Key result
Occasional emotional stress (RR 3.2; 95% CI 1.3-7.6), difficulty maintaining sleep (RR 2.4), and unhealthy self-rated health (RR 2.6) were associated with increased risk of suicide death.
Why the study?
Does the presence of psychosocial factors increase the risk of suicide death in the general population?
Cohort (n=15,597)
Does the presence of psychosocial factors increase the risk of suicide death in the general population?
Psychosocial factors such as emotional stress, insomnia, and poor self-rated health are significantly associated with an increased risk of suicide death.
May aid suicide risk stratification in primary care; leaves open causal effects and intervention benefits.
The association between many psychosocial factors and risk of suicide was examined. A cohort was conducted over 14 years of follow up among the general population (15,597 people) in Japan. A baseline survey of psychosocial characteristics was conducted by self-administrated questionnaire. The relative risks of occasional emotional stress, difficulty maintaining sleep, and reporting unhealthy as their self-rated health are 3.2 (95% CI: 1.3, 7.6), 2.4 (95% CI: 1.3, 4.3) and 2.6 (95% CI: 1.1, 6.2), respectively. The importance of these observations lie in its potential for improving physician and public awareness of psychosocial factors as an early indication of mental health morbidity.
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Fujino et al. (2005) conducted a cohort in Suicide (n=15,597). Psychosocial factors (emotional stress, insomnia, poor self-rated health) was evaluated on Suicide death (RR 3.2, 95% CI 1.3-7.6). Occasional emotional stress (RR 3.2; 95% CI 1.3-7.6), difficulty maintaining sleep (RR 2.4), and unhealthy self-rated health (RR 2.6) were associated with increased risk of suicide death.
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