Monday, April 29, 2013

April 29 Japan's "Greenery" or "Showa Day" Draws Attention to Suicide


The following article, published by ABC News in 2012, draws attention to the efforts made to address the growing rate of suicide in Japan. April 29, is "Showa Day", a holiday formerly known as "Greenery Day." This holiday period marks the highest rate of suicide each year in Japan.

Terrible Twist in Japan Suicide Spates. By NORIKO NAMIKI. TOKYO, May 22, 2008



Japan's recent series of suicides took a new twist today.
A 34-year-old farmer trying to kill himself by drinking pesticide was rushed to a hospital in southern Japan, Wednesday night, where workers feverishly pumped his stomach in an attempt to save his life.
But the man threw up inside the hospital, releasing toxic fumes that sickened more than 50 people, including doctors, patients and hospital workers.
The man later died.
At least 90 hospital personnel had to be called in to help with the emergency, said Tomoko Nagao, spokeswoman for the Red Cross Kumamoto Hospital in southern Japan.
The man's toxic vomit contained chloropicrin, officials say, a highly volatile pesticide with a pungent odor that can cause breathing difficulties and sometimes death when inhaled in large amounts.
Seishi Takamura, a doctor who treated the farmer, said he could not stop coughing after inhaling the fumes, which smelled like chlorine, Kyodo News agency reported.
Gas Suicides Spreading
A different kind of toxic gas suicide has made headlines recently across the country. More than 130 people have killed themselves by mixing store-bought detergent and chemicals.
The volunteer staff at the Suicide Prevention Center in Tokyo spent this year's "golden week" holidays in early May taking many calls from those who wanted to kill themselves.
"We set up a special hot line during golden week this year," said Yuzou Kato, the director of the center, referring to the popular annual bash of four national holidays packed into a single week. "We wanted to put a stop to the increasing number of gas suicides, which have been spreading all over Japan."
The Japanese epidemic of suicides has become particularly lethal in the last year with the introduction of a new method: mixing store-bought detergents and chemicals to create toxic hydrogen sulfide gas. The gas almost always kills and sometimes the victims of the poisonous fumes are passers-by or rescue personnel.
Japan's Fire and Disaster Management Agency said 145 such suicide cases have been reported in the last few months, killing 136 and injuring 188 others. Kato said many callers had started to talk about this gas method in the last year.
"This is fairly a new method of suicide, and people seem to learn about it through the Internet," Kato said. "What is scary about this type of suicide is the powerful gas fumes can easily kill passers-by and rescuers. As they try to kill themselves with this type of gas, they can easily kill innocent people."
Early this month in northern Japan, about 350 neighbors had to seek shelter at a nearby school playground as a 24-year-old man mixed the concoction in his house and killed himself. The man died and his mother, who tried to help him, inhaled the gas and became unconscious.
Last month, the Peninsula Tokyo hotel had to evacuate guests from a few floors as one of their guests attempted suicide by generating hydrogen sulfide in his hotel room.
Firefighters who tried to rescue the man found a few bottles of detergent and chemicals -- all of which can be purchased at stores. The man also left a note on a chair in his room warning of the toxic gas in his room.
Struggling to Save Citizens From Themselves
Japan already has one of the highest suicide rates in the world. The number of suicides reached 30,000 in 1998 and has not gone below that number for nine consecutive years.
The Japanese government has made suicide a national concern.
According to a recent survey by the government, one in five Japanese adults has considered suicide. Last year, the government published its first white paper on suicide prevention and vowed to cut the number of suicides by 20 percent in 10 years. It also committed roughly $220 million for anti-suicide programs to help those with depression and other mental health conditions.
The Japan Association of Chain Drug Stores asked its 190 members to voluntarily suspend the sales of detergents and chemicals that can be used for suicides.
The National Police Agency has designated Web sites showing how to mix the chemicals as a source of "harmful information" and has asked Internet providers to delete sites or pages that contain such information.
It said many people seem to obtain information on how to die with the gas through the Internet. More than 50 Web sites included instructions on how to create the poisonous gas.
"Deleting sites or information from the Internet does not lead to a long-term solution," said Mafumi Usui, a psychology professor at Niigata Seiryo University. "You can tell them to ban the word 'suicide' from the Internet, but people will find a way to use that word, maybe by substituting another word to mean suicide."
Usui, who has been studying suicides in Japan, said young people tend to use the poisonous gas method because many want "an easy and less painful way to die," which Usui calls a misconception.
"It may be easy to mix up the chemicals but it does not necessarily kill you easily," he said. "There is absolutely no easy way to die."
Usui said what many of those who attempt suicide are seeking is not necessarily death but a solution to their problems.
"It may be bullying, it may be loneliness, they may simply have a hard time finding a purpose in life," said Usui. "That does not mean they want to die but they choose death because they cannot find a solution to their problems. They do not necessarily want to die, but if they have to die, they do not want to suffer and they do not want to look gross or ugly."
Offering Life as an Alternative
While the authorities grapple with the nation's high rate of suicides and try to eliminate information on how to die, one man is trying to stop suicide by offering people tips on how to live.
"When you Google the word suicide, it shows all those Web sites and chat rooms that show you how to kill one's self," said Ryuichi Okita, CEO of Posi-media in Tokyo, a company that tackles social issues including suicides. "But no one shows you how you can solve life issues, which can give you an option to live."
A 31-year-old owner of a design company, Okita said he once suffered depression.
"I did not necessarily want to die, but I certainly wanted to disappear," said Okita. "I wanted to disappear from everything. I luckily managed to come up with a few solutions or alternatives to suicide such as returning to my hometown. If you can find one solution or alternative, you may realize that death is not your only option for a way out."
Building on that notion, Okita created a Web site in March 2007 called Ikiteku (techniques on living) that shows survival tips from people who once were on the brink of committing suicide.
The Web site shows an archive of personal accounts that are divided into eight circumstances such as "bullying," "violence," "personal debts" and "sickness." Under each category are the stories of people who have experience in those fields and their solutions to life issues.
The site shows more than 200 entries so far. It also shows survival techniques broken into seven categories that include changing circumstances, a job or residence and learning about legal protections available to those in debt.
"Why don't we help people find ways to solve their issues instead of telling them not to die," said Okita. "Emphasizing the importance of life may not really help someone when that person will have to face a debt collector the next morning."
Okita realizes this may not be a panacea for suicides. He also knows what may have worked for one person does not necessarily apply to another. "But by showing as many examples as possible, people can choose a solution they like," said Okita whose goal is to cut the current number of suicide by 25 percent in 18 months.
The Web site now has more than 100,000 visitors a day. Although Okita finds this number "encouraging," he feels his work is not over yet.
"Many people do not know there are alternatives to death," said Okita. "If our site can make them think a moment, it then could delay their action by one day. You never know what difference that one day can make."
"People may have a different view on life when they wake up next morning. They may be able to shift their focus from dying to living."


Monday, April 22, 2013

IHA Health Literacy Conference Features Alliance to Reduce Disparities in Diabetes Leaders


The Institute for Healthcare Advancement will hold its12th Annual Health Literacy Conference May 8-10 in Irvine, California and Alliance program leaders from Chicago, Dallas and Memphis as well as the Alliance’s program evaluator RTI International will participate.

 Click here to register and use the discount code ARDD13 to receive a $50 discount on the registration cost.

 See below for highlights of the Chicago and Dallas poster presentations. Make sure to visit the Alliance’s Twitter and Facebook pages for more information and to share your thoughts. Stay tuned for our next E-Blast that will feature the presentations from the Memphis program and RTI International. 

Dallas Program Addresses Health Literacy Outside the Doctor's Office With Community Health Workers (CHWs) 

The Alliance’s Dallas program, the Diabetes Equity Project (DEP), aims to reduce disparities in diabetes care and diabetes outcomes in the largely Hispanic, medically underserved communities surrounding Baylor Health Care System hospitals. CHWs work to extend the patient-provider relationship and increase access to health services and education. Initial program results show that DEP patients had significantly higher scores on the Perceived Competence Scale in Diabetes (PCSD) one year post-baseline. The high rates of success in the program indicate that the use of CHWs to coordinate care and provide diabetes education to underserved populations could be an effective model for use with similar populations in other cities.

Read Dallas’ IHA abstract submission here for more information on the use of CHWs to improve health outcomes in underserved populations.


Chicago Program to Present Poster at IHA on Benefits of Combining Tailored Education and Shared Decision-Making

Leaders from the Chicago program have teamed up with local community health centers and community partners to empower patients to better manage their diabetes. The intervention addresses two well-known barriers facing racial/ethnic populations and those from lower socioeconomic backgrounds: limited health literacy and lack of cultural tailoring of programs. The program consists of 10-sessions co-taught by nurses, diabetes educators and dieticians, and program participants showed improvements in diabetes self management skills and clinical measures.

Read the IHA abstract submission here for more information on the Diabetes Empowerment Program.

About the Alliance to Reduce Disparities in Diabetes

The Alliance to Reduce Disparities in Diabetes, a national program launched and supported by the Merck Foundation, works to improve health care delivery among those populations most at risk for diabetes – African-American, Hispanic/Latino and Native American adults. The five health care delivery sites that comprise the Alliance to Reduce Disparities in Diabetes have implemented multifaceted evidence-based approaches designed to eliminate gaps produced by inequity and lack of targeted attention to those adults and their families who are most likely to be severely burdened by diabetes.

The Center for Managing Chronic Disease | University of Michigan
1415 Washington Heights | Ann Arbor, Michigan 48109 | 734-763-1457  

 
IHA Health Literacy Conference Features Alliance to Reduce Disparities in Diabetes Leaders
 
The Institute for Healthcare Advancement will hold its12th Annual Health Literacy Conference May 8-10 in Irvine, California and Alliance program leaders from Chicago, Dallas and Memphis as well as the Alliance’s program evaluator RTI International will participate.
 
Click here to register and use the discount code ARDD13 to receive a $50 discount on the registration cost.
 
See below for highlights of the Chicago and Dallas poster presentations. Make sure to visit the Alliance’s Twitter and Facebook pages for more information and to share your thoughts. Stay tuned for our next E-Blast that will feature the presentations from the Memphis program and RTI International. 
 
 
Dallas Program Addresses Health Literacy Outside the Doctor's Office With Community Health Workers (CHWs) 
 
The Alliance’s Dallas program, the Diabetes Equity Project (DEP), aims to reduce disparities in diabetes care and diabetes outcomes in the largely Hispanic, medically underserved communities surrounding Baylor Health Care System hospitals. CHWs work to extend the patient-provider relationship and increase access to health services and education. Initial program results show that DEP patients had significantly higher scores on the Perceived Competence Scale in Diabetes (PCSD) one year post-baseline. The high rates of success in the program indicate that the use of CHWs to coordinate care and provide diabetes education to underserved populations could be an effective model for use with similar populations in other cities.

Read Dallas’ IHA abstract submission here for more information on the use of CHWs to improve health outcomes in underserved populations.
 
 
Chicago Program to Present Poster at IHA on Benefits of Combining Tailored Education and Shared Decision-Making
Leaders from the Chicago program have teamed up with local community health centers and community partners to empower patients to better manage their diabetes. The intervention addresses two well-known barriers facing racial/ethnic populations and those from lower socioeconomic backgrounds: limited health literacy and lack of cultural tailoring of programs. The program consists of 10-sessions co-taught by nurses, diabetes educators and dieticians, and program participants showed improvements in diabetes self management skills and clinical measures.

Read the IHA abstract submission here for more information on the Diabetes Empowerment Program.
 
About the Alliance to Reduce Disparities in Diabetes
The Alliance to Reduce Disparities in Diabetes, a national program launched and supported by the Merck Foundation, works to improve health care delivery among those populations most at risk for diabetes – African-American, Hispanic/Latino and Native American adults. The five health care delivery sites that comprise the Alliance to Reduce Disparities in Diabetes have implemented multifaceted evidence-based approaches designed to eliminate gaps produced by inequity and lack of targeted attention to those adults and their families who are most likely to be severely burdened by diabetes.
 
Sponsored By:
 
 
 
The Center for Managing Chronic Disease | University of Michigan
1415 Washington Heights | Ann Arbor, Michigan 48109 | 734-763-1457 


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Get Set! National Minority Mental Health Awareness Month 2013 is Just around the Corner


Get Set! National Minority Mental Health Awareness Month 2013 is Just around the Corner
This July, organizations across the country will be taking part in this year's celebration. We come together this time of year in recognition of National Minority Mental Health Awareness Month to keep building awareness of the importance of mental health and supports in every community. Don't be left out. To help you get ready to take part, the National Alliance on Mental Illness (NAMI) and the National Network to Eliminate Disparities in Behavioral Health (NNED) are organizing a series of planning webinars. These webinars are designed to help interested individuals and organizations big and small plan a variety of community events.

 

Please mark your calendar with the following dates and watch for updates to come:
History and Highlights: Learn about National Minority Mental Health Awareness Month
Wednesday, April 24, 2013 1:00 PM - 2:00 PM EDT
Learn about how Bebe Moore Campbell, loving mother, NAMI member and respected author, inspired this special month to increase public awareness of mental health among minority communities and increase access to services and support. Now what can you do? The session will provide an overview of available resources to help you plan your own event and celebrate the month.
Presenters:
·         Dr. Linda Wharton Boyd, Special Assistant, DC Department of Health -- Was a personal friend of the late Bebe Moore Campbell and played an active role in the dedication of NMMHAM in Campbell’s honor.
·         Elicia Goodsoldier, NAMI Colorado Board of Directors -- Recipient of the 2012 Boulder County Multicultural Award.

 

Are You Ready? Planning and Preparing for National Minority Mental Health Awareness Month
Wednesday, May 15, 2013 1:00 PM - 2:00 PM EDT
Already have an idea or plan for July? Share it! You may find some new ideas too. This webinar will provide customizable resources and concrete examples of activities from previous years. Whether you plan to recognize this month personally or with a group, this webinar will equip you with the tools and suggestions for a successful endeavor.
Presenter:
·         Cecily Rodriguez, VA Department of Behavioral Health

 

Our Strength and Support: Celebrating National Minority Mental Health Awareness Month
Wednesday, July 17, 2013 1:00 PM - 2:00 PM EDT
A panel of inspiring presenters will share their perspectives on mental health in minority communities, emphasizing the strengths of our cultural communities to come together to find support and carry a banner of hope for all individuals touched by mental illness.
Presenters:
·         Bassey Ikpi, The Siwe Project
·         Ramey Ko,Partner at Jung Ko, PLLC; Associate Judge at Austin Municipal Court