In this issue of Occupational and Environmental Medicine (OEM), Leach et al1 review the evidence that workplace bullying is associated with suicidal thoughts and behaviours. This is a rapidly developing area of enquiry, as it should be. In most Organisation for Economic Co-operation and Development (OECD) countries, suicide is a leading cause of mortality, particularly for men, who comprise on average of 3/4 of completed suicides.2 While only a fraction of those experiencing suicidal thoughts will go on to self-harm, attempt suicide, or die by suicide, suicidal thoughts are a key upstream indicator of suicide risk and an appropriate target for prevention and control efforts. Finding strategies to reduce suicidality is a public health imperative.
Leach et al identified a dozen studies meeting their inclusion criteria. Eight of these studies (including 1 of ours) reported on the association between workplace bullying and suicidal ideation or...
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