Local community intervention through depression screening and group activity for elderly suicide prevention
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Abstract This study aims to evaluate outcomes of a community‐based program to prevent suicide among the elderly (≥65 years old) using a quasi‐experimental design with two neighboring references. During 1999–2004, the program including depression screening and group activity was conducted by the public health nurses in the Minami district (population 1685) of Nagawa town, rural Japan. Pre‐post changes in the risk of completing suicide were estimated by the incidence rate ratios (IRR). The risk for Minami's elderly females was reduced by 74% (age‐adjusted IRR, 0.26; 90% CI, 0.07–0.98) more than the historical trend, while there was no change in the risk of Minami's males and nor in the male or female references. The local intervention using public health nursing would be effective against suicide for elderly females without diffusing to the surroundings.
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Training primary care doctors and nurses to better screen and treat depression, with supplemental psychiatric help, lowered suicide rates.
“Training primary care doctors and nurses at the local and state level to better screen and treat depression with supplemental help available from psychiatrists, lowered suicide rates,(12–19) nonfatal suicide attempts(20, 21) and ideation(22) (Table 2).”
From Improving Suicide Prevention Through Evidence-Based Strategies: A Systematic Review (2021) · cites this paper as [14]
The Introduction (page not specified) describes depression screening by trained public health nurses, and the Discussion reports a 74% reduction in suicide risk among elderly women in the intervention area, but not among men. The intervention also included psychoeducation and group activities; the Discussion says it cannot determine which component accounted for the reduction. The paper does not describe training primary care doctors to screen and treat depression, although it records occasional referrals to psychiatrists. (LLM, conf=0.89)
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Zalsman, G., Hawton, K., Wasserman, D., van Heeringen, K., Arensman, E., Sarchiapone, M., Carli, V., Höschl, C., Barzilay, R., Balazs, J., et al. (2016) · The Lancet Psychiatry · doi:10.1016/s2215-0366(16)30030-x · Cited by 1,765 · see citing works
Improving Suicide Prevention Through Evidence-Based Strategies: A Systematic Review
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A systematic review of elderly suicide prevention programs
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Self-citation
- Authors
- OYAMA, H., ONO, Y., WATANABE, N., TANAKA, E., KUDOH, S., SAKASHITA, T., SAKAMOTO, S., NEICHI, K., SATOH, K., NAKAMURA, K., & YOSHIMURA, K.
- Affiliations
- Aomori University of Health and Welfare (JP)
- Keio University (JP)
- Ohara Memorial Institute for Science of Labour (JP)
- Iwate Prefectural University (JP)
- Nihon University (JP)
- Ministry of Health Labour and Welfare (JP)
- National Cancer Center Research Institute (JP)
- Corresponding author
- OYAMA, HIROFUMI
- Venue
- Psychiatry and Clinical Neurosciences
- Publisher
- Wiley
- Published
- 2006-02
- Volume
- 60
- Issue
- 1
- Pages
- 110-114
- ISSN
- 1323-1316 (ISSN-L)
- 1440-1819
- OpenAlex
- W2091475046
- Cited by
- 57
- References
- 10
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 3 · 2018: 1 · 2017: 3 · 2016: 3 · 2015: 3 · 2014: 4 · 2013: 8
- FWCI
- 4.05
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psychiatry and Clinical Neurosciences (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- depression screening, group activities, community-based intervention, public health nursing, suicide risk, older women, rural Japan
- MeSH terms
- Suicide Prevention, Aged, Aged, 80 and over, Community Mental Health Services, Cross-Sectional Studies, Depressive Disorder, Female, Humans, Japan, Male, Mass Screening, Outcome and Process Assessment, Health Care, Public Health Nursing, Reference Values, Risk, Rural Population, Sex Factors, Suicide, Cohort Studies, Incidence
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