-Shan Chin1,
  2. Judith Shu-Chu Shiao2,
  3. Shih-Cheng Liao3,
  4. Kuan-Han Lin4,
  5. Chun-Ya Kuo5,
  6. Chih-Chieh Chen1,
  7. Yue Leon Guo1,6,7
  1. 1Institute of Occupational Medicine and Industrial Hygiene, National Taiwan University School of Public Health, Taipei, Taiwan
  2. 2Department of Nursing, College of Medicine, National Taiwan University (NTU) and NTU Hospital, Taipei, Taiwan
  3. 3Department of Psychiatry, College of Medicine, National Taiwan University (NTU) and NTU Hospital, Taipei, Taiwan
  4. 4Department of Medical Education and Bioethics/Graduate Institute of Medical Education and Bioethics, College of Medicine, National Taiwan University, Taipei, Taiwan
  5. 5Department of Psychiatry, Chung Shan Medical University Hospital, Taichung, Taiwan
  6. 6Department of Environmental and Occupational Medicine, National Taiwan University (NTU) and NTU Hospital, Taipei, Taiwan
  7. 7National Institute of Environmental Health Sciences, National Health Research Institute, Miaoli, Taiwan

Abstract

Background Suicidal attempt has been reported as a consequence after experiencing a traumatic event, including that caused by occupationally injury. However, literature is relatively lacking in long-term prevalence rates of suicidality after occupational injury.

Objective To determine long-term prevalence of suicidality after occupational injury.

Method Form February to August, 2009, 4,403 workers sustained occupational injury, and were hospitalised for 3 days or longer. Two surveys on psychiatric conditions were done at 3 and 12 months after occupational injury, and 2,308 workers responded to either survey. They were invited to join the follow-up at 6 years after occupational injury. A self-reported questionnaire survey was conducted, including Brief Symptom Rating Scale (BSRS) and Post-traumatic Symptom Checklist (PTSC) for assessment of psychological symptom. Those with high scores in BSRS or PTSC were invited to participate in an in-depth psychiatric evaluation using Chinese version of the Mini-international Neuropsychiatric Interview (MINI).

Results At three months, one year, and six years, 2001, 1233, and 570 workers completed the questionnaire, and among those with severe psychological symptoms by BSRS and PTSC, 41.5%, 63.5%, 55.6% completed the phone interview. The estimated rates of suicidality at 3, 12 months, and 6 years after occupational injury were 4.9%, 4.3%, and 9.8% respectively.

Conclusion Contradictory to general belief, suicidality rate was increasing at 6 years after occupational injury. Further studies to identify the causes of increased suicidality at later years, and develop strategies to improve injured workers’ psychological health are warranted.

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