matrix analysis and risk management to avert depression and suicide among workers矩阵分析和风险管理,避免抑郁和自杀的工人.pdfVIP

Takeuchi BioPsychoSocial Medicine 2010, 4:15 /content/4/1/15 REVIEW Open Access Matrix analysis and risk management to avert depression and suicide among workers Takeaki Takeuchi 1,2,3 Abstract Suicide is among the most tragic outcomes of all mental disorders, and the prevalence of suicide has risen drama- tically during the last decade, particularly among workers. This paper reviews and proposes strategies to avert sui- cide and depression with regard to the mind body medicine equation hypothesis, metrics analysis of mental health problems from a public health and clinical medicine view. In occupational fields, the mind body medicine hypothesis has to deal with working environment, working condi- tion, and workers’ health. These three factors chosen in this paper were based on the concept of risk control, called San-kanri, which has traditionally been used in Japanese companies, and the causation concepts of host, agent, and environment. Working environment and working condition were given special focus with regard to tackling suicide problems. Matrix analysis was conducted by dividing the problem of working conditions into nine cells: three prevention levels (primary, secondary, and tertiary) were proposed for each of the three factors of the mind body medicine hypothesis (working environment, working condition, and workers’ health). After using these main strategies (mind body medicine analysis and matrix analysis) to tackle suicide problems, the paper talks about the versatility of case-method teaching, “Hiyari-Hat activity,” routine inspections by professionals, risk assessment analysis, and mandatory health check-up focusing on sleep and depression. In the risk assessment analysis, an exact assessment model was suggested using a formula based on multiplication of the following three factors: