[Suicide Prevention and Mental Health Measures for Japanese University Students].

Masaru Ohnishi, Shihomi Koyama, Akiko Senoo, Hiroko Kawahara, Yukito Shimizu
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Abstract

According to the nationwide survey of the National University students in Japan, the annual suicide rate in 2012 was 15.7 per 100,000 undergraduate students. In many universities, suicide prevention is an important issue regarding mental health measures, and each university is actively examining this. The current situation concerning measures for suicide prevention in the Japanese National Universities was investigated in 2009. In 2010, the "college student's suicide prevention measures guideline, 2010" was established based on the results of this investigation. This guideline refers to the basic philosophy of suicide prevention in Chapter 1, risk factors for suicide in Chapter 2, and systems and activities for suicide prevention in Chapter 3. The Health Service Center, Okayama University plays central roles in mental health and suicide prevention measures on the Medical Campus. The primary prevention includes a mini-lecture on mental health, classes on mental health, and periodic workshops and lectures for freshmen. The secondary prevention includes interviews with students with mental health disorders by a psychiatrist during periodic health check-ups and introducing them to a hospital outside the university. The tertiary prevention includes support for students taking a leave of absence to return to school, periodic consultation with such students with mental disorders, and postvention following a suicide. We believe that for mental health measures on the university campus, it is important to efficiently make use of limited resources, and that these efforts will eventually lead to suicide prevention.

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[日本大学生自杀预防及心理健康措施]。
根据对日本国立大学学生的全国性调查,2012年的年度自杀率为每10万名本科生中有15.7人自杀。在许多大学里,预防自杀是心理健康措施的一个重要问题,每个大学都在积极研究这个问题。2009年对日本国立大学自杀预防措施现状进行了调查。2010年根据调查结果制定了《2010年大学生自杀预防措施指南》。本指南包括第一章预防自杀的基本理念,第二章预防自杀的危险因素,第三章预防自杀的制度和活动。冈山大学健康服务中心在医学校园的心理健康和自杀预防措施方面发挥着核心作用。初级预防包括关于心理健康的小型讲座、心理健康课程以及定期为新生举办的讲习班和讲座。二级预防包括由精神科医生在定期健康检查期间与患有精神健康障碍的学生面谈,并将他们介绍到大学以外的医院。三级预防包括为请假返校的学生提供支持,定期咨询有精神障碍的学生,以及自杀后的后续治疗。我们认为,对于大学校园的心理健康措施,重要的是有效利用有限的资源,这些努力最终将导致自杀预防。
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