Workplace Injury Compensation and Mental Health and Self-Harm Outcomes: A Systematic Review.

IF 1.8 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH New Solutions-A Journal of Environmental and Occupational Health Policy Pub Date : 2024-08-01 Epub Date: 2024-05-20 DOI:10.1177/10482911241254836

Sanya Wadhwa, Yamna Taouk, Matthew J Spittal, Tania King

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Abstract

Workers' compensation systems aim to financially support injured workers. However, seeking compensation often leads to poorer physical and mental health outcomes. This review examines previous studies to investigate the relationship between workers' compensation and mental health and self-harm outcomes. A three-tiered search strategy across five databases identified studies that examined workers' compensation claims as an exposure or risk factor, with outcomes related to mental health, self-harm and suicidality. Nine full-text studies were included; however, heterogeneity limited generalizability. Most studies supported an association between pursuing compensation and poorer mental health and self-harm outcomes. Some studies attributed this to specific aspects of the system such as justice perception and navigation of the claims system. Findings suggest an association between workers' compensation and mental health or self-harm outcomes. Inconclusive findings highlight the need for further research. Understanding the psychiatric impacts of pursuing compensation is crucial to help formulate a more accessible compensation system.

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工伤赔偿与心理健康和自残结果：系统回顾。

工人赔偿制度旨在为受伤工人提供经济支持。然而，寻求赔偿往往会导致较差的身心健康结果。本综述对以往的研究进行了梳理，以调查工伤赔偿与心理健康和自残结果之间的关系。通过在五个数据库中采用三层检索策略，确定了将工伤索赔作为暴露因素或风险因素，并与心理健康、自残和自杀相关的结果的研究。共纳入了九项全文研究；然而，异质性限制了研究的普遍性。大多数研究支持追求赔偿与较差的心理健康和自残结果之间存在关联。一些研究将其归因于该系统的特定方面，如司法认知和理赔系统导航。研究结果表明，工伤赔偿与心理健康或自残结果之间存在关联。不确定的研究结果凸显了进一步研究的必要性。了解寻求赔偿对精神疾病的影响对于帮助制定一个更易于使用的赔偿制度至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

New Solutions-A Journal of Environmental and Occupational Health Policy PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.50

自引率

4.30%

发文量

期刊介绍： New Solutions delivers authoritative responses to perplexing problems, with a worker’s voice, an activist’s commitment, a scientist’s approach, and a policy-maker’s experience. New Solutions explores the growing, changing common ground at the intersection of health, work, and the environment. The Journal makes plain how the issues in each area are interrelated and sets forth progressive, thoughtfully crafted public policy choices. It seeks a conversation on the issues between the grassroots labor and environmental activists and the professionals and researchers involved in charting society’s way forward with the understanding that lack of scientific knowledge is no excuse for doing nothing and that inaction is itself a choice.