Psychiatric assessment of suicide attempters in Japan: a pilot study at a critical emergency unit in an urban area
Open Access
- 7 November 2007
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Psychiatry
- Vol. 7 (1), 64
- https://doi.org/10.1186/1471-244x-7-64
Abstract
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.This publication has 30 references indexed in Scilit:
- Re: Psychiatric Diagnosis and SuicideCrisis: The Journal of Crisis Intervention and Suicide Prevention, 2005
- Changes in mental disorder distribution among suicide attempters in mid-west area of KanagawaPsychiatry and Clinical Neurosciences, 2005
- Fatal and non-fatal repetition of self-harmThe British Journal of Psychiatry, 2002
- Suicides and serious suicide attempts: two populations or one?Psychological Medicine, 2001
- Parasuicide and mental disordersActa Psychiatrica Scandinavica, 1998
- Mental disorders and comorbidity in attempted suicideActa Psychiatrica Scandinavica, 1996
- Alcohol Problems Among Suicide Attempters in the Nordic CountriesCrisis: The Journal of Crisis Intervention and Suicide Prevention, 1996
- Retrospective psychiatric assessment of 200 suicides in BudapestActa Psychiatrica Scandinavica, 1988
- Suicide Risk FactorsThe British Journal of Psychiatry, 1987
- A Hundred Cases of Suicide: Clinical AspectsThe British Journal of Psychiatry, 1974