title: 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.
abstract: 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.
authors.affiliation: Health Center, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. yutakaon@sc.itc.keio.ac.jp
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Ono
authors.forename: Shuichi
authors.initials: S
authors.lastname: Awata
authors.forename: Hideharu
authors.initials: H
authors.lastname: Iida
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Ishida
authors.forename: Naoki
authors.initials: N
authors.lastname: Ishizuka
authors.forename: Hiroto
authors.initials: H
authors.lastname: Iwasa
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Kamei
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Motohashi
authors.forename: Atsuo
authors.initials: A
authors.lastname: Nakagawa
authors.forename: Jun
authors.initials: J
authors.lastname: Nakamura
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Nishi
authors.forename: Kotaro
authors.initials: K
authors.lastname: Otsuka
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Oyama
authors.forename: Akio
authors.initials: A
authors.lastname: Sakai
authors.forename: Hironori
authors.initials: H
authors.lastname: Sakai
authors.forename: Yuriko
authors.initials: Y
authors.lastname: Suzuki
authors.forename: Miyuki
authors.initials: M
authors.lastname: Tajima
authors.forename: Eriko
authors.initials: E
authors.lastname: Tanaka
authors.forename: Hidenori
authors.initials: H
authors.lastname: Uda
authors.forename: Naohiro
authors.initials: N
authors.lastname: Yonemoto
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Yotsumoto
authors.forename: Naoki
authors.initials: N
authors.lastname: Watanabe
mesh_terms: 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
references.citation: Crisis. 2005;26(3):128-40
references.pmid: 16276756
references.citation: Psychiatry Clin Neurosci. 2006 Feb;60(1):110-4
references.pmid: 16472368
references.citation: Psychiatry Clin Neurosci. 2005 Jun;59(3):337-44
references.pmid: 15896228
references.citation: Crisis. 2006;27(2):58-65
references.pmid: 16913326
references.citation: Community Ment Health J. 2004 Jun;40(3):249-63
references.pmid: 15259630
references.citation: JAMA. 2005 Oct 26;294(16):2064-74
references.pmid: 16249421
references.citation: Acta Psychiatr Scand. 1997 Jun;95(6):457-63
references.pmid: 9242839
references.citation: Seishin Shinkeigaku Zasshi. 1998;100(7):469-85
references.pmid: 9778997
references.citation: Biometrics. 1979 Sep;35(3):549-56
references.pmid: 497341