日本政府周五发布的一份白皮书强调，通过与医疗机构的接触，为减少年轻人自杀和自残风险提供支持的重要性。
A Japanese government white paper on Friday emphasized the importance of support aimed at reducing the risks of suicide and self-harm among young people through contacts with medical institutions.
根据2026年版《自杀对策白皮书》，去年小学生、初中生和高中生自杀人数达538人，连续第二年创下历史新高。
The number of suicides among elementary, junior high and high school students last year stood at 538, a record high for the second consecutive year, according to the 2026 white paper on measures to prevent suicides.
今年是《自杀对策基本法》颁布20周年，白皮书分析了自杀人数的趋势变化。
With this year marking the 20th anniversary of the enactment of the suicide prevention basic law, the white paper analyzed trends in the number of suicides.
从1998年起，随着日本经济状况恶化，自杀人数长期维持在3万以上，2010年后转为下降趋势。去年降至19188人，创历史新低。
From 1998, the number remained in the 30,000 range amid worsening economic conditions in Japan, before turning downward in 2010. It hit a record low of 19,188 last year.
过去20年间，家庭主妇和与他人同住的就业男性自杀人数减少。自杀率（即每10万人中的自杀人数）在中老年男性中大幅下降。这被认为与因社会经济因素导致的自杀减少有关。
Over the past 20 years, the number of suicides decreased among housewives and employed men living with others. The suicide rate, which measures the number of suicides per 100,000 people, declined sharply among middle-aged or older men. This is believed to be related to a decline in suicides driven by socioeconomic factors.
与此同时，独居工作者、学生以及与家人同住的就业女性的自杀人数未见类似下降趋势。19岁及以下人群以及20多岁女性的自杀率呈上升趋势。
Meanwhile, a similar declining trend was not seen in the number of suicides among single workers, students and employed women living with family members. Suicide rates were on an upward trend among people age 19 or younger and women in their 20s.
去年包括大学生在内的学生自杀人数达1082人，连续第二年增加。初中生自杀人数共172人，连续第三年刷新历史最高纪录；高中生自杀人数达356人，同样创历史新高。女初中生和女高中生的增幅尤为显著。
The number of suicides by students including college students last year stood at 1,082, increasing for the second consecutive year. Suicides among junior high school students totaled 172, hitting a record high for the third straight year, while those among high school students reached a record 356. The increase was particularly notable among female junior high and high school students.
白皮书指出，小学生、初中生和高中生自杀的动机多与家庭、健康和学校问题有关，预警信号难以察觉。
Motives for suicides among elementary, junior high and high school students are seen mostly related to family, health and school issues. The white paper said that the warning signs are difficult to detect.
为了揭示年轻人自残和自杀未遂呈增加趋势的情况，该白皮书分析了2022年底至2024年底期间，日本全国急救救命中心收治的4521例病例。分析显示，患者中女性占比较高，且许多人反复实施自残。约半数患者仅获得了信息提供，只有约20%与当地医疗机构等组织的支持建立了联系。
To shed light on self-harm and suicide attempts, which have been increasing among young people, the white paper analyzed 4,521 cases treated at emergency and critical care centers across Japan between late 2022 and late 2024. The analysis showed that many of the patients were female and that many repeatedly engaged in self-harm. About half had received only information, while only around 20 pct had links with support from local medical institutions and other organizations.
白皮书指出，应对高风险人群采取强化对策，并应努力确保他们能够在日常生活中获得支持。
The white paper said that intensive measures should be taken for people at high risk and that efforts should be made to ensure they can receive support in their daily lives.