[基于工作压力和自杀意念的日本工作场所心理健康和自杀预防研究]。

Yu Sakagami
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摘要

与其他国家相比,日本的自杀率仍然很高。工人自杀尤其会造成显著的社会和经济损失,并严重影响丧亲者。我们迫切需要设计一个系统,在早期阶段就预防自杀。一般来说,在个人突然自杀的情况下,干预和预防自杀被认为是非常困难的。然而,根据一些关于自杀企图的研究,即使是那些突然自杀的人,在很长一段时间内也经历了某种冲突或对死亡的渴望。因此,当个体有模糊的自杀念头时,及早分析自杀的危险因素是很有必要的。这将有助于减少这种情况下的自杀风险。在这篇文章中,我首先调查了日本工人心理健康的相关数据。其次,我介绍了我们的试点研究的结果,在这项研究中,我们调查了与自杀有关的心理健康问题,这些工人已经休假两个月以上。在这项研究中,没有表现出寻求帮助行为的工人被认为是自杀的高风险群体。推测这种行为与性别、年龄、社会地位、教育程度、个人耻辱感、感知耻辱感等因素有关。因此,我们必须关注预防自杀的临床和社会解决方案。我相信精神科医生将在工作场所和社会资源之间扮演更重要的角色,以预防自杀。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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[Mental Health and Prevention of Suicide in Japanese Workplaces Based on a Pilot Study of Job Stress and Suicide Ideation].

The Japanese suicide rate is still high compared with other countries. Worker suicide especially leads to marked social and economic losses and severely affects the bereaved. There is an urgent need to devise a system to prevent suicide at a very early stage. Generally, it is considered very difficult to intervene and prevent suicide in cases in which individuals kill themselves suddenly. However, according to some studies on suicide attempts, even those who killed themselves suddenly had experienced some kind of conflict or a desire to die for a long period. Therefore, it is essential to analyze the risk factors at an early stage when individuals have vague thoughts of suicide. This will help reduce the risk of suicide in such cases. In this article, I first survey the data related to workers' mental health in Japan. Second, I introduce the results of our pilot study in which we investigated mental health issues related to suicide among workers who have taken leave from work for more than two months. In this study, workers who do not exhibit help-seeking behavior are suggested to be a high-risk group for suicide. It is speculated that this behavior is related to several factors such as the sex, age, social status, education, personal stigma, and perceived stigma. Therefore, we must focus on both clinical and social solutions for the prevention of suicide. I believe that psychiatrists will come to play a more important role as liaisons between workplaces and social resources for the prevention of suicide.

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