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This is the accepted version of the paper.This version of the publication may differ from the final published version. Arabia, and to some extent in Turkey, reduced ORs were observed for Austria, China, Italy, Japan and the USA. Elevated ORs for psychological distress were seen in Japan, Jordan, Palestine, Saudi Arabia, Tunisia and Turkey but reduced ORs were noted in Austria, China, Iran, Italy and the USA. Psychological distress was strongly associated with reports of suicide ideation and attempts. Suicide ideation, suicide attempt and psychological distress are common in university students but their rates vary depending on the sociocultural context. Permanent repository linkDue attention should be devoted to the mental health needs of young adults enrolled in higher educational institutions and more cross-cultural research is warranted to better understand the etiology of the observed intersocietal variations in suicidal behavior and psychological distress.

Measuring Workplace Bullying:Reliability and Validity of the Japanese Version of the Negative Acts Questionnaire: Kanami TSUNO, et al. Japan Society for the Promotion of ScienceObjectives: Workplace bullying is increasingly being recognized as a serious problem within the work environment. Previous studies in European countries have reported the prevalence of workplace bullying and its association with poor mental health, using the Negative Acts Questionnaire-Revised (NAQ-R: Einarsen & Hoel, 2001), but there have been very few studies in Japan. The authors translated the 22-item NAQ-R into the Japanese language and examined the internal consistency reliability and concurrent and construct validity, including factor-based validity, of this scale in a sample of Japanese civil servants. Methods: A total of 830 males and 796 females were surveyed, using anonymous questionnaires including the NAQ-R, Leymann Inventory of Psychological Terror (LIPT), and scales for interpersonal relations at work and psychological distress (response rate, 46.7%). Results: Cronbach's alpha coefficients of the internal consistency reliability of the NAQ-R were high (0.91-0.95) for males and females. Workplace bullying measured by the NAQ-R was strongly associated with that measured by the LIPT and other scales on workplace bullying. The NAQ-R was associated with high psychological distress, high intragroup and intergroup conflict, low supervisor and coworker support, and low interactional justice, as expected. Although three factors were extracted, this findings differed slightly from the factor structure previously reported (Einarsen et al., 2009). However, Factor 1 explained most of the variance, indicating that a one factor structure fitted the data better. Conclusion: The present study showed acceptable levels of reliability and validity of the Japanese version of the NAQ-R among Japanese civil servants. (J Occup Health 2010; 52: 216-226)

Objectives This study aimed to compare the longitudinal change of the psychological distress of healthcare workers (HCWs) with non‐HCWs during the repeated outbreaks of the COVID‐19 in Japan. Methods The data were retrieved from the Employee Cohort Study in the Covid‐19 pandemic in Japan study. An online survey was conducted on March 2020 (T1), on May 2020 (T2), on August 2020 (T3), and on November 2020 (T4). Psychological distress was measured by the Brief Job Stress Questionnaire. A mixed‐model repeated‐measures ANOVA was conducted as an indicator of the group differences. Results A total sample of analysis was n = 996 (HCWs, n = 111; non‐HCWs, n = 885). HCWs consisted of physicians/nurses/midwives and other HCWs (eg, pharmacists, clinical laboratory technicians) in the clinical settings (n = 19; 17% and n = 61; 55%, respectively), and HCWs not working in the clinical settings (n = 31; 28%). Being HCWs were associated with a significant increase in psychological distress from T1 to T2, T3 and T4 ( P = .001, P = .002, P < .001; respectively). Conclusions The mental health of HCWs deteriorated through the COVID‐19 outbreaks compared with non‐HCWs. HCWs are continuously the important targets to provide mental health support.

Bullying in the workplace is an increasingly recognized threat to employee health. We sought to test three hypotheses related to the determinants of workplace bullying: power distance at work; safety climate; and frustration related to perceived social inequality. A questionnaire survey was administered to a nationally representative community-based sample of 5,000 residents in Japan aged 20–60 years. The questionnaire included questions about employment, occupation, company size, education, household income, and subjective social status (SSS). We inquired about both the witnessing and personal experience of workplace bullying during the past 30 days. Among 2,384 respondents, data were analyzed from 1,546 workers. Multiple logistic regression analyses were used to examine the social determinants of workplace bullying. Six percent and 15 percent of the total sample reported experiencing or witnessing workplace bullying, respectively. After adjusting for gender and age, temporary employees (Odds Ratio [OR]: 2.45 [95% Confidence Interval (CI) = 1.03–5.85]), junior high school graduates (OR: 2.62 [95%CI: 1.01–6.79]), workers with lowest household income (OR: 4.13 [95%CI:1.58–10.8]), and workers in the lowest SSS stratum (OR: 4.21 [95%CI:1.66–10.7]) were at increased risk of experiencing workplace bullying. When all variables were entered simultaneously in the model, a significant inverse association was observed between higher SSS and experiencing bullying (p = 0.002). Similarly in terms of witnessing bullying; SSS was significantly inversely associated (p = 0.017) while temporary employees reported a significantly higher risk of witnessing bullying compared to permanent workers (OR: 2.25 [95%CI:1.04 to 4.87]). The significant association between SSS and experiencing/witnessing workplace bullying supports the frustration hypothesis. The power distance hypothesis was also partly supported by the finding that temporary employees experienced a higher prevalence of workplace bullying.

Psychological distress has increased significantly more among healthcare workers (HCW) than non-HCW under COVID-19. This is a first study to show the mental health deterioration of HCW using longitudinal data. Compared to other professions, HCW were found to be an important target for mental healthcare.

This paper reports the results of a comparative investigation of attitudes to suicide and suicidal persons in 5,572 university students from 12 countries. Participants filled out two scales measuring attitudes towards suicide and suicidal persons, a measure of psychological distress together with the questions about suicidal behavior. Results showed that the highest suicide acceptance scores were observed in Austrian, UK, Japanese and Saudi Arabian samples and the lowest scores were noted in Tunisian, Turkish, Iranian and Palestinian samples. While the highest social acceptance scores for a suicidal friend were noted in Turkish, US, Italian and Tunisian samples, the lowest scores were seen in Japanese, Saudi Arabian, Palestinian and Jordanian samples. Compared to participants with a suicidal past, those who were never suicidal displayed more internal barriers against suicidal behavior. Men were more accepting of suicide than women but women were more willing to help an imagined suicidal peer. Participants with accepting attitudes towards suicide but rejecting attitudes towards suicidal persons reported more suicidal behavior and psychological distress, and were more often from high suicide rate countries and samples than their counterparts. They are considered to be caught in a fatal trap in which most predominant feelings of suicidality such as hopelessness or helplessness are likely to occur. We conclude that in some societies such as Japan and Saudi Arabia it might be difficult for suicidal individuals to activate and make use of social support systems.

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