Mental health of Japanese in overseas -Crisis interventions to emergency psychiatric cases -

我们之前的调查表明，日本海外居民的心理健康状况受到各种环境因素的影响，包括文化距离、日本社会的稳定性和当地医疗系统的质量。在这项调查研究中，我们进一步进行了一项听力调查，以调查全球11个城市（伦敦、帕兹、法兰克福、巴塞罗那、杜塞尔多夫、曼谷、堪培拉、悉尼、温哥华）的日本精神病学急诊病例的现状。纽约和旧金山)。还收集了关于可用于危机干预和精神保健的当地精神紧急服务的信息。在曼谷和杜塞尔多夫进行了一项关于心理健康的问卷调查，其中包括特定区域的压力源。通过听证会调查可以清楚地看出，危机干预措施主要是由日本驻外外交机构的领事提出的，由于领事们没有接受过专业的医疗/心理培训，他们一直在努力向病人提供心理保健。他们所治疗的疑难病例几乎都处于幻觉偏执状态，没有洞察力，自杀行为对非专业人士来说尤其严重。虽然日本社区的心理健康资源存在显著的地区差异，但日本社区的心理健康服务网络在旧金山和温哥华发挥了显著的作用。在上述调查的基础上，我们编写了一本实用的精神危机手册。2003年对非专业人士如领事的干预措施。

Our previous survey indicated that the mental health state of Japanese residents in overseas is affected by various environmental factors including the cultural distance, the stability of the Japanese society and the quality of the local medical systems. In this survey research, we further conducted a hearing survey to examine the current state of Japanese psychiatric emergency cases in eleven cities worldwide (London, Pads, Frankfurt, Barcelona, Dusserdolf, Bangkok, Canberra, Sydney, Vancouver. New York and San Francisco). Information on the local psychiatric emergency services that are available for their crisis interventions and mental health care was also collected. A questionnaire survey on mental health including region specific stressors was conducted in Bangkok and Dusseldorf By the hearing investigation, it became clear that the crisis interventions were mainly camed out by consuls of the Japanese diplomatic establishments in abroad and the consuls had been struggling to provide mental health care to the patients as they had no professional medical/psychological trainings. Almost all difficult cases they treated were in hallucination paranoid state without insight Suicidal behavior was especially serious issue for non-specialists. Although there is remarkable regional difference in mental health resources, mental health care networks in Japanese communities work especially in San Francisco and Vancouver. On the basis of above investigation, we made a practical manual of psychiatric crisis. interventions for non-specialists such as the consuls in 2003.