Table 2 Main characteristics and findings of epidemiological studies of exposure to occupational electric and magnetic fields and risk of suicide
Author, yearStudy population (location)Exposure assessmentCovariatesExposure groupRR (95% CI); observed*
Baris et al, 19967721 744 male electric utility workers followed from 1970 to 1988; case–cohort study of 49 suicide deaths and 217 randomly selected workers (Canada)Job-exposure matrix based on positron measurements Arithmetic mean (AM) and geometric mean (GM) of electric, magnetic and pulsed electromagnetic fieldsSocioeconomic status, alcohol use, marital status and mental disordersCumulative electric fields (V/m) (AM) <136.10136.10–<308.60308.60+Cumulative electric fields (V/m) (GM) <23.1023.10–<40.3040.30+1.0 (–); 211.6 (0.5 to 5.1); 151.7 (0.4 to 8.0); 131.0 (–); 162.8 (0.9 to 8.1); 201.8 (0.4 to 8.5); 13
Kelsh and Sahl, 19977940 335 electric utility workers followed from 1960 to 1991 (USA)Collapsed similar job titles into homogenous occupational groups. Analysis based on usual occupationAge, genderOccupational categoryAdministrative/technical/clericalManagement/professionalService/labourLinemenMeter reader/field servicePlant operationsTrade/craft1.0 (–); 180.9 (0.3 to 2.5); 52.2 (0.96 to 5.2); 82.0 (1.1 to 3.8); 222.0 (0.6 to 7.1); 32.7 (1.3 to 5.5); 132.0 (1.0 to 3.8); 19
Johansen and Olsen, 1998†6121 236 male electric utility workers followed from 1974 to 1993 (Denmark)Job-exposure matrix for magnetic fields based on 24-h measurements and judgmentAgeEstimated average exposure (μT) ⩽0.090.1–0.290.3–0.991.0+1.0 (0.6 to 1.6); 190.8 (0.6 to 1.1); 370.9 (0.7 to 1.2); 411.4 (0.98 to 1.9); 36
Van Wijngaarden et al, 200076138 905 male electric utility workers followed from 1950 to 1988; nested case–control study of 536 suicide deaths and 5348 controls (USA)Job-exposure matrix for magnetic fields based on time-weighted average measurementsAge, ethnicity, work status, social class, geographic location and exposure to solvents and sunlightRecent cumulative exposure (past year) (μT-years)0>0–0.0290.03–0.0490.05–0.110.12+1.0 (–); 2941.2 (0.8 to 1.9); 581.4 (0.9 to 2.3); 621.6 (0.97 to 2.7); 621.7 (1.0 to 2.9); 60
Jarvholm and Stenberg, 2002‡8033 719 male electricians and 72 653 male glass or woodworkers followed from 1971 to 1997 (Sweden)Job titleAge, calendar yearElectriciansCompared with general populationCompared with glass-and woodworkers0.6 (0.5 to 0.7); 950.7 (0.6 to 0.9); 95
van Wijngaarden, 20038111 707 suicides and 132 771 deceased controls identified from death registry 1991–1992 (USA)Job titles grouped according to presumed electromagnetic field exposureAge, gender, race, marital status, geographic area, educationOccupational categoryNot exposedExposed§1.0 (–); 11,2831.3 (1.2 to 1.4); 424
  • *Observed number of suicide deaths; †standardised mortality ratios (SMRs), confidence intervals computed from information provided in original paper; ‡standardised mortality ratio; §electrical and electronics engineers; electrical, household and telephone repairers; electrical and electronics technicians; broadcast equipment operators; electricians and electrician apprentices; power plant operators; and motion picture projectionists.