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Coping behaviors and suicide in the middle-aged and older japanese general population : The japan public health center-based prospective study

Svensson, Thomas LU ; Inoue, Manami; Charvat, Hadrien; Sawada, Norie; Iwasaki, Motoki; Sasazuki, Shizuka; Shimazu, Taichi; Yamaji, Taiki; Ikeda, Ai and Kawamura, Noriyuki, et al. (2014) In Annals of Epidemiology 24(3). p.199-205
Abstract

Purpose: Cross-sectional studies have shown an association between different coping styles and suicidal behavior. It is unknown whether there is any prospective association between coping behaviors and suicide in the general population. Methods: The study population consisted of participants of the Japanese Public Health Center-based Prospective Study. In the 10-year follow-up questionnaire, subjects aged 50-79 years were asked how they handle daily problems. Coping behaviors were used to determine two coping strategies (approach coping and avoidance coping). Of 99,439 subjects that returned the 10-year follow-up questionnaire, 70,213 subjects provided complete answers on coping and were included in our analyses. Cox regression models,... (More)

Purpose: Cross-sectional studies have shown an association between different coping styles and suicidal behavior. It is unknown whether there is any prospective association between coping behaviors and suicide in the general population. Methods: The study population consisted of participants of the Japanese Public Health Center-based Prospective Study. In the 10-year follow-up questionnaire, subjects aged 50-79 years were asked how they handle daily problems. Coping behaviors were used to determine two coping strategies (approach coping and avoidance coping). Of 99,439 subjects that returned the 10-year follow-up questionnaire, 70,213 subjects provided complete answers on coping and were included in our analyses. Cox regression models, adjusted for confounders, were used to determine the risk of committing suicide according to coping style. Mean follow-up time was 8.8years. Results: Two coping behaviors were significantly associated with suicide over time: planning (hazard ratio [HR], 0.64; 95% confidence interval [CI], 0.41-0.98) and self-blame (HR, 2.20; 95% CI, 1.29-3.76). Of the coping strategies, only the avoidance coping strategy was significantly associated with suicide (HR, 2.45; 95% CI, 1.24-4.85). Conclusions: For the first time, two coping behaviors and one coping strategy have been shown to have a significant prospective association with suicide in a general population.

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publishing date
type
Contribution to journal
publication status
published
keywords
Approach, Avoidance, Coping, Japan, Planning, Self-blame, Suicide
in
Annals of Epidemiology
volume
24
issue
3
pages
7 pages
publisher
Elsevier
external identifiers
  • scopus:84893901313
ISSN
1047-2797
DOI
10.1016/j.annepidem.2013.12.006
language
English
LU publication?
no
id
4bd81288-2cd9-434a-835c-16d114fe6d5a
date added to LUP
2017-05-11 07:48:02
date last changed
2017-10-29 05:01:24
@article{4bd81288-2cd9-434a-835c-16d114fe6d5a,
  abstract     = {<p>Purpose: Cross-sectional studies have shown an association between different coping styles and suicidal behavior. It is unknown whether there is any prospective association between coping behaviors and suicide in the general population. Methods: The study population consisted of participants of the Japanese Public Health Center-based Prospective Study. In the 10-year follow-up questionnaire, subjects aged 50-79 years were asked how they handle daily problems. Coping behaviors were used to determine two coping strategies (approach coping and avoidance coping). Of 99,439 subjects that returned the 10-year follow-up questionnaire, 70,213 subjects provided complete answers on coping and were included in our analyses. Cox regression models, adjusted for confounders, were used to determine the risk of committing suicide according to coping style. Mean follow-up time was 8.8years. Results: Two coping behaviors were significantly associated with suicide over time: planning (hazard ratio [HR], 0.64; 95% confidence interval [CI], 0.41-0.98) and self-blame (HR, 2.20; 95% CI, 1.29-3.76). Of the coping strategies, only the avoidance coping strategy was significantly associated with suicide (HR, 2.45; 95% CI, 1.24-4.85). Conclusions: For the first time, two coping behaviors and one coping strategy have been shown to have a significant prospective association with suicide in a general population.</p>},
  author       = {Svensson, Thomas and Inoue, Manami and Charvat, Hadrien and Sawada, Norie and Iwasaki, Motoki and Sasazuki, Shizuka and Shimazu, Taichi and Yamaji, Taiki and Ikeda, Ai and Kawamura, Noriyuki and Mimura, Masaru and Tsugane, Shoichiro},
  issn         = {1047-2797},
  keyword      = {Approach,Avoidance,Coping,Japan,Planning,Self-blame,Suicide},
  language     = {eng},
  number       = {3},
  pages        = {199--205},
  publisher    = {Elsevier},
  series       = {Annals of Epidemiology},
  title        = {Coping behaviors and suicide in the middle-aged and older japanese general population : The japan public health center-based prospective study},
  url          = {http://dx.doi.org/10.1016/j.annepidem.2013.12.006},
  volume       = {24},
  year         = {2014},
}