title: Time-related changes in suicide attempts after the nuclear accident in Fukushima.
abstract: OBJECTIVE
  The aim of this study is to assess whether the risk or types of suicide change in Fukushima in the aftermath of a series of disaster, including earthquake, tsunami and nuclear accident in March 2011.
  
  
  METHODS
  The clinical records of all patients visited to the medical centre near the nuclear plant from 1 year before to 1 year after the disaster were reviewed (n = 981). Patients with non-fatal suicide attempt were divided into two categories depending on their method of suicide attempt. Standardised mortality ratios were calculated to adjust for changes in demographic profiles.
  
  
  RESULTS
  The risk of non-fatal suicide attempts using high-mortality methods was significantly higher for 4 months, by three to four times after the series of disasters, and then decreased. There was no significant increase of non-fatal suicide attempts using low-mortality methods after the disaster.
  
  
  CONCLUSIONS
  After such a disaster, immediate psychiatric support may be required because of the increased risk of non-fatal suicide attempts in the immediate aftermath.
authors.affiliation: Department of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan, you_your_yuta@hotmail.com.
authors.forename: Yuta
authors.initials: Y
authors.lastname: Aoki
authors.forename: Megumi
authors.initials: M
authors.lastname: Okada
authors.forename: Ryota
authors.initials: R
authors.lastname: Inokuchi
authors.forename: Akinori
authors.initials: A
authors.lastname: Matsumoto
authors.forename: Yoshibumi
authors.initials: Y
authors.lastname: Kumada
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Yokoyama
authors.forename: Tokiya
authors.initials: T
authors.lastname: Ishida
authors.forename: Itaru
authors.initials: I
authors.lastname: Saito
authors.forename: Humihito
authors.initials: H
authors.lastname: Ito
authors.forename: Hajime
authors.initials: H
authors.lastname: Sato
authors.forename: Jun
authors.initials: J
authors.lastname: Tomio
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Shinohara
authors.forename: Graham
authors.initials: G
authors.lastname: Thornicroft
mesh_terms: D000328:Adult; D004190:Disasters; D055866:Earthquakes; D005260:Female; D062406:Fukushima Nuclear Accident; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D013406:Suicide, Attempted / Q000706:statistics & numerical data*; D017741:Survivors / Q000523:psychology* / Q000706:statistics & numerical data; D013997:Time Factors; D057192:Tsunamis; D055815:Young Adult