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Health care occupations and suicide in Sweden 1961–1985

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Summary

The sex and age standardized incidence rates of stricide and undetermined deaths in Sweden were deseribed for physicians, dentists, registered nurses, attendants in psychiatric care and auxiliary nurses for the five years following each of the censuses, 1960, 1970, 1975 and 1980. Amongst men all the occupations apart from registered nurses show increasing suicide rates from 1960, with significantly higher suicide rates during the seventies than the total male working population. A radical fall in the number of suicides amongst physicians, dentists and registered nurses took place in the period 1981–85, whilst attendants in psychiatric care and auxiliary nurses show a continuing significant excess in suicide rate. Among female physicians, there was an extremely high suicide rate in 1960, followed by a distinct fall until the period 1981–85 although the rates were significantly elevated in all periods. Female dentists show consistently high suicide rates during the seventies and eighties. Registered nurses show a reduction from a significantly high rate in the period 1961–65 and the seventies to a level equal to the total female working population. Female attendants in psychiatric care and auxihary nurses have low rates in almost all periods. These suicide trends are compared with an increase in the proportion of women in gainful employment as well as the radical alteration in family patterns in Sweden during the sevennes. Further research should emphasize the change in social roles, both in the labour market and in the family.

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References

  1. World Health Organization (1985) Targets for health for all. WHO Regional Office for Europe, Copenhagen

    Google Scholar 

  2. Platt S (1988) Suicide trends in 24 european countries, 1972–1984. In: Möller H-J, Schmidtke A, Welz R (eds) Current issues of suicidology. Springer, Berlin Heidelberg New York

    Google Scholar 

  3. Ministry of Labour (1990) A survey of jobs posing special risks to health. The report of the Health Risks Study Group to the Swedish Commission on Working Conditions. Gotab, Stockholm

  4. Arnetz BB, Hörte LG, Hedberg A, Theorell T, Allander E, Malker H (1987) Suicide patterns among physicians related to other academics as well as to the general population. Results from a national long-term prospective study and a retrospective study. Acta Psychiatr Scand 75: 139–143

    Google Scholar 

  5. Pitts FN Jr, Schuller AB, Rich CL et al. (1979) Suicide among US women physicians, 1967–1972. Am J Psychiatry 136: 694–696

    Google Scholar 

  6. Harrington JM, Oakes D (1984) Mortality study of British pathologists 1974–80. Br J Ind Med 41: 188–191

    Google Scholar 

  7. Rimpelä A, Nurminen M, Pulkkinen P, Rimpelä M, Valkonen T (1987) Mortality of doctors: do doctors benefit from their medical knowledge? Lancet 10: 84–86

    Google Scholar 

  8. Katz R (1983) Causes of death among registered nurses. J Occup Med 25: 760–762

    Google Scholar 

  9. Neuberger J, Hartley S (1988) Occupational safety and health issues affect registered nurses. Occup Health Saf 57: 25–27, 75–76

    Google Scholar 

  10. Roman E, Beral V, Inskip H (1985) Occupational mortality among women in England and Wales. Br Med J 291: 194–196

    Google Scholar 

  11. Blachly PH, Osterud HT, Josslin R (1963) Suicide in professional groups. New Engl J Med 268: 1278–1282

    Google Scholar 

  12. Arnetz B, Hörte L-G, Hedberg A, Malker H (1987) Suicide among Swedish dentists. A ten-year follow-up study. Scand J Soc Med 15: 243–246

    Google Scholar 

  13. Weissman MM, Klerman GL (1977) Sex differences and the epidemiology of depression. Arch Gen Psychiatry 34: 98–111

    Google Scholar 

  14. Murphy JM (1986) Trends in depression and anxiety: men and women. Acta Psychiatr Scand 73: 113–127

    Google Scholar 

  15. Rosenfield S (1989) The effects of women's employment: personal control and sex differences in mental health. J Health Soc Behav 30: 77–91

    Google Scholar 

  16. Welner A, Marten S, Wochnick E, Davis M, Fishman R, Clayton P (1979) Psychiatric disorders among professional women. Arch Gen Psychiatry 36:169–173

    Google Scholar 

  17. Statistika Centralbyrån (1989) Befolkningsförändringar 1988. (Statistics Sweden. Population changes). Part 3 page 10, Stockholm

  18. Carlson GA, Miller DC (1981) Suicide, affective disorder, and women physicians. Am J Psychiatry 138; 1330–1335

    Google Scholar 

  19. Nordentoft M (1988) Selvmord blandt læger. (Suicide among physicians). Ugeskr Laeger 150/41: 2440–2443

    Google Scholar 

  20. Asp S, Hernberg S, Collan Y (1979) Mortality among Finnish doctors, 1953–1972. Scand J Soc Med 7: 55–62

    Google Scholar 

  21. Simon W (1989) Suicide among physicians: prevention and postvention. In: Diekstra R F W et al. (ed) Suicide and its prevention. The role of attitude and imitation. Leiden, New York Köbenhavn Köln

  22. Lang-Runtz H (1984) Specialty features. Stress in dentistry: it can kill you. J Canad Dent Assn 7: 539–541

    Google Scholar 

  23. Krakowski A (1982) Stress and the practice of medicine — the myth and reality. J Psychosom Res 26: 91–98

    Google Scholar 

  24. Keeve P (1984) Physicians at risk. Some epidemiologic considerations of alcoholism, drug abuse, and suicide. J Occup Med 26: 503–508

    Google Scholar 

  25. Olkinuora M, Asp A, Juntunen J, Kauttu K, Strid L, Äärimaa M (1990) Stress symptoms, burnout and suicidal thoughts in Finnish physicians. Soc Psychiatry Psyciatr Epidemiol 25: 81–86

    Google Scholar 

  26. Rich CL, Pitts FN (1980) Suicide by psychiatrists: a study of medical specialists among 18,730 consecutive physician deaths during a five year period, 1967–1972. J Clin Psychiatry 41: 261–263

    Google Scholar 

  27. Kastrup M, Petersson B (1986) Working conditions of male and female psychiatrists. Acta Psychiatr Scand 74: 84–90

    Google Scholar 

  28. Kreitman N, Carstairs V, Duffy J (1990) The association of age and social class with suicide among men in Great Britain (in press)

  29. Norström T (1990) Självmord: betydelsen av alkoholmissbruk och arbetslöshet (Suicide: The importance of alcohol abuse and unemployment). Socialmedicinsk tidskrift 8: 422–423

    Google Scholar 

  30. Stefansson C-G (1991) Long-term unumployment and mortality in Sweden, 1980–1986. Soc Sci Med 32: 419–423

    Google Scholar 

  31. Javanainen M (1989) Convergence of life styles and sex ratio in suicide mortality in Finland. University of Helsinki, Department of Sociology, Helsinki

    Google Scholar 

  32. Doncevic S, Theorell T, Scalia-Tomba G (1988) The psychosocial work environment of district nurses in Sweden. Work Stress 2: 341–351

    Google Scholar 

  33. Diderichsen F (1991) Widening social inequalities — trends in occupational cardiovascular mortality among swedish men 1961–86. Karolinska institute, Department of Social Medicine, Kronan Health Center, Stockholm (in press)

    Google Scholar 

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Authors and Affiliations

  1. Psychosocial Research Unit, Fktorpsvägen 2, S-13147, Nacka, Sweden

    C. -G. Stefansson & Susanne Wicks

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  1. C. -G. Stefansson
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  2. Susanne Wicks
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Stefansson, C.G., Wicks, S. Health care occupations and suicide in Sweden 1961–1985. Soc Psychiatry Psychiatr Epidemiol 26, 259–264 (1991). https://doi.org/10.1007/BF00789217

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