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Suicide Intervention Skills among Japanese Medical Residents

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Title: Suicide Intervention Skills among Japanese Medical Residents
Language: English
Authors: Fujisawa, Daisuke, Suzuki, Yuriko, Kato, Takahiro A., Hashimoto, Naoki, Sato, Ryoko, Aoyama-Uehara, Kumi, Fukasawa, Maiko, Tomita, Masayuki, Watanabe, Koichiro, Kashima, Haruo, Otsuka, Kotaro
Source: Academic Psychiatry. Nov 2013 37(6):402-407.
Availability: American Psychiatric Publishing, Inc. 1000 Wilson Boulevard Suite 1825, Arlington, VA 22209-3901. Tel: 800-368-5777; Tel: 703-907-7856; Fax: 703-907-1092; e-mail: appi@psych.org; Web site: http://ap.psychiatryonline.org
Peer Reviewed: Y
Page Count: 6
Publication Date: 2013
Document Type: Journal Articles
Reports - Research
Education Level: Higher Education
Postsecondary Education
Descriptors: Suicide, Intervention, Case Studies, Measures (Individuals), Foreign Countries, Patients, Graduate Medical Education, Medical Students, Likert Scales, Correlation, Student Characteristics, Self Evaluation (Individuals), Self Efficacy, Hospitals, Scores, Psychiatry
Geographic Terms: Japan
DOI: 10.1007/BF03340078
ISSN: 1042-9670
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 self-assessed 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 (SIRI-2), the Medical Outcomes Study 8-Item Short-Form Health Survey (SF-8), 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 SIRI-2 suggested intermediate competence in managing suicidal behavior, as compared with that of other healthcare professionals. Competence as indicated by the SIRI-2 score was weakly and negatively correlated with the score for self-perceived Vitality on the SF-8 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.
Abstractor: As Provided
Number of References: 37
Entry Date: 2014
Accession Number: EJ1016873
Database: ERIC
FullText Text:
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  Data: Suicide Intervention Skills among Japanese Medical Residents
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  Data: <searchLink fieldCode="AR" term="%22Fujisawa%2C+Daisuke%22">Fujisawa, Daisuke</searchLink><br /><searchLink fieldCode="AR" term="%22Suzuki%2C+Yuriko%22">Suzuki, Yuriko</searchLink><br /><searchLink fieldCode="AR" term="%22Kato%2C+Takahiro+A%2E%22">Kato, Takahiro A.</searchLink><br /><searchLink fieldCode="AR" term="%22Hashimoto%2C+Naoki%22">Hashimoto, Naoki</searchLink><br /><searchLink fieldCode="AR" term="%22Sato%2C+Ryoko%22">Sato, Ryoko</searchLink><br /><searchLink fieldCode="AR" term="%22Aoyama-Uehara%2C+Kumi%22">Aoyama-Uehara, Kumi</searchLink><br /><searchLink fieldCode="AR" term="%22Fukasawa%2C+Maiko%22">Fukasawa, Maiko</searchLink><br /><searchLink fieldCode="AR" term="%22Tomita%2C+Masayuki%22">Tomita, Masayuki</searchLink><br /><searchLink fieldCode="AR" term="%22Watanabe%2C+Koichiro%22">Watanabe, Koichiro</searchLink><br /><searchLink fieldCode="AR" term="%22Kashima%2C+Haruo%22">Kashima, Haruo</searchLink><br /><searchLink fieldCode="AR" term="%22Otsuka%2C+Kotaro%22">Otsuka, Kotaro</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Academic+Psychiatry%22"><i>Academic Psychiatry</i></searchLink>. Nov 2013 37(6):402-407.
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  Data: American Psychiatric Publishing, Inc. 1000 Wilson Boulevard Suite 1825, Arlington, VA 22209-3901. Tel: 800-368-5777; Tel: 703-907-7856; Fax: 703-907-1092; e-mail: appi@psych.org; Web site: http://ap.psychiatryonline.org
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  Data: 6
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  Data: 2013
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="EL" term="%22Higher+Education%22">Higher Education</searchLink><br /><searchLink fieldCode="EL" term="%22Postsecondary+Education%22">Postsecondary Education</searchLink>
– Name: Subject
  Label: Descriptors
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Suicide%22">Suicide</searchLink><br /><searchLink fieldCode="DE" term="%22Intervention%22">Intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Case+Studies%22">Case Studies</searchLink><br /><searchLink fieldCode="DE" term="%22Measures+%28Individuals%29%22">Measures (Individuals)</searchLink><br /><searchLink fieldCode="DE" term="%22Foreign+Countries%22">Foreign Countries</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Graduate+Medical+Education%22">Graduate Medical Education</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+Students%22">Medical Students</searchLink><br /><searchLink fieldCode="DE" term="%22Likert+Scales%22">Likert Scales</searchLink><br /><searchLink fieldCode="DE" term="%22Correlation%22">Correlation</searchLink><br /><searchLink fieldCode="DE" term="%22Student+Characteristics%22">Student Characteristics</searchLink><br /><searchLink fieldCode="DE" term="%22Self+Evaluation+%28Individuals%29%22">Self Evaluation (Individuals)</searchLink><br /><searchLink fieldCode="DE" term="%22Self+Efficacy%22">Self Efficacy</searchLink><br /><searchLink fieldCode="DE" term="%22Hospitals%22">Hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Scores%22">Scores</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatry%22">Psychiatry</searchLink>
– Name: Subject
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Japan%22">Japan</searchLink>
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1007/BF03340078
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 1042-9670
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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 self-assessed 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 (SIRI-2), the Medical Outcomes Study 8-Item Short-Form Health Survey (SF-8), 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 SIRI-2 suggested intermediate competence in managing suicidal behavior, as compared with that of other healthcare professionals. Competence as indicated by the SIRI-2 score was weakly and negatively correlated with the score for self-perceived Vitality on the SF-8 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.
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  Label: Abstractor
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  Data: As Provided
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  Data: 37
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  Data: 2014
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  Data: EJ1016873
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      – SubjectFull: Suicide
        Type: general
      – SubjectFull: Intervention
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