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Suicidality 6 Years After Occupational Injury
Wei-Shan Chin1, Yue Leon Guo1,2, Shih-Cheng Liao3
1National Institute of Environmental Health Science, National Health Research Institutes, Zhunan, Taiwan.
The Journal of Clinical Psychiatry
|September 8, 2018
Summary
Suicidality rates after occupational injury increased significantly by 6 years post-injury, particularly for those with visible injuries or unstable employment. This highlights the need for ongoing mental health and economic support for injured workers.
Area of Science:
- Occupational Health
- Psychiatry
- Public Health
Background:
- Occupational injuries can lead to traumatic events and long-term mental health issues.
- Limited research exists on the long-term prevalence of suicidality following occupational injuries.
Purpose of the Study:
- To investigate the long-term prevalence of suicidality after occupational injury.
- To identify risk factors associated with increased suicidality in this population.
Main Methods:
- A cohort of 4,403 hospitalized workers in Taiwan due to occupational injury was studied.
- Surveys were administered at 3, 12 months, and a 6-year follow-up included psychiatric evaluations.
- Validated scales (BSRS-5, PTSC, MINI) assessed suicidality and psychological symptoms.
Main Results:
- Suicidality rates were 5.4% at 3 months, 4.8% at 12 months, and 9.5% at 6 years post-injury.
- Factors increasing suicidality risk included major physical appearance changes, re-hospitalization, unstable employment, and reduced income.
- Physical appearance impact, unstable employment, and lower income were key predictors.
Conclusions:
- Suicidality rates notably increased by the 6-year mark after occupational injury.
- Injury severity and employment instability are significant risk factors for suicidal ideation.
- Continuous monitoring of psychological, physical, and economic well-being is crucial for injured workers.
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