2 722 80

50 69 3

22,000 (1) 1988~1997 (2002 12 22,000~23,000 22,410 ) 1988 32,863 2003 8 2004 1 Web (2) 15-54 3 15-19 20-24 2000~2010 21 12 4

1,560 1991 (4) (5) (6) 1,000 DSM-IV Axis-I Axis-V 15 16 12 31 2 - t- SPSS-Version.12 5

13-90 20 30 40 50 40.0 35.1 (P<0/05) 80 51 29 2/3 3/4 (46%) (36%) (12%) 18% 11% 69 6

45 11 80 244/615=40% 18/60=30% 2-133/641=21% (P<0.01) 86/641=13% 30/641=5% (P<0.05) 9/80=11% 3/80=4% 5/80=6% (P<0.01) 24 44 177/(639-44)=30% 182/(639-44)=31% 24 5/(79-27)=10% (P<0.01)4/(79-27)=8% (P<0.05) (P<0.05) (P<0.01) (P<0.05) 109/616 : 3/48 7

= 17.7% : 6.3% (P<0.01) 33/80 : 144/641 = 41.3% : 22.5% 40.0 35.1 (P<0.01) 20~30 40~50 (7) 80 (P<0.01) (P<0.01) (P<0.01) (P<0.01) 1,000 722 Luoma JB 19% 8

9 45% (8) 40% 30% 5% 6% 16 722 80

1) 1) 2) http://www.mhlw.go.jp/shingi/2004/0 1/s0126-5f.html 16(3)250-255 2004 3) 2) 2004 4) 15: 651-653, 1991 5) 15: 622-624, 1991 6) 15 4) 7) 15: 628-629, 1991 8) Luoma JB, Martin CE, Pearson JL. Contact with mental health and primary care providers before suicide: a review of the evidence. Am J Psychiatry 159:909-16, 2002 10

7) 15) 8) 16) 17) 9) 18) Nishi,N., Kurosawa,M., Nohara,M., 10) Oguri, S., Chida,F., Otsuka,K., Sakai,A. and Okayama,A.: 2005, Knowledge of and Attitudes toward Suicide and Depression among Japanese in Municipalities with High Suicide Rates, Journal of Epidemiology 15(2)48-55. 11) 1) Tomomichi Endo, Kotaro Otsuka, Akio Sakai, Hideki Nakayama, Fuminori Chida, Yuki Takaya, Masaki Maruta, 12) Shigeatsu EndoAn Investigation of features of suicide patients in emergency psychiatric care. XVIII World Congress of World Association for Social 13) Psychiatry, InternationalConference Center Kobe, Kobe, Japan, October 26 th, 11

2004 2) 2004 3),,, 5 40 6 Page493. 48 1999 3 6 13) Takaya, Y., Chida,F., Otsuka,K., Nakayama,H., Endo, T., Maruta,M., Sakai,A. and Aoki,Y.: A Study of Suicide Prevention Based on Suicide Autopsy Documentation Iwate Prefectural Police Department, XVIII World Congress of World Association for Social Psychiatry, International Conference Center Kobe, 12

Kobe, Japan, October 24-27, 2004. 14) Otsuka,K., Hoshi,K., Seikai, S., Chida,F., Takaya, Y., Maruta,M., Endo, T., and Sakai,A..: Role in Suicide Prevention for the Liaison Nurse in a General Hospital in Japan, XVIII World Congress of World Association for Social Psychiatry, International Conference Center Kobe, Kobe, Japan, October 24-27, 2004. 15) Takahashi, M., Sakai,A, Kurosawa,M, Nishi,N. and Okayama,A.: Evaluation of Methods for Educational Programs on Depression in Communities (1), XVIII World Congress of World Association for Social Psychiatry, International Conference Center Kobe, Kobe, Japan, October 24-27, 2004. 16) Kurosawa,M., Itai,K., Takahashi, M., Sakai,A., Nishi,N. and Okayama,A.: Evaluation of Methods for Educational Programs on Depression in Communities (2), XVIII World Congress of World Association for Social Psychiatry, International Conference Center Kobe, Kobe, Japan, October 24-27, 2004. 17) Maruta,M., Otsuka,K., Nakayama,H., Chida,F., Endo, T., Takaya, Y. and Sakai,A.: Symtomatological Investigation into Suicide Patients at an Advanced Emergency and Critical Care Center, XVIII World Congress of World Association for Social Psychiatry, International Conference Center Kobe, Kobe, Japan, October 24-27, 2004. 13

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15

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17

18

19

20

21

22

23

24

25

26

27

28

29

P<0.01 N.S. P<0.05 30

N.S. P<0.01 P<0.01 31

P<0.05 P<0.05 P<0.01 32

N.S. N.S. N.S. 33

P<0.01 P<0.05 34

P<0.01 P<0.01 P<0.01 35

P<0.01 P<0.01 P<0.01 36

P<0.01 P<0.01 P<0.01 37

P<0.01 n.s. P<0.01 38

39

15 8 1 16 12 31 17 211 40

50 69 5 (1993 1 1 1997 12 31 )86 1 9.4 64 21% 86 7-12 41

42

43

44