Changes in the Frequency and Clinical Features of Suicide Attempts in the Midwestern Area of Kanagawa after the Great East Japan Earthquake

The aim of this study was to investigate the relationship between the clinical features of suicide attempts and the Great East Japan earthquake in Kanagawa. We enrolled 592 patients who attempted suicide and were hospitalized for inpatient treatment. Clinical features were compared between before the earthquake (A) and after the earthquake (B) groups. The number of suicide attempts increased from 286 to 306. The rate of increase in suicide attempts in men was the highest in the age group of 40–59 years. The frequency of joblessness, family psychiatric histories, precipitating event, and alcohol intake at suicide attempt was significantly higher in the B group than in the A group. The number of patients in serious condition in the B group was significantly higher than that in the A group. Other clinical features related to suicide in people who were indirectly affected by the earthquake disaster should be investigated to develop targeted prevention strategies.     

Trust deficit: Japanese communities and the challenge of rebuilding Tohoku

Abstract

Trust between civil society and the state is a necessary pre-condition for successful public policy in advanced industrial democracies. It is all the more important following a mass catastrophe that affects hundreds of thousands and upends the rhythms of daily life across the country. Choices made by the Japanese government and energy utilities during and after the compounded 11 March 2011 disasters damaged relationships between civil society, utility firms, and the government. This article looks at how decision makers in Japan continue to struggle with a trust deficit and how that gap has altered the behavior of non-governmental organizations (NGOs) and civil society as a whole. Residents will continue to resist what they see as flawed disaster recovery and nuclear restart processes unless the political system undergoes major reform.