TY - JOUR PY - 2005// TI - Suicides at work: misclassification and prevention implications JO - International journal of occupational and environmental health A1 - Kraus, Jess Frank A1 - Schaffer, Kathryn A1 - Rice, Todd A1 - Chu, Lawrence SP - 246 EP - 253 VL - 11 IS - 3 N2 - To determine the extent of misclassification of suicides with regard to work-relatedness and the implication for intervention, a matched case-control design was used. Cases were identified from California's master mortality file using ICD 9-CM external cause codes E950-959 and a positive response to the "injury-at-work" designation on the death certificate. Two controls matched on the same external cause of death codes, age, date of death, and county of occurrence were randomly selected. Outcome measures were odds ratios and accuracy assessments. Over 11% of cases and 23% of controls were misclassified. Extrapolation to the United States suggests thousands of suicides are misclassified as to a work-related connection. The findings point to misappropriation of the work-relatedness of suicide and hence, an inaccurate understanding of underlying risk factors and their intervention potential. LA - SN - 1077-3525 UR - http://dx.doi.org/ ID - ref1 ER -