Yosuke Mochizuki, Tomoyo Isobe, Yuna Endo, Aina Iio, Kiyokazu Takebayashi, H. Yamasue
This study aimed to evaluate the impacts of a single‐session group intervention for individuals with an eating disorder that involved collaborations between peer supporters, who had recovered from an eating disorder, and psychological professionals. We also compared intervention effects between in‐person and online settings.Participants with an eating disorder were recruited through online platforms and public promotional materials. The inclusion criteria involved individuals who had current eating disorders and were willing to openly share their experiences during the session in which the Reflecting Team method was applied.The analysis included 103 participants (75 in‐person and 28 online). We found significant time‐based effects (F(1, 101) = 70.390, p < 0.001, ηG2 = 0.083), which indicated that participants experienced reductions in feelings of isolation, hopelessness associated with their eating disorder, and belief in the incurability of their disorder following the group interventions. No significant differences were observed between in‐person or remote sessions (F(1, 101) = 0.087, p = 0.768, ηG2 = 0.001).Our findings suggest that peer supporters serve as a source of hope for individuals with eating disorders, even within group settings. Furthermore, the similar outcomes across in‐person and online sessions show the promise of remote group sessions as a novel means of support for individuals with eating disorders, regardless of their geographical location. However, future randomized controlled trials of continuous group therapy sessions are essential to confirm their effectiveness.
本研究旨在评估针对饮食失调症患者的单节课小组干预措施的影响，该干预措施涉及饮食失调症康复者的同伴支持者与心理专业人士之间的合作。我们还比较了现场和网络环境下的干预效果。我们通过网络平台和公共宣传材料招募了饮食失调参与者。纳入标准包括目前患有饮食失调，并愿意在采用反思小组法的会议上公开分享自己的经历。我们发现了明显的时间效应（F(1, 101) = 70.390, p < 0.001, ηG2 = 0.083），这表明参与者在接受小组干预后，孤独感、与饮食失调相关的绝望感以及对饮食失调不可治愈的信念都有所减轻。我们的研究结果表明，同伴支持者是进食障碍患者的希望之源，即使是在小组环境中也是如此。此外，面对面和在线会议的相似结果表明，远程小组会议是为饮食失调症患者提供支持的一种新方法，无论他们身处何地。不过，未来对连续性小组治疗课程进行随机对照试验对确认其有效性至关重要。
{"title":"A preliminary study of collaborative group intervention with recovered peer supporters for eating disorders: Analyses including comparisons between in‐person and online sessions","authors":"Yosuke Mochizuki, Tomoyo Isobe, Yuna Endo, Aina Iio, Kiyokazu Takebayashi, H. Yamasue","doi":"10.1002/pcn5.200","DOIUrl":"https://doi.org/10.1002/pcn5.200","url":null,"abstract":"This study aimed to evaluate the impacts of a single‐session group intervention for individuals with an eating disorder that involved collaborations between peer supporters, who had recovered from an eating disorder, and psychological professionals. We also compared intervention effects between in‐person and online settings.Participants with an eating disorder were recruited through online platforms and public promotional materials. The inclusion criteria involved individuals who had current eating disorders and were willing to openly share their experiences during the session in which the Reflecting Team method was applied.The analysis included 103 participants (75 in‐person and 28 online). We found significant time‐based effects (F(1, 101) = 70.390, p < 0.001, ηG2 = 0.083), which indicated that participants experienced reductions in feelings of isolation, hopelessness associated with their eating disorder, and belief in the incurability of their disorder following the group interventions. No significant differences were observed between in‐person or remote sessions (F(1, 101) = 0.087, p = 0.768, ηG2 = 0.001).Our findings suggest that peer supporters serve as a source of hope for individuals with eating disorders, even within group settings. Furthermore, the similar outcomes across in‐person and online sessions show the promise of remote group sessions as a novel means of support for individuals with eating disorders, regardless of their geographical location. However, future randomized controlled trials of continuous group therapy sessions are essential to confirm their effectiveness.","PeriodicalId":507124,"journal":{"name":"Psychiatry and Clinical Neurosciences Reports","volume":"28 S1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141414954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction to “Vortioxetine as a potential alternative for patients with escitalopram‐induced jitteriness/anxiety syndrome: A report of three cases”","authors":"","doi":"10.1002/pcn5.211","DOIUrl":"https://doi.org/10.1002/pcn5.211","url":null,"abstract":"","PeriodicalId":507124,"journal":{"name":"Psychiatry and Clinical Neurosciences Reports","volume":"44 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141275682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of the tendency of developing neurodevelopmental disorder on subjective evaluation of distance learning among university students","authors":"Eiji Ikeda, Haruka Ikeda, Tetsuya Takahashi","doi":"10.1002/pcn5.197","DOIUrl":"https://doi.org/10.1002/pcn5.197","url":null,"abstract":"","PeriodicalId":507124,"journal":{"name":"Psychiatry and Clinical Neurosciences Reports","volume":"12 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141281372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bipolar disorder significantly affects social functioning and maintenance treatment is crucial. Lithium is considered as a first‐line maintenance treatment in all treatment guidelines, but careful administration is necessary due to concerns about renal dysfunction caused by its use. Lithium can be administered in divided doses from two to three times a day or once a day. However, it is controversial which regimen, single or multiple dose, should be recommended in light of adverse effects. This study aims to clarify the difference in renal dysfunction due to the number of divided lithium doses using data from the electronic medical record in a retrospective cohort.We targeted 72 patients who were prescribed lithium carbonate for bipolar disorder in the Juntendo University Hospital electronic medical record from April 2021 to March 2023. There were 35 cases in the single‐dose group and 37 cases in the multiple‐dose group. The outcome was the change in creatinine and estimated glomerular filtration rate (eGFR) during the observation period. The effect of the regimen was evaluated using multiple regression analysis.There were no significant differences in the change in creatinine and eGFR between the single‐ and the multiple‐dose group, though renal function measured by creatinine and eGFR significantly worsened depending on the duration of treatment or aging.There was no significant difference in renal dysfunction between the single‐dose group and the multiple‐dose group; thus, considering the expected positive effect on adherence, a once‐daily regimen is recommended in maintenance lithium treatment.
{"title":"Impact of single versus multiple dose lithium on renal dysfunction in bipolar patients: A retrospective cohort study","authors":"Hiroyuki Harada, Tadafumi Kato","doi":"10.1002/pcn5.205","DOIUrl":"https://doi.org/10.1002/pcn5.205","url":null,"abstract":"Bipolar disorder significantly affects social functioning and maintenance treatment is crucial. Lithium is considered as a first‐line maintenance treatment in all treatment guidelines, but careful administration is necessary due to concerns about renal dysfunction caused by its use. Lithium can be administered in divided doses from two to three times a day or once a day. However, it is controversial which regimen, single or multiple dose, should be recommended in light of adverse effects. This study aims to clarify the difference in renal dysfunction due to the number of divided lithium doses using data from the electronic medical record in a retrospective cohort.We targeted 72 patients who were prescribed lithium carbonate for bipolar disorder in the Juntendo University Hospital electronic medical record from April 2021 to March 2023. There were 35 cases in the single‐dose group and 37 cases in the multiple‐dose group. The outcome was the change in creatinine and estimated glomerular filtration rate (eGFR) during the observation period. The effect of the regimen was evaluated using multiple regression analysis.There were no significant differences in the change in creatinine and eGFR between the single‐ and the multiple‐dose group, though renal function measured by creatinine and eGFR significantly worsened depending on the duration of treatment or aging.There was no significant difference in renal dysfunction between the single‐dose group and the multiple‐dose group; thus, considering the expected positive effect on adherence, a once‐daily regimen is recommended in maintenance lithium treatment.","PeriodicalId":507124,"journal":{"name":"Psychiatry and Clinical Neurosciences Reports","volume":"58 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141274931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yuki Kageyama, Ayaka Sukigara, Ayako Goto, Koki Inoue
Confirming a patient's consistent adherence to prescribed medication remains a persistent challenge for healthcare professionals. One reason for nonadherence is that patients accumulate their prescribed medicines with the intent of taking large quantities as a suicidal attempt. We present a case involving hoarding and overdosing on the highest quantity of mirtazapine ever reported.Our patient, a 44‐year‐old man suffering from depression, was admitted to our emergency department due to an overdose of 1180 mirtazapine tablets, equivalent to 17,700 mg. He exhibited a prolonged disturbance of consciousness, liver enzyme abnormalities, and serotonin syndrome. After 7 weeks in the intensive care unit, he was transferred to a psychiatric ward. Over time, his depressive symptoms improved, as did his suicidal ideation. On the 73rd day of his illness, he was discharged without any lasting effects, although he experienced retrograde amnesia.In this case, ensuring the patient's medication adherence is paramount. Implementing electronic prescription technologies may offer the potential to enhance healthcare by avoiding medication duplication, preventing stockpiling of duplicated medicine, and preventing overdosing.
{"title":"Hoarding medication and suicide attempts with 1180 tablets of mirtazapine overdose: A case report","authors":"Yuki Kageyama, Ayaka Sukigara, Ayako Goto, Koki Inoue","doi":"10.1002/pcn5.198","DOIUrl":"https://doi.org/10.1002/pcn5.198","url":null,"abstract":"Confirming a patient's consistent adherence to prescribed medication remains a persistent challenge for healthcare professionals. One reason for nonadherence is that patients accumulate their prescribed medicines with the intent of taking large quantities as a suicidal attempt. We present a case involving hoarding and overdosing on the highest quantity of mirtazapine ever reported.Our patient, a 44‐year‐old man suffering from depression, was admitted to our emergency department due to an overdose of 1180 mirtazapine tablets, equivalent to 17,700 mg. He exhibited a prolonged disturbance of consciousness, liver enzyme abnormalities, and serotonin syndrome. After 7 weeks in the intensive care unit, he was transferred to a psychiatric ward. Over time, his depressive symptoms improved, as did his suicidal ideation. On the 73rd day of his illness, he was discharged without any lasting effects, although he experienced retrograde amnesia.In this case, ensuring the patient's medication adherence is paramount. Implementing electronic prescription technologies may offer the potential to enhance healthcare by avoiding medication duplication, preventing stockpiling of duplicated medicine, and preventing overdosing.","PeriodicalId":507124,"journal":{"name":"Psychiatry and Clinical Neurosciences Reports","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141403057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study investigated fatigue in individuals with 22q11.2 deletion syndrome (22q11.2DS), identifying both physical and psychosocial factors.We conducted a cross‐sectional web‐based survey of 125 parents of individuals with 22q11.2DS. Significant factors of fatigue were identified using bivariate analysis and forward stepwise binary logistic regression.Overall, 34% (42 of 125) of the participants reported fatigue. Bivariate analysis identified 37 variables linked with fatigue, of which 11 were significant in multivariable analysis: older age (odds ratio [OR] = 1.28, 95% confidence interval [CI] [1.07, 1.53], P = 0.008), history of auditory hypersensitivity (OR = 36.4, 95% CI [4.08, 323.8], P = 0.001), delayed motor development (OR = 10.4, 95% CI [1.78, 61.0], P = 0.009), difficulty participating in events (OR = 33.5, 95% CI [1.1, 1068.2], P = 0.047), inability to join groups (OR = 47.9, 95% CI [4.8, 481.7], P = 0.001), concerns about marriage (OR = 17.0, 95% CI [2.6, 112.7], P = 0.003), inability to attend facilities (OR = 20.4, 95% CI [1.4, 308.0], P = 0.029), poor coordination when changing medical facilities (OR = < 0.010, 95% CI [0, 0.014], P = 0.002), lack of understanding about the individual's condition (OR = 0.010, 95% CI [0, 0.502], P = 0.021), and requirement of visiting multiple departments within the hospital (OR = 46.6, 95% CI [1.9, 1124.6], P = 0.018).Fatigue in 22q11.2DS is multifaceted, necessitating holistic fatigue management.
本研究调查了 22q11.2 缺失综合征（22q11.2DS）患者的疲劳情况，并确定了生理和社会心理因素。我们对 125 名 22q11.2DS 患者的父母进行了横断面网络调查。我们对 125 名 22q11.2DS 患者的父母进行了横断面网络调查，通过双变量分析和前向逐步二元逻辑回归确定了导致疲劳的重要因素。双变量分析确定了 37 个与疲劳有关的变量，其中 11 个在多变量分析中具有显著性：年龄较大（几率比 [OR] = 1.28，95% 置信区间 [CI] [1.07, 1.53]，P = 0.008）、听觉过敏史（OR = 36.4，95% CI [4.08，323.8]，P = 0.001）、运动发育迟缓（OR = 10.4，95% CI [1.78，61.0]，P = 0.009）、参与活动困难（OR = 33.5，95% CI [1.1，1068.2]，P = 0.047）、无法加入团体（OR = 47.9，95% CI [4.8，481.7]，P = 0.001）、对婚姻的担忧（OR = 17.0，95% CI [2.6，112.7]，P = 0.003）、无法到医疗机构就诊（OR = 20.4，95% CI [1.4，308.0]，P = 0.029）、更换医疗机构时协调不佳（OR = < 0.010，95% CI [0，0.014]，P = 0.22q11.2DS患者的疲劳是多方面的，需要全面的疲劳管理。
{"title":"Physical and psychosocial factors associated with fatigue in individuals with 22q11.2 deletion syndrome","authors":"Yusuke Takahashi, Yutaka Sawai, Akito Uno, Miho Tanaka, Akiko Kanehara, Ryo Morishima, Yousuke Kumakura, Ichiro Sakamoto, Sho Yagishita, S. Jinde, Kiyoto Kasai","doi":"10.1002/pcn5.209","DOIUrl":"https://doi.org/10.1002/pcn5.209","url":null,"abstract":"This study investigated fatigue in individuals with 22q11.2 deletion syndrome (22q11.2DS), identifying both physical and psychosocial factors.We conducted a cross‐sectional web‐based survey of 125 parents of individuals with 22q11.2DS. Significant factors of fatigue were identified using bivariate analysis and forward stepwise binary logistic regression.Overall, 34% (42 of 125) of the participants reported fatigue. Bivariate analysis identified 37 variables linked with fatigue, of which 11 were significant in multivariable analysis: older age (odds ratio [OR] = 1.28, 95% confidence interval [CI] [1.07, 1.53], P = 0.008), history of auditory hypersensitivity (OR = 36.4, 95% CI [4.08, 323.8], P = 0.001), delayed motor development (OR = 10.4, 95% CI [1.78, 61.0], P = 0.009), difficulty participating in events (OR = 33.5, 95% CI [1.1, 1068.2], P = 0.047), inability to join groups (OR = 47.9, 95% CI [4.8, 481.7], P = 0.001), concerns about marriage (OR = 17.0, 95% CI [2.6, 112.7], P = 0.003), inability to attend facilities (OR = 20.4, 95% CI [1.4, 308.0], P = 0.029), poor coordination when changing medical facilities (OR = < 0.010, 95% CI [0, 0.014], P = 0.002), lack of understanding about the individual's condition (OR = 0.010, 95% CI [0, 0.502], P = 0.021), and requirement of visiting multiple departments within the hospital (OR = 46.6, 95% CI [1.9, 1124.6], P = 0.018).Fatigue in 22q11.2DS is multifaceted, necessitating holistic fatigue management.","PeriodicalId":507124,"journal":{"name":"Psychiatry and Clinical Neurosciences Reports","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141402866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychedelic renaissance: A renewed focus on the clinical utility of hallucinogens","authors":"Shunichiro Ikeda, Toshihiko Kinoshita","doi":"10.1002/pcn5.196","DOIUrl":"https://doi.org/10.1002/pcn5.196","url":null,"abstract":"","PeriodicalId":507124,"journal":{"name":"Psychiatry and Clinical Neurosciences Reports","volume":"42 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140971225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fracture‐related femoral neck displacement is more likely in patients with schizophrenia because of delayed diagnosis, as these patients frequently have less severe fracture‐associated subjective symptoms. This study aimed to investigate the association of schizophrenia with the risk of fracture‐related femoral neck displacement in hospitalized patients.We retrospectively analyzed the medical records of patients with femoral neck fractures treated between April 2013 and March 2018 at a single institution. Multivariate logistic regression was used to explore the relationship between schizophrenia and fracture‐related femoral neck displacement after adjusting for risk factors.We compared 30 and 194 patients with and without schizophrenia, respectively. The prevalence of fracture‐related displacement was 80.0% in patients with schizophrenia and 62.4% in the controls (p = 0.06). After adjusting for confounding variables, schizophrenia significantly correlated with fracture‐related femoral neck displacement (odds ratio: 4.74, 95% confidence interval: 1.09–20.60, p = 0.0378).Schizophrenia is associated with a higher risk of severe femoral neck fracture. To improve outcomes and alleviate the societal burden of femoral neck fractures, early radiographic assessment and surgical intervention for femoral fractures are essential for patients with schizophrenia, even in those without pain symptoms.
{"title":"Association of schizophrenia with fracture‐related femoral neck displacement: A cross‐sectional retrospective study","authors":"Yukiyo Inoue, Akihiro Tokushige, Takeshi Kinjyo, Shinichiro Ueda","doi":"10.1002/pcn5.195","DOIUrl":"https://doi.org/10.1002/pcn5.195","url":null,"abstract":"Fracture‐related femoral neck displacement is more likely in patients with schizophrenia because of delayed diagnosis, as these patients frequently have less severe fracture‐associated subjective symptoms. This study aimed to investigate the association of schizophrenia with the risk of fracture‐related femoral neck displacement in hospitalized patients.We retrospectively analyzed the medical records of patients with femoral neck fractures treated between April 2013 and March 2018 at a single institution. Multivariate logistic regression was used to explore the relationship between schizophrenia and fracture‐related femoral neck displacement after adjusting for risk factors.We compared 30 and 194 patients with and without schizophrenia, respectively. The prevalence of fracture‐related displacement was 80.0% in patients with schizophrenia and 62.4% in the controls (p = 0.06). After adjusting for confounding variables, schizophrenia significantly correlated with fracture‐related femoral neck displacement (odds ratio: 4.74, 95% confidence interval: 1.09–20.60, p = 0.0378).Schizophrenia is associated with a higher risk of severe femoral neck fracture. To improve outcomes and alleviate the societal burden of femoral neck fractures, early radiographic assessment and surgical intervention for femoral fractures are essential for patients with schizophrenia, even in those without pain symptoms.","PeriodicalId":507124,"journal":{"name":"Psychiatry and Clinical Neurosciences Reports","volume":"53 40","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141010058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aimed to examine the usefulness of forensic information on suicide deaths in Japan for epidemiological studies on suicide and determine the factors that lead people with suicidal ideation to seek psychiatric care prior to attempting suicide.We focused on forensic information of 514 suicide deaths that occurred in Osaka City in 2019. First, to examine whether the data used in this study can be generalized to these cases, we compared the information on suicide deaths officially published by Osaka City with that used in this study, utilizing Pearson's χ2 test. Next, the forensic data were analyzed using multivariate logistic regression analysis to confirm the relationship between demographic factors and the likelihood of having a history of psychiatric consultation before suicide.Both the official information and the data used in this study showed a higher number of males than females who died by suicide, with no significant differences in values between the data sets. Multivariate logistic regression analysis showed significant correlations. More females were associated with seeking a psychiatric consultation. However, those with regular jobs or students were more likely to avoid a psychiatric consultation.The findings of this study provide insights into the phenomenon of suicide deaths by using a forensic perspective. The results of this study suggest that psychiatric consultation may be effective in reducing deaths by suicide. Forensic data should be incorporated into the formulation of suicide‐prevention policies in Japan to conduct a more multifaceted analysis and improve suicide‐prevention measures.
{"title":"Forensic analysis of suicide deaths: Comparing forensic information with public information and investigating factors contributing to psychiatric consultations","authors":"Ryu Murakami, Atsushi Kamikubo, Daigo Morioka, Hisanaga Kuroki","doi":"10.1002/pcn5.194","DOIUrl":"https://doi.org/10.1002/pcn5.194","url":null,"abstract":"This study aimed to examine the usefulness of forensic information on suicide deaths in Japan for epidemiological studies on suicide and determine the factors that lead people with suicidal ideation to seek psychiatric care prior to attempting suicide.We focused on forensic information of 514 suicide deaths that occurred in Osaka City in 2019. First, to examine whether the data used in this study can be generalized to these cases, we compared the information on suicide deaths officially published by Osaka City with that used in this study, utilizing Pearson's χ2 test. Next, the forensic data were analyzed using multivariate logistic regression analysis to confirm the relationship between demographic factors and the likelihood of having a history of psychiatric consultation before suicide.Both the official information and the data used in this study showed a higher number of males than females who died by suicide, with no significant differences in values between the data sets. Multivariate logistic regression analysis showed significant correlations. More females were associated with seeking a psychiatric consultation. However, those with regular jobs or students were more likely to avoid a psychiatric consultation.The findings of this study provide insights into the phenomenon of suicide deaths by using a forensic perspective. The results of this study suggest that psychiatric consultation may be effective in reducing deaths by suicide. Forensic data should be incorporated into the formulation of suicide‐prevention policies in Japan to conduct a more multifaceted analysis and improve suicide‐prevention measures.","PeriodicalId":507124,"journal":{"name":"Psychiatry and Clinical Neurosciences Reports","volume":"42 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140660016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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