Increases In Suicides And Murders Linked To Economic Crisis
08 Jul 2009
An article published Online First and in a future edition of
The Lancet
reports that the rising rates of suicide and murders in the population
are directly associated to the growing unemployment rates originated by
the economic downturn. Another effect is the decline in road-traffic
accidents. Active labor market programs aiming to maintain and
reintegrate workers in jobs could tone down some of these unfavorable
effects. The article is the work of Dr David Stuckler, of the
University of Oxford, UK, and Professor Martin McKee, of the London
School of Hygiene and Tropical Medicine, UK, and their team.
It is acknowledged that economic trouble can lead to adverse effects in
health because of its impact on mental health, addiction problems,
increased stress and suicides. On the other hand, some people argue
that recessions can lead people to be healthier, because they engage in
more healthy behavior, such as for instance walking instead of driving,
and less over-consumption of food and alcohol. In order to find out
more about the effects of economic downturns on public health, the
authors evaluated how economic changes have affected mortality rates in
twenty six European Union (EU) countries in the last thirty years. They
identified how governments might reduce adverse effects.
They established that for every 1 percent increase in unemployment,
there was a 0.8 percent rise in suicide rates in people younger than 65
years. This translated in 60 to 550 additional suicides per year across
the EU. Murder rates also rose 0.8 percent. On the other hand, road
traffic accidents decreased by 1.4 percent. When there was an increase
of more than 3 percent in unemployment, suicide rates for individuals
under 65 years rose by 4.5 percent, and deaths from alcohol abuse by 28
percent. There was no evidence throughout the EU that all-cause
mortality rates increased when unemployment rose. However different
populations had diverse responses. They depended in part on the social
protection mechanisms in place that could ease the damage caused by
unemployment, such as active labor market programs. The authors
observed in the central and eastern European countries that populations
are very exposed to the potential for negative health effects when
unemployment rates rise sharply. This is the result of weaker labor
market protections. There is no clear effect on a particular country
because the health of the population is variable. However research
suggests that individuals who lose their jobs are most at risk, as well
the ones with lower education levels. Moreover, the authors point out
that their research only focused on mortality. The effects of recession
on risk factors and disease were not considered.
The authors explain: "Some negative health effects of the Great
Depression seem to have been manifested only 5-7 years after the bank
crises of the late 1920s and early 1930s. A related concern is that
fear and anxiety in the present crisis could be particularly
long-lasting; even when the market recovers, people's worries and
associated behaviours (such as health-care seeking, or alterations to
health-system budgets) might not."
They point out that the consequences of the current economic crisis may
be weaker than had been forecasted. There were 25 to 290 additional
suicides in Britain attributable to unemployment rises. But, they carry
on by saying: "Nevertheless, although the financial sector of an
economy may be principally responsible for risk-taking related to the
present economic crisis, the true costs of this risk-taking behaviour
are to society as a whole."
They write in conclusion: "The analysis also suggests that governments
might be able to protect their populations, specifically by budgeting
for measures that keep people employed, helping those who lose their
jobs cope with the negative effects of unemployment, and enabling
unemployed people to regain work quickly. We observed that social
spending on active labour market programmes greater than $190 per head
purchasing power parity mitigated the effect of unemployment on death
rates from suicides, creating a specific opportunity for stimulus
packages to align labour market investments with health promotion."
In an associated note, Dr Andreas Lundin and Dr Tomas Hemmingsson, of
the Karolinska Institutet, Stockholm, Sweden, comment: "When the social
security system is less extensive, unemployment is a more probable
mediator between mental illness and suicide. Without a moderating
effect of unemployment benefits, an increase in suicide rates following
increased unemployment rates is, as suggested by Stuckler and
colleagues, more plausible."
"The public health effect of economic crises and alternative policy responses in Europe: an empirical analysis"
David Stuckler, Sanjay Basu, Marc Suhrcke, Adam Coutts, Martin McKee
DOI: 10.1016/S0140-6736(09)61124-7
Source:
thelancet
Written by Stephanie Brunner (B.A.)