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Psychiatric assessment of suicide attempters in Japan: a pilot study at a critical emergency unit in an urban area

BACKGROUND: The incidence of suicide has increased markedly in Japan since 1998. As psychological autopsy is not generally accepted in Japan, surveys of suicide attempts, an established risk factor of suicide, are highly regarded. We have carried out this study to gain insight into the psychiatric a...

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Autores principales: Yamada, Tomoki, Kawanishi, Chiaki, Hasegawa, Hana, Sato, Ryoko, Konishi, Akiko, Kato, Daiji, Furuno, Taku, Kishida, Ikuko, Odawara, Toshinari, Sugiyama, Mitsugi, Hirayasu, Yoshio
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2180171/
https://www.ncbi.nlm.nih.gov/pubmed/17986359
http://dx.doi.org/10.1186/1471-244X-7-64
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author Yamada, Tomoki
Kawanishi, Chiaki
Hasegawa, Hana
Sato, Ryoko
Konishi, Akiko
Kato, Daiji
Furuno, Taku
Kishida, Ikuko
Odawara, Toshinari
Sugiyama, Mitsugi
Hirayasu, Yoshio
author_facet Yamada, Tomoki
Kawanishi, Chiaki
Hasegawa, Hana
Sato, Ryoko
Konishi, Akiko
Kato, Daiji
Furuno, Taku
Kishida, Ikuko
Odawara, Toshinari
Sugiyama, Mitsugi
Hirayasu, Yoshio
author_sort Yamada, Tomoki
collection PubMed
description BACKGROUND: The incidence of suicide has increased markedly in Japan since 1998. As psychological autopsy is not generally accepted in Japan, surveys of suicide attempts, an established risk factor of suicide, are highly regarded. We have carried out this study to gain insight into the psychiatric aspects of those attempting suicide in Japan. METHODS: Three hundred and twenty consecutive cases of attempted suicide who were admitted to an urban emergency department were interviewed, with the focus on psychosocial background and DSM-IV diagnosis. Moreover, they were divided into two groups according to the method of attempted suicide in terms of lethality, and the two groups were compared. RESULTS: Ninety-five percent of patients received a psychiatric diagnosis: 81% of subjects met the criteria for an axis I disorder. The most frequent diagnosis was mood disorder. The mean age was higher and living alone more common in the high-lethality group. Middle-aged men tended to have a higher prevalence of mood disorders. CONCLUSION: This is the first large-scale study of cases of attempted suicide since the dramatic increase in suicides began in Japan. The identification and introduction of treatments for psychiatric disorders at emergency departments has been indicated to be important in suicide prevention.
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spelling pubmed-21801712008-01-09 Psychiatric assessment of suicide attempters in Japan: a pilot study at a critical emergency unit in an urban area Yamada, Tomoki Kawanishi, Chiaki Hasegawa, Hana Sato, Ryoko Konishi, Akiko Kato, Daiji Furuno, Taku Kishida, Ikuko Odawara, Toshinari Sugiyama, Mitsugi Hirayasu, Yoshio BMC Psychiatry Research Article BACKGROUND: The incidence of suicide has increased markedly in Japan since 1998. As psychological autopsy is not generally accepted in Japan, surveys of suicide attempts, an established risk factor of suicide, are highly regarded. We have carried out this study to gain insight into the psychiatric aspects of those attempting suicide in Japan. METHODS: Three hundred and twenty consecutive cases of attempted suicide who were admitted to an urban emergency department were interviewed, with the focus on psychosocial background and DSM-IV diagnosis. Moreover, they were divided into two groups according to the method of attempted suicide in terms of lethality, and the two groups were compared. RESULTS: Ninety-five percent of patients received a psychiatric diagnosis: 81% of subjects met the criteria for an axis I disorder. The most frequent diagnosis was mood disorder. The mean age was higher and living alone more common in the high-lethality group. Middle-aged men tended to have a higher prevalence of mood disorders. CONCLUSION: This is the first large-scale study of cases of attempted suicide since the dramatic increase in suicides began in Japan. The identification and introduction of treatments for psychiatric disorders at emergency departments has been indicated to be important in suicide prevention. BioMed Central 2007-11-07 /pmc/articles/PMC2180171/ /pubmed/17986359 http://dx.doi.org/10.1186/1471-244X-7-64 Text en Copyright © 2007 Yamada et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Yamada, Tomoki
Kawanishi, Chiaki
Hasegawa, Hana
Sato, Ryoko
Konishi, Akiko
Kato, Daiji
Furuno, Taku
Kishida, Ikuko
Odawara, Toshinari
Sugiyama, Mitsugi
Hirayasu, Yoshio
Psychiatric assessment of suicide attempters in Japan: a pilot study at a critical emergency unit in an urban area
title Psychiatric assessment of suicide attempters in Japan: a pilot study at a critical emergency unit in an urban area
title_full Psychiatric assessment of suicide attempters in Japan: a pilot study at a critical emergency unit in an urban area
title_fullStr Psychiatric assessment of suicide attempters in Japan: a pilot study at a critical emergency unit in an urban area
title_full_unstemmed Psychiatric assessment of suicide attempters in Japan: a pilot study at a critical emergency unit in an urban area
title_short Psychiatric assessment of suicide attempters in Japan: a pilot study at a critical emergency unit in an urban area
title_sort psychiatric assessment of suicide attempters in japan: a pilot study at a critical emergency unit in an urban area
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2180171/
https://www.ncbi.nlm.nih.gov/pubmed/17986359
http://dx.doi.org/10.1186/1471-244X-7-64
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