Views on suicide among middle-aged and elderly populations in Japan: Their association with demographic variables and feeling shame in seeking help
Views on suicide among middle-aged and elderly populations in Japan: Their association with demographic variables and feeling shame in seeking help
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DOI：
10.1111/j.1440-1819.2011.02313.x
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发表时间：
2012-03-01
影响因子：
11.9
通讯作者：
Kageyama, Takayuki
中科院分区：
文献类型：
--
作者：
Kageyama, Takayuki
目的：本研究的目的是调查一般人群对自杀的不恰当看法，如自杀是个人选择、不可避免、无法预防和允许，与人口统计学变量和寻求帮助的羞耻感之间的关系。方法：在日本大分县的四个地区，向所有40-74岁的居民分发了一份关于心理健康和自杀的自填问卷，4487回答七个不适当的意见，自杀与人口统计变量的关联进行了多重logistic分析。结果：自杀观念不正确与性别有关（即：性别、年龄、性别、年龄、性别、性别、年龄、性别、年龄、性别、性别、年龄、性别、年龄、性别、性别、e.男性）。其中一些观点还与年龄、从未结婚、生活在农村地区或自杀死亡率高的地区有关。多因素分析显示，在寻求帮助时感到羞耻与年龄在70-74岁，生活在农村地区或自杀死亡率高的地区，自杀作为一个自我选择的问题，对生活持悲观态度。结论：这些发现表明，不适当的自杀观对应对策略和心理健康产生不利影响。旨在提高社区心理健康素养的自杀预防计划应考虑老年男性居民的特点。
Aims: The purpose of this study was to investigate the relationship between inappropriate views on suicide, such as it being a personal choice, inevitable, unpreventable, and permissible, with demographic variables and the feeling of shame in seeking help among the general population.Methods: A self-administered questionnaire on mental health and suicide was distributed to all residents aged 40-74 in four areas in Oita Prefecture, Japan, and 4487 responded. The association of seven inappropriate views on suicide with demographic variables was examined by multiple logistic analyses. The association between feeling shame in seeking help with demographic variables and the above views on suicide was similarly analyzed.Results: Inappropriate views on suicide were associated with gender (i. e. men). Some of these views also correlated with age, never having been married, and living in rural areas or areas with high suicide mortality rates. Multivariate analysis revealed that feeling shame in seeking help when distressed was associated with being aged 70-74, living in rural areas or areas with high suicide mortality rates, the view on suicide as a matter of self-choice, and a pessimistic view toward life.Conclusion: These findings suggest that inappropriate views on suicide adversely affect coping strategies and mental health. Suicide prevention programs aimed at improving mental health literacy in a community should take into consideration the characteristics of elderly male residents.