Community-based prevention for suicide in elderly by depression screening and follow-up
The aim of the study was to evaluate the outcome of a community-based prevention program against suicides among the elderly aged 65 and over in the Japanese rural town of Joboji (population 7,010), using a quasi-experimental design with two neighboring control areas. During the 10-year implementatio...
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Veröffentlicht in: | Community mental health journal 2004-06, Vol.40 (3), p.249-263 |
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description | The aim of the study was to evaluate the outcome of a community-based prevention program against suicides among the elderly aged 65 and over in the Japanese rural town of Joboji (population 7,010), using a quasi-experimental design with two neighboring control areas. During the 10-year implementation of the program based on strategies including screening for depression, follow up with mental health care or psychiatric treatment and health education on depression, the relative risks estimated by the age-adjusted odds ratios for both males and females were reduced to almost one quarter more than a regional historical trend, with a better response to education for females than for males. A community-based management for later-life depression with mental health care supported by the psychiatric treatment can be effective against suicide among the elderly for both males and females. |
doi_str_mv | 10.1023/b:comh.0000026998.29212.17 |
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During the 10-year implementation of the program based on strategies including screening for depression, follow up with mental health care or psychiatric treatment and health education on depression, the relative risks estimated by the age-adjusted odds ratios for both males and females were reduced to almost one quarter more than a regional historical trend, with a better response to education for females than for males. A community-based management for later-life depression with mental health care supported by the psychiatric treatment can be effective against suicide among the elderly for both males and females.</description><identifier>ISSN: 0010-3853</identifier><identifier>EISSN: 1573-2789</identifier><identifier>DOI: 10.1023/b:comh.0000026998.29212.17</identifier><identifier>PMID: 15259630</identifier><identifier>CODEN: CMHJAY</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>Aged ; Aged, 80 and over ; Analysis ; Community based preventive programmes ; Community Health Services ; Depression ; Depression - diagnosis ; Elderly people ; Female ; Females ; Health Education ; Health facilities ; Health Services Research ; Humans ; Japan ; Learning activities ; Longitudinal Studies ; Male ; Medical screening ; Mental depression ; Mental health ; Mental health care ; Mortality ; Older people ; Population ; Prevention ; Psychiatrists ; Public health ; Quasi-experimental methods ; Questionnaires ; Rural areas ; Screening ; Sociodemographics ; Suicide ; Suicide - prevention & control ; Suicide - statistics & numerical data ; Suicides & suicide attempts ; Surveys and Questionnaires</subject><ispartof>Community mental health journal, 2004-06, Vol.40 (3), p.249-263</ispartof><rights>Copyright Kluwer Academic Publishers Jun 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c496t-f74b5f29fd89fa3911a8f178261514eb92141db3d2030d59fcdbb9d8f313017f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,12846,27344,27924,27925,30999,31000,33774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15259630$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oyama, Hirofumi</creatorcontrib><creatorcontrib>Koida, Junichi</creatorcontrib><creatorcontrib>Sakashita, Tomoe</creatorcontrib><creatorcontrib>Kudo, Keiko</creatorcontrib><title>Community-based prevention for suicide in elderly by depression screening and follow-up</title><title>Community mental health journal</title><addtitle>Community Ment Health J</addtitle><description>The aim of the study was to evaluate the outcome of a community-based prevention program against suicides among the elderly aged 65 and over in the Japanese rural town of Joboji (population 7,010), using a quasi-experimental design with two neighboring control areas. During the 10-year implementation of the program based on strategies including screening for depression, follow up with mental health care or psychiatric treatment and health education on depression, the relative risks estimated by the age-adjusted odds ratios for both males and females were reduced to almost one quarter more than a regional historical trend, with a better response to education for females than for males. A community-based management for later-life depression with mental health care supported by the psychiatric treatment can be effective against suicide among the elderly for both males and females.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis</subject><subject>Community based preventive programmes</subject><subject>Community Health Services</subject><subject>Depression</subject><subject>Depression - diagnosis</subject><subject>Elderly people</subject><subject>Female</subject><subject>Females</subject><subject>Health Education</subject><subject>Health facilities</subject><subject>Health Services Research</subject><subject>Humans</subject><subject>Japan</subject><subject>Learning activities</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical screening</subject><subject>Mental depression</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mortality</subject><subject>Older people</subject><subject>Population</subject><subject>Prevention</subject><subject>Psychiatrists</subject><subject>Public health</subject><subject>Quasi-experimental methods</subject><subject>Questionnaires</subject><subject>Rural areas</subject><subject>Screening</subject><subject>Sociodemographics</subject><subject>Suicide</subject><subject>Suicide - prevention & control</subject><subject>Suicide - statistics & numerical data</subject><subject>Suicides & suicide attempts</subject><subject>Surveys and Questionnaires</subject><issn>0010-3853</issn><issn>1573-2789</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkT1PwzAQhi0EouXjL6CoA1uKz45juxtUQJFALCBGK45tSJXYxW5A_fekUAmJhVtued47vXoQmgCeAib0Qs_q0L1N8XZIKaWYEkmATIHvoTEwTnPChdxHY4wB51QwOkJHKS0HnAHwQzQCRpgsKR6jl3nout43602uq2RNtor2w_p1E3zmQsxS39SNsVnjM9saG9tNpjeZsQOW0hZKdbTWN_41q7wZIm0bPvN-dYIOXNUme7rbx-j55vppvsjvH2_v5pf3eV3Icp07XmjmiHRGSFdRCVAJB1yQEhgUVg-9CjCaGoIpNky62mgtjXAUKAbu6DE6_7m7iuG9t2mtuibVtm0rb0OfVFlyggHgX5BxTAuBywGc_AGXoY9-KKEIERQwLsQAzX6gOoaUonVqFZuuihsFWG0lqSs1f3xYqF9J6luSAj6Ez3Yfet1Z8xvdWaFfGcSOSw</recordid><startdate>200406</startdate><enddate>200406</enddate><creator>Oyama, Hirofumi</creator><creator>Koida, Junichi</creator><creator>Sakashita, Tomoe</creator><creator>Kudo, Keiko</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7U3</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHHNA</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K60</scope><scope>K6~</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>M0C</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>200406</creationdate><title>Community-based prevention for suicide in elderly by depression screening and follow-up</title><author>Oyama, Hirofumi ; Koida, Junichi ; Sakashita, Tomoe ; Kudo, Keiko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c496t-f74b5f29fd89fa3911a8f178261514eb92141db3d2030d59fcdbb9d8f313017f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis</topic><topic>Community based preventive programmes</topic><topic>Community Health Services</topic><topic>Depression</topic><topic>Depression - 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subjects | Aged Aged, 80 and over Analysis Community based preventive programmes Community Health Services Depression Depression - diagnosis Elderly people Female Females Health Education Health facilities Health Services Research Humans Japan Learning activities Longitudinal Studies Male Medical screening Mental depression Mental health Mental health care Mortality Older people Population Prevention Psychiatrists Public health Quasi-experimental methods Questionnaires Rural areas Screening Sociodemographics Suicide Suicide - prevention & control Suicide - statistics & numerical data Suicides & suicide attempts Surveys and Questionnaires |
title | Community-based prevention for suicide in elderly by depression screening and follow-up |
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