Uno M, Ando E, Ishikawa K
Psychiatric Research Institute of Tokyo.
Fortschr Neurol Psychiatr. 1987 Sep;55(9):273-8. doi: 10.1055/s-2007-1001829.
This study is a psychiatric survey of the student suicide at the Tokyo University. Counting the cases reported as such to the university administration, a total of 65 students committed suicide during the 20 years from 1962 till 1981. This amounts to a yearly average of 25.6 cases per 100,000 students. A comparison of this quota with that of several Japanese and foreign universities is made. In 1970, the year in which the students unrest at the Japanese universities reached its peak, the frequency of the suicide fell to its all time low. A possible explanation of this phenomenon is proposed. Out of the 65 students who committed suicide, 25 (38%) have at least once visited the psychiatric clinic of the Tokyo University. In view of the high percentage of the mentally disturbed students in the total number of suicides, the importance of measures taken of foster the mental health of the students is stressed for reasons of suicide prophylaxis. The issue in most of these cases was the conflict between the required scholastic accomplishments and the failure of achieving them. The resulting frustration becomes the immediate motive of the suicide. Therefore, a more intensive psychiatric care of such students is recommended especially during the examination season from January till May, when in Japan the students are exposed to the highest psychological stress. Out of 25 mentally disturbed students who ended by committing suicide, 18 revealed their desire to die in a more or less expressed way already during the time of their psychiatric treatment or consultation.(ABSTRACT TRUNCATED AT 250 WORDS)
本研究是对东京大学学生自杀情况的一项精神病学调查。统计向学校管理部门报告的此类案例,在1962年至1981年的20年间,共有65名学生自杀。这相当于每10万名学生中每年平均有25.6例自杀。将这一指标与几所日本和外国大学的指标进行了比较。1970年,日本大学学生骚乱达到顶峰的那一年,自杀频率降至历史最低点。针对这一现象提出了一种可能的解释。在65名自杀的学生中,有25名(38%)至少去过一次东京大学的精神科诊所。鉴于精神障碍学生在自杀总数中所占比例较高,出于预防自杀的原因,强调了采取措施促进学生心理健康的重要性。这些案例中的大多数问题是所需学业成绩与未能取得这些成绩之间的冲突。由此产生的挫折感成为自杀的直接动机。因此,建议对这类学生进行更深入的精神科护理,尤其是在1月至5月的考试季期间,在日本这段时间学生面临的心理压力最大。在25名以自杀告终的精神障碍学生中,有18名在接受精神科治疗或咨询时已经或多或少明确表达了想死的愿望。(摘要截选至250字)