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Work characteristics and suicidal ideation in young adults in France

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Abstract

Purpose

Job insecurity, unemployment, and job strain can predict psychological distress and suicide risk. Young people, who are particularly at risk of suicide, may be especially vulnerable to the deterioration of labor market conditions as a result of the current economic crisis in Europe. We aimed to examine the effects of work and employment characteristics on suicidal ideation in a contemporary sample of young adults.

Methods

Using data from a sample of French young adults surveyed in 2011 (TEMPO study, N = 1,214, 18–37 years old) and their parents who took part in a longitudinal cohort study, we used multiple logistic regression to examine the relationship between job insecurity, lifetime and recent unemployment and suicidal ideation in the past 12 months. Our analyses were adjusted for factors associated with suicidal risk including age, sex, educational attainment, living with a partner, insufficient social support, alcohol abuse, depression and parental history of depression.

Results

Five percent of the sample reported suicidal ideation in the preceding 12 months. Controlling for all covariates, the likelihood of suicidal ideation was associated with job insecurity (OR 2.24, 95 % CI 1.08–4.63), lifetime unemployment (OR 2.25, 95 % CI 1.17–4.29), and recent unemployment (OR 2.10, 95 % CI 1.04–4.25). After stratifying by educational attainment, the association between suicidal ideation and job insecurity was particularly notable for participants with low educational attainment (OR 9.28, 95 % CI 1.19–72.33).

Conclusion

Young adults who have unstable and unfavorable employment characteristics are disproportionately likely to be suicidal, which should be monitored, particularly in times of economic downturn.

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References

  1. WHO (2009) Financial crisis and global health: report of a high-level consultation. WHO, Geneva

    Google Scholar 

  2. Durkheim E, Spaulding JAt (1951) In: Simpson G (ed) Suicide. The Free Press, New York

    Google Scholar 

  3. Economou M et al (2013) Suicidal ideation and reported suicide attempts in Greece during the economic crisis. World Psychiatry 12(1):53–59

    Article  PubMed Central  PubMed  Google Scholar 

  4. Erikson E (1950) In: Norton WW (ed) Childhood and society, New York

  5. Levinson D et al (1978) Seasons of a man’s life. A.A. Knopf, New York

    Google Scholar 

  6. Galland O (2000) Entrer dans la vie adulte : des étapes toujours plus tardives mais resserrées. Economie et Statistique 337(1):13–36

    Article  Google Scholar 

  7. Hawton K, Saunders K, O’Connor R (2012) Self-harm and suicide in adolescents. Lancet 379(9834):2373–2382

    Article  PubMed  Google Scholar 

  8. Beck F et al (2011) Tentatives de suicide et pensées suicidaires en France en 2010. Bulletin épidémiologique hebdomadaire 47–48:488–492

    Google Scholar 

  9. Vanheusden K, van Lenthe FJ, Mulder CL, Van der Ende J, Van de Mheen D, Mackenbach JP et al (2008) Patterns of association between alcohol consumption and internalizing and externalizing problems in young adults. J Studies Alcohol Drugs 69(1):49–57

    Article  Google Scholar 

  10. Granados JAT (2005) Increasing mortality during the expansions of the US economy, 1900–1996. Int J Epidemiol 34(6):1194–1202

    Article  Google Scholar 

  11. Paul KI, Moser K (2009) Unemployment impairs mental health: Meta-analyses. J Vocat Behav 74(3):264–282

    Article  Google Scholar 

  12. Laanani M et al (2014) Impact of unemployment variations on suicide mortality in Western European countries (2000–2010). J Epidemiol Community Health. doi:10.1136/jech-2013-203624

  13. Daly M, Delaney L (2013) The scarring effect of unemployment throughout adulthood on psychological distress at age 50: estimates controlling for early adulthood distress and childhood psychological factors. Soc Sci Med 80:19–23

    Article  CAS  PubMed  Google Scholar 

  14. Lucas RE et al (2004) Unemployment alters the set point for life satisfaction. Psychol Sci 15(1):8–13

    Article  PubMed  Google Scholar 

  15. Mann JJ et al (2005) Suicide prevention strategies: a systematic review. JAMA 294(16):2064–2074

    Article  CAS  PubMed  Google Scholar 

  16. Nock MK et al (2008) Suicide and suicidal behavior. Epidemiol Rev 30(1):133–154

    Article  PubMed Central  PubMed  Google Scholar 

  17. Kosidou K et al (2012) Immigration, transition into adult life and social adversity in relation to psychological distress and suicide attempts among young adults. PLoS ONE 7(10):1–8

    Article  Google Scholar 

  18. Kagamimori S, Nasermoaddeli A, Wang H (2004) Psychosocial stressors in inter-human relationships and health at each life stage: a review. Environ Health Prev Med 9(3):73–86

    Article  PubMed Central  PubMed  Google Scholar 

  19. Caan W (2009) Unemployment and suicide: is alcohol the missing link? Lancet 374(9697):1241–1242

    Article  PubMed  Google Scholar 

  20. Brent DA, Mann JJ (2005) Family genetic studies, suicide, and suicidal behavior. Am J Med Genet Part C 133C(1):13–24

    Article  PubMed  Google Scholar 

  21. Goldberg M et al (2007) Cohort profile: the GAZEL Cohort Study. Int J Epidemiol 36(1):32–39

    Article  PubMed Central  PubMed  Google Scholar 

  22. Redonnet B et al (2012) Tobacco, alcohol, cannabis and other illegal drug use among young adults: the socioeconomic context. Drug Alcohol Depend 121(3):231–239

    Article  PubMed  Google Scholar 

  23. Johnson LD, O’Malley P, Bachman J (1995) National survey results on drug use from the Monitoring the Future Study, 1975–1994. National Institute on Drug Abuse, Rockville

    Google Scholar 

  24. Karasek RA (1979) Job demands, job decision latitude, and mental strain: implications for job redesign. Adm Sci Q 24(2):285–308

    Article  Google Scholar 

  25. Melchior M et al (2003) Do psychosocial work factors and social relations exert independent effects on sickness absence? A six year prospective study of the GAZEL cohort. J Epidemiol Community Health 57(4):285–293

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  26. Melchior M et al (2003) Social relations and self-reported health: a prospective analysis of the French Gazel cohort. Soc Sci Med 56:1817–1830

    Article  PubMed  Google Scholar 

  27. Babor T et al (2007) AUDIT: the alcohol use disorders identification test

  28. Sheehan DV et al (1998) The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 59 Suppl 20:22–33 (quiz 34–57)

    CAS  PubMed  Google Scholar 

  29. de Monteynard L-A, Younès N, Melchior M (2013) Facteurs sociodémographiques et recours aux soins pour raisons psychologiques chez les jeunes adultes. Revue d’Epidémiologie et de Santé Publique

  30. Milne BJ et al (2009) Predictive value of family history on severity of illness: the case for depression, anxiety, alcohol dependence, and drug dependence. Arch Gen Psychiatry 66(7):738–747

    Article  PubMed Central  PubMed  Google Scholar 

  31. Maxwell M (1992) Family Interview for Genetic Studies (FIGS): a manual for FIGS. National Institute of Mental Health, Bethesda

    Google Scholar 

  32. Deville J, Sarndal C-E (1992) Calibration estimators in survey sampling. J Am Stat Assoc 87:376–382

    Article  Google Scholar 

  33. StataCorp (2009) Stata Statistical Software: release 11. StataCorp LP, College Station

  34. Stuckler D et al (2009) The public health effect of economic crises and alternative policy responses in Europe: an empirical analysis. Lancet 374(9686):315–323

    Article  PubMed  Google Scholar 

  35. Blakely TA, Collings SCD, Atkinson J (2003) Unemployment and suicide. Evidence for a causal association? J Epidemiol Community Health 57(8):594–600

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  36. Wyder M, Ward P, De Leo D (2009) Separation as a suicide risk factor. J Affect Disord 116(3):208–213

    Article  PubMed  Google Scholar 

  37. McGowan PO et al (2009) Epigenetic regulation of the glucocorticoid receptor in human brain associates with childhood abuse. Nat Neurosci 12(3):342–348

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  38. Backhans MC, Hemmingsson T (2012) Unemployment and mental health—who is (not) affected? Eur J Public Health 22(3):429–433

    Article  PubMed  Google Scholar 

  39. Lundin A, Hemmingsson T (2009) Unemployment and suicide. Lancet 374(9686):270–271

    Article  PubMed  Google Scholar 

  40. Gunnell D, Platt S, Hawton K (2009) The economic crisis and suicide. BMJ 338:1891

    Article  Google Scholar 

  41. Wanberg CR (2012) The individual experience of unemployment. Annu Rev Psychol 63:369–396

    Article  PubMed  Google Scholar 

  42. Agerbo E (2005) Effect of psychiatric illness and labour market status on suicide: a healthy worker effect? J Epidemiol Community Health 59(7):598–602

    Article  PubMed Central  PubMed  Google Scholar 

  43. Chastang F et al (1998) Suicide attempts and job insecurity: a complex association. Eur Psychiatry 13(7):359–364

    Article  CAS  PubMed  Google Scholar 

  44. Woo JM, Postolache TT (2008) The impact of work environment on mood disorders and suicide: evidence and implications. Int J Disabil Hum Dev 7(2):185–200

    Article  PubMed Central  PubMed  Google Scholar 

  45. Mewes R et al (2013) Job insecurity versus unemployment: unequal in socioeconomic status but comparable detrimental effects on mental health and health care utilization. Psychother Psychosom Med Psychol 63(3–4):138–144

    PubMed  Google Scholar 

  46. Niedhammer I et al (2012) Exposure to psychosocial work factors in 31 European countries. Occup Med 62(3):196–202

    Article  CAS  Google Scholar 

  47. Goldman-Mellor SJ et al (2014) Suicide attempt in young people: a signal for long-term health care and social needs. JAMA Psychiatry 71(2):119–127

    Article  PubMed Central  PubMed  Google Scholar 

  48. Giuntoli G (2012) Going for ‘the full monty’? Unemployment and mental wellbeing during times of recession. Mental Health Today, 24–27

  49. Coutts A (2009) Active Labour Market Programmes (ALMPs) and health: an evidence-base, in Review prepared for the Strategic Review of Health Inequalities in England Post 2010 (Marmot Review). Department of Politics and International Relations, University of Oxford, Oxford

    Google Scholar 

  50. Dorling D (2009) Unemployment and health. BMJ 338:829

    Article  Google Scholar 

  51. Milner A et al (2013) Suicide by occupation: systematic review and meta-analysis. Br J Psychiatry 203(6):409–416

    Article  PubMed  Google Scholar 

  52. Cambois E, Laborde C (2011) Occupational mobility and mortality in France: links confirmed for men, emergent for women. Population 66(2):333–359

    Article  Google Scholar 

  53. Younes N et al (2013) Particular difficulties faced by GPs with young adults who will attempt suicide: a cross-sectional study. BMC Fam Pract 14(1):68–73

    Article  PubMed Central  PubMed  Google Scholar 

  54. INPES (2010) Enquête Baromètre Santé 2010. INPES, Paris

    Google Scholar 

  55. Hollon SD et al (2006) Presenting characteristics of depressed outpatients as a function of recurrence: preliminary findings from the STAR*D clinical trial. J Psychiatr Res 40(1):59–69

    Article  PubMed  Google Scholar 

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Conflict of interest

This research received no specific grant from any funding agency, commercial or not-for-profit sectors. The authors declare that they have no conflict of interest.

Ethical standard

The authors assert that all procedures contributing to this work comply with the ethical standards of the relevant national and institutional committees on human experimentation and with the Helsinki Declaration of 1975, as revised in 2008. All persons gave their informed consent prior to their inclusion in the study.

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Correspondence to Pamela J. Surkan.

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Dalglish, S.L., Melchior, M., Younes, N. et al. Work characteristics and suicidal ideation in young adults in France. Soc Psychiatry Psychiatr Epidemiol 50, 613–620 (2015). https://doi.org/10.1007/s00127-014-0969-y

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  • DOI: https://doi.org/10.1007/s00127-014-0969-y

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