Suicide and Employment in France

Problem Statement: Suicidal behavior is a complex, multifactorial process. While it is currently difficult to determine the exact number of work-related suicides, certain data do exist that allow us to address this issue. The objective of this study is to describe suicide attempts (SA) and suicide mortality by occupation in France. Methods: The description of SBs is based on data from the 2005 INPES Health Barometer, a representative cross-sectional survey conducted in metropolitan France. The population comprises 6,264 men and 7,389 women who were employed at the time of the survey. The lifetime prevalence of SBs is described by socio-occupational category (one-digit and two-digit codes). The description of suicide mortality before age 65 is derived from the Cosmop project of the InVS Department of Occupational Health. It is based on data from INSEE’s Permanent Demographic Sample coupled with medical causes of death from Inserm’s Cépi-DC. The study population consists of individuals born in metropolitan France who were economically active at one of the censuses (1968, 1975, 1982, and 1990, totaling 187,938 men and 150,683 women). Relative risks of suicide mortality are estimated according to the last known socio-occupational category or sector of activity. Results: The lifetime prevalence of suicide attempts is higher among women than among men (6.6% vs. 3.1%); the opposite is true for mortality. Among the employed population, blue-collar workers and white-collar workers are the most affected by suicide attempts and suicide mortality. Managers are the least affected. Farmers are the least affected by suicide attempts (0.4% of men, 4.1% of women) but the most affected by suicide deaths (RR = 3.1 for men; RR = 2.2 for women). Among women, compared to the non-market sectors, the agricultural sector and the capital goods sector show excess suicide mortality. Conclusion: This study reveals inequalities across occupational categories (and, to a lesser extent, sectors of activity) regarding suicide attempts and suicide mortality in France. These results provide an initial assessment of suicide by occupation. (R.A.)

Author(s): Cohidon C, Santin G, Geoffroy Perez B, Imbernon E

Publishing year: 2010

Pages: 139-50

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