Suicide Rates in Evacuation Areas After the Fukushima Daiichi Nuclear Disaster.

BACKGROUND

Associations between nuclear disasters and suicide have been examined to a limited extent.

AIM

To clarify the suicide rates in evacuation areas after the nuclear disaster in Fukushima, which occurred in March 2011.

METHOD

This descriptive study used monthly data from vital statistics between March 2009 and December 2015. Suicide rates in areas to which evacuation orders had been issued, requiring across-the-board, compulsory evacuation of residents from the entire or part of municipalities, were obtained and compared with the national average.

RESULTS

Male suicide rates in evacuation areas increased significantly immediately after the disaster, and then began to increase again 4 years after the disaster. Female suicide rates declined slightly during the first year and then increased significantly over the subsequent 3-year period. Moreover, male rates in areas where evacuation orders were issued for the total area declined over the course of approximately 2 years, but then began to increase thereafter. Analysis by age revealed postdisaster male rates in evacuation areas decreased for those aged 50-69 years and increased for those aged ≤ 29 years and ≥ 70 years.

LIMITATIONS

The number of suicides among females and the female population in the evacuation area was small.

CONCLUSION

Our findings suggest the need to keep in mind that, when providing post-disaster mental health services, suicide rates can eventually increase even if they initially decrease.