Suicide intervention skills among Japanese medical residents

Daisuke Fujisawa, Yuriko Suzuki, Takahiro A. Kato, Naoki Hashimoto, Ryoko Sato, Kumi Aoyama-Uehara, Maiko Fukasawa, Masayuki Tomita, Koichiro Watanabe, Haruo Kashima, Kotaro Otsuka

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objectives: Patient suicide is a tragic occurrence, and it can be a demoralizing experience for medical residents. Few studies, however, have assessed suicide management skills among these front-line healthcare professionals. This study evaluated the selfassessed competence and confidence of medical residents with regard to the management of potentially suicidal patients and assessed the correlation with the residents' background characteristics. Method: The authors conducted a multicenter, cross-sectional survey of 114 medical residents in Japan, using a modified version of the Suicide Intervention Response Inventory (SIRI22), the Medical Outcomes Study 8-Item Short-Form Health Survey (SF28), and a 5-point Likert scale to assess confidence in suicide management. Results: A majority (89.5%) of the residents rated their confidence in managing suicidal patients as Not At All Confident or Rather Not Confident, although most were close to completing their psychiatric rotation. Results on the SIRI22 suggested intermediate competence in managing suicidal behavior, as compared with that of other healthcare professionals. Competence as indicated by the SIRI22 score was weakly and negatively correlated with the score for self-perceived Vitality on the SF28 scale. Conclusion: Insufficient skills and lack of confidence in the management of suicidal patients was observed in this sample of Japanese medical residents, thus highlighting the need for improved suicide-management programs for junior medical residents in Japanese hospitals.

Original languageEnglish
Pages (from-to)402-407
Number of pages6
JournalAcademic Psychiatry
Volume37
Issue number6
DOIs
Publication statusPublished - 2013 Nov

Fingerprint

Suicide
suicide
resident
Mental Competency
confidence
management
Delivery of Health Care
Health Surveys
Psychiatry
Japan
Cross-Sectional Studies
Outcome Assessment (Health Care)
Equipment and Supplies
lack
health
experience

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Education
  • Medicine(all)

Cite this

Fujisawa, D., Suzuki, Y., Kato, T. A., Hashimoto, N., Sato, R., Aoyama-Uehara, K., ... Otsuka, K. (2013). Suicide intervention skills among Japanese medical residents. Academic Psychiatry, 37(6), 402-407. https://doi.org/10.1176/appi.ap.10110154

Suicide intervention skills among Japanese medical residents. / Fujisawa, Daisuke; Suzuki, Yuriko; Kato, Takahiro A.; Hashimoto, Naoki; Sato, Ryoko; Aoyama-Uehara, Kumi; Fukasawa, Maiko; Tomita, Masayuki; Watanabe, Koichiro; Kashima, Haruo; Otsuka, Kotaro.

In: Academic Psychiatry, Vol. 37, No. 6, 11.2013, p. 402-407.

Research output: Contribution to journalArticle

Fujisawa, D, Suzuki, Y, Kato, TA, Hashimoto, N, Sato, R, Aoyama-Uehara, K, Fukasawa, M, Tomita, M, Watanabe, K, Kashima, H & Otsuka, K 2013, 'Suicide intervention skills among Japanese medical residents', Academic Psychiatry, vol. 37, no. 6, pp. 402-407. https://doi.org/10.1176/appi.ap.10110154
Fujisawa D, Suzuki Y, Kato TA, Hashimoto N, Sato R, Aoyama-Uehara K et al. Suicide intervention skills among Japanese medical residents. Academic Psychiatry. 2013 Nov;37(6):402-407. https://doi.org/10.1176/appi.ap.10110154
Fujisawa, Daisuke ; Suzuki, Yuriko ; Kato, Takahiro A. ; Hashimoto, Naoki ; Sato, Ryoko ; Aoyama-Uehara, Kumi ; Fukasawa, Maiko ; Tomita, Masayuki ; Watanabe, Koichiro ; Kashima, Haruo ; Otsuka, Kotaro. / Suicide intervention skills among Japanese medical residents. In: Academic Psychiatry. 2013 ; Vol. 37, No. 6. pp. 402-407.
@article{c5900101540f4956a420d7ff3930ac13,
title = "Suicide intervention skills among Japanese medical residents",
abstract = "Objectives: Patient suicide is a tragic occurrence, and it can be a demoralizing experience for medical residents. Few studies, however, have assessed suicide management skills among these front-line healthcare professionals. This study evaluated the selfassessed competence and confidence of medical residents with regard to the management of potentially suicidal patients and assessed the correlation with the residents' background characteristics. Method: The authors conducted a multicenter, cross-sectional survey of 114 medical residents in Japan, using a modified version of the Suicide Intervention Response Inventory (SIRI22), the Medical Outcomes Study 8-Item Short-Form Health Survey (SF28), and a 5-point Likert scale to assess confidence in suicide management. Results: A majority (89.5{\%}) of the residents rated their confidence in managing suicidal patients as Not At All Confident or Rather Not Confident, although most were close to completing their psychiatric rotation. Results on the SIRI22 suggested intermediate competence in managing suicidal behavior, as compared with that of other healthcare professionals. Competence as indicated by the SIRI22 score was weakly and negatively correlated with the score for self-perceived Vitality on the SF28 scale. Conclusion: Insufficient skills and lack of confidence in the management of suicidal patients was observed in this sample of Japanese medical residents, thus highlighting the need for improved suicide-management programs for junior medical residents in Japanese hospitals.",
author = "Daisuke Fujisawa and Yuriko Suzuki and Kato, {Takahiro A.} and Naoki Hashimoto and Ryoko Sato and Kumi Aoyama-Uehara and Maiko Fukasawa and Masayuki Tomita and Koichiro Watanabe and Haruo Kashima and Kotaro Otsuka",
year = "2013",
month = "11",
doi = "10.1176/appi.ap.10110154",
language = "English",
volume = "37",
pages = "402--407",
journal = "Academic Psychiatry",
issn = "1042-9670",
publisher = "American Psychiatric Publishing Inc.",
number = "6",

}

TY - JOUR

T1 - Suicide intervention skills among Japanese medical residents

AU - Fujisawa, Daisuke

AU - Suzuki, Yuriko

AU - Kato, Takahiro A.

AU - Hashimoto, Naoki

AU - Sato, Ryoko

AU - Aoyama-Uehara, Kumi

AU - Fukasawa, Maiko

AU - Tomita, Masayuki

AU - Watanabe, Koichiro

AU - Kashima, Haruo

AU - Otsuka, Kotaro

PY - 2013/11

Y1 - 2013/11

N2 - Objectives: Patient suicide is a tragic occurrence, and it can be a demoralizing experience for medical residents. Few studies, however, have assessed suicide management skills among these front-line healthcare professionals. This study evaluated the selfassessed competence and confidence of medical residents with regard to the management of potentially suicidal patients and assessed the correlation with the residents' background characteristics. Method: The authors conducted a multicenter, cross-sectional survey of 114 medical residents in Japan, using a modified version of the Suicide Intervention Response Inventory (SIRI22), the Medical Outcomes Study 8-Item Short-Form Health Survey (SF28), and a 5-point Likert scale to assess confidence in suicide management. Results: A majority (89.5%) of the residents rated their confidence in managing suicidal patients as Not At All Confident or Rather Not Confident, although most were close to completing their psychiatric rotation. Results on the SIRI22 suggested intermediate competence in managing suicidal behavior, as compared with that of other healthcare professionals. Competence as indicated by the SIRI22 score was weakly and negatively correlated with the score for self-perceived Vitality on the SF28 scale. Conclusion: Insufficient skills and lack of confidence in the management of suicidal patients was observed in this sample of Japanese medical residents, thus highlighting the need for improved suicide-management programs for junior medical residents in Japanese hospitals.

AB - Objectives: Patient suicide is a tragic occurrence, and it can be a demoralizing experience for medical residents. Few studies, however, have assessed suicide management skills among these front-line healthcare professionals. This study evaluated the selfassessed competence and confidence of medical residents with regard to the management of potentially suicidal patients and assessed the correlation with the residents' background characteristics. Method: The authors conducted a multicenter, cross-sectional survey of 114 medical residents in Japan, using a modified version of the Suicide Intervention Response Inventory (SIRI22), the Medical Outcomes Study 8-Item Short-Form Health Survey (SF28), and a 5-point Likert scale to assess confidence in suicide management. Results: A majority (89.5%) of the residents rated their confidence in managing suicidal patients as Not At All Confident or Rather Not Confident, although most were close to completing their psychiatric rotation. Results on the SIRI22 suggested intermediate competence in managing suicidal behavior, as compared with that of other healthcare professionals. Competence as indicated by the SIRI22 score was weakly and negatively correlated with the score for self-perceived Vitality on the SF28 scale. Conclusion: Insufficient skills and lack of confidence in the management of suicidal patients was observed in this sample of Japanese medical residents, thus highlighting the need for improved suicide-management programs for junior medical residents in Japanese hospitals.

UR - http://www.scopus.com/inward/record.url?scp=84887958946&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84887958946&partnerID=8YFLogxK

U2 - 10.1176/appi.ap.10110154

DO - 10.1176/appi.ap.10110154

M3 - Article

VL - 37

SP - 402

EP - 407

JO - Academic Psychiatry

JF - Academic Psychiatry

SN - 1042-9670

IS - 6

ER -