Gendered experiences of unemployment, suicide and self-harm: a population-level record linkage study.
R Cunningham, A Milner, S Gibb, V Rijnberg, G Disney, AM Kavanagh
Psychol Med | Cambridge University Press (CUP) | Published : 2021
BACKGROUND: Unemployment and being not in the labour force (NILF) are risk factors for suicide, but their association with self-harm is unclear, and there is continuing debate about the role of confounding by prior mental health conditions. We examine associations between employment status and self-harm and suicide in a prospective cohort, taking into account prior mental-health-related factors. METHODS: We used linked data from the New Zealand Integrated Data Infrastructure. The outcomes were chosen to be hospital presentation for self-harm and death by suicide. The exposure was employment status, defined as employed, unemployed, or NILF, measured at the 2013 Census. Confounders included de..View full abstract