大分県における性࣬年齢階級別のࠔ病苦」自殺率およびࠔ経済࣬生活苦

┫㆜⛁Ꮥ◂✪ vol. 8, 1- 8 (2009)
ኬฦ┬ࡡ⮤ṽ⋙ / ᒱ⏛㯖౪ , ᙫᒜ㝧஄
㈠ᩩ
ኬฦ┬࡞࠽ࡄࡾᛮ࣬ᖳ㱃㝭⣥ืࡡࠔ⑋ⱖࠕ⮤ṽ⋙࠽ࡻࡦࠔ⤊ῥ࣬⏍Ὡⱖࠕ
⮤ṽ⋙
Suicide mortality related to͆patience caused by diseases͇and that related to͆difficulty in economic status and
daily living͇in Oita prefecture
ᒱ⏛ 㯖౪ Mai Okada
ኬฦ┬❟┫㆜⛁ᏕኬᏕ ᑍ㛓┫㆜Ꮥㅦᗑ ⢥♼┫㆜Ꮥ Oita University of Nursing and Health Sciences
ᙫᒜ 㝧஄ Takayuki Kageyama
ኬฦ┬❟┫㆜⛁ᏕኬᏕ ᑍ㛓┫㆜Ꮥㅦᗑ ⢥♼┫㆜Ꮥ Oita University of Nursing and Health Sciences
2008 ᖳ 5 ᭮ 19 ᪝ᢖ✇ , 2008 ᖳ 11 ᭮ 12 ᪝ུ⌦
こ᪠
᪝ᮇ࡚ࡢ㆑ᐳ⤣゛࡞ࡻࡿࡣࠉ⮤ṽࡡິᶭ࡛ࡊ࡙ࠔ⑋ⱖࠕ࠽ࡻࡦࠔ⤊ῥ࣬⏍Ὡⱖࠕ
࠿ࡵࡖ࡛ࡵኣ࠷ࠊິᶭ࡞ࡻࡖ࡙ᚪこ࡝⮤ṽᑊ➿
ࡢ␏࡝ࡾྊ⬗ᛮ࠿࠵ࡾࠊࡆࡿࡼࡡິᶭ࡞ࡻࡾ⮤ṽࡡ஢㜭ࡡᵾⓏ㞗ᅆࢅ᪺ࡼ࠾࡞ࡌࡾࡒࡴࠉ㆑ᐳ⤣゛࡛ெཾິឺ⤣゛ࢅ⏕࠷ࠉኬ
ฦ┬ࡡࠔ⑋ⱖࠕ࠽ࡻࡦࠔ⤊ῥ࣬⏍Ὡⱖࠕ࡞ࡻࡾ⮤ṽ⋙ࢅịࡴࡒࠊࡆࡿࡼࡡೋࡢ 2001 ࠤ 2006 ᖳࡡ㛣࡮࡛ࢆ࡜ୌᏽ࡚࠵ࡖࡒࠊ2006
ᖳࡡኬฦ┬࡞࠽ࡄࡾࠔ⑋ⱖࠕ࡞ࡻࡾ⮤ṽ⋙㸝ெཾ 10 ୒࠵ࡒࡽ㸞ࡢ⏠ 13.8ࠉዥ 7.4 ࡚ࠉ㧏㱃⩽≁࡞⏠ᛮ 80 ṋ௧୕࡚㧏࠾ࡖࡒࠊධ⮤
ṽ࡞༥ࡴࡾ๪ྙࡢࠉ⏠ 70 ṋ௧୕࠽ࡻࡦዥ 50 ṋ௧୕࡚ 6 ๪ࢅ㉰࠻ࠉࡆࡿࡼࡡ㞗ᅆࢅᵾⓏ࡞ࡊࡒಕ೸࣬༈⒢࣬⚗♬㟻࠾ࡼࡡ⮤ṽ
ᑊ➿࠿ᚪこ࡛⩻࠻ࡼࡿࡒࠊࡒࡓࡊెᏋࡌࡾᢒ࠹ࡗ⑍≟ࡷ㣟㒿ၡ㢗࡞ࡵ⏻ណࡌࡾᚪこ࠿࠵ࡾࡓࢀ࠹ࠊ2006ᖳࡡኬฦ┬࡞࠽ࡄࡾࠔ⤊
ῥ࣬⏍Ὡⱖࠕ࡞ࡻࡾ⮤ṽ⋙ࡢ⏠ 12.7ࠉዥ 1.1 ࡚ࠉ30 ࠤ 69 ṋ⏠ᛮ࡚㧏࠾ࡖࡒࠊධ⮤ṽ࡞ᑊࡌࡾ๪ྙࡢ 30 ࠤ 49 ṋࡡ⏠ᛮ࡚ 5 ๪ࢅ
㉰࠻ࡒࡆ࡛࠾ࡼࠉࡆࡿࡼ഼ࡀ┊ࡽࡡ⏠ᛮࡡ⤊ῥⓏᨾῥࡵྱࡴࡒࢬ࣭ࣆࢷ࢔ࢾࢴࢹ࣭࣠ࢠࡡᵋ⠇࠿ᚪこ࡛⩻࠻ࡼࡿࡒࠊ
Abstract
According to the statistics of the National Police Agency, Japan, the most frequent reason for suicide is diseases
and the difficulty in economy and daily living. Strategies for suicide prevention may differ from a reason to a reason for
suicide. The purpose of the present study was to determine the target population in which the above two reasons are
most frequent. The suicide mortality for the two reasons was calculated, respectively, by gender and age groups, based
on the Police Statistics and the Vital Statistics in Oita prefecture. The above suicide mortalities were almost constant in
the period of 2001-2006. The suicide mortality for diseases in 2006 (per one hundred thousand person-year) was 13.8
in men and 7.4 in women, being high in the elderly persons, particularly men aged 80 or above. This kind of suicide
was 60% or more in the men aged 70 or above and the women aged 50 or above. It is important to take comprehensive
countermeasures in community health, medicine, and welfare, for the prevention of suicide for diseases among the
above sub-population. Comorbidity with depressive symptoms or alcohol problems should be taken into consideration.
The suicide mortality for difficulty in economy and daily living was 12.7 in men and 1.1 in women, being high among the
men aged 30-69. This kind of suicide was 50% or more in the men aged 30-49. It is important to construct social safety
network including the economic help for male workers in the above sub-population.
࣭࣭࢞࣠ࢺ
⮤ṽࠉṒஷ⋙ࠉᛮࠉᖳ㱃ࠉ⑋Ẵࠉ⤊ῥ
Key words
suicide, mortality, gender, age, disease, economy
ྙᑊ➿ኬ⥐࠿Ⓠ⾪ࡈࡿࡒ㸝http://www8.cao.go.jp/
1. ┘Ⓩ
᪝ᮇ࡞࠽ࡄࡾ⮤ṽ⩽ᩐࡢᖲᠺ 10 ᖳ࠾ࡼ 19 ᖳࡱ
࡚㏻⤾ࡊ࡙ 3 ୒ெࢅ㉰࠻࡙࠽ࡽࠉኬฦ┬࡚ࡵẎ
ᖳ 300 ெ௧୕࠿⮤ṽࡊ࡙࠷ࡾࠊࡆࡡ῕็࡝஥ឺࢅ
ུࡄ࡙ᖲᠺ 18 ᖳ࡞ࡢࠉᅗࢅᣪࡅ࡙⮤ṽᑊ➿ࢅ⥪
ྙⓏ࡞᥆㐅ࡌࡾࡒࡴࠉ⮤ṽᑊ➿ᇱᮇἪ࠿᪃⾔ࡈ
ࡿࡒࠊࡐࡊ࡙ᖲᠺ 19 ᖳ࡞ࡢࠉහ㛮ᗋ࠾ࡼ⮤ṽ⥪
jisatsutaisaku/index.html㸞ࠊྜྷࡋᖳ࠾ࡼཉ⏍ຘ഼
┤ࡢࠉ㒌㐠ᗋ┬ࡷᨳ௦ᕰࡡ୯࠾ࡼࠔ࣓ࢸࣜ⮤἖మࠕ
ࢅ㐽ᏽࡊࠉࡐࡿࡑࡿࡡ⮤ṽᑊ➿ࡡཱིࡽ⤄ࡲ࠾ࡼ
ᚋࡼࡿࡒᠺᯕࢅධᅗࡡ⮤἖మ࡚භ᭯ࡊࡻ࠹࡛ࡌࡾ
ࠔᆀᇡ⮤ṽᑊ➿᥆㐅஥ᴏࠕ࡞஋ࡽฝࡊࡒࠊኬฦ┬ࡵ
ࡐࡡ࣓ࢸࣜ⮤἖మ࡞㐽ࡣࡿࠉ3 ᖳ゛⏤࡚᩺ࡒ࡞≺
1
ኬฦ┬ࡡ⮤ṽ⋙ / ᒱ⏛㯖౪ , ᙫᒜ㝧஄
⮤ࡡ⮤ṽᑊ➿ࡡ᥆㐅ࢅ㛜ጙࡊࡒࠊ
࡚ࡡຝᯕⓏ࡝⮤ṽᑊ➿ࢅ⩻࠻ࡾ࡞࠵ࡒࡽࠉ⮤ṽࡡ
ࡆ࠹ࡊࡒ⮤ṽᑊ➿ࢅ❟࡙ࡾᇱ♇࡛ࡊ࡙ࠉᆀᇡࡡ
⮤ṽ⤣゛ࡡ᳠ゞࡢ㔔こ࡚࠵ࡾࠊ⮤ṽ⤣゛࡞ࡢ 2 ⛸
ິᶭ࡛ࡊ࡙ኬࡀ࡝๪ྙࢅ༥ࡴࡾࠔ⑋ⱖࠕ࠽ࡻࡦࠔ⤊
ῥ࣬⏍Ὡⱖࠕ࡞ࡻࡾ⮤ṽ࠿ࠉᛮ࣬ᖳ㱃㝭⣥ื࡞ࡲ
㢦࠵ࡾࠊୌࡗࡢཉ⏍ຘ഼┤ࡡெཾິឺ⤣゛࡚ࠉ㒌
ࡒ࡛ࡀ࡞ࠉ࡜ࡡ㞗ᅆ࡞ኣ࠷࠾ࢅ▩ࡾࡆ࡛ࡢ㔔こࡓ
㐠ᗋ┬ࡇ࡛ࡡ⮤ṽ⩽ᩐࡵሒ࿈ࡈࡿ࡙࠷ࡾࠊࡵ࠹ୌ
ࡗࡢ㆑ᐳ⤣゛࡚ࠉ㒌㐠ᗋ┬㆑࠿≺⮤࡞㞗゛ࡊࡒࡵ
࡛ゕ࠻ࡾࠊࡒࡓࡊᚉᮮࠉཋᅄ࣬ິᶭืࡡ⮤ṽ⩽ᩐ
ࢅࠉᛮ࣬ᖳ㱃㝭⣥ื࡞㞗゛ࡊ࡙ප㛜ࡊ࡙࠷ࡾ┬㆑
ࡢᑛ࡝ࡂ㸝➁ᓞ ௙ 2004㸞ࠉኬฦ┬㆑࡚ࡵࡆࡿࡱ࡚
ࡡࢅ㆑ᐳᖿ࠿ࡱ࡛ࡴ࡙࠷ࡾࠊධᅗⓏ࡞ࡲࡾ࡛ࠉெ
ཾິឺ⤣゛ࡻࡽ㆑ᐳ⤣゛ࡡ࡮࠹࠿⮤ṽ⩽ᩐࡢኣࡂ
ெཾິឺ⤣゛࡚
ሒ࿈ࡈࡿ࡙࠷ࡾࠊࡐࡡ⌦⏜ࡢࠉ1㸞
ࡢᛮ࣬ᖳ㱃㝭⣥ืࡡ⮤ṽࡡཋᅄ࣬ິᶭࢅප⾪ࡊ࡙
ࡢ᪝ᮇெࡡࡲࢅ㞗゛ࡊ࡙࠷ࡾ࠿ࠉ㆑ᐳ⤣゛࡞ࡢአ
ᅗெࡡ⮤ṽࡵྱࡱࡿࡾࡆ࡛࡛ࠉ2㸞㆑ᐳ⤣゛࡚ࡢࠉ
ṒమⓆず᫤௧ᚃࡡㄢᰕ➴࡞ࡻࡖ࡙⮤ṽ࡛ึ᪺ࡊࡒ
࡛ࡀࡢࠉࡐࡡ᫤Ⅴ࡚⮤ṽ࡛゛୕ࡊ࡙࠷ࡾ࠿ࠉெཾ
ິឺ⤣゛ࡢࠉ⮤ṽࠉ௙ṽࠉ஥ᨶࡡ࠷ࡍࡿ࠾࠿୘᪺
࡝࡛ࡀࡢࠔ⮤ṽ௧አࠕ࡚ฌ⌦ࡊ࡙࠽ࡽࠉṒஷタ᩷᭡
ࡡషᠺ⩽➴࠾ࡼゖḿࡡ࡝࠷ሔྙࡢ⮤ṽ࡛ࡊ࡙゛୕
ࡊ࡙࠷࡝࠷ࡆ࡛࡞ࡻࡾࠊࡱࡒࠉୌࡗࡡ㒌㐠ᗋ┬࡞
㝀ࡖࡒ⤣゛࡚ゕ࠻ࡣࠉ3㸞㆑ᐳ⤣゛࡚ࡢ┬හ࡚⮤
࡚ࠔ㆑ᐳ࠿ಕ᭯ࡌࡾ⮤ṽ⤣゛㈠ᩩ࡞ࡗ࠷࡙ࠉ⮤ṽ
ṽࡊࡒெࢅ㞗゛ࡊ࡙࠷ࡾ࠿ࠉெཾິឺ⤣゛࡚ࡢ┬
හ࡞ᑽపࡌࡾெ࠿⮤ṽࡊࡒᩐࢅ㞗゛ࡊ࡙࠷ࡾࡆ࡛
ࡵࠉ⮤ṽ⩽⥪ᩐࡡ㐢࠷ࡡ⌦⏜࡞࡝ࡖ࡙࠷ࡾ㸝http://
ࡊࡒࠊࡒࡓࡊ๑エࡡࡻ࠹࡞ࠉ㆑ᐳ⤣゛࡚ࡢࠔኬฦ
www.mhlw.go.jp/toukei/saikin/hw/jinkou/tokusyu/
suicide04/index.html㸞ࠊ
ࡻࡾ
ࠔ┬Ằࡡ⮤ṽࠕࡡᵕ┞࡛Ẓ㍉ࡊࠉኬࡀ࡝ᕣ␏࠿
ࡆ࡝࠾ࡖࡒࠊࡐࡿ࠿ࡆࡡࡒࡦࠉ
ࠔ⮤ṽ⥪ྙᑊ➿ኬ⥐ࠕ
ࡡᐁឺゆ᪺ࡡࡒࡴㄢᰕ◂✪࡫ࡡὩ⏕ࢅಀ㐅ࡌࡾࡆ
࡛ࠕ࡛᪺エࡈࡿࡒࡒࡴࠉ㆑ᐳ࠾ࡼ⮤ṽ⤣゛᝗ሒࡡ
ᥞ౩ࢅུࡄࡾࡆ࡛࠿ᐖ᪾࡞࡝ࡖࡒࠊࡐࡆ࡚ᮇ◂✪
࡚ࡢࠉኬฦ┬࡞࠽ࡄࡾࠔ⑋ⱖࠕ࡛
ࠔ⤊ῥ࣬⏍Ὡⱖࠕ࡞
ࡻࡾ⮤ṽࢅ΅ࡼࡌࡒࡴࡡᑊ➿ࡡᵾⓏ㞗ᅆࢅ≁ᏽࡌ
ࡾ┘Ⓩ࡚ࠉኬฦ┬㆑⏍ὩᏭධ௺⏤ㄚ࠾ࡼ᝗ሒᥞ౩
ࢅུࡄࠉ┬හ࡞࠽ࡄࡾࠔ⑋ⱖࠕ࡛
ࠔ⤊ῥ࣬⏍Ὡⱖࠕ࡞
ࡻࡾ⮤ṽࡡᛮ࣬ᖳ㱃㝭⣥ื⮤ṽ⋙ࢅịࡴࡾࡆ࡛࡞
┬Ằࡡ⮤ṽࠕ࡚ࡢ࡝ࡂࠔኬฦ┬හ࡚Ⓠ⏍ࡊࡒ⮤ṽࠕ
ࢅ㞗゛ࡊ࡙࠷ࡾࡆ࡛࠾ࡼࠉᚃ⩽ࢅெཾິឺ⤣゛࡞
࡝࠷ࡆ࡛ࢅ☔ヾࡌࡾࡒࡴࡡࠉ஢ങⓏ᳠ゞࡵ⾔ࡖࡒࠊ
ࡈࡼ࡞ࠉ㆑ᐳ⤣゛࡞ࡢࠉ⮤ṽࡡཋᅄ࣬ິᶭื
ࡡ㞗゛ࢅྱࡳ࡛࠷࠹≁ᚡ࠿࠵ࡾࠊࡆࡿ࡞ࡻࡾ࡛ࠉ
⮤ṽࡡཋᅄ࣬ິᶭ࡛ࡊ࡙ࡢࠉࠔ೸ᗛၡ㢗ࠕࡷࠔ⤊
ῥ࣬⏍Ὡၡ㢗ࠕ࠿᭩ࡵኣ࠷㸝http://www.npa.go.jp/
toukei/index.htm㸞ࠊኬฦ┬㆑ࡡሒ࿈࡚ࡵࠉࠔ⑋ⱖࠕ
2. ㈠ᩩ࡛ゆᯊ᪁Ἢ
2. 1 ㈠ᩩ
ெཾິឺ⤣゛㸝http://wwwdbtk.mhlw.go.jp/
IPPAN/ippan/scm_k_Ichiran㸞࠽ࡻࡦኬฦ┬ප⾏⾠
⏍ᖳ㚯㸝http://www.pref.oita.jp/12000/toukei/㸞࠾
ࡼࠉධᅗ࠽ࡻࡦኬฦ┬ࡡᖲᠺ 13 ࠤ 17 ᖳࡡධ⮤ṽ
⩽ᩐ࠽ࡻࡦᛮ࣬ᖳ㱃㝭⣥ื⮤ṽ⩽ᩐࢅᚋࡒࠊ
㆑ᐳ⤣゛࠽ࡻࡦኬฦ┬㆑⤣゛࠾ࡼࡵࠉධᅗ࠽ࡻ
ࡦኬฦ┬ࡡᖲᠺ 13 ࠤ 18 ᖳࡡධ⮤ṽ⩽ᩐ࠽ࡻࡦᛮ࣬
ᖳ㱃㝭⣥ื⮤ṽ⩽ᩐࢅᚋࡒࠊኬฦ┬㆑⤣゛࡞ࡗ࠷
࡙ࡢࠉⴥ⩽ࡼ࠿┬㆑⏍ὩᏭධ௺⏤ㄚ࡞්㞗゛ࢅ౪
㢏ࡊࠉᖲᠺ 18 ᖳࡡ⮤ṽࡡິᶭ࡞ࡗ࠷࡙ᛮ࣬ᖳ㱃
㝭⣥ืࡡౚᩐ㸝ᚉᮮࡢᮅප⾪㸞ࢅථᡥࡊࡒࠊ
⮤ṽ⋙ࡡ⟤ฝ࡞⏕࠷ࡒኬฦ┬ࡡᛮ࣬ᖳ㱃㝭⣥ื
ெཾࡢࠉᅗເㄢᰕᖳ㸝ᖲᠺ 17 ᖳ㸞ࡢᅗເㄢᰕெཾ
ࢅ⏕࠷ࠉࡐࡿ௧አࡡᖳᗐ࡞ࡗ࠷࡙ࡢẎᖳ 10 ᭮ࡡ
ெཾ᥆゛ೋ࠾ࡼ├㎾ࡡᅗເㄢᰕࡡᖳ㱃㝭⣥ืአᅗ
ெெཾࢅᕣࡊᘤ࠷ࡒೋࢅ⏕࠷ࡒࠊ
࡞ࡻࡾ⮤ṽ࡛ࠉࠔ⤊ῥ࣬⏍Ὡⱖࠕ࡞ࡻࡾ⮤ṽࢅྙࢂ
ࡎࡾ࡛ࠉ⮤ṽ⩽ධమࡡ 6 ๪ࢅ༥ࡴࡾࠊ㆑ᐳ⤣゛࡚
ࡢ⮤ṽࡡິᶭࢅᢝୌᘟ࡚ฦ㢦ࡊ࡙࠷ࡾࡒࡴࠉࡐࡡ
⤎ᯕ࡞ᇱࡘ࠷࡙ໜᣋⓏ࡝⮤ṽᑊ➿ࢅ᳠ゞࡌࡾࡆ࡛
࡞ࡢ㝀⏲࠿࠵ࡾ࡛ࡡណずࡵ࠵ࡾ࠿㸝➁ᓞ ௙ 2004,
➁ᓞ ௙ 2005㸞
ࠉິᶭࡡฦ㢦ࡢᵕࠍ࡝᝗ሒ࡛↯ࡼ
ࡊྙࢂࡎ࡙⾔ࢂࡿ࡙࠽ࡽࠉࢂ࠾ࡼ࡝࠷ሔྙ࡞ࡢ୘
᪺࡛㞗゛ࡈࡿ࡙࠷ࡾࡡ࡚ࠉ஥ౚࡇ࡛࡞ࡲࡿࡣᏰධ
࡞ḿ☔࡚࠵ࡾ࡛ࡢ࠷࠻࡝ࡂ࡛ࡵࠉ⤣゛Ⓩ࡞ലྡྷࢅ
▩ࡾࡒࡴ࡞ࡢ᭯⏕ࡓ࡛⩻࠻ࡼࡿࡾࠊ
ࡆࡆ࡚ࠉ⮤ṽࡢᵕࠍ࡝こᅄ࡞ࡻࡖ࡙㉫ࡆࡾ஥㇗
࡚࠵ࡽࠉ♣ఌࡡᵕࠍ࡝⏍Ὡࡡሔ࡞࠽࠷࡙ୌḗ࣬஦
ḗ࣬୔ḗ஢㜭ࢅໜᣋⓏ࡞ᒈ㛜ࡌࡾᚪこ࠿࠵ࡾ㸝ᙫ
ᒜ 2006㸞ࠊࡊࡒ࠿ࡖ࡙ౚ࠻ࡣࠉ୕エࡡࡻ࠹࡝⮤ṽ
ࡡິᶭ㸝⌦⏜㸞࡞ࡻࡖ࡙ࡵࠉ࡛ࡾ࡬ࡀ⮤ṽᑊ➿ࡢ␏
࡝ࡖ࡙ࡂࡾྊ⬗ᛮ࠿࠵ࡾࡓࢀ࠹ࠊࡐࡆ࡚ࠉኬฦ┬
2
ኬฦ┬ࡡ⮤ṽ⋙ / ᒱ⏛㯖౪ , ᙫᒜ㝧஄
2. 2 ゆᯊ
஢ങⓏ࡝ฦᯊ࡛ࡊ࡙ࠉኬฦ┬࡞࠽ࡄࡾ㆑ᐳ⤣゛
࡛ெཾິឺ⤣゛ࡡ⮤ṽ⩽ᩐࡡᕣ␏࠿ධᅗࡡലྡྷ࡛
␏࡝ࡾ࠾࡜࠹࠾ࢅ☔ヾࡌࡾࡆ࡛࡞ࡊࡒࠊࡐࡡࡒࡴ
࡞ࡱࡍࠉධᅗ࡛ኬฦ┬ࡡࡐࡿࡑࡿ࡞ࡗ࠷࡙ࠉᖲᠺ
13 ࠤ 17 ᖳࡡ྘ᖳḗ࡞࠽ࡄࡾ㆑ᐳ⤣゛࡞ࡻࡾධ⮤
ṽ⩽ᩐ࡛ெཾິឺ⤣゛࡞ࡻࡾධ⮤ṽ⩽ᩐࡡẒࢅị
ࡴࡒࠊࡈࡼ࡞ࠉኬฦ┬࡞࠽ࡄࡾ୦⩽ࡡᕣ␏࠿ࠉᛮ࣬
ᖳ㱃㝭⣥࡞ࡻࡽ␏࡝ࡾ࠾࡜࠹࠾ࢅ☔ヾࡌࡾࡒࡴ࡞ࠉ
ᖲᠺ 13 ࠤ 17 ᖳࡡᛮ࣬ᖳ㱃㝭⣥ื⮤ṽ⩽ᩐࡡ⣴✒
ᩐࢅࠉ┬㆑⤣゛࡛ெཾິឺ⤣゛ࡡࡐࡿࡑࡿ࠾ࡼị
ࡴࠉ୦⩽ࡡẒࢅ⟤ฝࡊࡒࠊࡒࡓࡊࠉ㆑ᐳ⤣゛࡚ࡢ
ᖳ㱃 10 ṋ㝭⣥Ẏࡡ⮤ṽ⩽ᩐࢅ㞗゛ࡊ࡙࠽ࡽࠉ19
ṋ௧ୖ࠽ࡻࡦ 80 ṋ௧୕ࡢୌᣋࡊࡒᖳ㱃㝭⣥࡛ࡊ
࡙᡽ࢂࡿ࡙࠷ࡾࡒࡴࠉᮇ◂✪࡚ࡵᖳ㱃㝭⣥ࡢࡆࡿ
࡞ᚉࡖࡒࠊ
ḗ࡞ࠉኬฦ┬࡞࠽ࡄࡾࠔ⑋ⱖࠕ࠽ࡻࡦࠔ⤊ῥ࣬⏍
Ὡⱖࠕ࡞ࡻࡾ⮤ṽ⋙ࡡฦᯊࢅ⾔ࡖࡒࠊᖲᠺ 13 ࠤ 18
ᖳࡡࡐࡿࡑࡿ࡞ࡗ࠷࡙ࠉࡆࡿࡼࡡ⮤ṽ⋙ࢅ⏠ዥื
࡞ịࡴࡒࠊࡈࡼ࡞ࠉᖲᠺ 18 ᖳࡡ┬㆑⤣゛࡞ᇱࡘࡀࠉ
ࡐࡿࡑࡿࡡᛮ࣬ᖳ㱃㝭⣥ื⮤ṽ⋙ࢅịࡴࡒࠊࡒ
ࡓࡊࠉெཾິឺ⤣゛࡞ࡻࡿࡣ 9 ṋ௧ୖࡡ⮤ṽࡢ㟸
ᖏ࡞ᑛ࡝࠷ࡒࡴࠉ㆑ᐳ⤣゛࡚ 19 ṋ௧ୖࡡ⮤ṽ࡛
ࡈࡿ࡙࠷ࡾࡵࡡࡢධ࡙ 10 ࠤ 19 ṋࡡ⮤ṽ࡛ࡲ࡝ࡊࠉ
ࡆࡡᩐ࡛ 10 ࠤ 19 ṋெཾ࠾ࡼ⮤ṽ⋙ࢅịࡴࡾࡆ࡛
࡛ࡊࡒࠊ⮤ṽ⋙ࡢ┬㆑⤣゛ࡡ⮤ṽᩐࢅ⏕࠷ࠉධ࡙
ெཾ 10 ୒࠵ࡒࡽ࡚ịࡴࡒࠊ
3. ⤎ᯕ
ධᅗ࡞࠽ࡄࡾ㆑ᐳ⤣゛࡛ெཾິឺ⤣゛ࡡ⮤ṽ⩽
ᩐࡡẒࡢࠉᖲᠺ 13 ࠤ 17 ᖳࡡ㛣ࠉ1.06 ࠤ 1.07 ࡚᥆
⛛ࡊ࡙࠷ࡒ㸝ᅒ 1㸞ࠊࡗࡱࡽ㆑ᐳ⤣゛ࡡ⮤ṽ⩽ᩐࡡ
࡮࠹࠿ 6 ࠤ 7㸚ኣ࠾ࡖࡒࠊኬฦ┬࡚ࡢᖲᠺ 15 ᖳࡱ
࡚ࠉࡆࡡẒ࠿ 1.13 ࠤ 1.17 ࡛ධᅗࡻࡽ㧏࠾ࡖࡒ࠿ࠉ
ᖲᠺ 16 ᖳ௧㜾ࡢධᅗࡡỀ‵࡞㎾ࡘ࠷࡙࠷ࡒࠊ
ᖲᠺ 13 ࠤ 17 ᖳࡡኬฦ┬ࡡᛮ࣬ᖳ㱃㝭⣥ื⣴✒
⮤ṽ⩽ᩐࢅࠉ㆑ᐳ⤣゛࡛ெཾິឺ⤣゛࡚Ẓ㍉ࡌࡾ
࡛㸝ᅒ 2㸞ࠉ୦⩽ࡡẒࡢ 19 ṋᮅ‫ࡢ࡚‮‬㸦࠾ࡼኬࡀࡂ
࡫ࡓࡒࡖ࡙࠽ࡽࠉࡱࡒࠉ70 ṋ௧୕࡚ࡢ୦⩽ࡡẒ
ᅒ 2. ㆑ᐳ⤣゛࡛ெཾິឺ⤣゛࡞ࡻࡾኬฦ┬ࡡᛮ࣬ᖳ㱃
㝭⣥ื⮤ṽ⩽ᩐ
㸝ᖲᠺ 13~17 ᖳࡡ⣴゛㸞ࡡẒ
ᅒ 1. ㆑ᐳ⤣゛࡞ࡻࡾ⮤ṽ⩽ᩐ࡛ெཾິឺ⤣゛࡞ࡻࡾ⮤
ṽ⩽ᩐࡡẒࡡ᥆⛛
ᅒ 4. ኬฦ┬࡞࠽ࡄࡾ
ࠔ⑋ⱖࠕ࠽ࡻࡦ
ࠔ⤊ῥ࣬⏍Ὡⱖࠕ࡞ࡻ
ࡾ⮤ṽ⋙ࡡ᥆⛛
ᅒ 3. ኬฦ┬࡞࠽ࡄࡾᖲᠺ 18 ᖳࡡཋᅄ࣬ິᶭื⮤ṽ๪ྙ
3
ኬฦ┬ࡡ⮤ṽ⋙ / ᒱ⏛㯖౪ , ᙫᒜ㝧஄
⾪ 1. ᖲᠺ 18 ᖳࡡኬฦ┬࡞࠽ࡄࡾᛮ࣬ᖳ㱃㝭⣥ืࡡධ⮤ṽ
⋙ࠉ
ࠔ⑋ⱖࠕ࡞ࡻࡾ⮤ṽ⋙࠽ࡻࡦࠔ⤊ῥ࣬⏍Ὡⱖࠕ࡞
⏠ᛮ 30 ࠤ 69 ṋ࡚≁࡞㧏࠾ࡖࡒࠊධ⮤ṽ࡞༥ࡴࡾ
ࠔ⤊ῥ࣬⏍Ὡⱖࠕ࡞ࡻࡾ⮤ṽࡡ๪ྙࡢࠉ30 ࠤ 49 ṋ
ࡡ⏠ᛮ࡚ࡢ 4 ๪ࢅ㉰࠻࡙࠷ࡒࠊዥᛮ࡚ࡢ⏠ᛮ࡞Ẓ
࡬ࠔ⤊ῥ࣬⏍Ὡⱖࠕ࡞ࡻࡾ⮤ṽࡢᑛ࡝࠷࠿ࠉ60 ࠤ
ࡻࡾ⮤ṽ⋙
1)
1)
2)
1)
2)
019 8.1 1.6 20.0
0.0 0.0 2029 44.7 8.3 18.5
1.7 3.7 3039 44.3 4.2 9.4
19.4 43.8 4049 57.4 18.1 31.6
25.7 44.7 5059 79.7 19.4 24.3
28.0 35.1 6069 57.6 20.1 35.0
15.8 27.5 7079 31.6 18.3 57.9
1.7 5.3 80 73.9 51.8 70.0
7.4 10.0 0
1.7 0.0 0.0
0.0 0.0 2029 11.6 3.3 28.6
0.0 0.0 3039 14.5 5.3 36.4
0.0 0.0 4049 11.2 1.4 12.5
2.8 25.0 5059 12.2 8.2 66.7
0.0 0.0 6069 16.0 8.6 53.8
4.9 30.8 7079 16.4 12.6 76.9
0.0 0.0 80 35.1 26.3 75.0
1.8 5.0 69 ṋ࡚ࡢධ⮤ṽࡡ࠹ࡔ⣑ 3 ๪ࢅ༥ࡴࠉ⮤ṽ⋙ࡵࢂ
ࡍ࠾࡞㧏ࡂ࡝ࡖ࡙࠷ࡒࠊ
4. ⩻ᐳ
1)
10 2)
࠿ࡷࡷᑚࡈࡂ࡝ࡖ࡙࠷ࡒࠊ≁࡞ 70 ṋ௧୕⏠ᛮ࡚
ࡢ 1 ᮅ‫ࠊࡒ࠷࡙ࡖ࡝࡛‮‬
ᖲᠺ 18 ᖳࡡኬฦ┬࡞࠽ࡄࡾࠉ⮤ṽࡡິᶭืࡡ
හズࢅᅒ㸨࡞♟ࡌࠊ⏠ዥ࡛ࡵࠔ⑋ⱖࠕ࠿᭩ࡵኣࡂࠉ
⏠ᛮ࡚ࡢධమࡡ 31 㸚ࠉዥᛮ࡚ࡢ 56 㸚ࢅ༥ࡴ࡙࠷
ࡒࠊ⏠ᛮ࡚ࡢࠔ⤊ῥ࣬⏍Ὡⱖࠕ࠿ 28㸚࡛ࠔ⑋ⱖࠕ࡞
ḗ࠷࡚ኣࡂ࡝ࡖ࡙࠷ࡒ࠿ࠉዥᛮ࡚ࡢࢂࡍ࠾ 8㸚࡚
࠵ࡖࡒࠊ
ࠔ⤊ῥ࣬⏍Ὡⱖࠕ
ᖲᠺ 13 ࠤ 18 ᖳࡡࠉ⏠ዥืࠔ⑋ⱖࠕ
⮤ṽ⋙㸝ධᖳ㱃㸞ࡡ᥆⛛ࢅᅒ 4 ࡞♟ࡌࠊ⏠ዥ࡛ࡵ࡞ࠉ
ࠔ⑋ⱖࠕࠔ⤊ῥ࣬⏍Ὡⱖࠕ࡞ࡻࡾ⮤ṽ⋙࡞ኬࡀ࡝ን
ິࡢ࡝࠾ࡖࡒࠊ
ᖲᠺ 18 ᖳࡡኬฦ┬࡞࠽ࡄࡾࠔ⑋ⱖࠕ࡞ࡻࡾ⮤
ṽ⋙㸝ெཾ 10 ୒࠵ࡒࡽ㸞ࡢࠉධᖳ㱃㝭⣥࡚ࡲࡾ࡛ࠉ
⏠ᛮ࡚ࡢ 13.8ࠉዥᛮ࡚ࡢ 7.4 ࡚࠵ࡖࡒࠊྜྷࡋࡂࠔ⤊
ῥ࣬⏍Ὡⱖࠕ࡞ࡻࡾ⮤ṽ⋙ࡢࠉ⏠ᛮ࡚ࡢ 12.7ࠉዥ
ᛮ࡚ࡢ 1.1 ࡚࠵ࡖࡒࠊ
ᛮ࣬ᖳ㱃㝭⣥ืࡡධ⮤ṽ⋙ࠉࠔ⑋ⱖࠕ࡞ࡻࡾ⮤ṽ
⋙ࠉ࠽ࡻࡦࠔ⤊ῥ࣬⏍Ὡⱖࠕ࡞ࡻࡾ⮤ṽ⋙ࢅࠉ⾪ 1
࡛ᅒ 5 ࡞♟ࡌࠊ⾪ 1 ࡞ࡢྙࢂࡎ࡙ࠉ
ࠔ⑋ⱖࠕ
࠽ࡻࡦࠔ⤊
ῥ࣬⏍Ὡⱖࠕ࡞ࡻࡾ⮤ṽ࠿ධ⮤ṽ࡞༥ࡴࡾ๪ྙࡵ
♟ࡌࠊࠔ⑋ⱖࠕ࡞ࡻࡾ⮤ṽ⋙ࡢ㧏㱃࡞࡝ࡾ࡮࡜㧏ࡂࠉ
⏠ᛮ࡚ࡢ 80 ṋ௧୕࡚≁࡞㧏࠾ࡖࡒࠊධ⮤ṽ࡞༥
ࡴࡾࠔ⑋ⱖࠕ࡞ࡻࡾ⮤ṽࡡ๪ྙࡢࠉ70 ṋ௧୕ࡡ⏠
ᛮ࠽ࡻࡦ 50 ṋ௧୕ࡡዥᛮ࡞࠽࠷࡙ࡢࠉ࠷ࡍࡿࡵ 5
๪ࢅ㉰࠻࡙࠷ࡒࠊ
ࠔ⤊ῥ࣬⏍Ὡⱖࠕ࡞ࡻࡾ⮤ṽ⋙ࡢ
4
4. 1 ኬฦ┬࡛ධᅗ࡞࠽ࡄࡾ㆑ᐳ⤣゛࡛ெཾິឺ⤣゛
ࡡẒ㍉
๑エࡡࡻ࠹࡞㆑ᐳ⤣゛࡛ெཾິឺ⤣゛࡚ࡢࠉ㞗
゛ࡈࡿࡒ⮤ṽ⩽⥪ᩐ࡞ᕣ࠿࠵ࡾࠊኬฦ┬࡚ࡢᖲ
ᠺ 16 ᖳ௧㜾ࠉ୕エࡡ⌦⏜࡞ࡻࡾ㆑ᐳ⤣゛࡛ெཾ
ິឺ⤣゛ࡡ⮤ṽ⩽ᩐࡡࡍࡿ࠿ࠉධᅗ࡛ྜྷୌỀ‵࡞
ࠊࡒࡓࡊࠉᛮ࣬ᖳ
࠵ࡾࡆ࡛࠿☔࠾ࡴࡼࡿࡒ㸝ᅒ 1㸞
㱃㝭⣥ื࡞リࡊࡂࡲࡒሔྙ㸝ᅒ 2㸞ࠉ⮤ṽ⩽ᩐ࠿ᑛ
࡝࠷ 19 ṋ௧ୖ࡞ࡗ࠷࡙ࡢࠉ஦ࡗࡡ⤣゛ࡡࡍࡿ࠿ࠉ
↋ち࡚ࡀ࡝࠷ኬࡀ࡝ᙫ㡢ࢅ⏍ࡳྊ⬗ᛮ࠿♟ြࡈ
ࡿࡒࠊࡱࡒࠉ20 ࠤ 69 ṋ࡚ࡢࠉ㆑ᐳ⤣゛࠾ࡼịࡴ
ࡒ⮤ṽ⋙࠿ெཾິឺ⤣゛࠾ࡼịࡴࡒೋࡻࡽࡵ 8 ࠤ
15㸚ኬࡀ࡝ೋ࡞࡝ࡾࡆ࡛࠿ࢂ࠾ࡖࡒࠊୌ᪁ࠉ㧏㱃
⏠ᛮ࡚㆑ᐳ⤣゛ࡡ࡮࠹࠿⮤ṽ⩽ᩐ࠿ᑛ࡝࠾ࡖࡒ⌦
⏜ࡢࠉ๑エࡡ 3㸞ࡗࡱࡽࠉ┬አ࡚⮤ṽࡊࡒெ࠿㆑
ᐳ⤣゛࡚ࡢ゛୕ࡈࡿ࡙࠷࡝࠷ࡒࡴ࡛ࡊ࠾⩻࠻ࡼࡿ
࡝࠷࠿ࠉリ⣵ࡢ୘᪺࡚࠵ࡾࠊ᮶ா㒌࡚ࡡཿ࠷◂✪
ࠉ㧏㱃⩽ࡡ⮤ṽࡡ 1 ๪㎾ࡂࡢ
࡚ࡢ㸝୕㔕 ௙ 1981㸞
⑋㝌හ࡚Ⓠ⏍ࡊ࡙࠷ࡒ࡛ሒ࿈ࡈࡿ࡙࠷ࡾࡒࡴࠉኬ
ฦ┬࡚ࡵ┬හᅹప⩽࠿┬አථ㝌඙࡚⮤ṽࡊ࡙࠷ࡾ
ྊ⬗ᛮࡢ⩻࠻ࡼࡿࡾ࠿ࠉᮇ◂✪࠾ࡼ☔࠾࡝ࡆ࡛ࡢ
ゕ࠻࡝࠷ࠊ⏠ᛮࡢዥᛮ࡞Ẓ࡬ࠉᑽపᆀ࠾ࡼ㞫ࡿࡒ
࡛ࡆࢀࡱ࡚ࢂࡉࢂࡉฝ࠾ࡄ࡙⮤ṽࡌࡾሔྙ࠿ኣ࠷
࡛࠷࠹ྊ⬗ᛮࡵྫྷᏽ࡚ࡀ࡝࠷ࠊ௙┬࡚ྜྷᵕࡡฦᯊ
ࢅ⾔ࡖ࡙Ẓ㍉ࡌࡿࡣࠉࡵ࠹ᑛࡊリࡊ࠷ࡆ࡛࠿ࢂ࠾
ࡾ࠾ࡵࡊࡿ࡝࠷ࠊ
࠷ࡍࡿ࡞ࡊ࡙ࡵࠉ௑ᅂฦᯊࡊࡒ⠂ᅑ࡚ࡢࠉ┬㆑
⤣゛࡛ெཾິឺ⤣゛࠾ࡼࡲࡒ┬හࡡ⮤ṽ⩽ᩐࡡࡍ
ࡿࡢࠉ20 ṋ௧୕ࡡ⏠ዥ࡞࠽࠷࡙ࡢࠉࡈ࡮࡜ኬࡀ
࡝ࡵࡡ࡚ࡢ࡝࠷ࡆ࡛࠿☔࠾ࡴࡼࡿࡒࠊ
ࠔ⑋ⱖࠕ࡞ࡻࡾ⮤ṽ⋙
4. 2 ኬฦ┬ࡡ
ኬฦ┬ࡡ
ࠔ⑋ⱖࠕ
࡞ࡻࡾ⮤ṽ⋙ࡢࠉ⏠ዥ࡛ࡵᖲᠺ
13 ࠤ 18 ᖳࡡ㛣࡮࡯ୌᏽ࡚࠵ࡖࡒ㸝ᅒ 4㸞ࠊᖲᠺ 18
ᖳࡡኬฦ┬ࡡධ⮤ṽ࡞ᑊࡌࡾࠔ⑋ⱖࠕ⮤ṽࡡ๪ྙ
ࠊ
ࡢࠉ⏠ᛮ࡚ࡢ 31㸚ࠉዥᛮ࡚ࡢ 56㸚࡚࠵ࡖࡒ㸝ᅒ 3㸞
ኬฦ┬ࡡ⮤ṽ⋙ / ᒱ⏛㯖౪ , ᙫᒜ㝧஄
ᅒ 5. ᖲᠺ 18 ᖳࡡኬฦ┬࡞࠽ࡄࡾᛮ࣬ᖳ㱃㝭⣥ืࡡධ⮤ṽ⋙࡛
ࠔ⑋ⱖࠕ
ࠔ⤊ῥ࣬⏍Ὡⱖࠕ࡞ࡻࡾ⮤ṽ⋙ࡡẒ㍉
ࡆࡿࢅ௙┬ࡡ◂✪࡛Ẓ㍉ࡌࡾ࡛ࠉ໪ᾇ㐠㸝1983 ࠤ
86 ᖳ㸞ࠉ୔㔔┬㸝1996 ࠤ 2002 ᖳ㸞ࠉ⚗ᓞ┬㸝1999 ࠤ
2004 ᖳ㸞ࡻࡽࡵኬฦ┬ࡡ࡮࠹࠿ධ⮤ṽ࡞༥ࡴࡾ⑋
ⱖ⮤ṽࡡ๪ྙࡢ㧏࠷ࡻ࠹࡞ࡲ࠻ࡾ㸝ྚ⏛ ௙ 1988,
Inoue et al 2006, 㜷㒂 ௙ 2007㸞ࠊኬฦ┬ࡡࠔ⑋ⱖࠕ
࡞ࡻࡾ⮤ṽ⋙ࡢࠉ⏠ᛮ࡚ࡢ 70 ṋ௧୕࡚ெཾ 10 ୒
ᑊ 44.7 ࡛㧏࠷ೋࢅ♟ࡊࠉ࠾ࡗධ⮤ṽࡡ⣑ 3 ฦࡡ 2
ࢅ༥ࡴ࡙࠷ࡒ㸝ᅒ 5㸞
ࠊୌ᪁ࠉዥᛮ࡚ࡢ 50 ṋ௧୕࡚ࠉ
ࠔ⑋ⱖࠕ࡞ࡻࡾ⮤ṽࡡ๪ྙ࠿ኣࡂ࡝ࡖ࡙࠷ࡒ㸝ᅒ 5㸞ࠊ
ࡆࡡࡻ࠹࡞ᖳ㱃࠿㧏࠷࡮࡜⑋ⱖ⮤ṽࡡ๪ྙࡵኬࡀ
࠷࡛࠷࠹⌟㇗ࡢࠉ௙┬࡚ࡡሒ࿈࡛ୌ⮬ࡌࡾࠊ
⤣゛㈠ᩩ࠾ࡼࠔ⑋ⱖࠕ
ࡡリ⣵ࢅ▩ࡾࡆ࡛ࡢ࡚ࡀ࡝
࠷࠿ࠉ඙⾔◂✪࡚ࡢḗࡡࡻ࠹࡞⩻ᐳࡈࡿ࡙࠷ࡾ
㸝Mackenzie and Popkin 1987, けᮟ࣬ᇷᕖ 2003㸞ࠊ
⮤ṽౚࡡ 1 ࠤ 5 ๪࡞ࡢ㌗మ⑄ᝀ࠿㔔こ࡝ᙫ㡢ࢅ୙
࠻࡙࠽ࡽࠉࡐࡡᙫ㡢ࡢᑛ࡝ࡂ࡛ࡵḗࡡ୔ࡗ࡞༇ื
࡚ࡀࡾ ; 1㸞㌗మ⑄ᝀ࠿㟸ჹ㈹ᛮࡡ⢥♼㝸ᐐ㸝ኬ࠹
ࡗ⑋࡝࡜㸞ࢅᘤࡀ㉫ࡆࡊࡒࡽࠉቌᝇࡈࡎࡒࡽࡌࡾ
ࡆ࡛࠾ࡼ⮤ṽ࠿⏍ࡋࡾሔྙ ; 2㸞㌗మ⑄ᝀ⮤మ࠵ࡾ
࠷ࡢࡐࡡ἖⒢ࡡ๧ష⏕࠿ჹ㈹ᛮ㸝አᅄᛮ㸞⢥♼㝸ᐐ
ࢅ⏍ࡋࠉ⮤ṽ࡞ࡗ࡝࠿ࡾሔྙ㸝ࢪࢷࣞ࢕ࢺ࡞ࡻࡾ
஦ḗⓏ࠹ࡗ⑋࡝࡜㸞; 3㸞⢥♼㝸ᐐࡡ㛭୙࡝ࡊ࡞㌗
మ⑄ᝀࡐࡡࡵࡡ࠿⮤ṽࡡິᶭ࡞࡝ࡾሔྙ㸝ౚ࠻ࡣ
5
࠿ࢆᝀ⩽࠿໩Ꮥ⒢Ἢࢅᢼྫྷࡌࡾࠉ㏩ᯊᝀ⩽࠿㏩ᯊ
ࢅᢼྫྷࡌࡾ࡝࡜ࠉᝀ⩽࠿἖⒢ࢅུࡄࡾࡆ࡛ࢅㅁࡴ
࡙ࡊࡱ࠹㸞ࠊࡐࡊ࡙ࠉᩐ࡛ࡊ࡙ࡢ 1㸞࡞ࡻࡾ࠹ࡗ⑋
࡛࢓ࣜࢤ࣭ࣜᛮ㝸ᐐ࠿᭩ࡵኣ࠷࡛᥆ῼࡈࡿ࡙࠷ࡾࠊ
᪝ᮇ࡚ࡵࠉ㧏㱃⩽ࡡ⮤ṽ࡞ࡢ࠹ࡗ⑋࠿㛭㏻ࡊ࡙࠷
ࡾࡆ࡛࠿ኣࡂࠉ㌗మⓏ㝸ᐐ࠿⮤ṽࡡິᶭ࡛ࡲ࠻ࡾ
ሔྙ࡚ࡵࠉࡐࡿ࡞ࡻࡾᢒ࠹ࡗཬᚺ࠿⮤ṽࡡこᅄ࡛
ࡊ࡙㔔こࡓ࡛ᣞᦤࡈࡿ࡙࠽ࡽ㸝୕㔕 ௙ 1981, ಕᆊ
2003, ኬሪ ௙ 2006㸞ࠉࡆࡿࡢ୕エ 1㸞ࡡሔྙ࡞ラᙔ
ࡌࡾࠊ
ࡈࡼ࡞ࠉᐋᇖ┬ࡡ㧏㱃⩽ࢅᑊ㇗࡞ࡊࡒ◂✪㸝⢎
⏛ 2005㸞࡚ࡢࠉ⏠ᛮ࡚ࡢ㌗మⓏᶭ⬗㝸ᐐࡱࡒࡢ㢟
ⴥ࡝⑂⑚ࠉ㣟㒿ၡ㢗ࠉᢒ࠹ࡗ⑍≟࠿ 1 ᖳᚃࡡ⮤ṽ
ᛍ៎ࡡ஢ῼᅄᏄ࡚࠵ࡽࠉዥᛮ࡚ࡢᢒ࠹ࡗ⑍≟ࡡ
ࡲ࠿ 1 ᖳᚃࡡ⮤ṽᛍ៎ࡡ஢ῼᅄᏄ࡚࠵ࡖࡒ࡛࠷࠹ࠊ
ࡗࡱࡽࠉዥᛮࡡሔྙ࡞ࡢࠉ⑄ᝀࡡ㔔⠔ᛮࡐࡡࡵࡡ
ࡡၡ㢗ࡻࡽࡵࠉ⑋ⱖ࠿ᢒ࠹ࡗ⑍≟࡞ࡻࡽ⤧᭻Ⓩ࡝
ࡵࡡ࡛វࡋࡼࡿࡾࡆ࡛࡞ࡻࡖ࡙⮤ṽࣛࢪࢠ࡞ࡗ࡝
࠿ࡾࡡ࡞ᑊࡊࠉ⏠ᛮ࡚ࡢࠉ㌗మᶭ⬗㝸ᐐࡷ㢟ⴥ࡝
⑂⑚࠿ࠉᢒ࠹ࡗ⑍≟ࢅ௯௒ࡎࡍ࡞├᥃⮤ṽࣛࢪࢠ
࡞㛭㏻ࡌࡾሔྙࡵ࠵ࡾࡆ࡛࠿♟ြࡈࡿࡾࠊࡆࡡࡒ
ࡴࠉ⢎⏛ࡢࠉᢒ࠹ࡗ⑍≟࡞ࡡࡲ↯‵ࢅྙࢂࡎࡒ௒
ථ࣓ࢸ࡚ࣜࡢࠉᢒ࠹ࡗ⑍≟࠿┘❟ࡒ࡝࠷⏠ᛮࡡࣀ
ኬฦ┬ࡡ⮤ṽ⋙ / ᒱ⏛㯖౪ , ᙫᒜ㝧஄
࢕ࣛࢪࢠ㧏㱃⩽࠿ず㏠ࡈࡿࡾྊ⬗ᛮ࠿࠵ࡾࡡ࡚ࠉ
࡞㝀ࡼࡍࠉධ࡙ࡡ༈⒢㛭౿⩽࠿⢥♼⑄ᝀ࡞ᑊࡌࡾ
㌗మⓏ೸ᗛၡ㢗ࢅち㔕࡞ථࡿࡒ⮤ṽᑊ➿࠿㔔こࡓ
࡛୹ᘿࡊ࡙࠷ࡾࠊ
ୌ᪁ࠉMackenzie and Popkin㸝1987㸞ࡢリࡊࡂ
▩ㆉࢅᣚࡔࠉ࠹ࡗ⑍≟ࢅず㐛ࡇࡌࡆ࡛࡝ࡂࠉ㌗మ
ㄵࡋ࡙࠷࡝࠷࠿ࠉᑛ࡝ࡂ࡛ࡵ᪝ᮇ࡚ࡢࠉ┫㆜࣬௒
㆜ࡈࡿࡾࡆ࡛ࡡࠔࡌࡱ࡝ࡈࠕࡷࠉ⤊ῥⓏ⌦⏜ࡷࢦ࣭
࠷ࠊ
ࣄࢪᥞ౩㈠″ࡡᑛ࡝ࡈࡡࡒࡴ࡞ࠉ༈⒢ࡷ௒㆜ࢅུ
ࡄ࡞ࡂ࠷⌟ᐁ࡞ࡻࡾ୘Ꮽࠉ⤧᭻ࡵࠉ๑エ 1) ࡡᕵ
⚗♬ࡡࢼ࣭ࢫ࡛ᢒ࠹ࡗ⑍≟࡛ࡡ㛭㏻࡝࡜ࠉ
ࠔ⑋ⱖࠕ
Ṓᛍ៎ࢅᙁࡴ࡙࠷ࡾྊ⬗ᛮ࠿࠵ࡾࠊᐁ㝷ࠉ໪ᾇ㐠
ࠔ⤊ῥ࣬⏍Ὡⱖࠕ࡞ࡻࡾ⮤ṽ⋙
4. 3 ኬฦ┬ࡡ
ኬฦ┬࡞࠽ࡄࡾࠔ⤊ῥ࣬⏍Ὡⱖࠕ࡞ࡻࡾ⮤ṽ⋙ࡢࠉ
⏠ዥ࡛ࡵᖲᠺ 13 ࠤ 18 ᖳࡡ㛣࡮࡯ୌᏽ࡚࠵ࡖࡒ㸝ᅒ
4㸞ࠊࡱࡒࠉධ⮤ṽ࡞ᑊࡌࡾࠔ⤊ῥ࣬⏍Ὡⱖࠕ⮤ṽ
ࡡ๪ྙࡢࠉ⏠ᛮ࡚ࡢධ⮤ṽࡡ⣑ 28 㸚ࢅ༥ࡴࠉ≁
࡞ 30 ࠤ 49 ṋ࡚ࡢධ⮤ṽࡡ⣑༖ᩐࢅ༥ࡴ࡙࠷ࡒ㸝ᅒ
5㸞ࠊୌ᪁ࠉዥᛮ࡚ࡢࠔ⤊ῥ࣬⏍Ὡⱖࠕ࡞ࡻࡾ⮤ṽ⮤
మ࠿ᑛ࡝࠾ࡖࡒࠊ
ኅᖳ᭿ࡡ഼ࡀ┊ࡽୠ௥ࡢࠉᐓ᪐ࢅ㣬࠹୯ᚨⓏᏋ
ᅹ࡚࠵ࡾ࡛ྜྷ᫤࡞ࠉ⫃ሔ࡚ࡢ㈈௴࠵ࡾ௘஥ࢅ௴ࡈ
ࡿࡾࡆ࡛࠿ኣ࠷ࠊࡆࡡࡻ࠹࡝ୠ௥࠿୘Ἓ࡞├㟻ࡌ
ࡾ࡛ࠉ
㸝1㸞ᐓ᪐ࡡ⏍ὩỀ‵⥌ᣚ࡞ᑊࡌࡾ୘Ꮽ࡛ᐓ
㸝3㸞ࣛ
᪐࡞ᑊࡌࡾ⨝ណㆉࠉ㸝2㸞ࣛࢪࢹࣚࡡ୘Ꮽࠉ
ࢪࢹࣚࡌࡾഁ࡛ࡊ࡙ࡡⱖᝆࠉ㸝4㸞ெဤᩒ⌦ᚃࡡ㐛
࣬♣ఌ࣬ᨳ἖࡞ᑊ
ຘࠉ
㸝5㸞ఌ♣㸝୕ྒྷࠉ⤄⧂⮤మ㸞
ࡌࡾ୘‫࡛‮‬ᛛࡽࠉ㸝6㸞ೇ㔘㏁ῥ࡞㏛ࢂࡿࡾⱖࡊࡲ
ࡷ⤧᭻វࠉ࡝࡜ࡡ୘Ꮽࡷⱖᝆ࡞ࡈࡼࡈࡿࠉࡐࡿ࠿
࠹ࡗ⑋࡝࠷ࡊᢒ࠹ࡗ≟ឺࢅᘤࡀ㉫ࡆࡌࡒࡴ⮤ṽ࠿
ኣࡂ࡝ࡾ࡛⩻࠻ࡼࡿ࡙࠷ࡾ㸝ᘿ 2003㸞ࠊࡊࡒ࠿ࡖ
࡙ࠉኅᖳ᭿ࡡ⏠ᛮࡡ⮤ṽᑊ➿࡚ࡢࠉ࠷ࢂࡹࡾ
ࠔ࠹ࡗࠕ
ᑊ➿ࡓࡄ࡚࡝ࡂࠉ⤊ῥⓏ࡝ᨾῥࡵ⩻៎ࡊ࡙ࠉ♣ఌ
ධమ࡚ᨥ࠻࡙࠷ࡂࢨࢪࢷ࣑ࡡᵋ⠇࠿ᚪこ࡛࠷࠻ࡾࠊ
ౚ࠻ࡣࠉ዁⨶ᕰᙲᡜ࡚ࡢࠉᕰẰ⏍Ὡㄚ࠿୯ᚨ࡛
࡝ࡖ࡙ࢾࢴࢹ࣭࣠ࢠࢅᵋ⠇ࡊࠉኣ㔔ബຸ⩽➴ࡡప
Ằࡡ⏍Ὡ්ᘋ࡞࠵ࡒࡖ࡙࠷ࡾ
㸝http://www.lifelink.
or.jp/Library/amami.pdf㸞ࠊࡱࡒࠉ㈠ງࡡஇࡊ࠷ெ
࠿ἪⓏࢹࣚࣇࣜ࡞ฝఌࡖࡒ࡛ࡀ࡞ࠉ↋ᩩἪᚂ┞ㄧ
ࢅ⾔࠷ࠉᚪこ࡝ሔྙࠉἪᚂࡡᑍ㛓ᐓࢅ⣺௒ࡊࠉ⿚
ึ㈕⏕ࡷᘒ㆜ኃࡱࡒࡢྒྷἪ᭡ኃࡡ㈕⏕ࡡ❟࡙᭨࠻
ࢅ⾔࠹ࠉẰ஥Ἢᚂ᡿ຐ࡛࠷࠹โᗐࡵ࠵ࡾࠊࡆࡿࡱ
࡚ࡆࡡᴏຸࡢࠉ㸝㈀㸞
Ἢᚂ᡿ຐ༝ఌ࠿ᐁ᪃ࡊ࡙ࡀࡒ
࠿ࠉ2006 ᖳ 10 ᭮ࡻࡽࠉ᪝ᮇྒྷἪᨥᥴࢬࣤࢰ࣭㸝Ἢ
ࢷࣚࢪ㸞࠿ᘤࡀ⤽࠷࡚࠷ࡾ㸝http://www.houterasu.
or.jp/index.html㸞ࠊࡆ࠹ࡊࡒᕰẰ⏍ὩࡡᨥᥴὩິ
࡛ᆀᇡ⢥♼ಕ೸⚗♬Ὡິ࡛ࡡ㏻ᦘࢅᙁࡴࡾࡆ࡛࠿ࠉ
⑄ᝀ࡛ెࡎ࡙⢥♼㟻ࡡࢢ࢓ࡵ⾔࠹ࡆ࡛࠿࡚ࡀࡿࡣࠉ
⮤ṽࢅࡈࡼ࡞΅ᑛࡈࡎࡾࡆ࡛࠿࡚ࡀࡾ࠾ࡵࡊࡿ࡝
࡛ࡽ࠵࠻ࡍࠉ
୕エࡡ㞗ᅆ࡞Ἰ┘ࡊ࡙ࠉಕ೸࣬༈⒢࣬
ࡡᐁឺࢅリࡊࡂ᳠ゞࡌࡾࡆ࡛࠿௑ᚃᚪこ࡚࠵ࢀ࠹ࠊ
࡚ࡢࠉ⑋ᗃᩐ࠿ᑛ࡝ࡂࠉུタࡡࡒࡴࡡ⛛ິ㊝㞫࠿
㛏࠷ᆀᇡࠉࡗࡱࡽࠉࠔ⑋㝌➴࡞࠾࠾ࡽ࡞ࡂ࠷ࠕᆀᇡ
࡮࡜ࠉࠔ⑋ⱖࠕ࡞ࡻࡾ㧏㱃⩽ࡡ⮤ṽ࠿ኣ࠷ࡆ࡛࠿ሒ
࿈ࡈࡿ࡙࠷ࡾ㸝ྚ⏛ ௙ 1988㸞ࠊࡱࡒࠉ᮶ா࡛ᒜᙟ
ࠔ⑋ⱖࠕ⮤
┬ࡡẒ㍉◂✪࡞ࡻࡾ࡛㸝ᒜᓧ ௙ 2006㸞ࠉ
ṽࡡ༥ࡴࡾ๪ྙࡢࠉᒜᙟ┬࠿᮶ா㒌༇㒂࡞Ẓ㍉ࡊ
࡙ⴥ᪺࡞㧏࠷ࠊࡆࡿࡢࠉ㧏㱃⩽ெཾࡡẒ⋙ࠉ⑋㝌
ᩐࡷ༈ᖅᩐ࡝࡜ࡡ༈⒢㈠″ࠉࡈࡼ࡞⬳⾉⟮㝸ᐐ࡝
࡜ࡡះᛮ໩࡞ఔ࠹௒㆜ၡ㢗࡝࡜࡞ᆀᇡᕣ࠿⏍ࡋ࡙
࠷ࡾࡒࡴ࡛⩻࠻ࡼࡿ࡙࠷ࡾࠊࡆࡿࡼࡡࡆ࡛࠾ࡼࠉ
⩹ெࢅᢒ࠹ࡗ࡞㏛࠷㎰ࡳ♣ఌⓏこᅄࠉౚ࠻ࡣ㐲ḿ
࡝༈⒢ࡷᐓ᪐ᥴຐ࡝࡜ࢅྱࡴࡒᗀ⠂࡝ಕ೸༈⒢మ
โࡡ୘ങ࡞ࡗ࠷࡙Ἰ┘ࡌࡾᚪこ࠿ࠉᣞᦤࡈࡿ࡙࠷
ࡾ㸝ྚ⃕ 1979㸞ࠊࡆࡡࡻ࠹࡝ᚪこ࠿ኣ࠷ᆀᇡࡢኬ
ฦ┬හ࡞ࡵᑛ࡝ࡂ࡝࠷࡛⩻࠻ࡼࡿࡾࠊ
௧୕ࡡࡆ࡛ࢅ⩻࠻ྙࢂࡎࡾ࡛ࠉኬฦ┬ࡡࠔ⑋ⱖࠕ
࡞ࡻࡾ⮤ṽࢅ΅ᑛࡈࡎࡾࡒࡴ࡞ࡢࠉ≁࡞ 70 ṋ௧
୕ࡡ⏠ᛮ࡛ 50 ṋ௧୕ࡡዥᛮࢅᵾⓏ࡞ࡊ࡙ࠉరࡼ
࠾ࡡಕ೸࣬༈⒢࣬⚗♬Ⓩ࡝ᑊ➿ࢅㅦࡋࡾࡆ࡛࠿ຝ
ᯕⓏࡓ࡛ᛦࢂࡿࡾࠊౚ࠻ࡣࠉపẰ࠿ฺ⏕ࡊࡷࡌ࠷
༈⒢ࢦ࣭ࣄࢪ࣬⚗♬ࢦ࣭ࣄࢪࡡᆀᇡ᰹ᕣࢅゆᾐࡌ
ࡾࡆ࡛ࠉ㌗మ⑄ᝀ࡛භᏋࡊ࡙࠷ࡾྊ⬗ᛮ࠿㧏࠷
ࠔ࠹
ࡗ≟ឺࠕࡡ᪡᭿Ⓠず࣬᪡᭿ᥴຐ࠿࡚ࡀࡾࢨࢪࢷ࣑
ࡡᩒങࠉࡐࡡࡒࡴ࡞ᆀᇡࡡಕ೸࣬༈⒢࣬⚗♬ᶭ㛭
ࡷẰ⏍ጟဤ࡝࡜ࡡᆀᇡ⤄⧂࣬࣍ࣚࣤࢷ࢔࢓࠿㏻ᦘ
ࢅ࠷ࡖࡐ࠹ᙁࡴࡾࡆ࡛ࠉ࡝࡜࠿㔔こ࠾ࡵࡊࡿ࡝࠷ࠊ
ౚ࠻ࡣࠉ᩺₪┬ᮿ஄ᒜ⏣࡚ࡢࠉᆀᇡࡡಕ೸ᖅ࠿୯
ᚨ࡛࡝ࡽࠉ65 ṋ௧୕ࡡධపẰ࡞ᑊࡊ࠹ࡗ⑋ࡡࢪ
ࢠ࣭ࣛࢼࣤࢡࢅ⾔ࡖ࡙࠽ࡽࠉࡐࡿ࡞ࡻࡽ⮤ṽ⋙࠿
఩ୖࡊࡒ࡛࠷࠹ᐁ⦴࠿࠵ࡾ㸝㧏ᶣ ௙ 1998㸡ኬ㔕
௙ 2004㸞ࠊࡆࡡࡻ࠹࡝௙┬࡚ࡡ⮤ṽᑊ➿ࡵཤ⩻࡞
ࡊ࡝࠿ࡼࠉኬฦ┬ࡡᐁ᝗࡞᭩ࡵ㐲ࡊࡒᑊ➿ࢅ⩻࠻
࡙࠷ࡂࡆ࡛࠿௑ᚃࡡㄚ㢗࡚࠵ࡾࠊࡱࡒࠉථ㝌ᝀ
⩽ࡡ୯࡞ࡵࠉ࠹ࡗ⑍≟࠿࠵ࡖࡒࡽࠉᕵṒᛍ៎ࢅᢢ
࠻࡙࠷ࡾᝀ⩽࠿࠷ࡒࡽࡌࡾ࠾ࡵࡊࡿ࡝࠷ࠊ⢥♼⛁
6
ኬฦ┬ࡡ⮤ṽ⋙ / ᒱ⏛㯖౪ , ᙫᒜ㝧஄
ㅨ㎙
௑ᚃࡡㄚ㢗ࡓࢀ࠹ࠊ
4. 4 ࠽ࢂࡽ࡞
ࠔ⮤ṽ⥪ྙᑊ➿ኬ⥐ࠕ࡚ࡢࠉᖲᠺ 28 ᖳࡱ࡚࡞ᖲ
ᠺ 17 ᖳࡡ⮤ṽṒஷ⋙ࢅ 20㸚௧୕΅ᑛࡈࡎࡾ࡛࠷
࠹┘ᵾࢅᥥࡅ࡙࠷ࡾࠊᖲᠺ 18 ᖳࡡ┬㆑⤣゛࡞ᇱ
ࡘࡄࡣࠉࡵࡊኬฦ┬࡞࠽࠷࡙ࠉࠔ⑋ⱖࠕ࡞ࡻࡾ⮤ṽ
࠿᭩ࡵኣ࠷ 70 ṋ௧୕⏠ᛮ࡛ 50 ṋ௧୕ዥᛮ࡞ࡗ࠷
࡙ࠉ
ࠔ⑋ⱖࠕ࡞ࡻࡾ⮤ṽࢅ༖ฦ࡞΅ࡼࡎࡒሔྙࠉ33
ெࡡ⮤ṽ࠿΅ᑛࡌࡾࠊྜྷᵕ࡞ࠉࠔ⤊ῥ࣬⏍Ὡⱖࠕ࡞
ࠔ⤊
ࡻࡾ⮤ṽ࠿᭩ࡵኣ࠷ 30 ࠤ 69 ṋ⏠ᛮ࡞ࡗ࠷࡙ࠉ
ῥ࣬⏍Ὡⱖࠕ࡞ࡻࡾ⮤ṽࢅ༖ฦ࡞΅ࡼࡎࡒሔྙࠉ
34 ெࡡ⮤ṽࢅ΅ᑛࡈࡎࡼࡿࡾࠊࡆࡿࡼࢅྙࢂࡎ
ࡾ࡛ࠉධ┬ࡡ⮤ṽ⩽ᩐࡡ 2 ๪ࢅ΅ᑛࡈࡎࡾࡆ࡛࡞
࡝ࡽࠉ⤎ᯕⓏ࡞⮤ṽ⥪ྙᑊ➿ኬ⥐ࡡᩐೋ┘ᵾࢅ㐡
ᠺ࡚ࡀࡾࡆ࡛࡞࡝ࡾࠊࡵࡖ࡛ࡵࠉࡆࡿࡢᮐ୕ࡡ゛
⟤࡚࠵ࡖ࡙ࠉ⌟ᐁ࡞ࡢ⠾༟࡝ࡆ࡛࡚ࡢ࡝࠷ࠊ
࠷ࡍࡿ࡞ࡊ࡙ࡵࠉ௑ᅂࡡ᳠ゞࢅ㏳ࡋ࡙ࠉ㆑ᐳ⤣
゛࡞ᇱࡘࡂ⮤ṽິᶭࡡฦᯊ࠿ࠉ⮤ṽࡡ⫴ᬊࡷᵾⓏ
㞗ᅆࢅ⩻࠻ࡒኣぽⓏ࡝ᑊ➿ࢅ❟࡙ࡾ୕࡚ᡥ࠿࠾ࡽ
ࢅ୙࠻࡙ࡂࡿࡾࡆ࡛࠿ࢂ࠾ࡖࡒࠊᖲᠺ 19 ᖳᗐ࠾
ࡼࡢ⮤ṽິᶭࡡฦ㢦᪁Ἢ࠿ᨭゖࡈࡿࡾࡡ࡚ࠉࡆࡿ
࡞ᇱࡘ࠷࡙࠷ࡖࡐ࠹リࡊ࠷ฦᯊࢅࡌࡾࡆ࡛࠿ࠉḗ
ࡡㄚ㢗࡚࠵ࡾࠊ
ࠈᮇ◂✪࡞࠵ࡒࡽࠉࡇ༝ງࡂࡓࡈࡖࡒኬฦ┬㆑⏍ὩᏭධ
௺⏤ㄚ࡞ཉࡂᚒ♡⏞ࡊ୕ࡅࡱࡌࠊ
ᘤ⏕ᩝ⊡
㜷㒂ࡌࡲᏄ , ຊ⸠⳧✉ , 㡪⸠⨶࿰Ꮔ ௙ (2007). ⚗
ᓞ┬࡞࠽ࡄࡾ⮤ṽࡡᐁឺѸᖲᠺ 11 ᖳ࠾ࡼ 16 ᖳ࡞
⚗ᓞ┬හ࡚Ⓠずࡈࡿࡒ⮤ṽ⩽ࡡ⤣゛Ѹ . ⚗ᓞ༈Ꮥ
㞟ヽ 57, 17-26.
⢎⏛୹ୌ (2005). ᆀᇡᅹప㧏㱃⩽ࡡ⮤ṽᛍ៎࡞㛭
ࡌࡾ 1 ᖳ㛣ࡡ๑ྡྷࡀࢤ࣭࣌ࢹ◂✪ . ᮶໪༈ヽ 117,
94-96.
ᘿ㈴ᚠ (2003). ኅᖳ᭿ࡡ⮤ṽ㸣ᵵཾ㍜ᙢ ( ⥽ ), ⮤
ṽ௺ᅒࡐࡡ⑋⌦࡛஢㜭࣬⟮⌦ , pp34-47. Ễ஬᭡ᗉ ,
᮶ா .
ಕᆊ㝧 (2003). ୌ⯙⑋Ჯ࡞࠽ࡄࡾᕵṒᛍ៎࣬⮤ṽ
௺ᅒ . ᵵཾ㍜ᙢ ( ⥽ ), ⮤ṽ௺ᅒࡐࡡ⑋⌦࡛஢㜭࣬
⟮⌦ , pp82-89. Ễ஬᭡ᗉ , ᮶ா .
Inoue K, Tanii H, Abe S et al (2006). Causative
factors as cues for addressing the rapid increase
in suicide in Mie Prefecture, Japan: Comparison
of trends between 1996-2002 and 1989-1995.
Psychiatry Clin Neurosciences 60, 736-745.
5. ࡱ࡛ࡴ
ኬฦ┬࡞࠽ࡄࡾࠔ⑋ⱖࠕ࡛ࠔ⤊ῥ࣬⏍Ὡⱖࠕ࡞ࡻࡾ
⮤ṽࡡᛮ࣬ᖳ㱃㝭⣥ื⮤ṽ⋙ࢅịࡴࡒ⤎ᯕࠉḗࡡ
ࡆ࡛࠿ࢂ࠾ࡖࡒࠊ1㸞ኬฦ┬࡞࠽ࡄࡾࠔ⑋ⱖࠕ࡞ࡻࡾ
⮤ṽ⋙ࡢࠉዥᛮ࡚ࡢ 50 ṋ௧୕࡚ࠉ⏠ᛮ࡚ࡢ 70 ṋ
௧୕࡚ࠉ≁࡞㧏࠾ࡖࡒࠊኬฦ┬ࡡ⮤ṽࢅ΅ᑛࡈࡎ
ࡾࡒࡴ࡞ࡢࠉࡆࡿࡼࡡ㞗ᅆࢅᵾⓏ࡞ࡊ࡙ࠉᢒ࠹ࡗ
⑍≟ࡡ᪡᭿Ⓠず࣬ᑊᚺࢅྱࡳࠉరࡼ࠾ࡡಕ೸࣬༈
⒢࣬⚗♬Ⓩ࡝ᑊ➿ࢅㅦࡋࡾࡆ࡛࠿㔔こࡓ࡛᥆ῼࡈ
ࡿࡒࠊ2㸞ኬฦ┬࡞࠽ࡄࡾࠔ⤊ῥ࣬⏍Ὡⱖࠕ࡞ࡻࡾ⮤
ṽ⋙ࡢࠉ⏠ᛮ࡚ࡢ 30 ࠤ 69 ṋ࡚≁࡞㧏ࡂࠉ30 ࠤ 49
ṋ࡚ࡢධ⮤ṽࡡ 5 ๪௧୕ࢅ༥ࡴࡒࠊࡆࡿࡼࡡ⏠ᛮ
࡞ᑊࡌࡾ⮤ṽᑊ➿࡚ࡢࠉ࠷ࢂࡹࡾࠔ࠹ࡗࠕ
ᑊ➿ࡓࡄ
࡚࡝ࡂࠉ⤊ῥⓏ࡝ᨾῥࡵ⩻៎ࡊ࡙ࠉ♣ఌධమ࡚ᨥ
࠻࡙࠷ࡂࢨࢪࢷ࣑ࡡᵋ⠇࠿ᚪこ࡛⩻࠻ࡼࡿࡒࠊ3㸞
㆑ᐳ⤣゛࡞ࡻࡾ⮤ṽࡡິᶭ࣬ཋᅄืฦ㢦ࡢࠉ᭯ຝ
࡝⮤ṽᑊ➿ࢅ᳠ゞࡌࡾ୕࡚᭯⏕࡝᝗ሒࢅᥞ౩ࡌࡾ
ࡆ࡛࠿ࢂ࠾ࡖࡒࡡ࡚ࠉ௑ᚃ࠷ࡖࡐ࠹ࡡὩ⏕࠿ᚪこ
ࡓ࡛⩻࠻ࡼࡿࡒࠊ
ᙫᒜ㝧஄ (2006). ᪝ᮇ࡞࠽ࡄࡾ⮤ṽࡡ⌟≟࡛஢㜭 .
ಕ೸ࡡ⛁Ꮥ 48, 129-134.
Mackenzie TB and Popkin MK (1987). Suicide in
the medical patient. Int J Psychiatry Med 17, 3-22.
けᮟົ஦ , ᇷᕖ├ྍ (2003). ㌗మ⑄ᝀ࠿ິᶭ࡛࡝
ࡾ⮤ṽ . ᵵཾ㍜ᙢ ( ⥽ ), ⮤ṽ௺ᅒࡐࡡ⑋⌦࡛஢㜭࣬
⟮⌦ , pp134-143. Ễ஬᭡ᗉ , ᮶ா .
ኬ㔕⿩ , ᆊᮇ┷ኃ , ⏛୯Ờ㔓Ꮔ (2004). ᆀᇡ࡞࠽ࡄ
ࡾ⮤ṽ㜭Ḿᑊ➿ . ⮣ᗃ⢥♼༈Ꮥ 33, 1561-1564.
ኬሪ⪌ኯ㑳 , 㒿஬᪺ኰ , ᬓ⏛ᩝᚠ ௙ (2006). 㧏㱃
⩽ࡡᏓ≺࡛⮤ṽ . Depression Frontier 4, 28-33.
㧏ᶣ㑝᪺ , හ⸠᪺ᙢ , ᲻⏛᪸Ᏻ ௙ (1998). ᩺₪┬
᮶㢍ᇖ㑾ᮿ஄ᒜ⏣࡞࠽ࡄࡾ⩹ெ⮤ṽ஢㜭Ὡິ࣬⩹
ᖳ᭿࠹ࡗ⑋ࢅ୯ᚨ࡞ . ⢥♼⤊ヽ 100, 469-485.
7
ኬฦ┬ࡡ⮤ṽ⋙ / ᒱ⏛㯖౪ , ᙫᒜ㝧஄
➁ᓞḿ , ᑚᒜᬓ඼ , ᕖ୕៿ெ ௙ (2005). ⮤ṽࡡཋ
ᅄ࣬ິᶭࡡᐁឺ࡞㛭ࡌࡾ◂✪Ѹ⮤ṽࡡᐁឺࡷこᅄ
ࢅ♣ఌⓏこᅄࡵྱࡴ࡙ኣぽⓏ࡞ฦᯊࡌࡾ᪁Ἢࡡ᳠
ゞѸ . ໪஬ᬙᏄ ( ⥽ ), ཉ⏍ຘ഼┤⛁Ꮥ◂✪㈕⿭ຐ㔘
ࡆࡆࢀࡡ೸ᗛ⛁Ꮥ◂✪஥ᴏ࣬⮤ṽࡡᐁឺ࡞ᇱࡘࡂ
஢㜭ᑊ➿ࡡ᥆㐅࡞㛭ࡌࡾ◂✪ , pp19-36. ᅗ❟⢥♼
ಕ೸◂✪ᡜ , ᑚᖲ .
➁ᓞḿ , ୔Ꮹ⏜Ꮔ , ᑚᒜᬓ඼ ௙ (2004). ⮤ṽࡡཋ
ᅄ࣬ິᶭࡡᐁឺ࡞㛭ࡌࡾ◂✪㸣୕⏛Ⱪ ( ⥽ ), ཉ⏍
ຘ഼┤⛁Ꮥ◂✪㈕⿭ຐ㔘ࡆࡆࢀࡡ೸ᗛ⛁Ꮥ◂✪஥
ᴏ࣬⮤ṽࡡᐁឺ࡞ᇱࡘࡂ஢㜭ᑊ➿ࡡ᥆㐅࡞㛭ࡌࡾ
◂✪ , pp19-36. ᅗ❟⢥♼ಕ೸◂✪ᡜ , ᑚᖲ .
୕㔕ḿᙢ , ᗁྒྷᏺ௒ , ὰᕖᬏὊ ௙ (1981). ⩹ெࡡ
⮤ṽ . ᪝ኬ༈ヽ 40, 1109-1119.
ᒜᓧ೸ኯ㑳 , ➁ᓞḿ , ᘿ㈴ᚠ (2006). ⢥♼⑄ᝀ࡛
⮤ṽ࡛ࡡ㛭㏻Ѹ᮶ா㒌༇㒂ࡡ⮤ṽ⩽ᐁឺㄢᰕ࡛ධ
ᅗࠉᒜᙟ┬࡛ࡡẒ㍉Ѹ . Ἢ༈Ꮥࡡᐁ㝷࡛◂✪ 49,
239-246.
ྚ⏛ᾀ஦ , ᭻᭮ྚົ , ⚗ᒜ⿩୔ (1988). ໪ᾇ㐠࡞࠽
ࡄࡾࠔ⑋ⱖ⮤ṽࠕࡡᐁឺ࡛ࡐࡡこᅄࡡฦᯊ . ᪝ᮇප
⾏⾠⏍㞟ヽ 35, 239-245.
ྚ ⃕ ໌ (1979). ⩹ ெ ࡡ ⮤ ṽ . ࠾ ࡼ ࡓ ࡡ ⛁ Ꮥ 86,
59-63.
ⴥ⩽㏻⤙඙
ࠚ 870-1201
ኬฦᕰኬᏊᘌᰠ㔕 2944-9
ኬฦ┬❟┫㆜⛁ᏕኬᏕ ⢥♼┫㆜Ꮥ◂✪ᐄ
ᙫᒜ 㝧஄
8