Suicide is the eighth leading cause of death in the United States. Sui
cide rates have been reported to be particularly high in professional,
managerial, and executive groups. We reviewed English language epidem
iological studies on suicide and occupation published since 1982. Some
studies suggest that workers in a number of occupations, including ch
emistry, farming, and law enforcement, may have elevated suicide rates
. The weight of current evidence supports the conclusion that both mal
e and female physicians have elevated rates of suicide, with females a
t particularly high risk. Elevated rates of suicide in a particular oc
cupational group may result from a complex interaction between job fac
tors such as work stress and access to means and other risk factors su
ch as age and presence of a mental disorder.