Cited by 107Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseMental Health Treatment and Access

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Community‐based suicide prevention through group activity for the elderly successfully reduced the high suicide rate for females

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OYAMA, HIROFUMI, WATANABE, NAOKI, ONO, YUTAKA, SAKASHITA, TOMOE, TAKENOSHITA, YUKA, TAGUCHI, MANABU, TAKIZAWA, TOHRU, MIURA, REIKO, KUMAGAI, KEIKO·2005·Psychiatry and Clinical Neurosciences

DOI 10.1111/j.1440-1819.2005.01379.x

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Abstract

Abstract The lack of social support is the most common risk factor for late‐life suicide. Few previous community‐based interventions against the lack of social relationships reduced suicide. This study aims to evaluate outcomes of a community‐based prevention program against suicide amongst the elderly in rural Japan. During 1995–2002, the program based on population strategy including group activity, psychoeducation and self‐assessment of depression but no screening for depression, was implemented for elderly residents in Yuri town, Japan (5‐year average population 6817; 5‐year average suicide rate [≥65 years old] 291.4/10 5 ). Changes in the relative risk of suicide for individuals (≥65 years old) before and after the 8‐year implementation were estimated by the incidence rate ratio (IRR), using a quasi‐experimental design with a neighboring reference, Chokai town, Japan (5‐year average population 8136; 5‐year average suicide rate [≥65 years old] 216.5/10 5 ). The risk of elderly females in Yuri completing suicide was reduced by 76% (age‐adjusted IRR, 0.24; 95% CI, 0.10–0.58), while there was no change in the risks for Yuri's elderly males and both Chokai's elderly males and females. General loglinear analysis estimated a ratio of the female IRR in Yuri to that in its Akita prefecture of 0.35 (95% CI, 0.14–0.84), showing that the reduction of the risk in the intervention area was greater than a historical trend. A community‐based suicide prevention through a group intervention designed to increase knowledge and to cultivate social relationships would be effective for elderly females but not males.

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Authors: OYAMA, H., WATANABE, N., ONO, Y., SAKASHITA, T., TAKENOSHITA, Y., TAGUCHI, M., TAKIZAWA, T., MIURA, R., & KUMAGAI, K.
Affiliations: Ritsumeikan University (JP)
Keio University (JP)
St. Marianna University School of Medicine (JP)
Hachinohe Gakuin Junior College (JP)
Corresponding author: OYAMA, HIROFUMI
ORCID: WATANABE, NAOKI
ONO, YUTAKA
Venue: Psychiatry and Clinical Neurosciences
Publisher: Wiley
Published: 2005-05-16
Volume: 59
Issue: 3
Pages: 337-344
ISSN: 1323-1316 (ISSN-L)
1440-1819
DOI: 10.1111/j.1440-1819.2005.01379.x
OpenAlex: W2153322844
Cited by: 107
References: 16
Citations by year: 2026: 2 · 2025: 4 · 2024: 4 · 2023: 4 · 2022: 6 · 2021: 4 · 2020: 4 · 2019: 6 · 2018: 2 · 2017: 6 · 2016: 8 · 2015: 4 · 2014: 8 · 2013: 6 · 2012: 9
FWCI: 5.76
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Psychiatry and Clinical Neurosciences (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords: suicide prevention, older adults, older women, group activities, social support, interpersonal relationships, community-based intervention, psychoeducation, rural Japan, suicide rates, sex differences
MeSH terms: Suicide Prevention, Age Factors, Aged, Community Health Services, Depression, Female, Humans, Japan, Sex Factors, Suicide, Program Evaluation, Risk Assessment

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Community‐based suicide prevention through group activity for the elderly successfully reduced the high suicide rate for females

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