Hidaka Yasuharu, Operario Don, Takenaka Mie, Omori Sachiko, Ichikawa Seiichi, Shirasaka Takuma
Department of Global Health and Socio-epidemiology, Kyoto University School of Public Health, Yoshidakonoe-cho, Sakyo-ku, Kyoto-shi, Kyoto, Japan.
Soc Psychiatry Psychiatr Epidemiol. 2008 Sep;43(9):752-7. doi: 10.1007/s00127-008-0352-y. Epub 2008 May 16.
Suicide is a major social and health issue in Japan. We assessed prevalence of attempted suicide and explored individual, interpersonal, behavioral, and psychological risk factors associated with attempted suicide in a general community sample of youth in a metropolitan Japanese city.
Survey of 2,095 participants age between 15 and 24 who were recruited using street-intercept techniques.
Overall, 6% of males and 11% of females reported a prior suicide attempt. For males, attempted suicide was independently associated with experience of school bullying, being homosexual or bisexual, history of drug use, experience of unwanted sex, history of a diagnosed sexually transmitted infection, and low self-esteem. For females, attempted suicide was independently associated with being younger (ages 15-19 compared to 20-24), experience of school bullying, history of drug use, and history of smoking.
Prevention intervention programs for youth in Japan are necessary to achieve national aims to reduce attempted suicides and suicide mortality.
自杀是日本一个重大的社会和健康问题。我们评估了自杀未遂的发生率，并在日本一个大都市的普通社区青年样本中，探究了与自杀未遂相关的个人、人际、行为和心理风险因素。
对2095名年龄在15至24岁之间的参与者进行调查，这些参与者是通过街头拦截技术招募的。
总体而言，6%的男性和11%的女性报告曾有过自杀未遂经历。对于男性，自杀未遂与遭受校园欺凌的经历、同性恋或双性恋、吸毒史、非自愿性行为经历、确诊的性传播感染病史以及自卑独立相关。对于女性，自杀未遂与年龄较小（15至19岁相较于20至24岁）、遭受校园欺凌的经历、吸毒史以及吸烟史独立相关。
为实现日本减少自杀未遂和自杀死亡率的国家目标，有必要为日本青年开展预防干预项目。
