[Purpose] The purpose of this research is to study the possibility of predicting the probability of falling in schizophrenic patients in psychiatric hospitals from the frequency of falls in such patients in the past. [Methods] The surveys targeted 35 schizophrenic patients (23 male patients and 12 female patients of an average age of 53.685, S.D11.248) who gave their consent and cooperated with the survey in two psychiatric hospitals and who were still in the target hospitals three months after the surveys were commenced. The duration of hospitalization of the subjects at the beginning of the survey, their antipsychotic medication (chlorpromazine converted amounts), their frequency of falling and tripping over the last two months, the extent of their anxiety about walking and SF-8 at the commencement of the surveys were investigated. In addition, explanatory variables are selected by the statical significance test. And the multiple logistic regression analysis performed using these elements as explanatory variables and the incidence or non-incidence of accidents such as falling during the 3-month follow-up survey as objective variables. [Results] The follow-up survey revealed nine incidents of falling. A significant relationship was discovered with the frequency of falling during the last two months with an odds ratio of 3.064 and a 95% confidence interval (1.032-9.102), P=0.044. No relationship with falling was observed with the male to female sex ratio, the length of hospitalization, age, antipsychotic medication and SF-8. [Conclusions] From interviews conducted with schizophrenic patients in psychiatric hospitals regarding the frequency of falling during the last two months, it was confirmed that the results were significant in terms of predicting the probability of falling over a 3-month period.
As a strategy for primary prevention of suicide, we have been providing intervention aiming to empower the protective factors of suicide among inhabitants in High rate suicide area of North Tohoku region, a Japanese city that, since 1997, has recorded high suicide rates. Using participatory action research and a qualitative data analysis approach called SCAT (Steps for Coding and Theorization), we examined the inhabitants' views towards “meaning for life”. The results of these studies showed that the elderly living in the area have a specific value that “working creates meaning for life”. They also have a specific feeling of comfort when the mutual communication between family members and the neighbors exists. Participants also reported having a feeling concerned when they found the decrease of body functions and loss of communication with younger inhabitants. We also found that the mutual bonding among family members and neighbors could solve such difficult situations and feelings. Empowering this mutual bonding may play an important role for preventing suicide in this area, and to build an ideal community with joy and comfort. Similar to the report by Oka, activities aimed to strengthen the bonding among the inhabitants would contribute to the empowerment of the protective factors of suicide.
The purpose of this study is to determine whether the physical play programs for preschoolers were practiced at home or not. Subjects were 12 three- to six-year-old Japanese preschoolers (5 boys and 7 girls) and 14 parents (6 men and 8 women) in kindergarten. Preschoolers and parents turned into “NINJA” and played the physical activity programs refer to as “YOUJIKIUNDOSHISHIN-Physical Activity Guideline for Japanese Preschoolers”. These programs consisted of three programs which are  Making the “NINJA” toys,  Contact playing of parents and childen, and  Playing equipment in playground. We evaluated using a questionnaire (multiple-choice answers) one month later after practice (9/12 persons replied). Moreover, we interviewed the head teacher in kindergarten two months later after practice. As for the result of the intervention, the physical play programs were carried out in all the homes.  Six people made the “NINJA” toys.  Five people participated contact playing of parents and children, and  playing on playground equipment in was implemented by one person. In addition, these programs were implemented in the athletic festival by teachers of one month later after practice, and in the kindergarten festival by parents of two months later after practice. In conclusion, the physical play programs with reference “Physical Activity Guideline for Japanese Preschoolers” may lead to promote physical activity at home.