Suicide Rates in Evacuation Areas After the Fukushima Daiichi Nuclear Disaster: A 5-Year Follow-Up Study in Fukushima Prefecture
Open accessAbstract
Abstract. Background: Associations between nuclear disasters and suicide have been examined to a limited extent. Aim: To clarify the suicide rates in evacuation areas after the nuclear disaster in Fukushima, which occurred in March 2011. Method: This descriptive study used monthly data from vital statistics between March 2009 and December 2015. Suicide rates in areas to which evacuation orders had been issued, requiring across-the-board, compulsory evacuation of residents from the entire or part of municipalities, were obtained and compared with the national average. Results: Male suicide rates in evacuation areas increased significantly immediately after the disaster, and then began to increase again 4 years after the disaster. Female suicide rates declined slightly during the first year and then increased significantly over the subsequent 3-year period. Moreover, male rates in areas where evacuation orders were issued for the total area declined over the course of approximately 2 years, but then began to increase thereafter. Analysis by age revealed postdisaster male rates in evacuation areas decreased for those aged 50–69 years and increased for those aged ≤ 29 years and ≥ 70 years. Limitations: The number of suicides among females and the female population in the evacuation area was small. Conclusion: Our findings suggest the need to keep in mind that, when providing post-disaster mental health services, suicide rates can eventually increase even if they initially decrease.
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A delayed increase in suicide rates is possible following major disasters.
“Nonetheless, a delayed increase in suicide rates is possible following major disasters [48–50].”
From Impact of the COVID-19 pandemic on suicidal attempts and death rates: a systematic review (2022) · cites this paper as [48]
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- Authors
- Orui, M., Suzuki, Y., Maeda, M., & Yasumura, S.
- Affiliations
- Fukushima Medical University (JP)
- Corresponding author
- Orui, Masatsugu
- Venue
- Crisis
- Publisher
- Hogrefe Publishing Group
- Published
- 2018-09
- Volume
- 39
- Issue
- 5
- Pages
- 353-363
- ISSN
- 0227-5910 (ISSN-L)
- 2151-2396
- PMC
- PMC6263751
- OpenAlex
- W2795935186
- Cited by
- 59
- References
- 27
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 6 · 2023: 7 · 2022: 13 · 2021: 9 · 2020: 10 · 2019: 5 · 2018: 2
- FWCI
- 7.64
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Crisis (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Agency for Natural Resources and Energy
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Physical Sciences › Environmental Science › Global and Planetary Change › Radioactive contamination and transfer
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- suicide rates, Fukushima Daiichi nuclear accident, evacuation orders, nuclear disaster, disaster mental health, sex differences in suicide, age differences in suicide, disaster mental health services
- MeSH terms
- Disasters, Female, Follow-Up Studies, Humans, Japan, Male, Suicide, Earthquakes, Tsunamis, Fukushima Nuclear Accident
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