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Inpatient suicide: situation, preventive measure, and education for medical staff

Research Project

Project/Area Number 26461771
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Psychiatric science
Research InstitutionSapporo Medical University

Principal Investigator

Kawanishi Chiaki  札幌医科大学, 医学部, 教授 (50315769)

Co-Investigator(Kenkyū-buntansha) 大塚 耕太郎  岩手医科大学, 医学部, 教授 (00337156)
Research Collaborator INOUE Keisuke  
Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2014: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords自殺予防 / 重大医療事故 / 医療安全 / メンタルヘルス / 教育 / 悲嘆ケア / 多職種チーム / がん
Outline of Final Research Achievements

Suicide is a common severe accident in hospitals. We aimed to examine the situation of inpatients suicide and post-suicide in Japanese hospitals. We conducted a questionnaire survey and analyzed according to the category of hospitals, such as general hospitals with and without a psychiatric ward, and psychiatric hospitals. As a result, 529 responded the survey (response rate: 38.4%). One hundred and seven suicides occurred in 83/432 general hospitals without psychiatric ward during April 2012-March 2015. Seventy-four suicides occurred in 42/63 general hospitals with psychiatric ward. And eighty-one suicides occurred in 27/34 psychiatric hospitals. Fifty percent of all suicides were of cancer patients out of psychiatric settings in general hospitals. Our study also found the lack of care for medical staff in charge of patients who died buy suicide. The hospitals and personnel experienced various kinds of problem on suicide occurrence.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (39 results)

All 2017 2016 2015 2014

All Journal Article (18 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 12 results,  Acknowledgement Compliant: 1 results,  Open Access: 4 results) Presentation (15 results) (of which Int'l Joint Research: 3 results,  Invited: 4 results) Book (6 results)

  • [Journal Article] A large scale survey of inpatient suicides: comparison between medical and psychiatric settings.2017

    • Author(s)
      Inoue K, Kawanishi C, Otsuka K, Cho Y, Shiraishi M, Ishii T, Onishi H, Hirayasu Y
    • Journal Title

      Psychiatry Research

      Volume: 250 Pages: 155-158

    • DOI

      10.1016/j.psychres.2017.01.076

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] 科学的根拠を踏まえた新しい自殺未遂者ケアのアプローチ2017

    • Author(s)
      河西千秋
    • Journal Title

      患者安全推進ジャーナル

      Volume: 31 Pages: 22-25

    • Related Report
      2016 Annual Research Report
  • [Journal Article] 双極性障害の自殺リスクと予防2017

    • Author(s)
      橋本恵理,田山真矢,古瀬研吾,河西千秋
    • Journal Title

      Current Therapy

      Volume: 35 Pages: 53-57

    • Related Report
      2016 Annual Research Report
  • [Journal Article] 救命救急センターに搬送された自殺未遂者の自殺企図の再発防止に対する複合的ケース・マネージメントに関する研修2017

    • Author(s)
      河西千秋
    • Journal Title

      精神科臨床Legato

      Volume: 3 Pages: 11-13

    • Related Report
      2016 Annual Research Report
  • [Journal Article] 特集 認知症の人の認知機能障害,生活障害,行動・心理症状の構造 血管性認知症の認知機能障害,行動・心理障害および生活障害の構造2016

    • Author(s)
      中野倫仁,小林清樹,岩本倫,牧野愛恵,河西千秋
    • Journal Title

      精神医学

      Volume: 58 Issue: 11 Pages: 953-958

    • DOI

      10.11477/mf.1405205270

    • ISSN
      0488-1281, 1882-126X
    • Year and Date
      2016-11-15
    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 病院内の入院患者の自殺事故調査2016

    • Author(s)
      河西千秋、井上佳祐、大塚耕太郎、大西秀樹、加藤大慈、杉山直也、張賢徳、花井恵子、稗田里香、竜トシ子
    • Journal Title

      患者安全推進ジャーナル

      Volume: 45 Pages: 83-91

    • Related Report
      2016 Annual Research Report
  • [Journal Article] 一般救急と精神科の連携:自殺未遂者ケアのいま2016

    • Author(s)
      河西千秋,石井貴男,井上佳祐,白石将毅,木川昌義
    • Journal Title

      最新医学

      Volume: 71 Pages: 1567-1571

    • Related Report
      2016 Annual Research Report
  • [Journal Article] Care for Suicide Attempters : A Report from the Strategic Research for Suicide Prevention, ACTION-J2016

    • Author(s)
      河西千秋
    • Journal Title

      Japanese Journal of Psychosomatic Medicine

      Volume: 56 Issue: 8 Pages: 801-805

    • DOI

      10.15064/jjpm.56.8_801

    • NAID

      130005254845

    • ISSN
      0385-0307, 2189-5996
    • Related Report
      2016 Annual Research Report
  • [Journal Article] 横浜市立大学附属市民総合医療センター救命救急センターに搬送された自殺企図者の転帰に関する調査2015

    • Author(s)
      井上佳祐,河西千秋,日野耕介,伊藤翼,高橋雄一,小田原俊成,平安良雄
    • Journal Title

      神奈川精神誌

      Volume: 64 Pages: 3-7

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] 救急医療を起点とするエビデンスに基づく自殺未遂者ケア:ACTION-J試験の成果と課題2015

    • Author(s)
      川島義高, 河西千秋, 衞藤暢明, 山田光彦
    • Journal Title

      精神医学

      Volume: 57 Pages: 523-529

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] 特殊な病態への対応:自殺企図・自殺念慮2015

    • Author(s)
      河西千秋,井上佳祐
    • Journal Title

      内科

      Volume: 115 Pages: 253-257

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] 自殺対策のための戦略研究ACTION-J:post-ACTION-Jの現状と課題2015

    • Author(s)
      河西千秋,川島義高,衞藤暢明,山田光彦
    • Journal Title

      自殺予防と危機介入

      Volume: 35 Pages: 18-19

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] 急性薬物中毒の心理社会的要因と患者へのアプローチ2015

    • Author(s)
      井上佳祐,河西千秋,米本直裕,山田光彦,平安良雄
    • Journal Title

      薬局

      Volume: 66 Pages: 22-25

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] 自殺対策のための戦略研究ACTION-J:その成果と施策化への進捗2015

    • Author(s)
      河西千秋,安東友子,川島義高,山田光彦
    • Journal Title

      自殺予防と危機介入

      Volume: 36 Pages: 21-25

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Interventuions to repeat suicidal behavior in patients admitted to an emergency department for a suicide attempt: a systematic review and meta-analysis.2014

    • Author(s)
      Inagaki M, Kawashima Y, Kawanishi C, Yonemoto N, Sugimoto T, Furuno T, Ikeshita K, Etoh N, Tachikawa H, Shiraishi Y, Yamada M
    • Journal Title

      J Affect Disorder

      Volume: Epub Pages: 66-78

    • DOI

      10.1016/j.jad.2014.12.048

    • Related Report
      2015 Research-status Report 2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effectiveness of assertive case management for suicide attempters who were admitted to emergency departments: a randomised controlled multicentre trial in Japan, ACTION-J.2014

    • Author(s)
      Kawanishi C, Aruga T, Ishizuka N, Yonemoto N, Otsuka K, Kamijo Y, Okubo Y, Ikeshita K, Sakai A, Miyaoka H, Hitomi Y, Iwakuma A, Kinoshita T, Akiyoshi J, Horikawa N, Hirotsune H, Eto N, Iwata N, Kohno M, Iwanami A, Mimura M, Asada T, Hirayasu Y
    • Journal Title

      Lancet Psychiatry

      Volume: 1 Issue: 1 Pages: 193-201

    • DOI

      10.1186/1471-2458-9-364

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effects of a training workshop on suicide prevention among emergency room nurses.2014

    • Author(s)
      Kishi Y, Otsuka K, Akiyama K, Yamada T, Sakamoto Y, Yanagisawa Y, Morimura H, Kawanishi C, Higashioka H, Miyake Y, Thurber S
    • Journal Title

      Crisis

      Volume: 35 Issue: 5 Pages: 357-361

    • DOI

      10.1027/0227-5910/a000268

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 医学教育における精神医学の知識習得と精神障害者に対する態度との関連.2014

    • Author(s)
      大山寧寧,河西千秋,平安良雄
    • Journal Title

      精神医学

      Volume: 56 Pages: 293-298

    • NAID

      40020046505

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 性同一性障害当事者のカムアウトの状況と心理的困難との関係2017

    • Author(s)
      森下真祈子、池田官司、田山真矢、小笠原雅美、新井田愛美、古瀬研吾、江本雄泰、橋本恵理、河西千秋
    • Organizer
      GID学会
    • Place of Presentation
      札幌医科大学(北海道札幌市)
    • Related Report
      2016 Annual Research Report
  • [Presentation] Suicide prevention for suicide attempters: oucomes of ACTION-J and the process to make it a suicide prevention policy.2016

    • Author(s)
      Kawanishi C
    • Organizer
      7th. Asia Pacific Regional Conference of the International Association for Suicide Prevention
    • Place of Presentation
      東京コンベンションホール(東京都中央区)
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Suicide attempt by gender identity disorder patient with psychotic symptoms.2016

    • Author(s)
      Emoto Y, Ikeda H, Furuse K, Ogasawara M, Morishita M, Niida M, Kawanishi C
    • Organizer
      7th. Asia Pacific Regional Conference of the International Association for Suicide Prevention
    • Place of Presentation
      東京コンベンションホール(東京都中央区)
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 入院患者の自殺事故後の対応とスタッフ・ケア2016

    • Author(s)
      河西千秋
    • Organizer
      日本サイコオンコロジー学会
    • Place of Presentation
      札幌コンベンションセンター(北海道札幌市)
    • Related Report
      2016 Annual Research Report
  • [Presentation] 入院患者の自殺予防と事後対応,スタッフ・ケア2016

    • Author(s)
      河西千秋
    • Organizer
      第5回日本精神科医学会
    • Place of Presentation
      仙台国際センター(宮城県仙台市)
    • Related Report
      2016 Annual Research Report
  • [Presentation] 精神科と救急医学科の連携:ACTION-J介入モデルの診療報酬化と自殺未遂者ケアの展望2016

    • Author(s)
      河西千秋
    • Organizer
      第29回日本総合病院精神医学会
    • Place of Presentation
      日本教育会館(東京都千代田区)
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] ハイリスク者の自殺予防2016

    • Author(s)
      河西千秋
    • Organizer
      第40回日本自殺予防学会
    • Place of Presentation
      東京コンベンションホール(東京都中央区)
    • Related Report
      2016 Annual Research Report
  • [Presentation] 積極的かつ個別性の高いケース・マネージメント介入は自殺再企図を抑止する:ACTION-Jの成果と展開2016

    • Author(s)
      河西千秋
    • Organizer
      第112回日本精神神経学会
    • Place of Presentation
      幕張メッセ(千葉県千葉市)
    • Related Report
      2016 Annual Research Report
  • [Presentation] 自殺予防とメンタルヘルス2016

    • Author(s)
      河西千秋
    • Organizer
      第20回日本精神保健・予防学会
    • Place of Presentation
      京王プラザホテル(東京都新宿区)
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] 自殺予防の実践と課題2016

    • Author(s)
      河西千秋
    • Organizer
      第51回アルコール・アディクション医学会
    • Place of Presentation
      タワーホール船堀(東京都江戸川区)
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] 医療における自殺予防の最新知見2016

    • Author(s)
      河西千秋
    • Organizer
      第34回日本森田療法学会
    • Place of Presentation
      大田区産業プラザ(東京都大田区)
    • Related Report
      2016 Annual Research Report
  • [Presentation] 医療事故後の当事者への心理教育2016

    • Author(s)
      河西千秋
    • Organizer
      平成28年度日本精神神経学会生涯教育研修会(北海道精神神経学会)
    • Place of Presentation
      札幌医科大学(北海道札幌市)
    • Related Report
      2016 Annual Research Report
  • [Presentation] Effectiveness of an assertive case management intervention for suicide attempters who were admitted to emergency departments (Action-J)2015

    • Author(s)
      Kawanishi C
    • Organizer
      27th. World Congress of the International Association for Suicide Prevention
    • Place of Presentation
      モントリオール、カナダ
    • Year and Date
      2015-06-19
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] General hospital suicide in Japan: situation and preventive measure.2014

    • Author(s)
      Chiaki Kawanishi, Kotaro Otsuka
    • Organizer
      15th European Symposium on Suicide and Suicidal Behaviour
    • Place of Presentation
      Tallinn
    • Year and Date
      2014-08-27 – 2014-08-30
    • Related Report
      2014 Research-status Report
  • [Presentation] The effectiveness of the training course for prevention and postvention for hospital suicide.2014

    • Author(s)
      Keisuke Inoue, Chiaki Kawanishi, Kotaro Otsuka, Daiji Kato, Michio Hashimoto
    • Organizer
      15th European Symposium on Suicide and Suicidal Behaviour
    • Place of Presentation
      Tallinn
    • Year and Date
      2014-08-27 – 2014-08-30
    • Related Report
      2014 Research-status Report
  • [Book] 今日の治療指針2017

    • Author(s)
      河西千秋(監修:福井次矢他)
    • Total Pages
      1999
    • Publisher
      医学書院
    • Related Report
      2016 Annual Research Report
  • [Book] 精神医学テキスト2017

    • Author(s)
      河西千秋(監修:上島国利他)
    • Total Pages
      370
    • Publisher
      南江堂
    • Related Report
      2016 Annual Research Report
  • [Book] プライマリ・ケアでうつを診たら2016

    • Author(s)
      河西千秋、加藤大慈
    • Total Pages
      206
    • Publisher
      羊土社
    • Related Report
      2016 Annual Research Report
  • [Book] よくわかる自殺対策:多分野連携と現場力で「いのち」を守る2015

    • Author(s)
      河西千秋
    • Total Pages
      293
    • Publisher
      ぎょうせい
    • Related Report
      2015 Research-status Report
  • [Book] 精神保健福祉白書2016年版2015

    • Author(s)
      河西千秋
    • Total Pages
      226
    • Publisher
      中央法規出版
    • Related Report
      2015 Research-status Report
  • [Book] 精神科救急医療ガイドライン2015年版2015

    • Author(s)
      河西千秋
    • Total Pages
      190
    • Publisher
      へるす出版
    • Related Report
      2015 Research-status Report

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Published: 2014-04-04   Modified: 2018-03-22  

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