Tanji Fumiya, Miyamoto Syohei
Department of Nursing, Akita University Graduate School of Health Sciences, Akita, Japan.
Akita University Suicide Prevention Research Center, Akita, Japan.
J Prim Care Community Health. 2025 Jan-Dec;16:21501319251353591. doi: 10.1177/21501319251353591. Epub 2025 Jul 27.
This study aimed to investigate the association between andropause symptoms and suicidal ideation among Japanese men using community-based data.
We conducted a survey anonymously in Akita, Japan, in July 2024. In total, 577 men aged ≥19 years completed the questionnaire, including demographic data, and items, such as andropause symptoms, health habits, and suicidal ideation. Andropause symptoms as an exposure variable were measured. The outcome variable was suicidal ideation in the previous month. We estimated the odds ratio (OR) and 95% confidence interval to examine the association between andropause symptoms and suicidal ideation.
Severe andropause symptoms according to the Aging Male's Symptoms scale and suicidal ideation were noted in 63 men (10.9%) and 18 men (3.1%), respectively. Multivariate logistic regression analysis revealed a significant positive association between severe andropause symptoms and suicidal ideation. This association remained unchanged even when andropause symptoms were divided into the somatic, psychological, and sexual scales. Additionally, even among participants aged ≥40 years, the OR for the severe group was significantly higher at 8.72.
Severe andropause symptoms are associated with suicidal ideation among Japanese men. These findings suggest the importance of focusing on andropause as a new perspective for suicide prevention in men.
本研究旨在利用社区数据调查日本男性更年期症状与自杀意念之间的关联。
2024年7月，我们在日本秋田市进行了一项匿名调查。共有577名年龄≥19岁的男性完成了问卷，内容包括人口统计学数据以及更年期症状、健康习惯和自杀意念等项目。对作为暴露变量的更年期症状进行了测量。结局变量是前一个月的自杀意念。我们估计了优势比（OR）和95%置信区间，以检验更年期症状与自杀意念之间的关联。
根据老年男性症状量表，63名男性（10.9%）存在严重更年期症状，18名男性（3.1%）有自杀意念。多因素逻辑回归分析显示，严重更年期症状与自杀意念之间存在显著正相关。即使将更年期症状分为躯体、心理和性量表，这种关联也保持不变。此外，即使在年龄≥40岁的参与者中，严重组的OR也显著更高，为8.72。
严重更年期症状与日本男性的自杀意念有关。这些发现表明，将更年期作为预防男性自杀的新视角加以关注具有重要意义。
