Development of a 2-h suicide prevention program for medical staff including nurses and medical residents: A two-center pilot trial

Nakagami, Yukako; Kubo, Hiroaki; Katsuki, Ryoko; Sakai, Toshiyasu; Sugihara, Genichi; Naito, Chisako; Oda, Hiroyuki; Hayakawa, Kohei; Suzuki, Yuriko; Fujisawa, Daisuke; Hashimoto, Naoki; Kobara, Keiji; Chô, Tetsuji; Kuga, Hironori; Kiyoshi, Takao; Kawahara, Yoko; Matsumura, Yasuhiro; Murai, Toshiya; Akashi, Koichi; Kanba, Shigenobu; Otsuka, Kotaro; Kato, Takahiro A.

doi:10.1016/j.jad.2017.08.074

Cited by 25 publications

(30 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The five‐steps of the MHFA (3rd version) are as follows: Step 1, Approach the person, assess and assist with any crisis; Step 2, Listen non‐judgmentally; Step 3, Give support and information; Step 4, Encourage the person to get appropriate professional help; and Step 5, Encourage other support . We have been promoting usage of the MHFA in Japan, and are now in the process of developing an evidence‐based educational support model that enables families (especially parents) of persons with hikikomori to obtain specific skills and knowledge in dealing with hikikomori based on the MHFA. In this program, we are especially focusing on how to assess one's child and bring them to professional support places smoothly and safely using the MHFA‐based materials, including hikikomori ‐case role‐play scenarios.…”

Section: Therapeutic Approaches For Hikikomorimentioning

confidence: 99%

Hikikomori : Multidimensional understanding, assessment, and future international perspectives

Kato

Kanba

Teo

2019

Psychiatry Clin Neurosci

Self Cite

182

271

View full text Add to dashboard Cite

Hikikomori, a severe form of social withdrawal, has long been observed in Japan mainly among youth and adolescents since around the 1970s, and has been especially highlighted since the late 1990s. Moreover, hikikomori‐like cases have recently been reported in many other countries. Hikikomori negatively influences not only the individual's mental health and social participation, but also wider education and workforce stability, and as such is a novel urgent global issue. In this review, we introduce the history, definition, diagnostic evaluation, and interventions for hikikomori and also the international prevalence of hikikomori outside Japan. We propose a hypothesis regarding the globalization of hikikomori based on domestic and international perspectives. In addition, we introduce our latest assessment system for hikikomori (including the latest version of the ‘proposed diagnostic criteria of hikikomori for the future DSM/ICD diagnostic systems’) and propose therapeutic strategies, including family approaches and individualized therapies. Finally, we present future challenges that may lead to solutions for an internationalized hikikomori.

show abstract

Section: Therapeutic Approaches For Hikikomorimentioning

confidence: 99%

Hikikomori : Multidimensional understanding, assessment, and future international perspectives

Kato

Kanba

Teo

2019

Psychiatry Clin Neurosci

Self Cite

182

271

View full text Add to dashboard Cite

show abstract

“…Suicide occurs throughout the human lifespan and is the second leading cause of death among persons 15–29 years old (WHO, 2018). Effective interventions are critically needed to prevent suicide (Mann et al, 2005; Nakagami et al, 2018). Psychosocial factors such unemployment, poverty, family conflicts and health issues are widely known to be causes of suicide (Rubenowitz et al, 2001).…”

Section: Introductionmentioning

confidence: 99%

Suicide and Microglia: Recent Findings and Future Perspectives Based on Human Studies

Suzuki

Ohgidani

Kuwano

et al. 2019

Front. Cell. Neurosci.

Self Cite

View full text Add to dashboard Cite

Suicide is one of the most disastrous outcomes for psychiatric disorders. Recent advances in biological psychiatry have suggested a positive relationship between some specific brain abnormalities and specific symptoms in psychiatric disorders whose organic bases were previously completely unknown. Microglia, immune cells in the brain, are regarded to play crucial roles in brain inflammation by releasing inflammatory mediators and are suggested to contribute to various psychiatric disorders such as depression and schizophrenia. Recently, activated microglia have been suggested to be one of the possible contributing cells to suicide and suicidal behaviors via various mechanisms especially including the tryptophan-kynurenine pathway. Animal model research focusing on psychiatric disorders has a long history, however, there are only limited animal models that can properly express psychiatric symptoms. In particular, to our knowledge, animal models of human suicidal behaviors have not been established. Suicide is believed to be limited to humans, therefore human subjects should be the targets of research despite various ethical and technical limitations. From this perspective, we introduce human biological studies focusing on suicide and microglia. We first present neuropathological studies using the human postmortem brain of suicide victims. Second, we show recent findings based on positron emission tomography (PET) imaging and peripheral blood biomarker analysis on living subjects with suicidal ideation and/or suicide-related behaviors especially focusing on the tryptophan-kynurenine pathway. Finally, we propose future perspectives and tasks to clarify the role of microglia in suicide using multi-dimensional analytical methods focusing on human subjects with suicidal ideation, suicide-related behaviors and suicide victims.

show abstract

“…Although the standard MHFA program takes 12-h, shortened versions of program have been warranted to make such training more accessible to people for whom time may be a consideration. In Japan, a 2-h program was developed targeting medical staff and university administrative staff by focusing on depression and the risk of suicide and showed effectiveness in improving confidence and skills in managing persons with mental health problems, and attitudes toward psychiatric disorders [12–14]. To our knowledge, such brief programs based on the MHFA have never been developed for workplace settings.…”

Section: Introductionmentioning

confidence: 99%

Development of MHFA-based 2-h educational program for early intervention in depression among office workers: A single-arm pilot trial

et al. 2018

Self Cite

View full text Add to dashboard Cite

ObjectiveIn the workplace depression and suicide are serious mental health problems. A lack of knowledge and mental health skills along with the stigma toward mental health problems often results in delays in seeking professional help. Interventions targeting not only persons with mental health problems but also people around the individual are warranted in order to encourage supporting behavior within entire workplace. In the present study, we investigated the efficacy of our newly developed educational training program in the management with depression and suicidal risk in the workplace as a single-arm pilot trial.MethodsThe program is a two-hour (2-h) training course for employees based on the Mental Health First Aid (MHFA) program which aims to increase public mental health literacy. We conducted this program at a company workplace among 91 employees, and ultimately 83 participants completed the self-rated questionnaires. Changes in confidence and practical skills in early intervention of depression and suicide-prevention, and stigma toward mental health problems were evaluated using self-rated questionnaires at 3 time-points; pre-program, immediately post-program, and 1 month after the program.ResultsConfidence and practical skills were significantly improved even 1 month after the program, and stigma reduced just after the program.ConclusionsOur pilot study suggests that the program has a positive impact on encouraging employees to support their co-workers with mental health problems, and is applicable for busy workers due to its short duration. A single-arm design, evaluation using self-rated questionnaire and short-term follow up period are the main limitations of the present study. Hence, future research is required to validate the effects of this program with control groups, and also to assess long-term effectiveness and objective changes such as absenteeism and sick leave.Trial registrationUMIN Clinical Trials Registry (UMIN-CTR) R000023258

show abstract

Development of a 2-h suicide prevention program for medical staff including nurses and medical residents: A two-center pilot trial

Cited by 25 publications

References 43 publications

Hikikomori : Multidimensional understanding, assessment, and future international perspectives

Hikikomori : Multidimensional understanding, assessment, and future international perspectives

Suicide and Microglia: Recent Findings and Future Perspectives Based on Human Studies

Development of MHFA-based 2-h educational program for early intervention in depression among office workers: A single-arm pilot trial

Contact Info

Product

Resources

About