佐賀県における看護師の自殺について : 同僚の自殺についての実態調査  [in Japanese] Survey of Suicide in Nursing Staff in Saga Prefecture, in Japan  [in Japanese]

目的:佐賀県における看護師の自殺の実態を調査し,自殺のリスク要因を明らかにし,予防対策に取り組むことを目的として,今回の研究を実施した.対象者および方法:佐賀県看護協会主催のストレスマネージメント研修会に参加した看護師83名,およびA大学医学部医学系研究科看護学修士課程に在籍している大学院生の看護師10名の計93名.方法:対象者に自記式質問紙調査票による調査を実施した.また,同僚の自殺または自殺未遂を経験した対象者のうち,同意が得られた2名に面接による調査を実施した.結果:回収率は91.4%で85名(男性8名,女性75名,性別不明2名)から回答を得た.有効回答率は100%,同僚の自殺もしくは自殺未遂を経験したものは8名であった.自殺者または自殺未遂者11名のうち,20歳代が9名(81.8%)で最も多く,7名(63.6%)が通算勤務年数が5年以下であった.婚姻状況は10名(90.9%)が独身者であり,8名(72.7%)が交替制勤務に従事していた.自殺の推測される動機は,職場の人間関係や恋愛関係など対人関係に関するものが7名(63.6%)と最も多かった.結語:看護師の自殺予防のために,就職後の早い時期からメンタルヘルス対策に取り組む必要性があると思われた.

Objectives: We examined risk factors of suicide in nursing staff for prevention of healthcare worker suicide in Saga Prefecture, Japan. Subjects: Eighty-three nurses who participated in the education program of mental health management held by Saga Nursing Association on June, 30, 2007 and 10 post-graduate students of master course in nursing in a university who had a lecture on mental health management in workplace on October, 1, 2007. Subjects were total 93 nurses. Method: We distributed self-administered questionnaires concerning suicide of medical staff colleagues to the subjects and collected them after the lectures. Results: The collection rate was 91.4% (85 nurses), and the response rate was 100%. The number of nurses who experienced the suicide of colleague nurses was eight. Eleven nurses attempted suicide, 4 nurses died, and 7 nurses survived. Most of the nurses who committed suicide were in their 20's (81.8%), and 63.6% of the nurses who committed suicide were working in the hospital less than 5 years. Ninety point nine percent of the nurses were single and 72.7% were working in the shift-work system. Among the chief reasons for suicide included problems of interpersonal relationship in job, and love affairs with opposite sex. Conclusion: Mental health management of young nurses was considered very important for prevention of suicide. Especially, young nursing staff who have been at work less than 5 years needed support for their mental health.