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2014 ; 19
(6
): 459-66
Nephropedia Template TP
gab.com Text
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English Wikipedia
Changes in suicide rates in disaster-stricken areas following the Great East
Japan Earthquake and their effect on economic factors: an ecological study
#MMPMID25338317
Orui M
; Harada S
; Hayashi M
Environ Health Prev Med
2014[Nov]; 19
(6
): 459-66
PMID25338317
show ga
OBJECTIVE: Devastating disasters may increase suicide rates due to mental
distress. Previous domestic studies have reported decreased suicide rates among
men following disasters. Few reports are available regarding factors associated
with disasters, making it difficult to discuss how these events affect suicide
rates. This study aimed to observe changes in suicide rates in disaster-stricken
and neighboring areas following the Great East Japan Earthquake, and examine
associations between suicide rates and economic factors. METHODS: Monthly suicide
rates were observed from March 2009 to February 2013, during which time the
earthquake occurred on March, 2011. Data were included from disaster-stricken
(Iwate, Miyagi, and Fukushima Prefectures) and neighboring (control: Aomori,
Akita, and Yamagata Prefectures) areas. The association between changes in
suicide rates and economic variables was evaluated based on the number of
bankruptcy cases and ratio of effective job offers. RESULTS: In disaster-stricken
areas, post-disaster male suicide rates decreased during the 24 months following
the earthquake. This trend differed relative to control areas. Female suicide
rates increased during the first seven months. Multiple regression analysis
showed that bankruptcy cases (? = 0.386, p = 0.038) and ratio of effective job
offers (? = -0.445, p = 0.018) were only significantly associated with male
post-disaster suicide rates in control areas. CONCLUSION: Post-disaster suicide
rates differed by gender following the earthquake. Our findings suggest that
considering gender differences might be important for developing future
post-disaster suicide prevention measures. This ecological study revealed that
increasing effective job offers and decreasing bankruptcy cases can affect
protectively male suicide rates in control areas.