TY  - JOUR
PY  - 2019//
TI  - Long-term occupational trajectories and suicide: a 22-year follow-up of the GAZEL cohort study
JO  - Scandinavian journal of work, environment and health
A1  - Azevedo Da Silva, Marine
A1  - Younes, Nadia
A1  - Leroyer, Ariane
A1  - Plancke, Laurent
A1  - Lemogne, Cédric
A1  - Goldberg, Marcel
A1  - Rivière, Mathieu
A1  - Melchior, Maria
SP  - 158
EP  - 165
VL  - 45
IS  - 2
N2  - OBJECTIVE Most suicides occur among individuals of working age. Risk is elevated in some occupational groups, however relations between long-term occupational trajectories and suicide are not well known. We describe career-long occupational trajectories and examine their influence on suicide. <br><br>METHODS Data come from GAZEL, a French cohort study set among employees of a large national utilities company. Occupational grade was obtained from company records from the time of hiring (1953‒1988). Group-based trajectory models were used to define occupational trajectories over a mean time period of 25.0 (standard deviation 6.5) years. Causes of mortality, coded using the International Classification of Diseases, were recorded from 1993‒2014 and studied using Cox regression models. <br><br>RESULTS Of the 20 452 participants included in the study, 73 died by suicide between 1993‒2014. <br><br>RESULTS suggested an increased risk of suicide [hazard ratio (HR) 2.57, 95% confidence interval (CI) 1.08-6.15] among participants with persistently low occupational grade compared to those with higher occupational grade and career development. After adjustment for all covariates, especially psychological factors, this association was reduced and no longer statistically significant (HR 2.02, 95% CI 0.82-4.95). <br><br>CONCLUSIONS Persistently low occupational grade could be related to an elevated risk of suicide. This association partly reflects psychological and health characteristics, which can influence occupational trajectories and be reinforced by unfavorable work conditions.<p />  <p>Language: en</p>
LA  - en
SN  - 0355-3140
UR  - http://dx.doi.org/10.5271/sjweh.3767
ID  - ref1
ER  -