The development of an effective medical education method for suicide prevention measures

我们调查了医学生自杀预防的必要背景。我们将调查内容分为“现状”、“自杀”、“原因”、“预兆”、“预防”，并将其分为50个小项目。目的是加深对自杀预防的认识，并提供具体的干预技巧。我们根据厚生劳动省/警察厅和NPO组的数据制作了一份文件。此外，在对医学生进行小型讲座和讨论之前，我们对自杀项目进行了问卷调查。从这些调查结果来看，医学生对“自杀甚至可能发生在谁身上”和“自杀与精神疾病的相关性很高”的普遍认识较差。从医学生的自由提及来看，成功处决者的形象是“精神上孤独的弱者，精神上被困在不可避免的境地中”。而企图自杀的人的形象……更多的是“他们不想死的人，想要吸引周围的人，想要得到一些邻近的兴趣/关注”。许多研究都认为自杀未遂者护理是预防自杀的重要手段。医学生用“成功执行者”和“未遂者”来区分一个形象。因此，我们再次认识到预防自杀教育的必要性。从这些调查的结果来看，为了培养能够成为自杀预防守门人的医生，我们认为在医学教育中应该从医学/生物学和心理社会学的角度对自杀进行教育。我们进行了两到三次小组讨论，对自杀预防措施进行了有效的小组讨论。每个小组提炼出各自的意见并公布出来。并对每一组的问题进行归纳总结，总讨论是必要的。因此，对于一名医学生来说，一开始我们认为很容易引起学生兴趣的关于自杀问题的教材是必要的。制作了“预防自杀措施”角色扮演教材和“预防自杀措施启蒙活动”宣传单。针对医学生，我们考虑开发有用的、容易给人留下印象的自杀预防教材。少

We investigated the back ground that was necessary for the suicide prevention for medical students. We classified investigation contents in the "present conditions" "suicide" "cause" "omen" "prevention" and classified it in in total 50 lower items. The purpose is to wear understanding to the suicide prevention and a concrete intervention skill to them. We made a document based on Ministry of Health, Labour and Welfare/the National Police Agency and the data of the NPO group. In addition, we performed a questionnaire for the suicide project before a small lecture and discussion to medical students.From these findings, the medical students were poor in general recognition that "the suicide could happen even to whom" and "Suicide and the relevance of the mental disease are high". From free mentions of medical students, the images for the persons of successful execution were "the lonely mental weak cornered in the unavoidable situation mentally". And the images for the persons of attempt w … More ere "the person whom they did not mean to die, wanted to appeal for to circumference and wanted to receive some neighboring interest/attention".Suicide attempter care is considered to be a suicide preventive important key from many precedent studies. The medical students distinguished an image with "a person of successful execution" and "the person of attempt". Therefore, we realized necessity of the suicide prevention education again.From the results of these investigations, for the doctor training that could become the suicide preventive gatekeeper, we thought that the education of the standpoint of a medical/biological and of the psychosociology about the suicide in medical education. We carried out two or three small group discussion to perform effective group discussion for suicide prevention measures. Each group extracted each opinion and announced it. And each group generalized the problems of each group in total discussion were necessary. As a result, for a medical student, we thought that at first the teaching materials which it was easy to be interested in about the issue of suicide visually were necessary. We made the role playing teaching materials of "suicide prevention measures" and a leaflet of "the enlightenment activity of suicide prevention measures" with PowerPoint. For medical students, we thought about the development of the useful suicide prevention teaching materials which were easy to be left in the impression. Less