| アブストラクト | PURPOSE: We developed a Japanese version of the Patient Safety Screener-3 (PSS-3) and applied it to stratify suicide risk in hospitalized patients. Additionally, we tested the hypothesis that PSS-3-assessed depressed mood and suicide risk are independently associated with length of stay (LOS) among hospitalized patients. METHODS: A cross-sectional study was conducted at a university hospital in Tokyo from January to December 2023. The Japanese version of the PSS-3 was used to screen hospitalized patients with advanced cancer. Data were collected from medical charts and Diagnosis Procedure Combination records. Linear mixed-effects models with patient-level random intercepts were used to examine associations among depressed mood, suicide risk, and LOS, adjusting for age, sex, cancer diagnosis, Charlson Comorbidity Index, activities of daily living (ADL), and disturbance of consciousness. RESULTS: Among 2077 screenings, 2019 first assessments on admission were analyzed, of which 90.8 % were performed on admission day. Depressed mood was present in 308 patients (15.3 %), and 26 patients (1.3 %) were assessed as having high suicide risk. Depressed mood prolonged LOS (reference geometric mean: 8.44 days) by 18 % (1.18; 95 % CI, 1.07-1.30), while high suicide risk prolonged it by 40 % (1.40; 95 % CI, 1.03-1.90), in a clinically and statistically balanced model adjusted for age, sex, and cancer diagnosis. CONCLUSIONS: The PSS-3 stratified hospitalized patients by depressed mood and suicide risk, both of which were independently associated with prolonged hospitalization. This simple screening tool may facilitate early identification of high-risk patients, optimize resource allocation, and improve patient care. |
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| 投稿者 | Tamune, Hidetaka; Kiryu, Kana; Takahashi, Keitaro; Suzuki, Futoshi; Takeshita, Yoshihide; Katsuta, Narimasa; Kakiuchi, Chihiro; Ito, Masanobu; Shoji, Eri; Minamitani, Kazusa; Taira, Daiki; Takaoka, Yoshie; Koshikiya, Akiko; Sakurai, Tetsuya; Tanemura, Yurie; Harada, Hiroyuki; Asai, Tatsuro; Obata, Youhei; Yoshikawa, Akane; Tada, Mariko; Shimada, Takafumi; Miyagami, Taiju; Goto, Keiko; Yamamoto, Munetaka; Takagi, Tatsuya; Tezuka, Satsuki; Yanagisawa, Naotake; Nishizaki, Yuji; Kato, Tadafumi |
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| 組織名 | Department of Psychiatry and Behavioral Science, Juntendo University Graduate;School of Medicine, Bunkyo-ku, Tokyo, Japan. Electronic address:;tamune-tky@umin.ac.jp.;k.kiryu.pp@juntendo.ac.jp.;k.takahashi.zs@juntendo.ac.jp.;Research Center for Child Mental Development, University of Fukui, Fukui, Japan..;Electronic address: fsuzuki@u-fukui.ac.jp.;School of Medicine, Bunkyo-ku, Tokyo, Japan; Division of Medical Education,;Juntendo University School of Medicine, Bunkyo-ku, Tokyo, Japan.. Electronic;address: ytakeshi@juntendo.ac.jp.;School of Medicine, Bunkyo-ku, Tokyo, Japan; Department of Safety and Health;Promotion, Juntendo University, Bunkyo-ku, Tokyo, Japan. Electronic address:;nkatsuta@juntendo.ac.jp.;c.kakiuchi.jj@juntendo.ac.jp.;masa110@juntendo.ac.jp.;School of Medicine, Bunkyo-ku, Tokyo, Japan; Law and Psychiatry Division,;Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA.;Patient Safety and Quality Health Care Management Unit, Juntendo University;Hospital, Bunkyo-ku, Tokyo, Japan. Electronic address:;k-minamitani@juntendo.ac.jp.;d.taira.xv@juntendo.ac.jp.;School of Medicine, Bunkyo-ku, Tokyo, Japan; Department of Nursing, Juntendo;University Hospital, Bunkyo-ku, Tokyo, Japan. Electronic address:;ytakaoka@juntendo.ac.jp.;a.koshikiya.eu@juntendo.ac.jp.;t.sakurai.er@juntendo.ac.jp.;y-nagano@juntendo.ac.jp.;h.harada.ay@juntendo.ac.jp.;t.asai.zj@juntendo.ac.jp.;y.obata.cd@juntendo.ac.jp.;a.yoshikawa.br@juntendo.ac.jp.;mariko.tada@juntendo.ac.jp.;t.shimada.tz@juntendo.ac.jp.;Hospital, Bunkyo-ku, Tokyo, Japan; Department of General Medicine, Juntendo;University Graduate School of Medicine, Bunkyo-ku, Tokyo, Japan. Electronic;address: tmiyaga@juntendo.ac.jp.;Hospital, Bunkyo-ku, Tokyo, Japan; Department of Clinical Genetics, Juntendo;address: khirano@juntendo.ac.jp.;Hospital, Bunkyo-ku, Tokyo, Japan; Department of Hospital Administration,;Juntendo University Graduate School of Medicine, Bunkyo-ku, Tokyo, Japan..;Electronic address: y-mune@juntendo.ac.jp.;Hospital, Bunkyo-ku, Tokyo, Japan; Department of Orthopedic Surgery and Sports;Medicine, Juntendo University Graduate School of Medicine, Bunkyo-ku, Tokyo,;Japan.. Electronic address: ttatsuya@juntendo.ac.jp.;Department of Nursing, Juntendo University Hospital, Bunkyo-ku, Tokyo, Japan.;Electronic address: stezuka@juntendo.ac.jp.;Medical Technology Innovation Center, Juntendo University Graduate School of;Medicine, Bunkyo-ku, Tokyo, Japan. Electronic address:;n-yanagisawa@juntendo.ac.jp.;Division of Medical Education, Juntendo University School of Medicine, Bunkyo-ku,;Tokyo, Japan.. Electronic address: ynishiza@juntendo.ac.jp.;tadafumi.kato@juntendo.ac.jp. |
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