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This study evaluated psychological distress and suicidal ideation in these workers, and possible underlying factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from the National Survey of Drug Use and Health from 2008 to 2014 were analyzed. Stratified and multiple logistic regression analyses were conducted to examine factors associated with psychological distress and suicidal ideation among male construction workers aged \u226518 years (<jats:italic>n<\/jats:italic>\u2009=\u200912,034).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nearly one\u2010third (29.6%) of male construction workers in the United States experienced psychological distress (23.8% graded as moderate, 5.8% as severe), and 2.5% reported suicidal ideation in the past year. Higher odds of serious psychological distress and suicidal ideation were found among workers who were younger, worked part\u2010time, missed workdays due to injury or illness, or were in poor health. Illicit opioid use (odds ratio [OR]\u2009=\u20091.87, 95% confidence interval [CI]: 1.22\u20132.89) and alcohol dependence or abuse (OR\u2009=\u20092.64, 95% CI: 1.74\u20133.99) significantly escalated the odds of suicidal ideation. The odds of suicidal ideation among workers with serious psychological distress were 33 times higher than those having no or minor psychological distress (OR\u2009=\u200932.91, 95% CI: 19.82\u201354.65) when other factors were constant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Occupational and nonoccupational factors were associated with constructionworkers\u2019 psychological distress and suicidal ideation. Both illicit opioid use and alcohol dependence or abuse were risk factors, and psychological distress was a strong predictor for suicidal ideation. To improve workers\u2019 mental health, it is necessary to integrate workplace injury prevention with illicit opioid\u2010use reduction programs and suicide prevention.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajim.23340","type":"journal-article","created":{"date-parts":[[2022,2,27]],"date-time":"2022-02-27T12:24:21Z","timestamp":1645964661000},"page":"396-408","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Psychological distress and suicidal ideation among male construction workers in the United States"],"prefix":"10.1002","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6253-0598","authenticated-orcid":false,"given":"Xiuwen Sue","family":"Dong","sequence":"first","affiliation":[{"name":"CPWR\u2014The Center for Construction Research and Training  Silver Spring Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raina D.","family":"Brooks","sequence":"additional","affiliation":[{"name":"CPWR\u2014The Center for Construction Research and Training  Silver Spring Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Brown","sequence":"additional","affiliation":[{"name":"CPWR\u2014The Center for Construction Research and Training  Silver Spring Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Harris","sequence":"additional","affiliation":[{"name":"CPWR\u2014The Center for Construction Research and Training  Silver Spring Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,2,27]]},"reference":[{"key":"e_1_2_12_2_1","article-title":"Suicide mortality in the United States, 1999\u20102019","volume":"398","author":"Hedegaard H","year":"2021","journal-title":"NCHS Data Brief"},{"key":"e_1_2_12_3_1","unstructured":"HedegaardH CurtinSC WarnerM.Increase in suicide mortality in the United States 1999\u20102018.NCHS Data Brief.2020;362.https:\/\/www.cdc.gov\/nchs\/data\/databriefs\/db362-h.pdf"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291713001621"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6745a1"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6903a1"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000001929"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0b013e31829c76b3"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/21642850.2014.954579"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.00950"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.shaw.2016.04.005"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.113.128405"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2017-104531"},{"key":"e_1_2_12_14_1","unstructured":"CPWR \u2010 The Center for Construction Research and Training. 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