Development of a 2-h suicide prevention program for medical staff including nurses and medical residents: A two-center pilot trial

Yukako Nakagami, Hiroaki Kubo, Ryoko Katsuki, Tomomichi Sakai, Genichi Sugihara, Chisako Naito, Hiroyuki Oda, Kohei Hayakawa, Yuriko Suzuki, Daisuke Fujisawa, Naoki Hashimoto, Keiji Kobara, Tetsuji Cho, Hironori Kuga, Kiyoshi Takao, Yoko Kawahara, Yumi Matsumura, Toshiya Murai, Koichi Akashi, Shigenobu KanbaKotaro Otsuka, Takahiro A. Kato

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background Suicide is a crucial global health concern and effective suicide prevention has long been warranted. Mental illness, especially depression is the highest risk factor of suicide. Suicidal risk is increased in people not only with mental illness but also with physical illnesses, thus medical staff caring for physically-ill patients are also required to manage people with suicidal risk. In the present study, we evaluated our newly developed suicide intervention program among medical staff. Methods We developed a 2-h suicide intervention program for medical staff, based on the Mental Health First Aid (MHFA), which had originally been developed for the general population. We conducted this program for 74 medical staff members from 2 hospitals. Changes in knowledge, perceived skills, and confidence in early intervention of depression and suicide-prevention were evaluated using self-reported questionnaires at 3 points; pre-program, immediately after the program, and 1 month after program. Results This suicide prevention program had significant effects on improving perceived skills and confidence especially among nurses and medical residents. These significant effects lasted even 1 month after the program. Limitations Design was a single-arm study with relatively small sample size and short-term follow up. Conclusions The present study suggests that the major target of this effective program is nurses and medical residents. Future research is required to validate the effects of the program with control groups, and also to assess long-term effectiveness and actual reduction in suicide rates.

Original languageEnglish
Pages (from-to)569-576
Number of pages8
JournalJournal of Affective Disorders
Volume225
DOIs
Publication statusPublished - 2018 Jan 1

Fingerprint

Medical Staff
Suicide
Nurses
Depression
First Aid
Sample Size
Mental Health
Control Groups
Population

Keywords

  • Depression
  • Medical resident
  • Medical staff
  • Mental health first aid (MHFA)
  • Nurse
  • Suicide prevention

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Development of a 2-h suicide prevention program for medical staff including nurses and medical residents : A two-center pilot trial. / Nakagami, Yukako; Kubo, Hiroaki; Katsuki, Ryoko; Sakai, Tomomichi; Sugihara, Genichi; Naito, Chisako; Oda, Hiroyuki; Hayakawa, Kohei; Suzuki, Yuriko; Fujisawa, Daisuke; Hashimoto, Naoki; Kobara, Keiji; Cho, Tetsuji; Kuga, Hironori; Takao, Kiyoshi; Kawahara, Yoko; Matsumura, Yumi; Murai, Toshiya; Akashi, Koichi; Kanba, Shigenobu; Otsuka, Kotaro; Kato, Takahiro A.

In: Journal of Affective Disorders, Vol. 225, 01.01.2018, p. 569-576.

Research output: Contribution to journalArticle

Nakagami, Y, Kubo, H, Katsuki, R, Sakai, T, Sugihara, G, Naito, C, Oda, H, Hayakawa, K, Suzuki, Y, Fujisawa, D, Hashimoto, N, Kobara, K, Cho, T, Kuga, H, Takao, K, Kawahara, Y, Matsumura, Y, Murai, T, Akashi, K, Kanba, S, Otsuka, K & Kato, TA 2018, 'Development of a 2-h suicide prevention program for medical staff including nurses and medical residents: A two-center pilot trial', Journal of Affective Disorders, vol. 225, pp. 569-576. https://doi.org/10.1016/j.jad.2017.08.074
Nakagami, Yukako ; Kubo, Hiroaki ; Katsuki, Ryoko ; Sakai, Tomomichi ; Sugihara, Genichi ; Naito, Chisako ; Oda, Hiroyuki ; Hayakawa, Kohei ; Suzuki, Yuriko ; Fujisawa, Daisuke ; Hashimoto, Naoki ; Kobara, Keiji ; Cho, Tetsuji ; Kuga, Hironori ; Takao, Kiyoshi ; Kawahara, Yoko ; Matsumura, Yumi ; Murai, Toshiya ; Akashi, Koichi ; Kanba, Shigenobu ; Otsuka, Kotaro ; Kato, Takahiro A. / Development of a 2-h suicide prevention program for medical staff including nurses and medical residents : A two-center pilot trial. In: Journal of Affective Disorders. 2018 ; Vol. 225. pp. 569-576.
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AU - Nakagami, Yukako

AU - Kubo, Hiroaki

AU - Katsuki, Ryoko

AU - Sakai, Tomomichi

AU - Sugihara, Genichi

AU - Naito, Chisako

AU - Oda, Hiroyuki

AU - Hayakawa, Kohei

AU - Suzuki, Yuriko

AU - Fujisawa, Daisuke

AU - Hashimoto, Naoki

AU - Kobara, Keiji

AU - Cho, Tetsuji

AU - Kuga, Hironori

AU - Takao, Kiyoshi

AU - Kawahara, Yoko

AU - Matsumura, Yumi

AU - Murai, Toshiya

AU - Akashi, Koichi

AU - Kanba, Shigenobu

AU - Otsuka, Kotaro

AU - Kato, Takahiro A.

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N2 - Background Suicide is a crucial global health concern and effective suicide prevention has long been warranted. Mental illness, especially depression is the highest risk factor of suicide. Suicidal risk is increased in people not only with mental illness but also with physical illnesses, thus medical staff caring for physically-ill patients are also required to manage people with suicidal risk. In the present study, we evaluated our newly developed suicide intervention program among medical staff. Methods We developed a 2-h suicide intervention program for medical staff, based on the Mental Health First Aid (MHFA), which had originally been developed for the general population. We conducted this program for 74 medical staff members from 2 hospitals. Changes in knowledge, perceived skills, and confidence in early intervention of depression and suicide-prevention were evaluated using self-reported questionnaires at 3 points; pre-program, immediately after the program, and 1 month after program. Results This suicide prevention program had significant effects on improving perceived skills and confidence especially among nurses and medical residents. These significant effects lasted even 1 month after the program. Limitations Design was a single-arm study with relatively small sample size and short-term follow up. Conclusions The present study suggests that the major target of this effective program is nurses and medical residents. Future research is required to validate the effects of the program with control groups, and also to assess long-term effectiveness and actual reduction in suicide rates.

AB - Background Suicide is a crucial global health concern and effective suicide prevention has long been warranted. Mental illness, especially depression is the highest risk factor of suicide. Suicidal risk is increased in people not only with mental illness but also with physical illnesses, thus medical staff caring for physically-ill patients are also required to manage people with suicidal risk. In the present study, we evaluated our newly developed suicide intervention program among medical staff. Methods We developed a 2-h suicide intervention program for medical staff, based on the Mental Health First Aid (MHFA), which had originally been developed for the general population. We conducted this program for 74 medical staff members from 2 hospitals. Changes in knowledge, perceived skills, and confidence in early intervention of depression and suicide-prevention were evaluated using self-reported questionnaires at 3 points; pre-program, immediately after the program, and 1 month after program. Results This suicide prevention program had significant effects on improving perceived skills and confidence especially among nurses and medical residents. These significant effects lasted even 1 month after the program. Limitations Design was a single-arm study with relatively small sample size and short-term follow up. Conclusions The present study suggests that the major target of this effective program is nurses and medical residents. Future research is required to validate the effects of the program with control groups, and also to assess long-term effectiveness and actual reduction in suicide rates.

KW - Depression

KW - Medical resident

KW - Medical staff

KW - Mental health first aid (MHFA)

KW - Nurse

KW - Suicide prevention

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