Suicide among agricultural, forestry, and fishery workers: a systematic literature review and meta-analysis

Bibliographic Details
Title: Suicide among agricultural, forestry, and fishery workers: a systematic literature review and meta-analysis
Authors: Justine Klingelschmidt, Allison Milner, Imane Khireddine-Medouni, Katrina Witt, Evangelos C Alexopoulos, Susanna Toivanen, Anthony D LaMontagne, Jean-François Chastang, Isabelle Niedhammer
Source: Scandinavian Journal of Work, Environment & Health, Vol 44, Iss 1, Pp 3-15 (2018)
Publisher Information: Nordic Association of Occupational Safety and Health (NOROSH), 2018.
Publication Year: 2018
Collection: LCC:Public aspects of medicine
Subject Terms: fishery worker, forestry worker, review, agriculture, suicide, meta-analysis, farmer, systematic review, literature review, Public aspects of medicine, RA1-1270
More Details: OBJECTIVES: This review aimed to quantify suicide risk among agricultural, forestry, and fishery workers and study potential variations of risk within this population. METHODS: We conducted a systematic literature review and meta-analysis from 1995 to 2016 using MEDLINE and following the PRISMA guidelines. A pooled effect size of suicide risk among the population of interest was calculated using meta-analysis. Subgroup analyses were conducted to investigate whether effect size differed according to population or study characteristics. Meta-regression was used to identify sources of heterogeneity. RESULTS: The systematic review identified 65 studies, of which 32 were included in the meta-analysis. Pooled effect size was 1.48 [95% confidence interval (CI) 1.30–1.68] representing an excess of suicide risk among the population of interest. Subgroup analysis showed that this effect size varied according to geographic area, with a higher effect size in Japan. The following study characteristics were found to contribute to the between-study variance: reference group, measure of effect size, and study design. CONCLUSIONS: Our findings suggest an excess of suicide risk among agricultural, forestry, and fishery workers and demonstrated that this excess may be even higher for these groups in Japan. This review highlights the need for suicide prevention policies focusing on this specific population of workers. More research is also needed to better understand the underlying factors that may increase suicide risk in this population.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 0355-3140
1795-990X
Relation: https://www.sjweh.fi/show_abstract.php?abstract_id=3682; https://doaj.org/toc/0355-3140; https://doaj.org/toc/1795-990X
DOI: 10.5271/sjweh.3682
Access URL: https://doaj.org/article/6a22863f2d6a4c5ca148fac6709b7e29
Accession Number: edsdoj.6a22863f2d6a4c5ca148fac6709b7e29
Database: Directory of Open Access Journals
More Details
ISSN:03553140
1795990X
DOI:10.5271/sjweh.3682
Published in:Scandinavian Journal of Work, Environment & Health
Language:English