Studies using traditional statistical methods have long indicated a link between unemployment and suicide. But until now it has been unclear if this relationship is causal. That is, even though the suicide rate is higher among the unemployed, can we definitely say unemployment directly leads to suicide?
We now can. Using advanced analytic techniques borrowed from ecology we have found clear evidence of a causal relationship.
Based on Australian Bureau of Statistics data on underutilised labour and suicide rates, we estimate that unemployment and underemployment in the 13 years from 2004 to 2016 directly resulted in more than 3,000 Australians dying by suicide – an average of 230 a year.
These findings have profound political, economic, social and legal implications, particularly in light of government and central bank policies that “require” unemployment.
How we detected causality
To test for causal effects of unemployment and underemployment on suicide, we applied a technique known as convergent cross mapping.
This method has been developed over the past decade to detect causality in complex ecosystems. Among other things, it has been used to study and show causal relationships between cosmic rays and global temperature, and humidity and influenza outbreaks. The period of our study (2004 to 2016) was bound by the quality of available data.
Challenging economic orthodoxies
A clear relationship between unemployment and suicide challenges governments and institutions to take greater responsibility for the impact of policies and actions. It challenges the ethics of ideas that require some level of unemployment for economic efficiency.
For example, last month the Reserve Bank of Australia’s deputy governor, Michele Bullock, said the unemployment rate would have to rise to curb inflation. The central bank expects the unemployment rate to rise to 4.5% by the end of 2024. The current rate is 3.6%, with a further 6.3% of workers underemployed.
As Bullock noted, “full employment” to most people means that anyone who wants a job can find one. But most economists believe there is a need for a certain level of unemployment to prevent inflation.
This level is known as the Non-Accelerating Inflation Rate of Unemployment (NAIRU). It’s a theoretical concept, so there’s no way to be sure what the level should be, but before the pandemic the consensus was that it was about 5%.
Impetus for far-reaching reform
These findings of the human cost of joblessness bolsters the case for policies to achieve full employment as well as reduce the negative consequences of unemployment, through providing a liveable income and strengthening mental health systems.
Why should the unemployed face deprivation, stigmatisation and despair when unemployment is a consequence of deliberate policy decisions?
We hope our findings will spur discussions about expanding unemployment benefits and labour market reforms to achieve greater job security. We also hope to provoke a deeper conversation about the design of the economy and how it values people, beyond simply making money.
Building on the ideas of University of Queensland economist John Quiggin, the Mental Wealth initiative is proposing a social participation wage. Set at the rate of a liveable wage, it would recognise the social value of unpaid volunteer work, civic participation, environmental restoration, artistic and creative activity, and activities that strengthen the social fabric of nations.
Legally there are implications concerning duty of care and the obligation of governments and institutions to safeguard the wellbeing of the population. These findings should contribute to discussions about legal frameworks relating to employment, work health and safety, discrimination and human rights.
A direct causal relationship between unemployment and suicide demands a re-evaluation of policies, a prioritisation of full employment, adequate social safety nets to prevent poverty, mental-health system reform, and greater urgency in shifting to a wellbeing economy.
If this article has raised issues for you, or if you’re concerned about someone you know, you can call these support services, 24 hours, 7 days:
Lifeline: 13 11 14
Suicide Call Back Service: 1300 659 467
Kids Helpline: 1800 551 800 (for people aged 5 to 25)
MensLine Australia: 1300 789 978
StandBy - Support After Suicide: 1300 727 24
Jo-An Occhipinti is Managing Director of Computer Simulation & Advanced Research Technologies, an international alliance of centres of excellence in systems modelling to inform health and social policy. She also receives philanthropic funding from BHP Foundation for implementation of the 'Right care, first time, where you live' program working to strengthen youth mental health systems.
Adam Skinner is supported by philanthropic funding from The Grace Fellowship, and from other donor(s) that are families affected by mental illness who wish to remain anonymous.
Professor Ian Hickie is the Co-Director, Health and Policy at the Brain and Mind Centre (BMC) University of Sydney. The BMC operates an early-intervention youth services at Camperdown under contract to headspace. He is the Chief Scientific Advisor to, and a 3.2% equity shareholder in, InnoWell Pty Ltd. InnoWell was formed by the University of Sydney (45% equity) and PwC (Australia; 45% equity) to deliver the $30 M Australian Government-funded Project Synergy (2017-20; a three-year program for the transformation of mental health services) and to lead transformation of mental health services internationally through the use of innovative technologies.
Yun Ju Christine Song receives funding from BHP Foundation for the implementation of the 'Right care, first time, where you live' program working to strengthen youth mental health systems.
This article was originally published on The Conversation. Read the original article.
