Journal of Epidemiology
Online ISSN : 1349-9092
Print ISSN : 0917-5040
Original Article
Educational Levels and Risk of Suicide in Japan: The Japan Public Health Center Study (JPHC) Cohort I
Takashi KimuraHiroyasu IsoKaori HonjoSatoyo IkeharaNorie SawadaMotoki IwasakiShoichiro Tsugane
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Volume 26 (2016) Issue 6 Pages 315-321

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Background: Suicide rates have been related to educational level and other socioeconomic statuses. However, no prospective study has examined the association between educational level and the risk of suicide in Japan.
Methods: We examined the association of education level and suicide risk in a population-based cohort of Japanese men and women aged 40–59 years in the Japan Public Health Center-based Prospective Study Cohort I. In the baseline survey initiated in 1990, a total of 46 156 subjects (21 829 men and 24 327 women) completed a self-administered questionnaire, which included a query of educational level, and were followed up until the end of December 2011. Educational levels were categorized into four groups (junior high school, high school, junior or career college, and university or higher education). During a median follow-up of 21.6 years, the hazard ratios (HRs) and 95% confidence intervals (CIs) of suicide according to educational level were estimated using the Cox proportional hazards regression model adjusted for age; study area; previous history of stroke, ischemic heart disease, or cancer; self-reported stress; alcohol consumption; smoking; living with spouse; and employment status. A total of 299 deaths attributed to suicide occurred.
Results: The HR for university graduates or those with higher education versus junior high school graduates was 0.47 (95% CI, 0.24–0.94) in men, and that for high school graduates versus junior high school graduates was 0.44 (95% CI, 0.24–0.79) in women.
Conclusions: High educational levels were associated with a reduced risk of suicide for both Japanese men and women.

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© 2016 Takashi Kimura et al. This is an open access article distributed under the terms of Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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