Kaniwa Isao, Kawanishi Chiaki, Suda Akira, Hirayasu Yoshio
Department of Psychiatry, Yokohama City University School of Medicine, 3-9 Fukuura, Yokohama 236-0004, Japan.
Int J Environ Res Public Health. 2012 Mar;9(3):712-21. doi: 10.3390/ijerph9030712. Epub 2012 Feb 29.
Suicide is a major public health issue. In Japan, local governments are responsible for suicide prevention, and local government officers are therefore expected to act as gatekeepers for suicide prevention. In this study, through a questionnaire survey, the authors examined the current knowledge and attitudes concerning suicide prevention among local government officers and healthcare and welfare professionals, and the effects of providing suicide prevention education on their knowledge of and attitudes toward suicide and its prevention. One hundred eighty-three local government officers and 432 healthcare/welfare professionals completed the survey before and after a single education session. Before the session, the local government officers and healthcare/welfare professionals showed mainly positive attitudes toward suicide prevention efforts, with little difference between the two groups. After the training, knowledge and attitudes were further improved for most questionnaire items. Respondents with one or more experiences of suicide prevention training showed significantly more knowledge and positive attitudes before the training than those with no such experience. Moreover, knowledge of depression and having a sympathetic attitude were found to be especially associated with the overall attitude that "suicide can be prevented". Training in suicide prevention was shown to be effective in promoting appropriate knowledge and attitudes among local government officers and healthcare/welfare professionals who are gatekeepers for preventing suicide. Our findings confirm the importance of suicide prevention education, and will contribute to creating a standard educational program on suicide prevention in Japan.
自杀是一个重大的公共卫生问题。在日本,地方政府负责预防自杀,因此地方政府官员被期望充当预防自杀的把关人。在本研究中,作者通过问卷调查,考察了地方政府官员以及医疗和福利专业人员目前关于预防自杀的知识和态度,以及提供预防自杀教育对他们关于自杀及其预防的知识和态度的影响。183名地方政府官员和432名医疗/福利专业人员在一次教育课程前后完成了调查。在课程之前,地方政府官员和医疗/福利专业人员对预防自杀的努力主要表现出积极态度,两组之间差异不大。培训后,大多数问卷项目的知识和态度都得到了进一步改善。有一次或多次预防自杀培训经历的受访者在培训前比没有此类经历的受访者表现出更多的知识和更积极的态度。此外,发现对抑郁症的了解和具有同情态度与“自杀可以预防”的总体态度特别相关。预防自杀培训被证明对促进作为预防自杀把关人的地方政府官员和医疗/福利专业人员的适当知识和态度是有效的。我们的研究结果证实了预防自杀教育的重要性,并将有助于制定日本预防自杀的标准教育计划。