Introduction
Mind body medicine equation hypothesis (allostatic loading hypothesis)
Versatility of the mind body medicine equation hypothesis
Matrix analysis for suicide problems in occupational fields
Primary prevention | Secondary prevention | Tertiary prevention | |
---|---|---|---|
Working environment
| Health education Hiyari-Hat activity Workplace inspection | Risk assessment | Improvement of working environment |
Working condition
| Quality/Quantity control of work | The same as the primary prevention | The same as the primary prevention |
Workers' health
| Early detection of sleep disorders | Early detection of depression | Suicide prevention |
Management of working environment
Primary prevention in the working environment
Secondary prevention in the working environment
Severity | ||
---|---|---|
Score | Severity of disorders | Concrete benchmark |
1 | Mild | Fixed by the individual himself/herself |
5 | No cessation | Need for physician |
7 | Cessation | Need for hospitalization |
10 | Permanent complications | Death or permanent disability |
Frequency | ||
---|---|---|
Score | Frequency of occurrence | Concrete benchmark |
1 | Rare | Once or more/year |
2 | Hardly ever | Once or more/6 months |
3 | Often | Once/month |
4 | Usually | Once/week |
5 | Always | Once/day |
Possibility | ||
---|---|---|
Score | Possibility of occurrence | Concrete benchmark |
1 | Rare | Rarely happens |
5 | Possible | Below 50% |
10 | Probable | Over 50% |
20 | Always | Every time |
Risk assessment | ||
---|---|---|
Multiplied scores | Determination of outcome | Judgment of necessity |
401-800 | Not acceptable | Need for emergent reform |
201-400 | Severe risk | Need for urgent reform |
101-200 | Moderate risk | Need for reform |
51-100 | Mild risk | Need for reevaluation |
1-50 | Acceptable | Status quo |
Tertiary prevention in the working environment
Management of work (primary, secondary, and tertiary prevention in the working environment)
Management of health
Primary prevention in terms of workers' health
Selected SDS items in 1985 | Odds ratio [95% CI] |
---|---|
Somatic | |
Sleep disturbance | 2.3 [1.1-4.9] |
Constipation | 1.7 [0.9-3.1] |
Fatigue | 2.1 [1.1-3.9] |
Psychological | |
Confusion | 1.2 [0.8-1.8] |
Psychological agitation | 2.0 [0.9-4.3] |
Irritability | 1.6 [0.8-3.2] |