Suicide Rates in Evacuation Areas After the Fukushima Daiichi Nuclear Disaster

Crisis - Tập 39 Số 5 - Trang 353-363 - 2018
Masatsugu Orui1, Yuriko Suzuki2,3, Masaharu Maeda4, Seiji Yasumura1
1Department of Public Health, Fukushima Medical University School of Medicine, Fukushima City, Japan
2Department of Public Health, Fukushima Medical University School of Medicine, Fukushima City, JapanNational Institute of Mental Health, National Center of Neurology and Psychiatry, Department of Adult Mental Health, Tokyo, Japan
3National Institute of Mental Health, National Center of Neurology and Psychiatry, Department of Adult Mental Health, Tokyo, Japan
4Department of Disaster Psychiatry, Fukushima Medical University School of Medicine, Fukushima City, Japan

Tóm tắt

Abstract. Background: Associations between nuclear disasters and suicide have been examined to a limited extent. Aim: To clarify the suicide rates in evacuation areas after the nuclear disaster in Fukushima, which occurred in March 2011. Method: This descriptive study used monthly data from vital statistics between March 2009 and December 2015. Suicide rates in areas to which evacuation orders had been issued, requiring across-the-board, compulsory evacuation of residents from the entire or part of municipalities, were obtained and compared with the national average. Results: Male suicide rates in evacuation areas increased significantly immediately after the disaster, and then began to increase again 4 years after the disaster. Female suicide rates declined slightly during the first year and then increased significantly over the subsequent 3-year period. Moreover, male rates in areas where evacuation orders were issued for the total area declined over the course of approximately 2 years, but then began to increase thereafter. Analysis by age revealed postdisaster male rates in evacuation areas decreased for those aged 50–69 years and increased for those aged ≤ 29 years and ≥ 70 years. Limitations: The number of suicides among females and the female population in the evacuation area was small. Conclusion: Our findings suggest the need to keep in mind that, when providing post-disaster mental health services, suicide rates can eventually increase even if they initially decrease.

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Crisis

Tập 39 Số 5

353-363

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