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Seishin Igaku Volume 57, Issue 4 （April 2015）

精神医学 57巻4号（2015年4月発行）

Japanese English

研究と報告

東日本大震災関連の自殺企図10例の検討 Assessing Factors Influencing Suicide Attempts Related to the Great East Japan Earthquake 吉岡靖史 ¹ , 大塚耕太郎 ^1,2 , 星克仁 ¹ , 三條克巳 ^1,3 , 肥田篤彦 ⁴ , 小泉範高 ^1,4 , 梅津美貴 ¹ , 遠藤重厚 ⁵ , 酒井明夫 ¹ Yasuhito YOSHIOKA ¹ , Kotaro OTSUKA ^1,2 , Katsuhito HOSHI ¹ , Katsumi SANJO ^1,3 , Atsuhiko KOEDA ⁴ , Noritaka KOIZUMI ^1,4 , Miki UMETSU ¹ , Shigeatsu ENDO ⁵ , Akio SAKAI ¹ ¹岩手医科大学神経精神科学講座 ²岩手医科大学災害・地域精神医学講座 ³いわて東北メディカル・メガバンク機構 ⁴八戸赤十字病院精神科 ⁵岩手医科大学救急医学講座 ¹Department of Neuropsychiatry, Iwate Medical University, School of Medicine, Morioka, Japan ²Department of Disaster and Community Psychiatry, Iwate Medical University, School of Medicine ³Iwate Tohoku Medical Megabank Organization ⁴Department of Psychiatry, Hachinohe Red Cross Hospital ⁵Department of Critical Care Medicine, Iwate Medical University, School of Medicine キーワード： The Great East Japan Earthquake , Suicide attempt , Psychiatric emergency , Disaster Keyword: The Great East Japan Earthquake , Suicide attempt , Psychiatric emergency , Disaster pp.285-291

発行日 2015年4月15日 Published Date 2015/4/15

DOI https://doi.org/10.11477/mf.1405204894

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　本研究では東日本大震災後1年間に，岩手医科大学附属病院と高度救命救急センターを受診した震災関連の自殺企図10例の臨床的特徴を検討した。その結果，1)発災後4週以内の企図が多い，2)企図の要因として，4週以内は急性ストレス反応，5週以降は仕事や居住地の変化など2次ストレスが関与，3)気分障害による抑うつ状態が多い，4)身体的重症度の高い企図手段が多い，5)救急センター入院が多いなどが明らかとなった。以上より，震災直後から重症自殺企図の予防に努め，企図者には基幹病院や救急センターと連携して心身両面から治療にあたる必要性，長期的に対応を行う必要性が示唆された。

　This study analyzed the clinical characteristics of 10 individuals who attempted suicide and were treated at the Iwate Medical University Hospital and Iwate Advanced Critical Care and Emergency Center during the 1-year period following the Great East Japan Earthquake. Results showed that：(1) most attempts were made within 4 weeks following the earthquake；(2) factors related to the suicide attempts included acute stress reactions (for attempts made within 4 weeks following the earthquake) and secondary stress, including changes in work and place of residence (for attempts made 5 weeks or later post-earthquake)；(3) most individuals were in a depressive state due to a mood disorder；(4) most used a method(s) that was less likely to result in serious physical injury；and (5) most were hospitalized in the Emergency Center. These findings suggest that efforts to prevent serious suicide attempts must begin immediately after a traumatic event. It is also necessary to provide individuals with both mental and physical treatment, as well as long-term follow-up, in collaboration with key hospitals and/or emergency centers.