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首页> 外文期刊>Psychological medicine >Suicide and occupation: the impact of socio-economic, demographic and psychiatric differences
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Suicide and occupation: the impact of socio-economic, demographic and psychiatric differences

机译：自杀和职业：社会经济，人口和精神病学差异的影响

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Background. To explore the risk of suicide associated with occupation while evaluating the impact of socio-economic, demographic and psychiatric differences.rnMethod. A nested case-control study with 3195 suicides and 63 900 matched controls. Information on causes of death, occupation, psychiatric admission, marital status and socio-economic factors was obtained from routine registers.rnResults. Across the 55 occupations investigated, the risk of suicide ranged from 2.73 [95% confidence interval (CI) 1.77-4.22] among doctors to 0.44 (95% CI 0.27-0.72) among architects and engineers compared with primary school teachers. With the exception of doctors and nurses, most of the excess risk of suicide associated with particular occupations is explained by the social and economic characteristics of people in those occupations. Much, but not all, of the excess risk in doctors and nurses is due to their increased use of self-poisoning, a method for which they have the knowledge to use effectively. Occupation has little association with suicide among people who suffer from a psychiatric illness, except for doctors, where the excess risk is 3.62 (p = 0.007).rnConclusions. Most of the considerable variation in suicide risk across occupations is explained by socio-economic factors, except for doctors and nurses. Apart from in doctors, the risk of suicide has little association with occupation among people who suffer from a psychiatric illness. Restriction of access to lethal means is an important strategy in suicide prevention.
机译：背景。在评估社会经济，人口和精神病学差异的影响的同时，探讨与职业相关的自杀风险。一项包含3195例自杀和63 900例匹配对照的嵌套病例对照研究。从常规记录中获得了有关死亡原因，职业，精神病住院，婚姻状况和社会经济因素的信息。与小学教师相比，在调查的55个职业中，自杀风险的范围从医生的2.73 [95％置信区间（CI）1.77-4.22]到建筑师和工程师的0.44（95％CI 0.27-0.72）。除医生和护士外，与某些特定职业相关的自杀风险大都由这些职业中人们的社会和经济特征来解释。在医生中，护士（但不是全部）有额外的风险，这是由于他们越来越多地使用自毒中毒，他们知道如何有效使用这种方法。在精神病患者中，职业与自杀几乎没有关系，除了医生外，医生的额外风险为3.62（p = 0.007）。除医生和护士外，大多数职业中自杀风险的相当大差异都是由社会经济因素解释的。除医生外，精神病患者的自杀风险与职业无关。限制获得致命手段是预防自杀的重要策略。

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