社会のニーズに応え,発信していく心療内科医をめざして : リエゾン,災害医療,グリーフケアを通じて(パネルディスカッション : 社会のニーズに応えるために心身医療はどうあるべきか,2007年,第48回日本心身医学会総会(福岡))  [in Japanese] Psychosomatic Internal Medicine Experts respond to Society's Needs : Promoting Liaisons, Disaster Medicine, and Grief Care(Panel Discussion : How should be the Psychosomatic Medicine to Respond the Social Needs)  [in Japanese]

当院心療内科では,社会のニーズに応えるために以下のさまざまな活動を行っている.1.自殺予防のための危機介入:併設の三次救命救急センターでは,重症の自殺未遂患者にリエゾンとして関わり,早急に患者・家族と面接し,精神科医につなぐことで,自殺再発予防に努めている.2.グリーフケアの啓蒙:医療従事者のみならず,地域の援助職(保健師・福祉施設職員・教師など)や一般市民に向けても,講演活動を行い,啓蒙・普及に努めている.3.災害医療への急性期からの介入:JR福知山線脱線事故への関わりから,災害急性期においても「遺族の視点」を視野に入れた活動が重要であると痛感した.こうした中で,災害救急医や法医学者などとともに「災害時におけるグリーフケア」に関する勉強会を立ち上げた(DMORT研究会).各自が自身の専門分野や身近なテーマを通して,多種多様な社会のニーズに応え,発信していくことに留意すべきである.

The Department of Psychosomatic Internal Medicine of our hospital has been conducting the following activities in response to the needs of our society. 1. Crisis Intervention to Prevent Suicides : The 3rd emergency medical care center attached to the hospital deals with seriously injured patients who have attempted suicide. We endeavor to prevent the recurrence of such attempts by introducing the patients and family members to a psychiatrist at the earliest possible stage. 2. Grief Care Education : We are engaged in the education and furthering of the concept of "grief care," with lectures on this concept having been made available not only to medical professionals, but also to medical service workers, health nurses, welfare service workers and all the other local related support groups personnel as well as the general public. 3. Disaster Medicine Intervention in the Acute Phase : The Amagasaki JR Derailment Accident made it painfully clear that the perspectives of victims' families should be taken into full consideration when providing care, even at the phase immediately after disasters. We and emergency physicians and forensic medical experts have therefore come together to organize study sessions around the theme of grief care in times of disaster. Individuals who are engaged in psychosomatic medicine should be mindful of the need to respond to diverse needs of society when working in their own areas of expertise and related fields.