瑞典斯德哥尔摩大学Linda L Magnusson Hanson团队研究了职场性骚扰与自杀和自杀未遂风险之间的相关性。2020年9月2日，《英国医学杂志》发表了该成果。

为了分析在工作场所遭受性骚扰与自杀以及自杀未遂之间的相关性，研究组在瑞典进行了一项前瞻性队列研究。招募了86451名不同职业处于工作年龄段的男性和女性，接受一份自我报告问卷调查，其中包括1995-2013年间遭受职场性骚扰的情况。最终分析样本包括85205名性骚扰、随访时间和年龄等数据均有效的参与者。

平均随访13年后，在自杀和自杀未遂的相关分析中，有125人（0.1%）死于自杀，816人（1%）自杀未遂，发生率分别为每1000人年0.1和0.8例。总体而言，在4095名遭受职场性骚扰的参与者中，有11名自杀，在81110名未遭受职场性骚扰的参与者中，有114名自杀；在4043名遭受职场性骚扰的参与者中，有61名自杀未遂，在80513名未遭受职场性骚扰的参与者中，有755名自杀未遂。

在针对一系列社会人口特征进行校正的Cox回归分析中，工作场所遭受性骚扰与自杀（风险比为2.82）和自杀未遂（风险比为1.59）的风险增加显著相关，在对基线健康和某些工作特征进行校正后，该风险仍显著增加。男性和女性之间未发现明显差异。

研究结果证明职场性骚扰与自杀行为有潜在关联。

附：英文原文

Title: Work related sexual harassment and risk of suicide and suicide attempts: prospective cohort study

Author: Linda L Magnusson Hanson, Anna Nyberg, Ellenor Mittendorfer-Rutz, Fredrik Bondestam, Ida E H Madsen

Issue&Volume: 2020/09/02

Abstract:

Objective To analyse the relation between exposure to workplace sexual harassment and suicide, as well as suicide attempts.

Design Prospective cohort study.

Setting Sweden.

Participants 86451 men and women of working age in paid work across different occupations responded to a self-report questionnaire including exposure to work related sexual harassment between 1995 and 2013. The analytical sample included 85205 people with valid data on sexual harassment, follow-up time, and age.

Main outcome measures Suicide and suicide attempts ascertained from administrative registers (mean follow-up time 13 years).

Results Among the people included in the respective analyses of suicide and suicide attempts, 125 (0.1%) died from suicide and 816 (1%) had a suicide attempt during follow-up (rate 0.1 and 0.8 cases per 1000 person years). Overall, 11 of 4095 participants exposed to workplace sexual harassment and 114 of 81110 unexposed participants committed suicide, and 61/4043 exposed and 755/80513 unexposed participants had a record of suicide attempt. In Cox regression analyses adjusted for a range of sociodemographic characteristics, workplace sexual harassment was associated with an excess risk of both suicide (hazard ratio 2.82, 95% confidence interval 1.49 to 5.34) and suicide attempts (1.59, 1.21 to 2.08), and risk estimates remained significantly increased after adjustment for baseline health and certain work characteristics. No obvious differences between men and women were found.

Conclusions The results support the hypothesis that workplace sexual harassment is prospectively associated with suicidal behaviour. This suggests that suicide prevention considering the social work environment may be useful. More research is, however, needed to determine causality, risk factors for workplace sexual harassment, and explanations for an association between work related sexual harassment and suicidal behaviour.

DOI: 10.1136/bmj.m2984

Source: https://www.bmj.com/content/370/bmj.m2984