Job loss, financial strain, and housing problems as suicide precipitants: Associations with other life stressors

Previous research has shown that job loss, financial strain, and/or loss of housing (JFH) in midlife elevate suicide risk. In this study based on the 2017-2019 National Violent Death Reporting System, we examined other suicide precipitants and contributors of decedents whose suicide was in part prec...

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Main Authors: Namkee G. Choi (Author), C. Nathan Marti (Author), Bryan Y. Choi (Author)
Format: Book
Published: Elsevier, 2022-09-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Namkee G. Choi  |e author 
700 1 0 |a C. Nathan Marti  |e author 
700 1 0 |a Bryan Y. Choi  |e author 
245 0 0 |a Job loss, financial strain, and housing problems as suicide precipitants: Associations with other life stressors 
260 |b Elsevier,   |c 2022-09-01T00:00:00Z. 
500 |a 2352-8273 
500 |a 10.1016/j.ssmph.2022.101243 
520 |a Previous research has shown that job loss, financial strain, and/or loss of housing (JFH) in midlife elevate suicide risk. In this study based on the 2017-2019 National Violent Death Reporting System, we examined other suicide precipitants and contributors of decedents whose suicide was in part precipitated by JFH and the circumstances under which they died. First, we examined all adult decedents (N = 94,454; 74,042 males [78.4%] and 20,412 females [21.6%]) and then focused on decedents age 45-64 (N = 34,208; 25,640 males [75%] and 8568 females [25.0%]). The 45-64 age group had the highest rate of JFH (22.0% for males and 15.1% for females) as a suicide precipitant. The results of generalized linear models for all adult suicide decedents of both sexes showed that the 45-64 age group (IRR = 2.02, 95% CI = 1.89-2.16), compared to 65+ age group, and relationship problems, mental disorders, and alcohol problems were associated with significantly higher risk of JFH-precipitated suicide. In male decedents age 45-64, JFH was positively associated with depressed mood (IRR = 1.95, 95% CI = 1.85-2.06), alcohol problems (IRR = 1.14, 95% CI = 1.07-1.21), and number of crises (IRR = 1.48, 95% CI = 1.43-1.53). In female decedents age 45-64, JFH was positively associated with relationship problems (IRR = 1.19, 95% CI = 1.05-1.35), legal problems (IRR = 1.27, 95% CI = 1.06-1.54), depressed mood (IRR = 1.78, 95% CI = 1.59-1.99), and number of crises (IRR = 1.58, 95% CI = 1.48-1.68). In both sexes, the risk of JFH was also positively associated with a college education. In female decedents, JFH risk was higher among divorced or never-married individuals. Coroner/medical examiner and law enforcement agency reports show that some experienced depression and started misusing alcohol and/or other substances following a job loss, but others had these problems throughout life, which caused/contributed to JFH. These findings show the significance of suicide prevention approaches at both systemic (generous unemployment insurance, housing subsidies) and individual (treatment of depression and alcohol/substance misuse problems and social support/connection) levels. 
546 |a EN 
690 |a Suicide 
690 |a Job loss 
690 |a Financial stress 
690 |a Housing instability 
690 |a Depression 
690 |a Alcohol misuse 
690 |a Public aspects of medicine 
690 |a RA1-1270 
690 |a Social sciences (General) 
690 |a H1-99 
655 7 |a article  |2 local 
786 0 |n SSM: Population Health, Vol 19, Iss , Pp 101243- (2022) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S2352827322002221 
787 0 |n https://doaj.org/toc/2352-8273 
856 4 1 |u https://doaj.org/article/b97c5acfa58b4de1bfab15d8e65346c6  |z Connect to this object online.