Time-related changes in suicide attempts after the nuclear accident in Fukushima
Time-related changes in suicide attempts after the nuclear accident in Fukushima
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DOI：
10.1007/s00127-014-0903-3
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发表时间：
2014-12-01
影响因子：
4.4
通讯作者：
Thornicroft, Graham
中科院分区：
文献类型：
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作者：
Aoki, Yuta;Okada, Megumi;Thornicroft, Graham
本研究的目的是评估2011年3月发生的地震、海啸和核事故等一系列灾难后，福岛地区自杀风险或自杀类型是否发生了变化。非致命性自杀企图的患者根据其自杀企图的方法分为两类。计算标准化死亡率，以调整人口统计资料的变化。使用高死亡率方法的非致命性自杀企图的风险在4个月内显着增加，在一系列灾难发生后增加了3到4倍，然后下降。灾难发生后，使用低死亡率方法的非致命性自杀企图没有显著增加。灾难发生后，由于非致命性自杀企图的风险增加，可能需要立即提供精神支持。
The aim of this study is to assess whether the risk or types of suicide change in Fukushima in the aftermath of a series of disaster, including earthquake, tsunami and nuclear accident in March 2011.The clinical records of all patients visited to the medical centre near the nuclear plant from 1 year before to 1 year after the disaster were reviewed (n = 981). Patients with non-fatal suicide attempt were divided into two categories depending on their method of suicide attempt. Standardised mortality ratios were calculated to adjust for changes in demographic profiles.The risk of non-fatal suicide attempts using high-mortality methods was significantly higher for 4 months, by three to four times after the series of disasters, and then decreased. There was no significant increase of non-fatal suicide attempts using low-mortality methods after the disaster.After such a disaster, immediate psychiatric support may be required because of the increased risk of non-fatal suicide attempts in the immediate aftermath.