Psychosocial and psychiatric aspects of suicide completers with unmanageable debt: A psychological autopsy study

Authors

  • Akiko Kameyama PhD,

    Corresponding author
    1. The Institute of Humanities and Social Sciences, College of Humanities and Sciences, Nihon University
    2. National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo
      Akiko Kameyama, PhD, The Institute of Humanities and Social Sciences, College of Humanities and Sciences, Nihon University, 3-25-40 Sakura-Josui, Setagaya-ku, Tokyo 156-8550, Japan. Email: akikokameyama@gmail.com
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  • Toshihiko Matsumoto MD, PhD,

    1. National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo
    2. Center for Suicide Prevention, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Japan
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  • Yotaro Katsumata PhD,

    1. National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo
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  • Masato Akazawa PhD,

    1. National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo
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  • Masahiko Kitani MA,

    1. National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo
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  • Seiko Hirokawa MA,

    1. National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo
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  • Tadashi Takeshima MD, PhD

    1. National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo
    2. Center for Suicide Prevention, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Japan
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Akiko Kameyama, PhD, The Institute of Humanities and Social Sciences, College of Humanities and Sciences, Nihon University, 3-25-40 Sakura-Josui, Setagaya-ku, Tokyo 156-8550, Japan. Email: akikokameyama@gmail.com

Abstract

This study examined the psychosocial and psychiatric features of 16 Japanese suicide completers with unmanageable debt compared with 23 suicide completers without such debt at time of death, using a psychological autopsy method. The individuals with unmanageable debt were more likely to have been self-employed and to have experienced divorce. They were less likely to have engaged in help-seeking behavior, despite having mental health problems. Our findings suggest that providing comprehensive support and promoting help-seeking behavior may be important for suicide prevention in middle-aged men.

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