Research for effective means and the existing state about Mental Health Counterplan in Occupation.

1998年，日本的自杀人数为3万人。尤其是50岁男性自杀人数呈上升趋势，1999年50岁以上自杀者达6103人。50岁组男性自杀率高于其他年龄组，60岁及以上年龄组自杀率高于其他国家。因此，职业卫生需要立即开展心理健康项目。本研究的目的是调查心理健康对策的现状，分析心理保健系统的有效途径。材料和方法：对3295个自治团体进行了工作压力现状及心理健康对策问卷调查。46个问题得到了回答。回答率地市为72.8%，直辖市为63.2%，乡镇为45.0%。对300名工人进行为期两年的心理健康促进和心理护理。比较心理健康干预前后工人的症状。结果：（1）85名工会代表回答职业紧张增加。因此，只有0.1%的人回答职业压力下降。2)50名受访者回答了有关精神疾病工作者的注意事项。3)36名被调查者回答了除身体状况外的有关长期停工工人的注意事项。60名受访者回答了关于恶劣条件的投诉。4)心理健康对策的实施率为20%。但心理健康对策的成功回答只有5%。5)结论：职业心理健康对策的有效手段是心理咨询和健康促进，角色扮演训练是职业心理健康对策的有效手段。

Numbers of Suicide in Japan were thirty thousand in 1998. Especially, suicidal people are increasing in male in fifty age group and 6103 fifty aged people died themselves in 1999. Suicidal rates in male in fifty-age group are more than other age groups, contrary sixties and over age groups in other countries are more than others. Therefore Mental Health Project is required in Occupational Health immediately. The purpose of this research is investigation in existing state of mental health countermeasure and analysis of effective approach in mental care systems. Material and methods : Questionnaire about the existing of stress in working and mental health countermeasure were distributed in 3295 self-governing body. Forty-six percents were answered. Answer rates were 72.8% in prefecture, 63.2% in municipality, 45.0% in towns and villages. And mental health promotion and mental care in two years were taken effect in 300 workers. Their workers symptoms were compared in before and after mental health countermeasure. Results : 1) Eighty-five percents representative of labor union answered an increase in occupational stress. Therefore, a decrease in occupational stress was only answered 0.1%. 2) Fifty percents answered taking notice matters about mental ill-health workers. 3) Thirty-six percents answered taking notice matters about long-term suspended workers except physical conditions. Sixty percents answered an increase about a complaint of bad conditions. 4) Counterplans about mental health were carried out in 20%. But a success about countermeasures of mental health was answered only 5%. 5) Complaints of bad conditions decreased after practice health promotion taking role-play and mental counseling.Conclusion : Effective means for mental health counterplans in occupation is mental counseling and health promotion taking role-play exercise.