Three levels of prevention against “Mental Stress”

nFirst Level




nIndividuals: Actions against stress


nEnvironment: Removal and reduction of stressor



nSecond level


nEarly stage detection and action


nAvoid accidents and troubles


nRisk management, CSR


nIncrease consultation opportunity



nThird level


nRecovery and relapse prevention


nCare for a reinstatement person

Actions of prevention against “Mental Stress”



nPrevention by assessment of; Environment & Self check





nEarly detection

nEncourages professional advice from qualified physician. i.e. company doctor



nMedical Support



nAssistance and follow up

Mental Stress Self check list

This check list measures your level of stress from physical and mental symptoms.


Please check if your experience symptoms below.



p      Neck and shoulder tension (often)  

p      Fatigue

p      Lower back pain

p      Dizzy

p      Constipation

p      Chest pains

p      Dry throat

p      Numbness of the hand and feet

p      Trembling of the hands and feet

p      Trembling of the hands and feet

p      Wake up at early hours

p      Depression in the morning

p      Lack of focus at work

p      No stamina

p      Indecisiveness

p      Anxiety

p      Feel disconnected from society

p      Have a lack of confidence for the future

p      Unsociable




 1-4 items – No issues, 

 5-9 items – Need a actions, 

 10 or more items – Warning

Overtime Work Measures in Japan

lMinistry of Health, Labor and Welfare takes overtime seriously and recently, the control of the labor standards inspection office is getting strict in Japan.



lEmployers are required to monitor track of employee’s working hours because the level of tiredness is commonly estimated by overtime work hours.


ØRelationship between overtime work hours and brain / heart disease;

²        >100 hrs, within 1 month          Strong relationship!!

²        >80 hrs, within 2-6 months         Strong relationship

²        >45 hrs                         Relationship exists

²        <45hrs, within 6months           Weak relationship



l It is the company’s responsibility to acknowledge employees’ health situation and excessive working hours.

Managing Overtime & Excessive Working Employees in Japan

nOn an employee request bases, company must give company doctor’s consultations to employees who’s overtime working hours exceed 100 hours per month and show signs of fatigue.


nAlso, for employees who’s average overtime working hours are 80 to 100 hours (in past 2 to 6 months), company must try to give  company doctor’s consultations on an employee request bases (努力義務).



nCompany doctors will provide consultation and recommendation report to employers and the record must be kept for 5 years.



nEmployers must make actions when recommended by company doctor.


ne.g. Working hour limitations, Replacement, Report to Hygiene Committee Meeting.

General Actions against Overtime and Excessive Working Hours

nOvertime work managements.

n<45 hrs a month.

nTime card, online time management application.


nAnnual vacation.


n Carrying out annual health check-up and its follow up.


nAsking for a doctor’s opinion for a person with abnormal findings and act.


nCarrying out health check-up semiannually for employees with late-shift work.


nWorking hour limitations.

Company Doctor Consultations with Employees with Overtime Working Hours

nCompany doctor would;


1. Analyze data of his/her periodic health check-up report and search for signs of lifestyle diseases and abnormal readings.



2. Check whether an employee has a high chance of developing depression.


ü  A loss of interest or pleasure?

ü   A feeling of depression?


Ø  If Both answers are Yes.”⇒  Sensitivity for depression is 90%.



3.  Ask about his/her ;


ü         Appetite

ü         Body weigh

ü         Mental statement

ü         Tiredness

ü         Responsibility

ü         Desire to suicide

ü         Decrease in thought and concentration

ü         Sleeping patterns

自殺の原因「うつ病」がトップ 10年連続3万人、60歳以上は最多





【2008年6月19日】 記事:共同通信社 提供:共同通信社









 警察庁の自殺統計 警察は変死者について検視などで死因を特定し、動機を調べて事件性の有無を判断、自殺と認定する。死亡届を出した後に自殺と判明したケースや日本国内で自殺した外国人も含まれるため、死亡届を基に集計する厚生労働省の人口動態統計より人数が多くなる傾向がある。警察庁は昨年、自殺統計原票の原因動機や職業分類を見直し、今年から詳細データを公表した。

Metabolic Syndrome Health Check-up Starting from April 2008

n Recently, the control of the Labor Standards Inspection Office is strengthened, and the responsibility of companies and managers are imposed on taking care about their employees’ health problems.



n Employees from 40 to 74 years of age, who are covered by the Japanese Health Insurance Society, are required to receive a further “Metabolic Syndrome” examination on top of the regular annual health check-up. (Please check your health insurance society.)



n If you are identified as having “Metabolic Syndrome” or have a high chance of developing “Metabolic Syndrome”, you will be required to receive special medical guidance.

Metabolic Syndrome conditions are;

Metabolic Syndrome conditions are;


n 1. Waist measurement (diameter) is greater than or equal to 85cm for male, 90 cm for females


n 2. Triglyceride reading of over 150mg/dl and, or HDL Cholesterol reading of under 40mg/dl


n 3. Systolic BP of over 130mmHg and, or Diastolic reading of over 85mmHg


n 4. Blood Glucose level of over 110mg/dl (empty stomach)



n       1+two of2,3,4)⇒Metabolic Syndrome

n       1+one of 2,3,4)⇒High chance of Metabolic syndrome














n       Motivation support:

n       waist90 female, smoking – & hyperlipidemia

n       BMI25, smoking – & one or two risks


n       Active support:

n       waist85 male & Diabetes & Hypertension

n        BMI25, smoking + & one risk