Impact of the Japanese Government's 'General Principles of Suicide Prevention Policy' on youth suicide from 2007 to 2022.
Impact of the Japanese Government's 'General Principles of Suicide Prevention Policy' on youth suicide from 2007 to 2022.
复制标题
DOI：
10.1192/bjo.2023.616
复制
发表时间：
2023-12-19
期刊：
影响因子：
5.4
通讯作者：
Okada, Motohiro
中科院分区：
文献类型：
--
作者：
Matsumoto, Ryusuke;Motomura, Eishi;Shiroyama, Takashi;Okada, Motohiro
日本政府计划“自杀预防政策的一般原则”（GPSPP）在COVID-19大流行之前有助于降低自杀死亡率（SMR），但在大流行之后，自杀死亡率有所上升。确定青少年自杀的危险因素以及GPSPP对青少年自杀的影响。2007年至2022年的年度自杀人数来自政府数据库。学生和非学生青年的SMR用线性混合效应模型进行了分析。采用中断时间序列分析方法，对52名高中生、特殊职业学校学生和大学生的自杀动机进行了调查。采用多元回归分析的方法，探讨留级对大学生自我监控的影响。非学生青年的SMR高于学生SMR。与学校有关的动机（担心未来/成绩不佳）、与健康有关的动机（主要是精神疾病）和与家庭有关的动机（与父母冲突和严厉的口头训斥）是学生自我管理报告的主要动机。在第一个GPSPP期间（2007-2012年），没有学生SMRs下降。在第二阶段（2012-2017年），大学和特殊职业学校学生的SMRs增加，但高中学生的SMRs没有变化。相比之下，在第三阶段（2017-2022年），除特殊职业学校男生外，所有SMRs均有所增加。出乎意料的是，长期留级与健康相关的SMR呈负相关。这些研究结果表明，GPSPP支持的学校计划部分有助于预防学生自杀。为了抑制学生SMRs的增加，社会/生活支持专家应参与校内支持服务，以提高留级或经历挫折的学生的社会地位和生活。
The Japanese Government programme ‘General Principles of Suicide Prevention Policy' (GPSPP) contributed to decreasing suicide mortality rates (SMRs) before the COVID-19 pandemic, but they increased after the pandemic. To identify risk factors for youth suicide and the impact of GPSPP on youth suicide. Annual suicide numbers during 2007–2022 were obtained from government databases. SMRs of student and non-student youths were analysed with a linear mixed-effects model. Interrupted time-series analysis was conducted to investigate temporal relations between three GPSPP periods and SMRs with 52 suicide motives among high school, special vocational school and university students. Multiple regression analysis was conducted to investigate the influence of grade repetition on university student SMRs. Non-student youth SMRs were higher than student SMRs. School-related (worrying about the future/underachievement), health-related (mainly mental illness) and family-related (conflict with parent and severe verbal reprimands) motives were major motives for student SMRs. During the first GPSPP period (2007–2012), no student SMRs decreased. During the second period (2012–2017), university and special vocational school student SMRs increased, but high school student SMRs were unchanged. In contrast, during the third period (2017–2022), with the exception of male special vocational school students, all SMRs increased. Unexpectedly, long-term grade repetition was negatively associated with health-related SMRs. These findings suggest that GPSPP-supported programmes in schools partially contributed to student suicide prevention. To suppress increasing student SMRs, social/life support specialists should participate in in-school support services to bolster the social standing and lives of students who repeat grades or experience setbacks.
登录
查看更多内容
影响因子：
2.9
作者：
Okada, Motohiro;Hasegawa, Toshiki;Shiroyama, Takashi
通讯作者：
Shiroyama, Takashi
影响因子：
4.4
作者：
Klinger, Don A.;Freeman, John G.;Rasmussen, Mette
通讯作者：
Rasmussen, Mette
影响因子：
5.2
作者：
Matsumoto, Ryusuke;Kawano, Yasuhiro;Motomura, Eishi;Shiroyama, Takashi;Okada, Motohiro
通讯作者：
Okada, Motohiro
影响因子：
7.1
作者：
Okada, Motohiro;Matsumoto, Ryusuke;Motomura, Eishi;Shiroyama, Takashi;Murata, Masahiko
通讯作者：
Murata, Masahiko
影响因子：
13.8
作者：
Okada, Motohiro;Matsumoto, Ryusuke;Shiroyama, Takashi;Motomura, Eishi
通讯作者：
Motomura, Eishi