Knowledge of and attitudes toward suicide and depression among Japanese in municipalities with high suicide rates
Knowledge of and attitudes toward suicide and depression among Japanese in municipalities with high suicide rates
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DOI：
10.2188/jea.15.48
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发表时间：
2005-03-01
影响因子：
4.7
通讯作者：
Okayama, A
中科院分区：
文献类型：
--
作者：
Nishi, N;Kurosawa, M;Okayama, A
背景：日本对自杀和抑郁症的了解和态度尚未得到充分调查。 方法：研究区域包括日本北部的城市，与日本标准相比，自杀标准化死亡率 (SMR) 男性为 1.62 至 3.72，女性为 1.43 至 3.49。我们对 7,136 名年龄在 20 岁至 79 岁之间的参与者进行了随机抽样调查，并分析了 5,547 名（77.7%）受试者的数据。根据自杀的 SMR，我们将研究对象所在的七个城市分为三组。采用抑郁自评量表（SDS）评分来评估抑郁状态。结果：女性高SMR组SIDS评分显着较高，但男性3个SMR组间无显着差异。在高 SMR 组中，男性和女性中受过九年或更少教育的受试者比例显着较高。在高 SMR 组中，每周饮酒一次或以上的男性比例明显更高。在三个 SMR 组中，不知道抑郁状态可以通过药物治疗的受试者百分比在男性和女性中没有显着差异，而在高 SMR 组中，男性在抑郁时不愿意看精神科医生的百分比最低。结论：虽然在女性中观察到 SIDS 评分存在显着差异，但大多数心理社会因素或对自杀和抑郁的了解和态度与 SMR 组没有负相关。
BACKGROUND: Knowledge of and attitudes toward suicide and depression have not been fully investigated in Japan.METHODS: Study areas comprised municipalities in northern Japan where standardized mortality ratios (SMRs) from suicide compared with a Japanese standard ranged from 1.62 to 3.72 in men and from 1.43 to 3.49 in women. We conducted a questionnaire survey on a random sample of 7,136 participants aged 20 to 79 years, and analyzed data of 5,547 (77.7%) subjects. We categorized seven municipalities, from which the subjects were drawn, into three groups according to the SMR from suicide. Self-Rating Depression Scale (SDS) score was used for evaluation of depressive states.RESULTS: The SIDS score was significantly higher in the high SMR group in women, but no significant difference among the three SMR groups was observed in men. The percentage of subjects with nine years or less of education was significantly higher in the high SMR group both in men and in women. The percentage of men who drank alcohol once a week or more was significantly higher in the high SMR group. The percentages of subjects unaware that depressive states are treatable by medication were not significantly different among the three SMR groups both in men and in women, while the percentage of men unwilling to see a psychiatrist when depressed was the lowest in the high SMR group.CONCLUSION: Although a significant difference in SIDS score was observed in women, most of the psychosocial factors or knowledge of and attitudes toward suicide and depression were not adversely associated with SMR group.