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

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 guid...

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Main Authors: Justine Klingelschmidt, Allison Milner, Imane Khireddine-Medouni, Katrina Witt, Evangelos C Alexopoulos, Susanna Toivanen, Anthony D LaMontagne, Jean-François Chastang, Isabelle Niedhammer
Format: Article
Language:English
Published: Nordic Association of Occupational Safety and Health (NOROSH) 2018-01-01
Series:Scandinavian Journal of Work, Environment & Health
Subjects:
Online Access: https://www.sjweh.fi/show_abstract.php?abstract_id=3682
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author Justine Klingelschmidt
Allison Milner
Imane Khireddine-Medouni
Katrina Witt
Evangelos C Alexopoulos
Susanna Toivanen
Anthony D LaMontagne
Jean-François Chastang
Isabelle Niedhammer
author_facet Justine Klingelschmidt
Allison Milner
Imane Khireddine-Medouni
Katrina Witt
Evangelos C Alexopoulos
Susanna Toivanen
Anthony D LaMontagne
Jean-François Chastang
Isabelle Niedhammer
author_sort Justine Klingelschmidt
collection DOAJ
description 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.
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spelling doaj.art-6a22863f2d6a4c5ca148fac6709b7e292022-12-21T22:12:13ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2018-01-0144131510.5271/sjweh.36823682Suicide among agricultural, forestry, and fishery workers: a systematic literature review and meta-analysisJustine KlingelschmidtAllison MilnerImane Khireddine-MedouniKatrina WittEvangelos C AlexopoulosSusanna ToivanenAnthony D LaMontagneJean-François ChastangIsabelle Niedhammer0INSERM U1085, IRSET, Equipe ESTER, Rue Haute de Reculée, F-49045 ANGERS Cedex 01, France.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. https://www.sjweh.fi/show_abstract.php?abstract_id=3682 fishery workerforestry workerreviewagriculturesuicidemeta-analysisfarmersystematic reviewliterature review
spellingShingle Justine Klingelschmidt
Allison Milner
Imane Khireddine-Medouni
Katrina Witt
Evangelos C Alexopoulos
Susanna Toivanen
Anthony D LaMontagne
Jean-François Chastang
Isabelle Niedhammer
Suicide among agricultural, forestry, and fishery workers: a systematic literature review and meta-analysis
Scandinavian Journal of Work, Environment & Health
fishery worker
forestry worker
review
agriculture
suicide
meta-analysis
farmer
systematic review
literature review
title Suicide among agricultural, forestry, and fishery workers: a systematic literature review and meta-analysis
title_full Suicide among agricultural, forestry, and fishery workers: a systematic literature review and meta-analysis
title_fullStr Suicide among agricultural, forestry, and fishery workers: a systematic literature review and meta-analysis
title_full_unstemmed Suicide among agricultural, forestry, and fishery workers: a systematic literature review and meta-analysis
title_short Suicide among agricultural, forestry, and fishery workers: a systematic literature review and meta-analysis
title_sort suicide among agricultural forestry and fishery workers a systematic literature review and meta analysis
topic fishery worker
forestry worker
review
agriculture
suicide
meta-analysis
farmer
systematic review
literature review
url https://www.sjweh.fi/show_abstract.php?abstract_id=3682
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