Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-24T22:45:47.103Z Has data issue: false hasContentIssue false

Parasuicide and unemployment among men in Edinburgh 1968–82

Published online by Cambridge University Press:  09 July 2009

S. Platt*
Affiliation:
MRC Unit for Epidemiological Studies in Psychiatry, University Department of Psychiatry, Royal Edinburgh Hospital, Edinburgh
N. Kreitman
Affiliation:
MRC Unit for Epidemiological Studies in Psychiatry, University Department of Psychiatry, Royal Edinburgh Hospital, Edinburgh
*
1 Address for correspondence: Dr S. Platt, MRC Unit for Epidemiological Studies in Psychiatry, University Department of Psychiatry, Royal Edinburgh Hospital, Morningside Park, Edinburgh EH10 5HF.

Synopsis

The ecological association between unemployment and parasuicide rates among males in Edinburgh over the period 1968–82 was positive and highly significant (r = 0·77). Similarly, the two rates were found to be correlated across the city wards in 1971 (r = 0·76) and even more strongly in 1981 (r = 0·95). Throughout the period the parasuicide rate among the unemployed was nearly always more than 10 times higher than that among the employed. The long-term unemployed were at much higher risk than those out of work for lesser periods, although the impact of recent job loss was marked. Population attributable risk has shown a tendency to rise in line with the upward trend in the unemployment rate, despite the decline in relative risk over the period. The findings were considered consistent with the view that unemployment increases the parasuicide rate.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1985

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bagley, C., Jacobson, S. & Palmer, C. (1973). Social structure and the ecological distribution of mental illness, suicide, and delinquency. Psychological Medicine 3, 177187.CrossRefGoogle ScholarPubMed
Bancroft, J., Skrimshire, A., Reynolds, F., Simkin, S. & Smith, J. (1975). Self-poisoning and self-injury in the Oxford area: epidemiological aspects 1969–73. British Journal of Preventive and Social Medicine 29, 170177.Google ScholarPubMed
Barnard, K. (1983). Influence of economic instability on health. In Influence of Economic Instability on Healthi (ed. John, J., Schwefel, D. and Zollner, H.), pp. 125. Springer-Verlag: Berlin.Google Scholar
Buglass, D. & Duffy, J. C. (1978). The ecological pattern of suicide and parasuicide in Edinburgh. Social Science and Medicine 12, 241253.Google Scholar
Buglass, D., Duffy, J. & Kreitman, N. (1980). A Register of Social and Medical Indices by Local Government Area in Edinburgh and the Lothians (2 parts). Central Research Unit, Scottish Office: Edinburgh.Google Scholar
Catalano, R. & Dooley, D. (1983). Health effects of economic instability: a test of economic stress hypothesis. Journal of Health and Social Behavior 24, 4660.CrossRefGoogle ScholarPubMed
Cohn, R. M. (1978). The effect of employment status change on self attitudes. Social Psychology 41, 8193.CrossRefGoogle Scholar
Daniel, W. W. (1981). The Unemployment Flow Stage 1. Interim Report. Policy Studies Institute: London.Google Scholar
Fruensgaard, K., Benjaminsen, S., Joensen, S. & Helstrup, K. (1983). Psychosocial characteristics of a group of unemployed patients consecutively admitted to a psychiatric emergency department. Social Psychiatry 18, 137144.CrossRefGoogle ScholarPubMed
Fryer, D. (1982). ‘All the World's a Stage’: Stages in the Psychological Response to Unemployment. Part One: Phaseing: The Facts. S.A.P.U. Memo 523, MRC/SERC Social and Applied Psychology Unit; University of Sheffield.Google Scholar
Hawton, K., O'Grady, J., Osborn, M. & Cole, D. (1982). Adolescents who take overdoses: their characteristics, problems and contact with helping agencies. British Journal of Psychiatry 140, 118123.CrossRefGoogle ScholarPubMed
Kennedy, P. & Kreitman, N. (1973). An epidemiological survey of parasuicide (‘attempted suicide’) in general practice. British Journal of Psychiatry 123, 2334.CrossRefGoogle ScholarPubMed
Kessell, A., Nicholson, A., Graves, G. & Krupinski, J. (1975). Suicidal attempts in an outer region of metropolitan Melbourne and in a provincial region of Victoria. Australia and New Zealand Journal of Psychiatry 9, 255261.CrossRefGoogle Scholar
Kreitman, N. (1973). Social and clinical aspects of suicide and attempted suicide. In A Companion to Psychiatric Studies, Vol. 1 (ed. Forrest, A.), pp. 3863. Churchill Livingstone: Edinburgh.Google Scholar
Kreitman, N. (ed.) (1977). Parasuicide. Wiley: London.Google Scholar
Madge, N. (1983). Unemployment and its effect on children. Journal of Child Psychology and Psychiatry 24, 311319.CrossRefGoogle ScholarPubMed
Moen, P. (1979). Family impacts of the 1975 depression: duration of unemployment. Journal of Marriage and the Family 41, 561572.CrossRefGoogle Scholar
Needham, B. (1979). Guidelines for a Local Employment Study. Saxon House: Farnborough, Hants.Google Scholar
Platt, S. (1984). Unemployment and suicidal behaviour: a review of the literature. Social Science and Medicine 19, 93115.CrossRefGoogle ScholarPubMed
Platt, S., Foster, J. & Kreitman, N. (1983). Parasuicide in Edinburgh 1982. A report on admissions to the Regional Poisoning Treatment Centre. Unpublished.Google Scholar
Selvin, H. C. (1958). Durkheim's ‘suicide’ and problems of empirical research. American Journal of Sociology 63, 607619.CrossRefGoogle Scholar
Stern, J. (1981). Unemployment and its Impact on Morbidity and Mortality. L.S.E. Discussion Paper No. 93. Centre for Labour Economics: London.Google Scholar
Thomann, K.-D. (1983). The effects of unemployment on health and public awareness of this in the Federal Republic of Germany. In Influence of Economic Instability on Health (ed. John, J.Schwefel, D. and Zollner, H.), pp. 480491. Springer-Verlag: Berlin.CrossRefGoogle Scholar
Thomas, L. E., McCabe, E. & Berry, J. E. (1980). Unemployment and family stress: a reassessment. Family Relations 29, 517524.CrossRefGoogle Scholar
Unemployment and Health Study Group (1984). Unemployment Health and Social Policy. Nuffield Centre for Health Services Studies, University of Leeds: Leeds.Google Scholar
Warr, P. (1983 a). Work and unemployment. In Handbook of Work and Organization Psychology (ed. Drenth, P. J. D.Thierry, H., Willems, P. J. and de Wolff, C. J.), pp. 413443. Wiley: London.Google Scholar
Warr, P. (1983 b). Job loss, unemployment and psychological well-being. In Role Transitions (ed. van de Vliert, E. and Allen, V.), pp. 263285. Plenum Press: New York.Google Scholar
White, M. (1983). Long-term Unemployment and Labour Markets. Policy Studies Institute: London.Google Scholar