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[Overall]

Note: The suicide mortality rate for some municipalities in coastal areas is not shown for 2011.
The data for Tomiya Town were used for Tomiya City until 2015

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Reference 12Explanation of terms

Term
Outreach

Addiction

Informal services
Alcoholics Anonymous(AA)Skills for psychologicalrecovery (SPR)

Life support adviser (LSA)

Alcohol Use Disorders
Identification Test (AUDIT)
K6

Commitment
Consultation
Cognitive behavioral
therapy (CBT)Supervise/supervision
Self-efficacy

Explanation
A support visit activity that involves professionals going into
communities to provide services to those in need of them. It includes
individual visits as well as visits to gathering places to discoverpotential needs.
Addiction refers to being absorbed or caught up in a certain habit to an
unhealthy degree, resulting in actions that are difficult to control on
one’s own. These excessive actions may cause various health problems
and social problems.
Informal services are an informal type of support that comes fromfamily members, friends, local residents, volunteers, nonprofit
organizations, etc., as opposed to that which comes through formal(official) systems such as municipalities and specialized institutions.
AA is a self-help group for people who have a drinking problem andwish to stop drinking.
SPR is an intervention that aims to help survivors gain the necessary
skills to manage distress and cope with postdisaster stress and adversity.
LSA provide support services for elderly people living in public
housing, such as “silver housing” (housing with elderly care), including
monitoring services (safety checks), daily-life guidance andconsultation, emergency response, contact with relevant organizations,
support for community building, and other services.
The AUDIT is a screening tool developed by the World HealthOrganization to detect harmful alcohol consumption for the purpose ofearly intervention.
The K6 scale was developed by Kessler in the United States for thepurpose of screening for states of psychological distress such asdepression and anxiety. The survey is widely used as an index
measuring the degree of psychological stress in the general population.
“Commitment” is often used in the sense of “pledged” and “activelyinvolved.” The speaker uses it with the nuance of “keeping pace” and“keeping agreements.”
Consultation is based on an egalitarian relationship between different
professions; one seeks advice from those with other areas of expertise toprovide social welfare services to one’s target audience.
CBT is one of the therapies used to modify distorted views and ways ofthinking that influence emotions and moods, to bring about a more
realistic and broader view of situations.
Supervision refers to experienced specialists providing expert advice
and guidance on cases to help less experienced professionals achieve
best practices from an objective perspective.
An individual’s belief in his or her own innate ability to overcome
problems when he confronts them.

Suicide

Abstinence meetings

Disaster psychiatricassistance team (DPAT)
Disaster Mental Health
Information Support System(DMHISS)
Bias
Scissor-like disparity

HAPPY Program

Brief intervention (BI)Psychological first aid(PFA)

Literacy

Resilience

From 2014 onward, Miyagi Prefecture decided to reformulate the word
“suicide” as “self-death” in public documents. Therefore, in thisbulletin, the expression “self-death” has been adopted except in cases ofproper nouns such as names of laws or documents in which the wording
was previously established.
These are self-help groups that seek to aid in the recovery of those who
suffer from the effects of alcohol and their families. The Miyagi
Prefectural Liquor Association has 19 locations in the prefecture,mainly in Sendai City, and is also engaged in social welfare activities
that focus on consultation and promotion of awareness of the harmful
effects of alcohol.
In the event of a natural disaster or accident, a DPAT provides highly
specialized psychiatric care and support for mental health.
The DMHISS is an information-sharing tool that uses the internet tocarry out efficient activity in the event of a disaster. It is a system that
handles dispatch requests, dispatch assignments, activity records, andaggregation. In the event of a disaster, DMHISS reports on dispatch
adjustments, and DPAT activities are carried out.
1) A variety of biases that occur in a survey.
2) A bias in ideas or opinions.
As time goes by, victims are increasingly differentiated into two
categories. Hisao Nakai expressed this phenomenon as a “scissor-likedisparity,” separating those who are left out of the restoration processfrom those who adapt.
The “HAPPY Program” (Hizen-style alcohol-related problem earlyintervention program) refers to a large-scale drinking intervention
program developed by the National Hospital Organization Hizen
Psychiatric Center. It consists of three programs that work within shortperiods, such as video learning and health diaries. “HAPPY” comesfrom H for Hizen, A for alcohol, P for problem, P for program, and Yfor Dr. Takefumi Yuzuriha.
BI refers to a brief individual counseling session (5 to 30 minutes) thatfunctions as a preventive intervention method for disorders involving
alcohol use. The purpose is to bring about changes in the drinking
behavior of the target person using techniques such as motivationalinterviews and coaching, with the goal of effecting changes in drinking
behavior. The target is often a decrease in alcohol consumption rather
than complete sobriety. When these early interventions are carried out
with “health” as the theme, clients display relatively little denial orresistance.
PFA is a psychosocial method meant to be used in the event of an
emergency such as a natural disaster or terrorist attack. It connects tovictims’ needs to help prevent their mental distress from worsening.
Child PFA is a psychosocial method that is tailored to thedevelopmental stage, characteristics, and age of the child.
“Literacy” in recent years has often referred to “the ability to correctly
understand, analyze and organize events and information in a particularfield, express them in one’s own words, and assess them.”
Resilience is translated as “elasticity,” “stability,” “the ability torecover,” etc. In psychiatric and psychological terms, it is interpreted as“the ability to withstand, flexibly adapt to and overcome external shocks
such as adversity, hardship, and strong distress.” It is often likened tothe image of bamboo, which in a strong wind bends but does not break
and returns to its original state.

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