Analysing regional unemployment rates, GDP per capita and financial support for regional suicide prevention programme on suicide mortality in Japan using governmental statistical data
Analysing regional unemployment rates, GDP per capita and financial support for regional suicide prevention programme on suicide mortality in Japan using governmental statistical data
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DOI：
10.1136/bmjopen-2020-037537
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发表时间：
2020-08-01
期刊：
影响因子：
2.9
通讯作者：
Shiroyama, Takashi
中科院分区：
文献类型：
--
作者：
Okada, Motohiro;Hasegawa, Toshiki;Shiroyama, Takashi
日本自杀死亡率在2009年至2018年的综合自杀预防计划后从每10万人25.7人降至16.5人，为了探索自杀死亡率降低的机制，本研究确定了区域自杀死亡率，社会经济数据（人均GDP，失业率）和区域自杀预防计划的财政支持之间的关系。设计和设置逐步多元回归分析用于确定2009年至2018年日本地区人均GDP，失业率和区域自杀预防计划（紧急基金，以加强基于社区的自杀对策-EFECBSC）的财政支持实施量对年龄和性别分类的自杀死亡率的影响。每个都道府县的完全失业率、人均GDP和EFECBSC子部门的执行量数据来自日本政府官方数据库。结果发现，县的启蒙和干预模式的方案，导致男性自杀死亡率的下降，但在降低女性自杀死亡率的效果较差。市政启蒙和干预模式方案在降低自杀死亡率方面也不太有效。与县一级的此类方案相比，针对倾听者和领导者的市政发展方案导致男女自杀死亡率大幅下降。与我们的预期相反，完全失业率的降低只会降低老年男性人口的自杀死亡率，而不会影响女性的自杀死亡率。结论研究结果表明，在日本的经济支持和自杀死亡率之间呈反比关系。此外，自杀死亡率下降的独立因素为规划基于证据和具有成本效益的区域自杀预防方案提供了重要信息。
Objectives To explore the mechanisms of reduced suicide mortality in Japan, which decreased from 25.7 to 16.5 per 100 000 people following the comprehensive suicide prevention programme from 2009 to 2018, the present study determined the relationship between regional suicide mortality, socioeconomic data (GDP per capita, unemployment rates) and financial support for regional suicide prevention programmes. Design and setting Stepwise multiple regression analysis was used to determine the effects of regional GDP per capita, unemployment rates and implementation amount of financial support for regional suicide prevention programmes (Emergency Fund to Enhance Community-Based Suicide Countermeasures-EFECBSC) on age and gender disaggregated suicide mortalities in Japan between 2009 and 2018. Data on each prefecture's complete unemployment rates, GDP per capita and implementation amount of EFECBSC sub-divisions were derived from an official Japanese governmental database. Results Both prefectural enlightenment and intervention model programmes were found to lead to a decrease in male suicide mortality, but were less effective in reducing female suicide mortality. Municipal enlightenment and intervention model programmes were also less effective in reducing suicide mortality. Municipal development programmes for listener and leader led to a greater decrease in suicide mortality for both men and women compared with such programmes at the prefectural level. Contrary to our expectations, reduced complete unemployment rate only reduced suicide mortality in the older male population without affecting female suicide mortality. Conclusion The study findings suggest an inverse relationship between financial support and suicide mortality in Japan. Furthermore, independent factors in the reduction of suicide mortality rates provide important information for planning evidence-based and cost-effective regional suicide prevention programmes.