従業員の自殺を経験した中小製造業A社における再発防止の取り組みとその効果  [in Japanese] A Case Study of Efforts and Effects in Tacking with Recurrence Prevention of a Tragedy in a Small (Midsize) Company where an Employee had Committed Suicide  [in Japanese]

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Author(s)

    • 中原 登世子 Nakahara Toyoko
    • 早稲田大学大学院人間科学研究科:株式会社クオリティヘルスケア研究所 Faculty of Human Sciences, Graduate School of Human Sciences, Waseda University:Quality Health Care Laboratory, Ltd.
    • 鈴木 勝己 Suzuki Katsumi
    • 早稲田大学人間科学学術院 Department of Health Science and Social Welfare, Faculty of Human Sciences, Waseda University
    • 小野 充一 Ono Michikazu
    • 早稲田大学人間科学学術院 Department of Health Science and Social Welfare, Faculty of Human Sciences, Waseda University

Abstract

従業員の自殺を経験した中小製造業A社において,医療人類学的なアプローチで従業員の苦悩を拾い上げ,心身医学的な視点で再発防止対策を行った結果,同社に生じた変化を明らかにすることを目的とした.11名の対象者から聴き取り調査を行った結果,彼らはさまざまな苦悩を抱えていることがわかった.社内の人間関係が希薄化し,孤独を感じている人が多かった.経営者が重視する創業当初からの企業文化に根ざした業務体制や手順が,彼らを苦しめていた.経営者も従業員も,お互いに生活者としての側面を理解していなかった.苦悩の要因となっていた業務体制や手順などを変更し,メンタルヘルス教育を推進した結果,経営者と従業員に,相互に理解しケアしあう行動の変化がみられた.心身医学的な視点で従業員個人の社会文化的背景を理解し,それらの側面に働きかけることや対話を促進することによって,従業員の心身の健康を増進できる可能性が示された.

Background : In Japan, over 30,000 people per year have commited suicide in the course of 14 years since 1998. It is clear that many workers suffer from workplace stress. Mental health wellness is addressed by the industrial world yet mental health insurance coverage for individual workers is extremely difficult. The purpose of this case study is to improve the conditions of, and make changes for, the workers of a small to mid-sized company (company XYZ) whose employee had committed suicide from a psychosomatic point of view. Methods : We investigated the mental state and the workplace relationships of the eleven coworkers who were left behind by the one who committed suicide. Through interviews and participant-observer approach, the coworkers' conversational data were collected, and then analyzed by the KJ method, to reveal their relationships to each other and their socio cultural background. Two years after measures to prevent the recurrence of suicide were implemented, the coworkers were interviewed again and pre- and post-preventative measure implementation differences were analyzed. Results : Immediately after the suicide, in a social context, interviewees expressed their suffering as physical, mental, social, and existential pain. In addition to being an employee, the one who committed suicide had social roles as a father and husband. After his death, his personal financial hardship and his lack of interpersonal relationships at the workplace were revealed. Many of his coworkers were dissatisfied with company xyz's feudal culture. Their suffering, which stemmed from the work environment and business procedures, was improved by the implementation of mental health education and measures to prevent the recurrence of suicide ; this resulted in vast improvements to employer-employee relationships and their understanding of each other. They have started to care for each other and their behaviors have started to change. Discussion : It is best when industrial medical professionals take care of workers from a psychosomatic perspective. If that cannot happen, outside resources like consultants and non medical professionals, as well as the employees themselves, have the potential to improve health by carrying out a medical anthropological approach to prevent the recurrence of suffering.

Journal

  • Japanese Journal of Psychosomatic Medicine

    Japanese Journal of Psychosomatic Medicine 54(7), 692-702, 2014

    Japanese Society of Psychosomatic Medicine

Codes

  • NII Article ID (NAID)
    110009823345
  • NII NACSIS-CAT ID (NCID)
    AN00121636
  • Text Lang
    JPN
  • ISSN
    0385-0307
  • NDL Article ID
    025537788
  • NDL Call No.
    Z19-26
  • Data Source
    NDL  NII-ELS  J-STAGE 
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