Work-Related Factors Associated with Suicide Among Employees Enrolled in the Mutualité sociale agricole (MSA) Who Were Actively Employed Between 2007 and 2013
Background: Work and occupational exposures may play a role in suicide, and the literature suggests associations between certain occupational factors and suicide. Identifying occupational risk factors for suicide mortality among employees affiliated with the Mutualité sociale agricole (MSA)—a population that has been little studied—appears to be important. The objective of this study was to identify occupational factors associated with suicide mortality among employees affiliated with the MSA who were actively employed between 2007 and 2013. Methods: The study population consisted of all employees affiliated with the MSA between January 1, 2007, and December 31, 2013, comprising 1,699,929 men and 1,201,017 women. The occupational factors examined included: industry sector, employee/manager status, and employment contract. Survival analyses (Cox model), stratified by gender, were conducted using age as the time scale and region and year of the employment contract as adjustment variables. Results: For men, factors associated with an increased risk of suicide mortality included employment in the “forestry,” “crops and livestock,” “construction,” and “cooperative” sectors, employee status, and working in Brittany, Burgundy-Franche-Comté, Pays de la Loire, Normandy, Grand Est, and Centre-Val-de-Loire. No associations were observed for women. Conclusion: These results suggest that sector of activity and employee status may be associated with suicide among men in the MSA-insured workforce and may help inform the development of prevention measures. However, further studies appear necessary to confirm and better understand these associations.
Author(s): Klingelschmidt Justine, Chastang Jean-François, Khireddine-Medouni Imane, Chérié-Challine Laurence, Niedhammer Isabelle
Publishing year: 2020
Pages: 1-8
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