作業療法士を対象とした自殺・自傷行為に関する研修会が参加者の自殺に関する知識，態度，自己効力感に与える影響について

The effects of a suicide and self-injury training course on knowledge, attitudes, and self-efficacy of occupational therapists

要旨：作業療法士は，臨床において自殺念慮や自傷行為のある人に接しているが，自殺や自傷行為について体系的に学ぶ機会が少ない．本研究では，作業療法士30名を対象に，自殺や自傷行為に関する研修会を介入として実施し，介入前後に，知識の評価「自殺対策について12の質問」，態度の評価「医療従事者の自殺予防に対する態度測定尺度」，自己効力感の評価「自殺予防におけるゲートキーパー自己効力感尺度」を測定した．その結果，知識，態度，自己効力感すべてにおいて有意に改善がみられ，効果量は中から大程度であった．自殺予防の講義と演習の組み合わせが効果的であり，知識だけでなく，態度や自己効力感も改善することが示唆された．

　Occupational therapists (OTR) are often exposed to individuals with suicidal ideation and self-injury in their clinical practice. However, OTR have few opportunities to learn systematically about suicide and self-injury. In this study, a training course on suicide and self-injury was conducted as an intervention for 30 OTR. They were measured on their knowledge, attitudes, and self-efficacy before and after the intervention. There were significant improvements in knowledge, attitudes, and self-efficacy. The effect sizes were medium to large which suggest that the combination of lectures and exercises on suicide prevention was effective and improved not only knowledge but also attitudes and self-efficacy.