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    The Link Between Unemployment, Depression and Suicide in the COVID-19 Pandemic

    aaMay 02, 2020

    Podcast Summary

    • Unemployment and Depression ConnectionUnemployment can increase depression risk by up to 3x, with 19% of long-term unemployed seeking depression treatment, compared to the general population's rate.

      Unemployment significantly increases the risk of depression and suicide. According to various studies, unemployment can increase the odds of depression by up to three times compared to employed adults. For instance, a study by McGee and Thompson in 2015 found that unemployment led to a higher risk of depression. Another study by Crabtree in 2014, based on a poll, reported that 19% of Americans who were unemployed for 52 weeks or more sought treatment for depression, while 17% of those unemployed for 27 to 52 weeks did the same. These numbers are higher than the general population's depression rate. These findings underscore the importance of addressing mental health concerns during times of high unemployment and economic instability.

    • Unemployment's Impact on Mental and Physical HealthUnemployment increases depression risk by 60%, decreases family income by 90%, and negatively affects mental and physical health due to decreased standard of living, income insecurity, stigma, loss of self-esteem, and social contacts.

      Unemployment, especially long-term unemployment, significantly increases the risk of developing depression and decreases overall family income. A study by Woolley, Keefan, and Chesney in 2002 found that adults with depression had a 60% increase in adjusted odds of subsequent unemployment and a 90% increase in decreased family income over five years. Furthermore, a review by the Institute for Work and Health in 2000 found that 14 out of 16 studies showed a significant negative association between unemployment and mental health. The reasons for this include decreased standard of living, income insecurity, stigma, loss of self-esteem, and social contacts. A study from 1993 also showed that employed people reported fewer health disorders than students and the unemployed, but dissatisfied workers had the highest levels of health risk. In summary, the impact of unemployment on mental and physical health is significant, and job dissatisfaction can also pose a risk. The overall effect size for worsening mood symptoms with unemployment is 0.51, which is a considerable move from the mean, making it a notable factor in mental health.

    • Unemployment's Impact on Mental Health, Particularly for Minorities and Long-Term UnemploymentUnemployment negatively affects mental health, more so for minorities and during long-term unemployment. It increases suicide risk, especially for older adults in the US, and perceived social support and good employment benefits act as protective factors.

      Unemployment not only leads to financial stress but also negatively impacts mental health, particularly for minorities and during long-term unemployment. This study from Goldsmith and Diati (2012) found that joblessness affects individuals through mechanisms of incomplete psychosocial development and feelings of helplessness. The negative effects were more pronounced for minorities, and long-term unemployment (over 52 weeks) was associated with worse mental health issues. Additionally, unemployment increases suicide risk, especially for older adults in the US, and the risk peaks within the first 5 years. The study also suggested that perceived social support and good employment benefits act as protective factors against suicide. However, during times of isolation and remote work, the availability and effectiveness of social support are uncertain. Another study by Blakey (2003) highlighted the importance of addressing income inequality and its correlation with violence, which is another psychological principle at play in the relationship between unemployment and mental health.

    • Unemployment and unstable employment increase suicide riskUnemployment and unstable employment significantly increase suicide risk, particularly during economic downturns. Employment protection plays a crucial role in preventing suicide.

      Unemployment and unstable employment, particularly during times of economic instability, can significantly increase the risk of suicide. A study conducted in New Zealand found that unemployed individuals were 2.4 times more likely to commit suicide within three years of a census, while those with unstable employment or no job search had even higher risks. Another study in 2017 highlighted the importance of employment protection, as low levels of protection were linked to increased suicide rates, while unemployment itself showed no significant difference. During the Great Recession, there was an estimated 4,750 excess suicide deaths from 2007 to 2010, with the majority of these deaths occurring among individuals already suffering from depression and experiencing a spike in antidepressant prescriptions. These findings underscore the importance of addressing employment instability and depression during economic downturns to prevent suicide.

    • Unemployment and Suicides: A Complex RelationshipUnemployment can lead to a rise in suicides, but strong social support networks and access to mental health care can mitigate this risk. Policymakers and primary care providers should prioritize addressing unemployment's impact on mental health.

      While there has been an increase in antidepressant prescriptions during times of economic downturn, a large number of people who commit suicide are not receiving any mental health treatment. This is a significant issue that requires national attention. The unemployment crisis can lead to a rise in suicides, as seen in studies from England during the Great Recession and in countries like Greece and Ireland during severe financial downturns. However, countries with strong social support networks and good access to mental health care, such as Austria, have seen a decrease in suicides despite unemployment increases. Therefore, it's crucial to focus on policies that provide support for those struggling through unemployment and ensure they have access to mental health care. Primary care providers also play a crucial role in identifying and treating individuals at risk.

    • Projected high unemployment could lead to increased suicide ratesExperts estimate suicide rates could exceed 14 per 100,000 due to prolonged unemployment during the economic crisis, potentially reaching levels not seen since the Great Depression.

      The unemployment rate during the current economic crisis is projected to remain high for several years, potentially reaching levels not seen since the Great Depression. This could lead to increased suicide rates, with experts estimating that the suicide rate could be higher than the 14 per 100,000 seen in 2017. The long-term unemployment rate is expected to be significantly higher than the pre-pandemic rate of 3.5%, with some estimates suggesting it could remain at 10% through the end of the year and 5.4% through 2022. The potential for prolonged unemployment and economic instability could lead to a significant increase in suicide rates, which were already a concern before the crisis. It's important to note that these are estimates and the actual impact could be different.

    • COVID-19 and Economic Crisis: Impact on Suicide Rates and Healthcare WorkersThe pandemic and economic crisis are contributing to increased stress and potential suicide risks for both employed and unemployed populations, particularly healthcare workers. Resources are available to prioritize mental health and seek help.

      The coronavirus pandemic and resulting economic crisis are leading to increased stress and potential suicide risks for both the unemployed and employed populations, particularly healthcare workers. The Gunnell 2020 article anticipates a rise in suicide deaths related to the pandemic, and healthcare workers are experiencing unique stressors such as long hours of Zoom calls and patient care. The suicide rate during the Great Recession increased above predicted levels for at least 3 years, and current unemployment rates are nearly double what they were during that time. It's important for healthcare workers to prioritize their mental health and seek help if needed, as resources are available. The current unemployment rate and the stressors of the pandemic make it a critical time to address mental health and suicide prevention.

    • Economic recessions lead to increased suicide ratesUnemployment during recessions raises suicide risk, potentially causing thousands of excess suicides

      The suicide rate trends during economic recessions can be significant. The predicted suicide rate during the 2007 recession was 11.25 per 100,000, which rose to 11.5, an increase of 0.25. By 2010, the actual suicide rate was 12.5, an 8.7% increase from the prediction, resulting in approximately 4,750 excess suicides. With the unemployment rate reaching 10%, this equated to an additional suicide per 100,000 people, leading to an estimated 3,300 additional suicides in the US. The current suicide rate is 14 per 100,000, and a one-point increase could result in an additional 3,300 suicides per year. Factors such as social distancing, fear of the unknown, and increased domestic violence and child abuse could further exacerbate the situation. The potential for added suicides could range from 5,000 to over 15,000. While there are uncertainties, it's clear that unemployment increases the risk for suicide, and the prolonged high unemployment rates we are facing will result in increased risk. It's crucial to look at ways to prevent or mitigate the potential harm.

    • Financial support and social connection are crucial for mental health during the pandemicProviding financial assistance and encouraging social connections can significantly improve mental health during the pandemic

      As a society and mental health professionals, we can take actionable steps to help decrease suicide rates and improve mental health during these challenging times. Two key areas to focus on are financial support and social connection. Firstly, financial strain negatively impacts mental health, so providing financial assistance at both community and government levels can make a significant difference. Studies, such as Walters 2,002, demonstrate this correlation. The current stimulus checks and small business boosts are steps in the right direction, but more needs to be done to reach those who are not receiving help. Secondly, social support is a protective factor for mental health. Encouraging meaningful connections through therapy, teletherapy, and social activities, while maintaining social distancing and wearing protective gear, is essential. Although social media can provide some sense of connection, it is not a replacement for in-person interactions with friends and family. Additionally, exercise, particularly outdoor activities, is crucial for maintaining mental and physical wellbeing. Let's continue advocating for these measures to support individuals during these trying times.

    • Improving Access to Mental Health Services During the PandemicVirtual personal trainers for exercise and wellness, changes in psychiatry like prescribing across state lines and parity in insurance reimbursement, funding for partial and day treatment programs, and reducing provider paperwork can enhance mental health access and outcomes.

      There are several ways to improve access to mental health services, particularly during the pandemic. One solution is to utilize personal trainers for exercise and wellness through virtual platforms. Another key area for improvement is in the field of psychiatry, where changes such as prescribing across state lines and true parity in insurance reimbursement could make a significant difference. These adjustments would allow for better access to mental health services and more equitable compensation for mental health professionals. Additionally, funding for partial and day treatment programs, particularly for those without insurance, would provide crucial resources for individuals struggling with mental health conditions. Lastly, reducing the burden of paperwork for mental health providers would enable them to focus more on patient care. Overall, these changes could lead to better mental health outcomes for many individuals.

    • Unnecessary barriers in healthcare hinder optimal psychiatric careEconomic downturns increase mental health issues, necessitating advocacy for policies and resources to ensure access to mental health services and financial assistance

      Unnecessary barriers in the healthcare system, such as prior authorizations and additional licensing requirements, can hinder psychiatrists from providing optimal care to their patients. These roadblocks not only add to the overall burden of non-clinical work but also influence prescribing decisions, potentially leading to underutilization of effective treatments. Furthermore, the economic downturn has been linked to increased rates of depression and suicides. Given this correlation, it is crucial for the mental health community to advocate for policies and resources that support individuals during times of economic instability. This includes financial assistance, increased access to mental health services, and a collective effort to prioritize mental health care. By addressing these issues, we can help mitigate the potential negative impact of economic downturns on mental health.

    • Impact of pandemic on mental health and suicideRecognize pandemic's impact on mental health, advocate for resources, and share info to prevent suicides

      The ongoing pandemic is having a profound impact on mental health, leading to a significant increase in suicidal thoughts and actions. It's important to recognize this as a real issue and advocate for increased access to mental health treatment to prevent additional deaths. Our discussion emphasized the need for action, as well as the importance of sharing information and resources with those who may be at risk and with policymakers. We hope that by raising awareness, we can make a difference and save lives. If you're interested in learning more, we encourage you to check out our article and share it with those who may benefit from the information. Additionally, consider reaching out to your elected representatives to advocate for increased funding and resources for mental health services during this challenging time.

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