22
  epartment of chool of Public aculty of Medic Suici Vic  (Rese  uici  orensic Medici Health and Preve ine, Nursing and e and wo toria (Res arch sum d e a Depar  e ntive Medicine Health Sciences ccompan rk related earch sum ary) nd ment  ying doc stress in mary) ork f For  Dr Vir Profe  Re  ments to  relat nsic inia R ssor J earch this repo 1111-00  ed s edici P utley, an Oz 10 t eport #: rt 5-R10S tres i c t e, Mo Unive epare Gael nne- h  Octobe  1111-0  in r ia  ash rsity by: rytell mith. r 2011 5-R10 

005 R10_Suicide and work Related Stress 2011

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  • DSF

    S

    Department of FSchool of Public Faculty of Medic

    SuicidVic

    (Resea

    Suici

    Forensic MedicinHealth and Preveine, Nursing and

    A

    de and woctoria (Research summ

    ide a

    Depart

    ne entive Medicine Health Sciences

    Accompan

    rk related search sum

    mary)

    and w

    tment o

    nying docu

    stress in mmary)

    work

    of Fore

    Dr VirgProfe

    Res

    uments to

    relat

    ensic M

    ginia Rossor Jo

    search R

    this repo

    1111-005

    ted sV

    Medicin

    Proutley, oan Oza

    10th

    Report #:

    ort

    5-R10S

    tressVicto

    ne, MonUnive

    reparedGael Tanne-S

    h Octobe

    1111-00

    s in oria

    nash

    ersity

    d by: Trytell Smith.

    r 2011

    05-R10

  • Researc

    DSF

    1. Intro

    2. Meth

    3. Res

    3.1 Dat

    3.2 Ana

    4. Inter

    5. Stre

    6. Rec

    Refere

    ch report # 1

    Department of FSchool of Public Faculty of Medic

    oduction

    hod

    ults

    tabase

    alysis

    rventions

    engths and

    ommenda

    ences .....

    111-005-R10

    Forensic MedicinHealth and Preveine, Nursing and

    d limitatio

    ations

    .................

    0

    ne entive Medicine Health Sciences

    Tab

    ns

    .................

    Nov 2011

    le of Cont

    .................

    tents

    .................

    ................

    Page 2 o

    .

    ..

    .................

    of 22

    3

    5

    ..6

    ...6

    ...17

    18

    18

    .....19

  • DSF

    List ofTable Table 2stress.

    Table 3stress

    Table 4gender

    Table 5occupa

    Table 6type....

    List of

    Figuresuicide Figure

    Department of FSchool of Public Faculty of Medic

    f Tables 1. Suicides2. Work re................

    3. Suicidescause.......

    4. Suicidesr................

    5. Main woation*........

    6. Method................

    f Figures

    e 1 Cases..............

    e 2 Suicide

    Forensic MedicinHealth and Preveine, Nursing and

    s and work

    elated suici

    ................

    s associate

    .................

    s associate

    .................

    ork-related

    ................

    d of suicide

    ................

    se identific................

    s associat

    ne entive Medicine Health Sciences

    k related ca

    des and no

    .................

    ed with wo

    ................

    ed with wo

    ................

    stress cau

    ................

    e by stress

    ................

    cation for w................

    ed with wo

    auses of st

    on-work re

    .................

    ork-related

    ................

    ork-related

    ................

    use by AN

    ................

    or

    ................

    work related................

    ork-related

    tress.........

    elated caus

    .................

    cause of s

    ................

    causes of

    ................

    ZSCO

    .................

    .................

    d stressor ................

    stress: Ag

    ................

    ses of

    ................

    stress by g

    ................

    stress by g

    ................

    .................

    .................

    .................

    ge group by

    .................

    ................

    ender - %

    ................

    gender - %

    ................

    .................

    .................

    .................

    y gender..

    ...........9

    ........10

    of

    ........12

    % of

    .......13

    .......14

    .......16

    ..........11

    ..........21

  • Researc

    1. INTR

    Definit

    The W

    when p

    knowle

    Stress

    Austral

    by Wor

    for the

    (http://w

    suicide

    the pub

    work st

    the key

    the term

    SuicidBottom

    suicide

    work (

    relevan

    and lon

    experie

    issues,

    Woo &

    factors

    the foll

    mood d

    ch report # 1

    RODUCTIO

    tion

    orld Health

    presented w

    edge and a

    is the seco

    lia, after m

    rksafe Vict

    private an

    www.works

    e (as a pos

    blic sector)

    tress. A Ps

    ywords stre

    m suicide w

    es and womley et al. (

    es for the y

    (n=23); the

    nt major gr

    ng hours (7

    encing at le

    , substance

    & Postolach

    s on mood

    owing fact

    disorders,

    111-005-R10

    ON

    h Organiza

    with dema

    abilities and

    ond most c

    manual han

    toria, there

    nd public se

    safe.vic.go

    ssible harm

    ). There ha

    sychInfo lib

    ess* and w

    was added

    ork stress(2002) foun

    years 1989

    en work tro

    roupings w

    7). Most of

    east one n

    e abuse.

    he (2008) r

    disorders a

    tors: shift w

    at least in

    0

    DepartmenSchool of PuFaculty of M

    ation define

    nds and pr

    d which ch

    common ca

    dling. The

    e being sev

    ector featu

    ov.au). How

    mful outcom

    ave been n

    brary searc

    work* ident

    d.

    s nd in their

    -2000 that

    oubles, pro

    were perform

    f the suicid

    on-work re

    reviewed th

    and suicide

    work can in

    vulnerable

    Nov 2011

    nt of Forensic Mublic Health and

    Medicine, Nursing

    es stress a

    ressures th

    hallenge the

    ause of wo

    issue has

    veral guide

    red on the

    wever ther

    me in Attac

    numerous s

    ch for the p

    tified 16,38

    analysis of

    t the most f

    blems, diff

    mance pre

    es conside

    elated stres

    he evidenc

    e and the e

    ncrease the

    e individua

    edicinePreventive Medig and Health Scie

    as the reac

    hat are not

    eir ability to

    orkplace co

    comprehe

    es on preve

    eir website

    re appeare

    chment 3. A

    studies in t

    period 200

    87 referenc

    f 109 Victo

    frequent w

    ficulties (21

    essures (10

    ered work

    ssor eg rel

    ce around t

    efficacy of

    e risk of de

    ls; employ

    cine ences

    ction peop

    t matched

    o cope.

    ompensatio

    ensive cove

    enting work

    d to be on

    A Guide for

    the academ

    2 to Septe

    ces. There

    orian Coron

    work difficul

    1). Other w

    0), job diss

    related we

    ationship,

    the impact

    interventio

    eveloping o

    ees who p

    Page 4 o

    le may hav

    to their

    on claims

    erage inclu

    k related-s

    ly one men

    r employer

    mic literatu

    ember 2011

    were 411

    ners work

    lty was st

    work stress

    satisfaction

    ere also

    issues, he

    t of occupa

    ons and ide

    or aggrava

    perceive the

    of 22

    ve

    in

    uding

    stress

    ntion of

    rs in

    ure of

    1 for

    when

    related

    ress at

    s

    n (8)

    ealth

    ational

    entified

    ting

    ey are

  • Researc

    treated

    lack of

    Amaga

    by psyc

    working

    psycho

    depres

    A repo

    identifie

    compa

    CBCI w

    cohorts

    interpe

    and su

    blue-co

    StressMcCali

    dissatis

    stress

    There a

    psycho

    more th

    hours o

    men in

    worked

    interes

    ch report # 1

    d unfairly b

    social sup

    asa et al (2

    chiatrists o

    g hours we

    ological de

    ssive episo

    rt on the Q

    ed that con

    ared to the

    workers, w

    s. It appea

    ersonal fact

    bstance ab

    ollar indust

    s ister (2003

    sfaction wh

    and perso

    are many J

    ological dis

    han half of

    or longer p

    manageri

    d 50 hours

    st and exha

    111-005-R10

    y their sup

    pport is rela

    2005) revie

    on employe

    ere recogn

    mand in 18

    odes by ICD

    Queensland

    nstruction w

    general m

    whose suici

    rs that wor

    tors (e.g. r

    buse) inter

    try (AISRA

    3) noted tha

    hich is influ

    nality dispo

    Japanese

    stress. For

    f Japanese

    per day wa

    al occupat

    or longer

    austion. Fe

    0

    DepartmenSchool of PuFaculty of M

    pervisors a

    ated to dep

    ewed and s

    ee suicides

    ised in 19

    8 and low d

    D-10 criter

    d commerc

    workers ha

    ale workin

    de risk wa

    rk-related f

    relationship

    ract to cont

    AP, 2006).

    at high leve

    uenced by

    osition.

    studies su

    example,

    e employee

    s associate

    tions. Amo

    per week h

    eelings that

    Nov 2011

    nt of Forensic Mublic Health and

    Medicine, Nursing

    re at incre

    pression.

    summarise

    s that were

    suicides, l

    decision la

    ria and sho

    cial buildin

    ave a tend

    ng age pop

    s approxim

    factors (e.g

    p problems

    tribute to s

    els of job s

    co-worker

    upporting th

    Kawakami

    es reported

    ed with low

    ong middle-

    had higher

    t the job is

    edicinePreventive Medig and Health Scie

    ased risk o

    ed 22 insur

    e related to

    low social

    atitude in 1

    owed suicid

    g and cons

    ency towa

    ulation. Th

    mately twic

    g. long wor

    s), and ind

    suicide risk

    stress corre

    r support, s

    he contribu

    i & Haratan

    d job-relate

    wer satisfa

    -aged work

    r levels of i

    unsuitable

    cine ences

    of poor me

    ance and l

    o heavy wo

    support in

    7 cases. T

    dal signs.

    struction in

    rds elevate

    his was am

    e that of a

    rking hours

    ividual fact

    k in this ma

    elated to h

    supervisor

    ution of wo

    ni (1999) re

    ed distress

    ction in wo

    king men, t

    rritation, a

    e, a lack of

    Page 5 o

    ental health

    legal repor

    orkloads. L

    18, high

    The subjec

    ndustry (CB

    ed suicide

    mplified in y

    ge-matche

    s, pressure

    tors (e.g. a

    ale-domina

    high levels

    support, w

    rk stress to

    eported th

    s. Working

    orking life a

    those who

    nxiety, los

    f control ov

    of 22

    h; and

    rts filed

    Long

    ts had

    BCI)

    rates,

    young

    ed

    e),

    alcohol

    ated,

    of job

    work

    o

    at

    ten

    among

    o

    s of

    ver the

  • Researc

    workpla

    docum

    Bottom

    sole ca

    the job

    experie

    employ

    Data s

    The Vic

    intentio

    have a

    relation

    related

    particu

    major s

    related

    (Bugeja

    reporte

    or phra

    anxiou

    hours o

    from fa

    Aim The res

    work re

    by the

    ch report # 1

    ace and po

    ented risk

    mley et al. (

    ause of an

    b is influenc

    ences, pers

    yee finds in

    ources

    ctorian Wo

    onal and un

    a work relat

    nship prob

    d. However

    lar other s

    stressor th

    d factors m

    a et al. 200

    ed in the po

    ases noted

    s or pressu

    or work co

    amily.

    search aim

    elated stres

    Coroner a

    111-005-R10

    oor human

    factor for s

    (2002) and

    employee

    ced by man

    sonal supp

    n other asp

    ork Related

    nintentiona

    ted compo

    lems or me

    r if there ar

    tressor suc

    en the suic

    ay have be

    09). Includ

    olice summ

    such as w

    ured but o

    nditions af

    med to prov

    ss betwee

    nd make r

    0

    DepartmenSchool of PuFaculty of M

    n relations

    suicide.

    d Hartshorn

    s suicide.

    ny factors

    port system

    pects of the

    d Fatalities

    al injury de

    onent. Whe

    ental healt

    re many ot

    ch as relat

    cide has no

    een noted

    ed in this s

    mary of circ

    work relate

    otherwise u

    ffecting life

    vide an ove

    n July 200

    ecommend

    Nov 2011

    nt of Forensic Mublic Health and

    Medicine, Nursing

    at work we

    n (1997) no

    How an in

    such as em

    m and the b

    eir life.

    s Database

    eaths repor

    ere there a

    th issues, t

    ther stress

    tionship bre

    ot been cla

    in addition

    study are s

    cumstance

    d dissatisf

    unspecified

    estyle eg sh

    erview of a

    00 and Dec

    dations for

    edicinePreventive Medig and Health Scie

    ere associa

    oted that S

    ndividual co

    mployees

    balance an

    e (VWRFD

    rted to the

    re co-exist

    the suicide

    ors listed o

    eakdown o

    assified as

    n to those t

    suicides th

    es or the co

    fied, unhap

    d, PTSD, e

    hift work, g

    all Victorian

    cember 200

    r preventio

    cine ences

    ated with d

    Stressful jo

    opes with t

    personalit

    nd satisfact

    ) is a recor

    Victorian C

    ting factors

    is still cod

    or the coro

    or terminal

    work-relat

    that are wo

    at have wo

    oroners fin

    ppy, stress

    excessive w

    geographic

    n suicides

    08 that hav

    n.

    Page 6 o

    depression

    obs are rar

    the pressu

    ty, prior

    ction the

    rd of both

    Coroner th

    s such as

    ded as wor

    oner named

    illness as

    ted. Non w

    ork- related

    orkplace st

    dings as a

    sed, depres

    workload o

    cal separat

    associated

    ve been clo

    of 22

    , a well

    rely the

    res of

    at

    rk-

    d a

    the

    work

    d

    tress

    a cause

    ssed,

    or work

    ion

    d with

    osed

  • Researc

    2. METi) Work

    2010 w

    (July 2

    ii) To th

    related

    comme

    related

    iii) For

    related

    variabl

    related

    related

    iv) Wor

    genera

    Suicide

    suicide

    causes

    v) Anal

    version

    ch report # 1

    THOD k related su

    were extrac

    000-Decem

    he extent t

    dness had

    ercial trans

    dness had a

    each work

    d stressor t

    e work str

    d stressor o

    d e.g. ment

    rk related s

    al/other wo

    e Stressors

    es were an

    s of stress,

    lyses were

    n 19.0.

    111-005-R10

    uicides tha

    cted from t

    mber 2008

    to which th

    been deter

    sport and th

    also been

    k related st

    types were

    ressor type

    or one of m

    tal health is

    stressor ty

    rk stress fr

    s were ext

    alysed for

    gender, a

    e undertake

    0

    DepartmenSchool of PuFaculty of M

    at had been

    he VWRFD

    8).

    is could be

    rmined by

    hen work l

    recorded.

    tressor suic

    e coded, in

    e was adde

    multiple stre

    ssues.

    pe categor

    rom the pre

    tracted (Fi

    the followi

    age-group,

    en using M

    Nov 2011

    nt of Forensic Mublic Health and

    Medicine, Nursing

    n closed by

    D for the m

    e determin

    a hierarch

    location res

    The work

    cide in the

    order of c

    ed to recor

    essors, the

    ries, determ

    evious rep

    gure 1). Th

    ing variabl

    occupatio

    Microsoft Ex

    edicinePreventive Medig and Health Scie

    y the Coro

    most compl

    ed from th

    hy of work a

    sponse va

    stressor su

    extracted

    ontribution

    rd if the str

    e other stre

    mined to b

    port to Wor

    hese gene

    es: work re

    n and suic

    xcel 2007

    cine ences

    ner as at 1

    ete data c

    e Coroner

    agent, wor

    riables. Se

    uicides we

    dataset up

    n to the sui

    ressor was

    essors bein

    e relevant

    ksafe Wo

    ral/other w

    elated and

    cide method

    and SPSS

    Page 7 o

    19th Decem

    collection p

    rs records,

    rk stressor,

    econdary w

    ere extracte

    p to two wo

    cide. Anot

    s the sole w

    ng non-wo

    to this stu

    rk Related

    work stress

    non-work

    d used.

    S Statistics

    of 22

    mber

    period

    , work

    r,

    work

    ed.

    ork

    her

    work

    rk

    dy of

    d

    s

    related

  • Researc

    3. RES 3.1 DatThere w

    VWRF

    suicide

    of prim

    3.2 AnFrom th

    associa

    2008, a

    mentio

    related

    related

    specific

    related

    related

    work-re

    work-re

    hours,

    break (

    ch report # 1

    SULTS

    tabase were 2,024

    D for the p

    es and 378

    mary work-r

    alysis he work st

    ated with g

    an average

    oned multip

    d stress. Th

    d stress in t

    c details of

    d stress inc

    d depressio

    elated stre

    elated incid

    anxiety re

    (Table 1).

    111-005-R10

    4 work rela

    period July

    8 (18.7%) w

    relatedness

    tressor suic

    general/oth

    e of ten pe

    ple stresse

    here were

    the case re

    f the work-

    cluded men

    on, anxiety

    ssors inclu

    dent, reduc

    lated to pe

    0

    DepartmenSchool of PuFaculty of M

    ated fataliti

    2000 to D

    were work

    s.

    cides (Figu

    her work st

    r year. Of

    s in the ca

    also 39 su

    eport (Tabl

    -related str

    ntion of dis

    y or pressu

    uded: Post

    ction in hou

    erformance

    Nov 2011

    nt of Forensic Mublic Health and

    Medicine, Nursing

    es that ha

    December 2

    related str

    ure 1) there

    tress for th

    these suic

    ase report,

    icides (42%

    le 1). For t

    ress were n

    ssatisfactio

    re as a con

    t Traumatic

    urs and ex

    e and anxie

    edicinePreventive Medig and Health Scie

    d been clo

    2008. Of th

    essor suic

    e were 92

    e period J

    cides the m

    of which a

    %) which s

    the majority

    not reporte

    on or unhap

    ntributing f

    c Stress Di

    xcessive w

    ety about r

    cine ences

    osed by the

    hese, 730 (

    ides where

    suicides co

    uly 2000 to

    majority, 53

    at least one

    specified a

    y of suicide

    ed. This un

    ppiness wit

    factor in th

    sorder (PT

    orkload or

    eturning to

    Page 8 o

    e Coroner o

    (36.1%) we

    e stressors

    oded as be

    o Decembe

    (58%)

    e was a wo

    single wo

    es, 54 (59%

    nspecified

    th work, or

    e suicide.

    TSD) follow

    working lo

    o work afte

    of 22

    on the

    ere

    s were

    eing

    er

    ork-

    rk-

    %) the

    work-

    r work-

    Other

    wing a

    ong

    er a

  • Researc

    Table 1Work-restress

    General

    depress

    dissatisf

    PTSD

    an incide

    Hours ha

    Perform

    WorkCo

    anxiety/d

    Excessiv

    Return t

    Not copi

    Lack of

    condition

    change

    Change

    Total

    Source:

    *Cell cou

    ** Prima

    The no

    include

    existing

    42%), a

    breakd

    causes

    ch report # 1

    1 Suicides elated cause

    unspecified

    ed, anxious,

    fied, or press

    depression

    ent

    ad been cut

    ance Anxiety

    over claimant

    depression

    ve workload

    to Work Anxi

    ing with or m

    recognition o

    ns affecting l

    to position o

    of pay arran

    VWRFD Clo

    unts less tha

    ary stressor ty

    on work-rel

    ed in the ca

    g suicide tr

    a history o

    down (9, 17

    s of stress

    111-005-R10

    and work es and/or re

    work-related

    unhappy,

    sured

    or anxiety fo

    back

    y

    t for

    or work hou

    ety

    mismatched to

    of contributio

    lifestyle / Unw

    r departmen

    ngement

    osed cases, J

    an 3 cannot b

    type only

    lated stres

    ase reports

    riggers me

    of mental ill

    7%) and fin

    were ment

    0

    DepartmenSchool of PuFaculty of M

    related caports of

    d stress,

    ollowing

    rs

    o job

    on/ Work

    wanted

    t/

    July 2000 D

    be noted.

    sors of the

    s are summ

    entioned we

    ness or ps

    nancial diff

    tioned in 2

    Nov 2011

    nt of Forensic Mublic Health and

    Medicine, Nursing

    uses of strMultiple caustress inclwork-relate

    29

    3

    *

    5

    3

    4

    3

    *

    3

    53

    December 2

    e 53 suicide

    marised in

    ere psycho

    sychiatric t

    ficulties (7,

    21 (40%) of

    edicinePreventive Medig and Health Scie

    ress uses of luding ed**(N) c

    2008

    es which h

    Table 2. T

    ological dif

    reatment (

    13%). Mu

    f suicides.

    cine ences

    Single worrelated

    cause of str(N)

    25

    3

    3

    0

    *

    *

    0

    *

    3

    39

    had multiple

    The most c

    fficulties or

    10, 19%),

    ultiple non

    Page 9 o

    rk-

    ress

    e stressors

    common co

    r depressio

    relationsh

    work-relat

    of 22

    Total (N)

    54

    6

    5

    5

    5

    5

    3

    3

    6

    92

    s

    o-

    on (22,

    ip

    ted

  • Researc22

    Table 2 Non wostress

    Psycholo

    depress

    Mental i

    psychiat

    Relation

    Financia

    Loss of a

    Alcohol/

    WorkCo

    Other

    Total

    Source:

    *Cell cou

    Age anThe ma

    in fema

    group (

    ch report # 1

    2. Wo

    ork- related c

    ogical difficu

    ion

    llness/

    tric history

    nship breakdo

    al difficulties

    a significant

    /drug use

    over

    VWRFD Clo

    unts less tha

    nd genderajority of s

    ales the hig

    (Figure 2)

    111-005-R10

    ork related

    causes of

    ulties/

    own

    relationship

    osed cases, J

    an 3 cannot b

    r uicides (11

    ghest num

    0

    DepartmenSchool of PuFaculty of M

    suicides aStr

    July 2000 D

    be noted.

    1, 12%) we

    ber of suic

    Nov 2011

    nt of Forensic Mublic Health and

    Medicine, Nursing

    nd non-woressor 1

    (N)

    22

    10

    9

    7

    *

    *

    0

    1

    53

    December 2

    ere males i

    cides (5, 5%

    edicinePreventive Medig and Health Scie

    ork related Str

    2008

    in the 35-3

    %) was in t

    cine ences

    causes of essor 2 (N)

    *

    0

    4

    5

    *

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    4

    1

    20

    39 year age

    the 45-49 y

    Page 10

    f stress Tot

    24

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    e group wh

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  • Researc22

    Figure

    Source:

    Four tim

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    0

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    111-005-R10

    es associat

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    any male s

    des (79%

    Ag

    0

    DepartmenSchool of PuFaculty of M

    ted with wo

    July 2000 D

    suicides we

    male vs 21

    gegroupinye

    Nov 2011

    nt of Forensic Mublic Health and

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    ork-related

    December 2

    ere associa

    1% female

    ears

    edicinePreventive Medig and Health Scie

    stress: Ag

    2008

    ated with g

    e) (Table 4)

    cine ences

    ge group by

    general wo

    ).

    Male

    Female

    Page 11

    y gender

    rk-related

    of

    stress

  • Researc22

    Table 3

    stress Work-re

    General

    depress

    dissatisf

    PTSD

    an incide

    Hours ha

    Perform

    WorkCo

    anxiety/d

    Excessiv

    Not copi

    Return t

    Lack of

    condition

    change

    of pay a

    Total

    Source:

    *Cell cou

    ** Prima

    Of the

    male a

    work-st

    after a

    WorkC

    back, o

    pay or

    equally

    hours o

    ch report # 1

    3. Suicide

    cause

    elated cause

    unspecified

    ed, anxious,

    fied, or press

    depression

    ent

    ad been cut

    ance Anxiety

    over claimant

    depression

    ve workload

    ing with or m

    to Work Anxi

    recognition o

    ns affecting l

    to position o

    rrangement

    VWRFD Clo

    unts less tha

    ary cause of s

    stressors m

    and female

    tress (Tab

    work-relat

    Cover claim

    or from not

    unwanted

    y likely to h

    or workload

    111-005-R10

    s associat

    e of stress**

    work-related

    unhappy,

    sured

    or anxiety fo

    back

    y

    t for

    or work hou

    mismatched to

    ety

    of contributio

    lifestyle/ Unw

    r departmen

    osed cases, J

    an 3 cannot b

    stress only

    mentioned

    suicides (

    le 5). Fem

    ted inciden

    ms for depre

    t coping or

    changes t

    have had s

    d.

    0

    DepartmenSchool of PuFaculty of M

    ed with wo

    *

    d stress,

    ollowing

    rs

    o job

    on/ Work

    wanted

    t/Change

    July 2000 D

    be noted.

    in case re

    58% each)

    males were

    nt (16% vs

    ession or a

    being mis

    to position

    tress asso

    Nov 2011

    nt of Forensic Mublic Health and

    Medicine, Nursing

    ork-related

    Male

    N

    43

    3

    5

    4

    5

    4

    3

    *

    4

    73

    December 2

    eports, app

    ) were ass

    e proportion

    4%). Only

    anxiety and

    smatched t

    or departm

    ociated with

    edicinePreventive Medig and Health Scie

    cause of s

    Gend

    e

    %

    79.6

    50

    100

    80

    100

    80

    100

    66.7

    *

    79.3

    2008

    proximately

    sociated wi

    nally more

    y male suic

    d stress as

    o their jobs

    ment. Male

    h performa

    cine ences

    stress by g

    er

    Fema

    N

    11

    3

    0

    *

    0

    *

    0

    *

    *

    19

    y the same

    th general

    likely to ha

    ides were

    s a result o

    s, as well a

    es and fem

    ance anxiet

    Page 12

    gender - %

    Tale

    %

    20.4

    50

    0

    *

    0

    20

    0

    *

    *

    20.7

    e proportio

    l unspecifie

    ave had P

    associated

    of hours be

    as changes

    males were

    ty, or exce

    of

    of

    Total N

    54

    6

    5

    5

    5

    5

    3

    3

    6

    92

    n of

    ed

    TSD

    d with

    eing cut

    s to

    e

    essive

  • Researc22

    Table 4

    gender Work-re

    General

    depress

    dissatisf

    PTSD

    an incide

    Hours ha

    Perform

    WorkCo

    anxiety/d

    Excessiv

    Not copi

    Return t

    Lack of

    condition

    change

    Change

    Total

    Source:

    *Cell cou

    ** Prima

    Major Work s

    Occupa

    manag

    service

    and ad

    suicide

    work st

    ch report # 1

    4. Suicides

    r

    elated cause

    unspecified

    ed, anxious,

    fied, or press

    depression

    ent

    ad been cut

    ance Anxiety

    over claimant

    depression

    ve workload

    ing with or m

    to Work Anxi

    recognition o

    ns affecting l

    to position o

    of pay arran

    VWRFD Clo

    unts less tha

    ary stress cau

    Occupatiostress majo

    ations (AN

    gers (17), te

    es workers

    dministrativ

    e (ie ANZS

    tress is the

    111-005-R10

    s associate

    e of stress**

    work-related

    unhappy,

    sured

    or anxiety fo

    back

    y

    t for

    or work hou

    mismatched to

    ety/

    of contributio

    lifestyle/ Unw

    r departmen

    ngement

    osed cases, J

    an 3 cannot b

    use only

    onal Grouor Australia

    NZSCO) gro

    echnicians

    (12) mach

    ve workers

    CO Not Ap

    erefore inc

    0

    DepartmenSchool of PuFaculty of M

    ed with wor

    *

    d stress,

    ollowing

    rs

    o job

    on/ Work

    wanted

    t/

    July 2000 D

    be noted.

    pings (ANa and New

    oupings we

    s and trade

    hinery oper

    (5). Eleve

    pplicable) a

    luded here

    Nov 2011

    nt of Forensic Mublic Health and

    Medicine, Nursing

    rk-related

    Male

    N

    43

    3

    5

    4

    5

    4

    3

    *

    4

    73

    December 2

    NZSCO) w Zealand S

    ere most c

    e workers (

    rators and

    en were not

    and their p

    e. Professio

    edicinePreventive Medig and Health Scie

    causes of

    Gend

    e

    %

    58.9

    4.1

    6.8

    5.5

    6.8

    5.5

    4.1

    *

    *

    100

    2008

    Standard C

    commonly

    (13), comm

    drivers (7)

    t actually e

    previous oc

    onals, Man

    cine ences

    stress by g

    er

    Fema

    N

    11

    3

    0

    *

    0

    *

    0

    *

    *

    19

    Classificatio

    profession

    munity and

    ), labourer

    employed a

    ccupation i

    nagers and

    Page 13

    gender - %

    ale

    %

    57.9

    15.8

    0

    *

    0

    *

    0

    *

    *

    100

    on of

    nals (n=24)

    personal

    rs (7) and c

    at the time

    mplicated

    d Commun

    of

    % of

    Total

    54

    6

    5

    5

    5

    5

    3

    3

    6

    92

    ),

    clerical

    of

    in the

    nity and

  • Researc22

    Person

    work-re

    Table 5

    Work-re

    General

    depress

    dissatisf

    PTSD

    an incide

    Hours ha

    Perform

    WorkCo

    anxiety/d

    Excessiv

    Not copi

    Return t

    Lack of

    condition

    change

    Change

    Total

    Source:

    *Cell cou

    ** Prima

    *** Inclu

    previous

    Where

    various

    ch report # 1

    nal Service

    elated stre

    5. Main wo

    elated stress

    unspecified

    ed, anxious,

    fied, or press

    depression

    ent

    ad been cut

    ance Anxiety

    over claimant

    depression

    ve workload

    ing with or m

    to Work Anxi

    recognition o

    ns affecting l

    to position o

    of pay arran

    VWRFD Clo

    unts less tha

    ary stressor ty

    udes 11 whos

    s occupation

    there were

    s occupatio

    111-005-R10

    e Workers w

    ss (Table 5

    ork-related

    s type**

    work-related

    unhappy,

    sured

    or anxiety fo

    back

    y

    t for

    or work hou

    mismatched to

    ety

    of contributio

    lifestyle/ Unw

    r departmen

    ngement

    osed cases, J

    an 3 cannot b

    type only

    se major ANZ

    implicated in

    e sufficient

    onal coding

    0

    DepartmenSchool of PuFaculty of M

    were most

    5).

    stress cau

    d stress,

    ollowing

    rs

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    wanted

    t/

    July 2000 D

    be noted.

    ZSCO group

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    t numbers

    g systems

    Nov 2011

    nt of Forensic Mublic Health and

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    t likely to b

    use by ANZ

    N MosANZ

    54 Prof

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    3 Tech

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    6

    92

    December 2

    ping was actu

    s included he

    (>=3) the

    on the VW

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    ZSCO occ

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    fessionals (1

    mmunity & Pe

    rkers (8), Tec

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    mmunity & Pe

    rkers (*)

    ed

    ed

    fessional (*)

    ed

    hnicians & T

    2008

    ually Not App

    ere.

    following c

    WRFD for t

    cine ences

    by genera

    upation*

    major occupping***

    7), Managers

    ersonal Serv

    chnician and

    ourers (4), C

    ers (3), Mach

    rivers (3), (Fr

    ersonal Serv

    rade workers

    plicable at th

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    he 54 gene

    Page 14

    al unspecif

    pational

    rs (11),

    ice

    trade

    Clerical

    hinery

    requencies

    ice

    s (3)

    eir time of de

    eported for

    eral/unspe

    of

    ied

    eath but

    r the

    ecified

  • Researc22

    work-re

    occupa

    retired

    ANZSC

    Design

    service

    busine

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    and aid

    legal, s

    MethoHangin

    followe

    6). Alth

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    elated stre

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    (4). For AN

    CO groupin

    n, engineer

    e managers

    ss, human

    workers (4

    des (3), fac

    social and

    d of Suicing (54.3%)

    ed by moto

    hough popu

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    oice of me

    111-005-R10

    ss as in Ta

    ers (3), ca

    NZSCO oc

    ng also wo

    ring, scienc

    s (5), spec

    n resources

    4), protectiv

    ctory proce

    welfare pro

    de ) (51% all V

    or vehicle e

    ulation size

    th probable

    ethod.

    0

    DepartmenSchool of PuFaculty of M

    able 5. For

    abinet make

    ccupation a

    ood trades

    ce and tran

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    ve service

    ess worker

    ofessionals

    Victorian su

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    es are likel

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    Nov 2011

    nt of Forensic Mublic Health and

    Medicine, Nursing

    r current oc

    ers (3) and

    as above b

    workers (3

    nsport prof

    agers (5),

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    workers (4

    rs (3), inqu

    s (3).

    uicides) wa

    s (21.7%)

    ly to be too

    icle owner

    edicinePreventive Medig and Health Scie

    ccupation a

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    but also ret

    3). Sub-ma

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    4), road an

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    as the mos

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    o low to ex

    rship reflec

    cine ences

    and NCIS

    vers (3), stu

    tail manag

    ajor ANZSC

    (7), hospit

    on trades w

    (4), other t

    nd rail drive

    and recept

    st common

    Victorian

    xhibit statis

    cts motor v

    Page 15

    usual

    udent (3) a

    ers (3). Mi

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    technician

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    n suicide m

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    stical signif

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  • R

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    Generaunspework-relatedstress

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    d other

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    14

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    54

    Cell counts less th

    Source: VWRFD C

    1111-005-R10

    od of suicide by

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    1 *

    4 *

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    * 0

    * 0

    3 0

    * *

    4 6

    han 3 cannot be n

    Closed cases, July

    Nov 20

    Department of ForensSchool of Public HealthFaculty of Medicine, N

    y stressor type

    Hours cut back

    PerformAnxiety

    * 3

    * 0

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    * 0

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    5 5

    noted.

    y 2000 Decemb

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    sic Medicineh and Preventive Medic

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    *

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    ber 2008

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    ine nces

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    3

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    ge 16 of 22

    Not coping with or mismatched to job

    RtWA

    *

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    0

    0

    0

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    3

    Return to Work Anxiety

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    5

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    contribution/ ting lifestyle/ osition or f pay

    TTotal

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    92

  • Researc22

    4. INTEAlthoug

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    The pro

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    ERVENTIOgh not spe

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    0

    DepartmenSchool of PuFaculty of M

    cussing on

    stress inte

    ore effectiv

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    presented

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    Nov 2011

    nt of Forensic Mublic Health and

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    n suicide a

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    Page 17

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  • Researc22

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    FIGURE 1: CASE IDENTIFICATION FOR WORK RELATED STRESSOR SUICIDES

    Deaths due to natural causes or unlikely to be known n = 31,813

    Deaths without a work association, Intent = Unknown causes n=7,406

    Intent = unintentional, assaults, legal intervention, civil conflict and acts of terrorism, complications of medical or surgical care n= 1,294

    Work relatedness = means commercial transport, work location, work agent primary not work stressor. n = 352

    Investigation still open n = 6,325

    Deaths reported to Coroners in Victoria, July 2000- December 2008 (as at December 2010). (NCIS) n = 47, 568

    Cases formally completed (closed) by a coroner (as at December 2010) n = 41,243 [n = 4,934 suicides]

    Deaths due to external causes n = 9,430

    Work Related Fatality Database Work relatedness = At worknot traffic crash, at work traffic crash, bystander, commercial transport, commuting to or from work, Do-it-yourself (DIY), work agent, work stressors, work location, other (Bugeja et al, 2009) n = 2,024

    Suicides Intent = Intentional self-harm

    n = 730

    Work stressor suicides Work relatedness or secondary work relatedness = work stressor n = 378 Work stressor = business related financial

    problems, recent retrenchment or fear of this occurring or resignation, previous work injury, difficulty gaining employment or no longer being employable or fear of this, workplace wrong doing mostly with legal implications, conflict with colleagues or supervisors, harassment/bullying

    General/other work stress suicides n = 92

  • 22