Ishibashi, Ryutaro https://orcid.org/0009-0009-2975-7991
Yonemoto, Naohiro https://orcid.org/0000-0003-3637-2095
Cho, Yoshinori
Sugiyama, Naoya
Kishi, Yoshiki
Fujita, Kiyoshi
Morikawa, Masayuki
Tateno, Masaru https://orcid.org/0000-0002-5084-0193
Kawahara, Yoko
Otsuka, Kotaro
Sano, Tomoaki
Komata, Kosuke
Kawanishi, Chiaki https://orcid.org/0000-0003-3464-3787
Article History
Received: 2 October 2025
Accepted: 21 October 2025
First Online: 28 November 2025
Declarations
:
: The rights and welfare of study participants will be protected according to the World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. This study complies with the ethical guidelines of the Japanese Ministry of Health, Labour and Welfare. Ethical approval for this study, including considerations of patient safety, scientific validity, and data reliability, has been obtained from the Research Ethical Committee of Sapporo Medical University (registration: 6-1-110), and the institutional review boards of each participating facility, namely, the Institutional Review Board of Okehazama Hospital Fujita Mental Care Center (registration: R07-001), the Institutional Review Board of Mie Prefectural Mental Care Center (registration: 20250001), and the Institutional Review Board of Okayama Psychiatric Medical Center (registration: 2025-9). Written informed consent and assent will be obtained from participants. If important protocol modifications are made, they will be submitted to the Research Ethical Committee of Sapporo Medical University review board.
: Not applicable.
: The authors declare no competing interests.