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Erschienen in: Community Mental Health Journal 5/2008

01.10.2008 | Original Paper

Effect of Community-based Intervention Using Depression Screening on Elderly Suicide Risk: A Meta-analysis of the Evidence from Japan

verfasst von: Hirofumi Oyama, Tomoe Sakashita, Yutaka Ono, Masahiro Goto, Motoi Fujita, Junichi Koida

Erschienen in: Community Mental Health Journal | Ausgabe 5/2008

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Abstract

A systematic review was undertaken to quantify the effect of community-based depression screening (CDS) with follow-up on the completed suicide risk for residents aged 65 and over. Five quasi-experimental studies in Japanese regions with high suicide rates were included in the meta-analysis. Combined incidence rate ratios (95% confidence intervals) by the Mantel–Haenszel method and by the DerSimonian–Laird method in two homogenous studies implementing the follow-up conducted by psychiatrists were 0.30 (0.13–0.68) and 0.33 (0.14–0.80) in men, and 0.33 (0.19–0.58) and 0.33 (0.19–0.60) in women, respectively; and those in three homogenous studies implementing the follow-up conducted by general practitioners were 0.73 (0.45–1.18) and 0.74 (0.45–1.23) in men, and 0.36 (0.21–0.60) and 0.39 (0.22–0.66) in women, respectively. There are very few studies included, however, to demonstrate an association between CDS and the reduced risk, suggesting gender difference in the effectiveness.
Literatur
Zurück zum Zitat Begg, C. B., & Mazumdar, M. (1994). Operating characteristics of a rank correlation test for publication bias. Biometrics, 50, 1088–1101. PubMedCrossRef Begg, C. B., & Mazumdar, M. (1994). Operating characteristics of a rank correlation test for publication bias. Biometrics, 50, 1088–1101. PubMedCrossRef
Zurück zum Zitat Breslow, N. E., & Day, N. E. (1980). Combination of results from a series of 2 × 2 tables—control of confounding. In Statistical methods in cancer research, Vol. 1: The analysis of case control data (pp. 325–338). Lyon, France: International Agency for Health Research. Breslow, N. E., & Day, N. E. (1980). Combination of results from a series of 2 × 2 tables—control of confounding. In Statistical methods in cancer research, Vol. 1: The analysis of case control data (pp. 325–338). Lyon, France: International Agency for Health Research.
Zurück zum Zitat Cheng, A. T. A., & Lee, C. (2000). Suicide in Asia, the Far East. In K. Hawton & K. van Heeringen (Eds.), The international handbook of suicide and attempted suicide (pp. 29–48). New York: Wiley. CrossRef Cheng, A. T. A., & Lee, C. (2000). Suicide in Asia, the Far East. In K. Hawton & K. van Heeringen (Eds.), The international handbook of suicide and attempted suicide (pp. 29–48). New York: Wiley. CrossRef
Zurück zum Zitat Conwell, Y., Duberstein, P. R., Cox, C., Herrmann, J. H., Forbens, N. T., & Caine, E. D. (1996). Relationships of age and axis I diagnoses in victims of completed suicide: A psychological autopsy study. American Journal of Psychiatry, 153, 1001–1008. PubMed Conwell, Y., Duberstein, P. R., Cox, C., Herrmann, J. H., Forbens, N. T., & Caine, E. D. (1996). Relationships of age and axis I diagnoses in victims of completed suicide: A psychological autopsy study. American Journal of Psychiatry, 153, 1001–1008. PubMed
Zurück zum Zitat Conwell, Y., & Heisel, M. J. (2006). The elderly. In R. I. Simon & R. E. Hales (Eds.), American psychiatric textbook of suicide assessment and management. Arington (VA): American Psychiatric Publishing. Conwell, Y., & Heisel, M. J. (2006). The elderly. In R. I. Simon & R. E. Hales (Eds.), American psychiatric textbook of suicide assessment and management. Arington (VA): American Psychiatric Publishing.
Zurück zum Zitat DerSimonian, R., & Laird, N. (1986). Meta-analysis in clinical trials. Controlled Clinical Trials, 7, 177–188. PubMedCrossRef DerSimonian, R., & Laird, N. (1986). Meta-analysis in clinical trials. Controlled Clinical Trials, 7, 177–188. PubMedCrossRef
Zurück zum Zitat Dombrovski, A. Y., & Szanto, K. (2005). Prevention of suicide in the elderly. Annals of Long-Term Care, 13, 25–32. Dombrovski, A. Y., & Szanto, K. (2005). Prevention of suicide in the elderly. Annals of Long-Term Care, 13, 25–32.
Zurück zum Zitat Duberstein, P. R., Conwell, Y., Conner, K. R., Eberly, S., Evinger, J. S., & Caine, E. D. (2004). Poor social integration and suicide: Facts or artifact? Psychological Medicine, 34, 1331–1337. PubMedCrossRef Duberstein, P. R., Conwell, Y., Conner, K. R., Eberly, S., Evinger, J. S., & Caine, E. D. (2004). Poor social integration and suicide: Facts or artifact? Psychological Medicine, 34, 1331–1337. PubMedCrossRef
Zurück zum Zitat Egger, M., Davey Smith, G., Schneider, M., & Minder, C. (1997). Bias in meta-analysis detected by a simple, graphical test. British Medical Journal, 315, 629–634. PubMed Egger, M., Davey Smith, G., Schneider, M., & Minder, C. (1997). Bias in meta-analysis detected by a simple, graphical test. British Medical Journal, 315, 629–634. PubMed
Zurück zum Zitat Greenfield, S. F., Reizes, J. M., Magruder, K. M., Muenz, L. R., Kpans, B., & Jacobs, D. S. (1997). Effectiveness of community-based screening for depression. American Journal of Psychiatry, 154, 1391–1397. PubMed Greenfield, S. F., Reizes, J. M., Magruder, K. M., Muenz, L. R., Kpans, B., & Jacobs, D. S. (1997). Effectiveness of community-based screening for depression. American Journal of Psychiatry, 154, 1391–1397. PubMed
Zurück zum Zitat Grek, A., Moore, S., & Heisel, M. (2006). National guidelines for seniors’ mental health: The assessment of suicide risk and prevention of suicide (pp. 22–23). Canadian Coalition for Seniors’ Mental Health. Retrieved May 31, 2006, from http://​www.​cagp.​ca/​ Grek, A., Moore, S., & Heisel, M. (2006). National guidelines for seniors’ mental health: The assessment of suicide risk and prevention of suicide (pp. 22–23). Canadian Coalition for Seniors’ Mental Health. Retrieved May 31, 2006, from http://​www.​cagp.​ca/​
Zurück zum Zitat Heisel, M. J. (2006). Suicide and its prevention among older adults. Canadian Journal of psychiatry, 51, 143–154. Heisel, M. J. (2006). Suicide and its prevention among older adults. Canadian Journal of psychiatry, 51, 143–154.
Zurück zum Zitat Heisel, M. J., & Duberstein, P. R. (2005). Suicide prevention in older adults. Clinical Psychology: Science and Practice, 12, 242–259. CrossRef Heisel, M. J., & Duberstein, P. R. (2005). Suicide prevention in older adults. Clinical Psychology: Science and Practice, 12, 242–259. CrossRef
Zurück zum Zitat Jacobs, D. G. (1999). Depression screening as an intervention against suicide. Journal of Clinical Psychiatry, 60(Suppl.), 42–45. PubMed Jacobs, D. G. (1999). Depression screening as an intervention against suicide. Journal of Clinical Psychiatry, 60(Suppl.), 42–45. PubMed
Zurück zum Zitat Jenkins, S., & Singh, B. (2000). General population strategies of suicide prevention. In K. Hawton & K. van Heeringen (Eds.), The international handbook of suicide and attempted suicide (pp. 597–615). New York: Wiley. CrossRef Jenkins, S., & Singh, B. (2000). General population strategies of suicide prevention. In K. Hawton & K. van Heeringen (Eds.), The international handbook of suicide and attempted suicide (pp. 597–615). New York: Wiley. CrossRef
Zurück zum Zitat Light, R. J., & Pilemer, D. B. (1984). Summing up. In the scientific of reviewing research. Cambridge, Mass: Harvard University Press. Light, R. J., & Pilemer, D. B. (1984). Summing up. In the scientific of reviewing research. Cambridge, Mass: Harvard University Press.
Zurück zum Zitat Lönngvist, J. K. (2000). Psychiatric aspects of suicide behavior: Depression. In K. Hawton & K. van Heeringen (Eds.), The international handbook of suicide and attempted suicide (pp. 107–120). New York: Wiley. CrossRef Lönngvist, J. K. (2000). Psychiatric aspects of suicide behavior: Depression. In K. Hawton & K. van Heeringen (Eds.), The international handbook of suicide and attempted suicide (pp. 107–120). New York: Wiley. CrossRef
Zurück zum Zitat Mann JJ, Apter A, Bertolote J, Beautrais A, Currier D, Haas A, et al. (2005). Suicide prevention strategies. A systematic review. Jounal of the American Medical Association, 294, 2064–2074. CrossRef Mann JJ, Apter A, Bertolote J, Beautrais A, Currier D, Haas A, et al. (2005). Suicide prevention strategies. A systematic review. Jounal of the American Medical Association, 294, 2064–2074. CrossRef
Zurück zum Zitat Motohashi, Y., Kaneko, Y., & Sakai, H. (2005). Lowering suicide rates in rural Japan. Akita Journal of Public Health, 2, 105–106. Motohashi, Y., Kaneko, Y., & Sakai, H. (2005). Lowering suicide rates in rural Japan. Akita Journal of Public Health, 2, 105–106.
Zurück zum Zitat Motohashi, Y., Kaneko, Y., Sakai, H., & Yamaji, M. (2007). Prevalence of depression symptoms and related risk factors for depressive symptoms among elderly persons living in a rural Japanese community: A cross-sectional study. Community Mental Health Journal, 43, 583–590. PubMedCrossRef Motohashi, Y., Kaneko, Y., Sakai, H., & Yamaji, M. (2007). Prevalence of depression symptoms and related risk factors for depressive symptoms among elderly persons living in a rural Japanese community: A cross-sectional study. Community Mental Health Journal, 43, 583–590. PubMedCrossRef
Zurück zum Zitat O’Connell, H., Chin, A., Cunningham, C., & Lawlor, B. A. (2004). Recent developments: Suicide in older people. British Medical Journal, 329, 895–899. PubMedCrossRef O’Connell, H., Chin, A., Cunningham, C., & Lawlor, B. A. (2004). Recent developments: Suicide in older people. British Medical Journal, 329, 895–899. PubMedCrossRef
Zurück zum Zitat Ono, Y., Tanaka, E., Oyama, H., Toyokawa, K., Koizumi, T., Shinohe, K., et al. (2001). Epidemiology of suicidal ideation and help-seeking behaviors among the elderly in Japan. Psychiatry and Clinical Neurosciences, 55, 605–610. PubMedCrossRef Ono, Y., Tanaka, E., Oyama, H., Toyokawa, K., Koizumi, T., Shinohe, K., et al. (2001). Epidemiology of suicidal ideation and help-seeking behaviors among the elderly in Japan. Psychiatry and Clinical Neurosciences, 55, 605–610. PubMedCrossRef
Zurück zum Zitat Oxman, A. D., Cook, D. J., & Guyatt, G. H. (1994). Users’ guides to the medical literature. VI. How to use an overview. Evidence-based medical working group. Jounal of the American Medical Association, 272, 1367–1371. CrossRef Oxman, A. D., Cook, D. J., & Guyatt, G. H. (1994). Users’ guides to the medical literature. VI. How to use an overview. Evidence-based medical working group. Jounal of the American Medical Association, 272, 1367–1371. CrossRef
Zurück zum Zitat Oyama, H., Fujita, M., Goto, M., Shibuya, H., & Sakashita, T. (2006b). Outcomes of community-based screening for depression and suicide prevention among Japanese elders. The Gerontologist, 46, 821–826. PubMed Oyama, H., Fujita, M., Goto, M., Shibuya, H., & Sakashita, T. (2006b). Outcomes of community-based screening for depression and suicide prevention among Japanese elders. The Gerontologist, 46, 821–826. PubMed
Zurück zum Zitat Oyama, H., Goto, M., Fujita, M., Shibuya, H., & Sakashita, T. (2006a). Preventing elderly suicide through primary care by community-based screening for depression in rural Japan. Crisis, 27, 58–65. PubMed Oyama, H., Goto, M., Fujita, M., Shibuya, H., & Sakashita, T. (2006a). Preventing elderly suicide through primary care by community-based screening for depression in rural Japan. Crisis, 27, 58–65. PubMed
Zurück zum Zitat Oyama, H., Koida, J., Sakashita, T., & Kudo, K. (2004). Community-based prevention for suicide in elderly by screening and follow-up. Community Mental Health Journal, 40, 249–263. PubMedCrossRef Oyama, H., Koida, J., Sakashita, T., & Kudo, K. (2004). Community-based prevention for suicide in elderly by screening and follow-up. Community Mental Health Journal, 40, 249–263. PubMedCrossRef
Zurück zum Zitat Oyama, H., Ono, Y., Watanabe, N., Tanaka, E., Kudo, S., Sakashita, T., et al. (2006c). Local community intervention through depression screening and group activity for elderly suicide prevention. Psychiatry and Clinical Neurosciences, 60, 110–114. PubMedCrossRef Oyama, H., Ono, Y., Watanabe, N., Tanaka, E., Kudo, S., Sakashita, T., et al. (2006c). Local community intervention through depression screening and group activity for elderly suicide prevention. Psychiatry and Clinical Neurosciences, 60, 110–114. PubMedCrossRef
Zurück zum Zitat Oyama, H., Watanabe, N., Ono, Y., Sakashita, T., Takenoshita, Y., Taguchi, M., et al. (2005). Community-based suicide prevention through group activity for the elderly successfully reduced the high suicide rate for females. Psychiatry and Clinical Neurosciences, 59, 337–344. PubMedCrossRef Oyama, H., Watanabe, N., Ono, Y., Sakashita, T., Takenoshita, Y., Taguchi, M., et al. (2005). Community-based suicide prevention through group activity for the elderly successfully reduced the high suicide rate for females. Psychiatry and Clinical Neurosciences, 59, 337–344. PubMedCrossRef
Zurück zum Zitat Robins, J., Breslow, N., & Greenland, S. (1986). Estimators of the Mantel-Haenszel variance consist in both sparse data and large strata limiting models. Biometrics, 42, 311–323. PubMedCrossRef Robins, J., Breslow, N., & Greenland, S. (1986). Estimators of the Mantel-Haenszel variance consist in both sparse data and large strata limiting models. Biometrics, 42, 311–323. PubMedCrossRef
Zurück zum Zitat Rutz, W. (2001). Preventing suicide and premature death by education and treatment. Journal of Affective Disorders, 62, 123–129. PubMedCrossRef Rutz, W. (2001). Preventing suicide and premature death by education and treatment. Journal of Affective Disorders, 62, 123–129. PubMedCrossRef
Zurück zum Zitat Rutz, W., von Knorring, L., Pihlgren, H., Rihmer, Z., & Walinder, J. (1995). Prevention of male suicides: Lessons from Gotland study. Lancet, 524, 345. Rutz, W., von Knorring, L., Pihlgren, H., Rihmer, Z., & Walinder, J. (1995). Prevention of male suicides: Lessons from Gotland study. Lancet, 524, 345.
Zurück zum Zitat Takahashi, Y. (1997). Culture and suicide: From a Japanese psychiatrist’s perspective. Suicide and Life-Threatening Behavior, 27, 137–147. PubMed Takahashi, Y. (1997). Culture and suicide: From a Japanese psychiatrist’s perspective. Suicide and Life-Threatening Behavior, 27, 137–147. PubMed
Zurück zum Zitat Takahashi, K., Naito, H., Morita, M., Suga, R., Ogura, T., & Koizumi, T. (1998). Suicide prevention for the elderly in Matsunoyama Town, Higashikubiki County, Niigata Prefecture: Psychiatric care for elderly depression in the community. Psychiatria et Neurologia Japonica, 100, 469–485. PubMed Takahashi, K., Naito, H., Morita, M., Suga, R., Ogura, T., & Koizumi, T. (1998). Suicide prevention for the elderly in Matsunoyama Town, Higashikubiki County, Niigata Prefecture: Psychiatric care for elderly depression in the community. Psychiatria et Neurologia Japonica, 100, 469–485. PubMed
Zurück zum Zitat Zung, W. W. K. (1965). A self-rating depression scale. Archives of General Psychiatry, 12, 63–70. PubMed Zung, W. W. K. (1965). A self-rating depression scale. Archives of General Psychiatry, 12, 63–70. PubMed
Metadaten
Titel
Effect of Community-based Intervention Using Depression Screening on Elderly Suicide Risk: A Meta-analysis of the Evidence from Japan
verfasst von
Hirofumi Oyama
Tomoe Sakashita
Yutaka Ono
Masahiro Goto
Motoi Fujita
Junichi Koida
Publikationsdatum
01.10.2008
Verlag
Springer US
Erschienen in
Community Mental Health Journal / Ausgabe 5/2008
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-008-9132-0

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