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      Forensic analysis of suicide deaths: Comparing forensic information with public information and investigating factors contributing to psychiatric consultations

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          Abstract

          Aim

          This study aimed to examine the usefulness of forensic information on suicide deaths in Japan for epidemiological studies on suicide and determine the factors that lead people with suicidal ideation to seek psychiatric care prior to attempting suicide.

          Methods

          We focused on forensic information of 514 suicide deaths that occurred in Osaka City in 2019. First, to examine whether the data used in this study can be generalized to these cases, we compared the information on suicide deaths officially published by Osaka City with that used in this study, utilizing Pearson's χ 2 test. Next, the forensic data were analyzed using multivariate logistic regression analysis to confirm the relationship between demographic factors and the likelihood of having a history of psychiatric consultation before suicide.

          Results

          Both the official information and the data used in this study showed a higher number of males than females who died by suicide, with no significant differences in values between the data sets. Multivariate logistic regression analysis showed significant correlations. More females were associated with seeking a psychiatric consultation. However, those with regular jobs or students were more likely to avoid a psychiatric consultation.

          Conclusion

          The findings of this study provide insights into the phenomenon of suicide deaths by using a forensic perspective. The results of this study suggest that psychiatric consultation may be effective in reducing deaths by suicide. Forensic data should be incorporated into the formulation of suicide‐prevention policies in Japan to conduct a more multifaceted analysis and improve suicide‐prevention measures.

          Abstract

          This study aimed to examine the factors that led individuals to seek psychiatric consultation before suicide. Analysis revealed that females were more likely to consult than males. However, those in regular employment or students showed a lower likelihood of having prior psychiatric consultations compared with unemployed individuals. The results of this study suggest that psychiatric consultation may be effective in reducing suicide deaths.

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          Most cited references42

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          Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review

          Background Adolescents and young adults frequently experience mental disorders, yet tend not to seek help. This systematic review aims to summarise reported barriers and facilitators of help-seeking in young people using both qualitative research from surveys, focus groups, and interviews and quantitative data from published surveys. It extends previous reviews through its systematic research methodology and by the inclusion of published studies describing what young people themselves perceive are the barriers and facilitators to help-seeking for common mental health problems. Methods Twenty two published studies of perceived barriers or facilitators in adolescents or young adults were identified through searches of PubMed, PsycInfo, and the Cochrane database. A thematic analysis was undertaken on the results reported in the qualitative literature and quantitative literature. Results Fifteen qualitative and seven quantitative studies were identified. Young people perceived stigma and embarrassment, problems recognising symptoms (poor mental health literacy), and a preference for self-reliance as the most important barriers to help-seeking. Facilitators were comparatively under-researched. However, there was evidence that young people perceived positive past experiences, and social support and encouragement from others as aids to the help-seeking process. Conclusions Strategies for improving help-seeking by adolescents and young adults should focus on improving mental health literacy, reducing stigma, and taking into account the desire of young people for self-reliance.
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            The influence of gender and other patient characteristics on health care-seeking behaviour: a QUALICOPC study

            Background Canadians’ health care-seeking behaviour for physical and mental health issues was examined using the international Quality and Cost of Primary Care (QUALICOPC) survey that was conducted in 2013 in Canada. Method This study used the cross-sectional Patient Experiences Survey collected from 7260 patients in 759 practices across 10 Canadian provinces as part of the QUALICOPC study. A Responsive Care Scale (RCS) was constructed to reflect the degree of health care-seeking behaviour across 11 health conditions. Using several patient characteristics as independent variables, four multiple regression analyses were conducted. Results Patients’ self-reports indicated that there were gender differences in health care-seeking behaviour, with women reporting they visited their primary care provider to a greater extent than did men for both physical and mental health concerns. Overall, patients were less likely to seek care for mental health concerns in comparison to physical health concerns. For both women and men, the results of the regressions indicated that age, illness prevention, trust in physicians and chronic conditions were important factors when explaining health care-seeking behaviours for mental health concerns. Conclusion This study confirms the gender differences in health care-seeking behaviour advances previous research by exploring in detail the variables predicting differences in health care-seeking behaviour for men and women. The variables were better predictors of health care-seeking behaviour in response to mental health concerns than physical health concerns, likely reflecting greater variation among those seeking mental health care. This study has implications for those working to improve barriers to health care access by identifying those more likely to engage in health care-seeking behaviours and the variables predicting health care-seeking. Consequently, those who are not accessing primary care can be targeted and policies can be developed and put in place to promote their health care-seeking behavior.
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              The role of masculinity in men's help-seeking for depression: A systematic review.

              Conformity to traditional masculine gender norms may deter men's help-seeking and/or impact the services men engage. Despite proliferating research, current evidence has not been evaluated systematically. This review summarises findings related to the role of masculinity on men's help-seeking for depression.
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                Author and article information

                Contributors
                ryu-murakami@umin.ac.jp
                Journal
                PCN Rep
                PCN Rep
                10.1002/(ISSN)2769-2558
                PCN5
                PCN Reports: Psychiatry and Clinical Neurosciences
                John Wiley and Sons Inc. (Hoboken )
                2769-2558
                24 April 2024
                June 2024
                : 3
                : 2 ( doiID: 10.1002/pcn5.v3.2 )
                : e194
                Affiliations
                [ 1 ] Faculty of Emergency Medical Science Meiji University of Integrative Medicine Nantan Kyoto Japan
                [ 2 ] Graduate School of Risk and Crisis Management Chiba Institute of Science Chiba Japan
                [ 3 ] Osaka Prefectural Medical Examiner's Office Osaka Japan
                Author notes
                [*] [* ] Correspondence Ryu Murakami, MSc, Faculty of Emergency Medical Science, Meiji University of Integrative Medicine, Kyoto, Japan; Graduate School of Risk and Crisis Management, Chiba Institute of Science, Chiba, Japan.

                Email: ryu-murakami@ 123456umin.ac.jp

                Author information
                http://orcid.org/0009-0004-5014-6320
                http://orcid.org/0009-0003-2831-0019
                Article
                PCN5194
                10.1002/pcn5.194
                11114437
                38868080
                6fca4502-c15f-42ac-931b-09aa49e7cece
                © 2024 The Authors. Psychiatry and Clinical Neurosciences Reports published by John Wiley & Sons Australia, Ltd on behalf of Japanese Society of Psychiatry and Neurology.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 26 March 2024
                : 09 January 2024
                : 04 April 2024
                Page count
                Figures: 2, Tables: 3, Pages: 9, Words: 6342
                Funding
                Funded by: T. and F. Kitamura Foundation for Studies and Skill Advancement in Mental Health
                Award ID: K2023‐0004
                Funded by: Japan Society for the Promotion of Science , doi 10.13039/501100001691;
                Award ID: JP22K21128
                Funded by: Meiji University of Integrative Medicine Grant
                Award ID: MUIM‐B‐9
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                June 2024
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.4.3 mode:remove_FC converted:15.05.2024

                forensic medicine,medical examiner,psychiatric consultation,suicide deaths

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