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Cited by 90Suicide and Self-Harm StudiesMental Health Treatment and AccessHealth and Well-being Studies

Effect of community-based intervention using depression screening on elderly suicide risk: A meta-analysis of the evidence from Japan

Oyama, Hirofumi, Sakashita, Tomoe, Ono, Yutaka, Goto, Masahiro, Fujita, Motoi, Koida, Junichi·2008·Community Mental Health Journal
DOI 10.1007/s10597-008-9132-0
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Abstract

A systematic review was undertaken to quantify the effect of community-based depression screening (CDS) with follow-up on the completed suicide risk for residents aged 65 and over. Five quasi-experimental studies in Japanese regions with high suicide rates were included in the meta-analysis. Combined incidence rate ratios (95% confidence intervals) by the Mantel-Haenszel method and by the DerSimonian-Laird method in two homogenous studies implementing the follow-up conducted by psychiatrists were 0.30 (0.13-0.68) and 0.33 (0.14-0.80) in men, and 0.33 (0.19-0.58) and 0.33 (0.19-0.60) in women, respectively; and those in three homogenous studies implementing the follow-up conducted by general practitioners were 0.73 (0.45-1.18) and 0.74 (0.45-1.23) in men, and 0.36 (0.21-0.60) and 0.39 (0.22-0.66) in women, respectively. There are very few studies included, however, to demonstrate an association between CDS and the reduced risk, suggesting gender difference in the effectiveness.

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  • Several quasi-experimental studies of interventions designed to increase social connectedness suggest this is a promising strategy for reducing late-life suicide rates.

    “There are several quasi-experimental studies of interventions designed to increase social connectedness (i.e., the degree to which older adults are connected to family, friends, and their communities) with results suggesting that this is a promising strategy for reducing late-life suicide rates [13,23,24].”

    From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [13]

  • Reduced suicide rates were observed in intervention regions of a Japanese meta-analysis of quasi-experimental depression screening/follow-up studies, particularly in women.

    “Reduced suicide rates were observed in the intervention regions, particularly in women [13].”

    From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [13]

  • In Oyama's meta-analysis of five quasi-experimental studies in Japanese rural regions with high suicide rates (greater than 160 per 100,000), overall risk was significantly reduced in men and women when follow-up was conducted by a psychiatrist, but only in women when follow-up was conducted by general practitioners.

    “Overall, risk was significantly reduced in men and women when follow-up was conducted by a psychiatrist, but only in women when follow-up was conducted by general practitioners.”

    From Suicide in older adults (2011) · cites this paper as [68]

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Authors
Oyama, H., Sakashita, T., Ono, Y., Goto, M., Fujita, M., & Koida, J.
Affiliations
  • Aomori University of Health and Welfare (JP)
  • Keio University (JP)
  • Niigata University (JP)
  • National Hospital Organization Niigata National Hospital (JP)
  • Iwate Prefectural Ichinohe Hospital (JP)
Corresponding author
Oyama, Hirofumi
ORCID
Ono, Yutaka
Venue
Community Mental Health Journal
Publisher
Springer Science and Business Media LLC
Published
2008-03-25
Volume
44
Issue
5
Pages
311-320
ISSN
  • 0010-3853 (ISSN-L)
  • 1573-2789
DOI
10.1007/s10597-008-9132-0
OpenAlex
W1964198737
Cited by
90
References
34
Citations by year
2026: 1 · 2025: 1 · 2024: 5 · 2023: 2 · 2022: 6 · 2021: 4 · 2020: 6 · 2019: 6 · 2018: 3 · 2017: 7 · 2016: 5 · 2015: 7 · 2014: 14 · 2013: 8 · 2012: 5
FWCI
0.57
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Community Mental Health Journal (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
Keywords
depression screening, community-based intervention, elderly suicide, older adults, suicide prevention, gender differences, general practitioners, Japan
MeSH terms
Suicide Prevention, Aged, Depression, Humans, Japan, Mass Screening, Suicide, Risk Assessment

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