A community intervention trial of multimodal suicide prevention program in Japan: a novel multimodal community intervention program to prevent suicide and suicide attempt in Japan, NOCOMIT-J.
BACKGROUND
To respond to the rapid surge in the incidence of suicide in Japan, which appears to be an ongoing trend, the Japanese Multimodal Intervention Trials for Suicide Prevention (J-MISP) have launched a multimodal community-based suicide prevention program, NOCOMIT-J. The primary aim of this study is to examine whether NOCOMIT-J is effective in reducing suicidal behavior in the community.


METHODS
This study is a community intervention trial involving seven intervention regions with accompanying control regions, all with populations of statistically sufficient size. The program focuses on building social support networks in the public health system for suicide prevention and mental health promotion, intending to reinforce human relationships in the community. The intervention program components includes a primary prevention measures of awareness campaign for the public and key personnel, secondary prevention measures for screening of, and assisting, high-risk individuals, after-care for individuals bereaved by suicide, and other measures. The intervention started in July 2006, and will continue for 3.5 years. Participants are Japanese and foreign residents living in the intervention and control regions (a total of population of 2,120,000 individuals).


CONCLUSIONS
The present study is designed to evaluate the effectiveness of the community-based suicide prevention program in the seven participating areas.


BACKGROUND
UMIN Clinical Trials Registry (UMIN-CTR) UMIN000000460.
Ono
Yutaka
Y
Health Center, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. yutakaon@sc.itc.keio.ac.jp
Awata
Shuichi
S
Iida
Hideharu
H
Ishida
Yasushi
Y
Ishizuka
Naoki
N
Iwasa
Hiroto
H
Kamei
Yuichi
Y
Motohashi
Yutaka
Y
Nakagawa
Atsuo
A
Nakamura
Jun
J
Nishi
Nobuyuki
N
Otsuka
Kotaro
K
Oyama
Hirofumi
H
Sakai
Akio
A
Sakai
Hironori
H
Suzuki
Yuriko
Y
Tajima
Miyuki
M
Tanaka
Eriko
E
Uda
Hidenori
H
Yonemoto
Naohiro
N
Yotsumoto
Toshihiko
T
Watanabe
Naoki
N
D000359:Aftercare / Q000379:methods; D003153:Community Health Services / Q000379:methods*; D003159:Community-Institutional Relations; D003625:Data Collection / Q000379:methods; D005260:Female; D006801:Humans; D038801:International Classification of Diseases; D007564:Japan; D008297:Male; D017063:Outcome Assessment, Health Care / Q000379:methods; D016730:Program Development; D012044:Regression Analysis; D040242:Risk Reduction Behavior; D018401:Sample Size; D013405:Suicide / Q000706:statistics & numerical data; D013406:Suicide, Attempted / Q000517:prevention & control*; D000092864:Suicide Prevention
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