Change in employment status and its causal effect on suicidal ideation and depressive symptoms: A marginal structural model with machine learning algorithms.
Scand J Work Environ Health
; 50(3): 218-227, 2024 Apr 01.
Article
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| MEDLINE
| ID: mdl-38466615
ABSTRACT
OBJECTIVE:
This study aimed to assess the causal effect of a change in employment status on suicidal ideation and depressive symptoms by applying marginal structural models (MSM) with machine-learning (ML) algorithms.METHODS:
We analyzed data from the 8-15th waves (2013-2020) of the Korean Welfare Panel Study, a nationally representative longitudinal dataset. Our analysis included 13 294 observations from 3621 participants who had standard employment at baseline (2013-2019). Based on employment status at follow-up year (2014-2020), respondents were classified into two groups (i) maintained standard employment (reference group), (ii) changed to non-standard employment. Suicidal ideation during the past year and depressive symptoms during the past week were assessed through self-report questionnaire. To apply the ML algorithms to the MSM, we conducted eight ML algorithms to build the propensity score indicating a change in employment status. Then, we applied the MSM to examine the causal effect by using inverse probability weights calculated based on the propensity score from ML algorithms.RESULTS:
The random forest algorithm performed best among all algorithms, showing the highest area under the curve 0.702, 95% confidence interval (CI) 0.686-0.718. In the MSM with the random forest algorithm, workers who changed from standard to non-standard employment were 2.07 times more likely to report suicidal ideation compared to those who maintained standard employment (95% CI 1.16-3.70). A similar trend was observed in the analysis of depressive symptoms.CONCLUSIONS:
This study found that a change in employment status could lead to a higher risk of suicidal ideation and depressive symptoms.
Texto completo:
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Banco de datos:
MEDLINE
Asunto principal:
Depresión
/
Ideación Suicida
Límite:
Humans
Idioma:
En
Revista:
Scand J Work Environ Health
Año:
2024
Tipo del documento:
Article