title: Prospective cohort study of stress, life satisfaction, self-rated health, insomnia, and suicide death in Japan.
abstract: The association between many psychosocial factors and risk of suicide was examined. A cohort was conducted over 14 years of follow up among the general population (15,597 people) in Japan. A baseline survey of psychosocial characteristics was conducted by self-administrated questionnaire. The relative risks of occasional emotional stress, difficulty maintaining sleep, and reporting unhealthy as their self-rated health are 3.2 (95% CI: 1.3, 7.6), 2.4 (95% CI: 1.3, 4.3) and 2.6 (95% CI: 1.1, 6.2), respectively. The importance of these observations lie in its potential for improving physician and public awareness of psychosocial factors as an early indication of mental health morbidity.
authors.affiliation: Department of Clinical Epidemiology, Institute of Industrial Ecological Sciences at the University of Occupational and Environmental Health, Japan.
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Fujino
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Mizoue
authors.forename: Noritaka
authors.initials: N
authors.lastname: Tokui
authors.forename: Takesumi
authors.initials: T
authors.lastname: Yoshimura
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D015984:Causality; D002908:Chronic Disease / Q000401:mortality* / Q000523:psychology; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006306:Health Surveys; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology*; D012307:Risk Factors; D007319:Sleep Initiation and Maintenance Disorders / Q000401:mortality* / Q000523:psychology; D012959:Socioeconomic Factors; D013223:Statistics as Topic; D013315:Stress, Psychological / Q000150:complications*; D013405:Suicide / Q000523:psychology / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D000092864:Suicide Prevention