At the attempted suicides of secondary prevention effect of strengthening medical social worker intervention

Research Project

Project/Area Number	25670316
Research Category	Grant-in-Aid for Challenging Exploratory Research
Allocation Type	Multi-year Fund
Research Field	Hygiene and public health
Research Institution	Osaka University
Principal Investigator	maekawa yoshihiro 大阪大学, 医学部附属病院, 助教 (30624077)
Co-Investigator(Kenkyū-buntansha)	IKEGAWA Hitoshi 大阪大学, 医学部附属病院高度救命救急センター, 助教 (80379198) KAZUI Hiroaki 大阪大学, 大学院医学系研究科精神医学, 講師 (30346217)
Co-Investigator(Renkei-kenkyūsha)	SHIMADU Takeshi 大阪大学, 医学部附属病院高度救命救急センター, 教授 (50196474) RAKUGI Hiromi 大阪大学, 大学院医学系研究科老年・総合内科学, 教授 (20252679)
Project Period (FY)	2013-04-01 – 2016-03-31
Project Status	Completed (Fiscal Year 2015)
Budget Amount *help	¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000) Fiscal Year 2015: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000) Fiscal Year 2014: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000) Fiscal Year 2013: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Keywords	地域医療 / MSW / 自殺再企図 / 二次予防 / 自殺未遂者 / 病診連携 / 地域連携
Outline of Final Research Achievements	We built a medical system , that we consult psychiatrists whole patients to determine the treatment and support , and that medical social worker introduce patients to mental hospital , and that emergency physician indicate to consult psychiatrists to patients.When the patient undergo psychiatric hospital firstly , the medical social worker go with the patient.We know the patient's medical situation and if the patient don’t have a medical examination , we recommend the patient to have a medical examination.As a result , whole cases was consulted to psychiatrists and they find patients who need treatment for being moved to the psychiatric ward.Medical social worker intervened cases in increased ratio of 14%.Whole cases were introduced to mental hospital.