Age-adjusted relative suicide risk by marital and employment status over the past 25 years in Japan

Yamauchi, Takashi; Fujita, Toshiharu; Tachimori, Hisateru; Takeshima, Tadashi; Inagaki, Masumi; Akihiro, Sudo

doi:10.1093/pubmed/fds054

Cited by 27 publications

(32 citation statements)

References 18 publications

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“…For example, Middleton et al (2004) include unemployment as part of a deprivation index, which they find to be associated with increased risk of suicide. The deprivation caused by unemployment has the potential to create more intangible isolating effects such as the disintegration of a marriage due to the disruption of domestic life (Bowlus & Seitz, 2006;Economou et al, 2013;Tauchen & Witte, 1995;Yamauchi et al, 2013). Further, the psychological shock, lack of self-worth, and perception of detachment from the community may lead to increased isolation (Classen & Dunn, 2012).…”

Section: Research Contextmentioning

confidence: 99%

Geographic variation in male suicide rates in the United States

2015

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Section: Research Contextmentioning

confidence: 99%

Geographic variation in male suicide rates in the United States

2015

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“…Twenty-one studies examined suicides or attempted suicides and found a marked increase in these outcomes during economic downturns. 12,17,18,37,39,63,71,78,79,89,91,97,103,116,117,[120][121][122][123][124]126 The increases in suicides were concentrated in working age men, and the results were found across multiple populations including the United Kingdom, 63,78 the US, 12 Spain, 121 Italy 122 and Japan 116,120,123 as well as across time periods. 18,39 The relationship between unemployment and suicides does seem to be context specific because such relationships have not been found in Sweden, 79 Finland, 89,91 and Australia.…”

Section: Substance Abuse and Mental Healthmentioning

confidence: 99%

A Review of Health Consequences of Recessions Internationally and a Synthesis of the US Response during the Great Recession

et al. 2013

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“…Ogami and colleagues [ 5 ], for example, found that financial matters, divorce, and illness were associated with depressive symptoms among Japanese discretionary workers who are working under the premise of the deemed working hours system. Other studies have further described how unemployment, low income, and divorce are associated with mental distress, and even with suicide, among Japanese adults, especially men [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Associations between psychological distress and the most concerning present personal problems among working-age men in Japan

et al. 2015

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BackgroundPersonal problems are known to influence mental health among workers. The current study investigated the most concerning present personal problems which have the greatest impact on psychological distress among working-age Japanese men, rather than issues relating to work tasks or duties.MethodsWe obtained data from the 2010 Comprehensive Survey of Living Conditions conducted by the Ministry of Health, Labour and Welfare. The original survey interviewed 289,363 households in 5,150 randomly selected municipalities of Japan, from which 228,664 households agreed to participate. We analyzed the data pertaining to men who were 20 to 59 years of age and the head of a family. The questionnaire included occupation, employment status, the most concerning present personal problems, and a measure of psychological distress (the Kessler 6 scale). Multiple logistic regression analysis was conducted to delineate the association between present personal problems and psychological distress.ResultsA total of 76,950 males were included in the analysis, 27.7% of whom reported some type of psychological distress. Statistical analysis revealed that psychological distress was associated with bullying and harassment (Odds Ratio (OR): 2.05, 95% Confidence Interval (95% CI): 1.50-2.56), divorce (OR: 1.90, 95% CI: 1.53-2.26), concerns about one’s purpose in life (OR: 1.73, 95% CI: 1.59-1.88), personal relationships with family members (OR: 1.49, 95% CI: 1.37-1.60), personal relationships with others (OR: 1.38, 95% CI: 1.29-1.48), own diseases (OR: 1.24, 95% CI: 1.15-1.33), and financial difficulties (OR: 1.16, 95% CI: 1.12-1.20); when compared with problems related to work tasks or duties.ConclusionsSeveral personal factors appear to have a greater impact on the mental health of Japanese men of working age, when compared to the influence of work tasks or duties. Asking workers directly about the problems that most concern them in life might help better identify those in need psychological support. Multidisciplinary interventions to address their life concerns will likely be necessary for solving these problems and reducing psychological distress.

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Age-adjusted relative suicide risk by marital and employment status over the past 25 years in Japan

Abstract: Unemployed and divorced people were at a high risk of suicide over the past 25 years, particularly in 2000 and 2005. Our findings suggest that the effects of divorce and unemployment on suicide risk are synergistic.

Cited by 27 publications

References 18 publications

Geographic variation in male suicide rates in the United States

Geographic variation in male suicide rates in the United States

A Review of Health Consequences of Recessions Internationally and a Synthesis of the US Response during the Great Recession

Associations between psychological distress and the most concerning present personal problems among working-age men in Japan

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