A Community Intervention Trial of Multimodal Suicide Prevention Program in Japan (NOCOMIT-J) (NOCOMIT-J)

1. The primary goal for this study is to examine the effectiveness of community-based multimodal intervention program for suicide prevention in relatively high suicide rate region compared to control region.
2. The secondary goal for this study is to explore the effectiveness of community-based multimodal intervention program for suicide prevention in the highly populated regions. In addition, we examine the effectiveness of the prevention program in the all regions combined.

Study Overview

• Status: Completed
• Conditions: Suicide
• Intervention / Treatment: Behavioral: Multimodal suicide prevention program; Behavioral: Suicide prevention program as usual

Detailed Description

Suicide is a major public health problem and the number of suicide victims has exceeded 30,000 a year since 1998 in Japan. Suicide rate is almost 25/100,000, which are remarkably high numbers among advanced countries. To examine the effectiveness of community-based multimodal intervention program for suicide prevention, a trial by J-MISP (Japanese Multimodal Intervention Trials for Suicide Prevention). This research project is one of the strategic research projects funded by The Japanese Ministry of Health, Labor and Welfare.

• Study Type: Interventional
• Enrollment (Actual): 1951060
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Japan
  • Akita, Japan
    • Akita region group
  • Aomori, Japan
    • Aomori region gruop
  • Kagoshima and Miyazaki, Japan
    • Minami Kyusyu region group
  • Chiba
    • Ichikawa, Chiba, Japan
      • Chiba region group
  • Fukuoka
    • Kitakyusyu, Fukuoka, Japan
      • Kita-Kyusyu region group
  • Iwate
    • Morioka, Iwate, Japan
      • Iwate region group
  • Miyagi
    • Sendai, Miyagi, Japan
      • Sendai region group

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Areas which meet the following criteria are eligible for this study;

  • An area with firm support from local government and other organizations to conduct this multimodal suicide prevention program
  • An area capable to select intervention and control regions
  • An area capable to follow the data collection procedure described in the protocol
  • An area with comparable baseline data on suicide attempts rate in intervention and control region
  • An area with comparable baseline data on demographics in intervention and control region

Exclusion Criteria:

• None

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Multimodal community intervention; Multimodal suicide prevention program	Behavioral: Multimodal suicide prevention program; A community intervention of multimodal suicide prevention program includes following components: Building support networks for suicide prevention and mental health promotion in public health system; Primary prevention of suicide and suicide related behaviors; Secondary prevention of suicide and suicide related behaviors; Tertiary prevention; after care for suicide survivors; Suicide prevention targeting for people with substance/alcohol- related disorders , schizophrenia and other mental health disorders; Suicide prevention targeting for people with work-related problems
Active Comparator: Community intervention as usual; Suicide prevention program as usual	Behavioral: Suicide prevention program as usual; Usual suicide prevention program

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Incidence of suicide attempts (completed suicides and suicide attempts except mild case )	3.5years

Secondary Outcome Measures

Outcome Measure	Time Frame
Incidence of completed suicides	3.5years
Incidence of suicide attempts	3.5 years

Collaborators and Investigators

• Sponsor: Japan Foundation for Neuroscience and Mental Health
• Collaborators: National Center of Neurology and Psychiatry, Japan
• Investigators: Principal Investigator: Yutaka Ono, MD,PhD, Keio University

Publications and helpful links

General Publications

• Ono Y, Awata S, Iida H, Ishida Y, Ishizuka N, Iwasa H, Kamei Y, Motohashi Y, Nakagawa A, Nakamura J, Nishi N, Otsuka K, Oyama H, Sakai A, Sakai H, Suzuki Y, Tajima M, Tanaka E, Uda H, Yonemoto N, Yotsumoto T, Watanabe N. 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. BMC Public Health. 2008 Sep 15;8:315. doi: 10.1186/1471-2458-8-315.
• Ono H, Awada S, Iida H, Ishida Y, Ishizuka N, Iwasa H, Kamei Y, Motohashi Y, Nakagawa A, Nakamura J, Nishi N, Otsuka K, Oyama H, Sakai A, Sakai H, Suzuki Y, Tajima M, Tanaka E, Uda E, Yonemoto N, Watanabe N. [Importance of area activities to prevent suicide and the involvement of NOCOMIT-J]. Seishin Shinkeigaku Zasshi. 2008;110(3):216-21. No abstract available. Japanese.
• Ono Y, Sakai A, Otsuka K, Uda H, Oyama H, Ishizuka N, Awata S, Ishida Y, Iwasa H, Kamei Y, Motohashi Y, Nakamura J, Nishi N, Watanabe N, Yotsumoto T, Nakagawa A, Suzuki Y, Tajima M, Tanaka E, Sakai H, Yonemoto N. Effectiveness of a multimodal community intervention program to prevent suicide and suicide attempts: a quasi-experimental study. PLoS One. 2013 Oct 9;8(10):e74902. doi: 10.1371/journal.pone.0074902. eCollection 2013.

Study record dates

Study Major Dates

• Study Start: July 1, 2006
• Primary Completion (Actual): December 1, 2009
• Study Completion (Actual): March 1, 2011

Study Registration Dates

• First Submitted: August 15, 2008
• First Submitted That Met QC Criteria: August 15, 2008
• First Posted (Estimate): August 18, 2008

Study Record Updates

• Last Update Posted (Estimate): October 31, 2013
• Last Update Submitted That Met QC Criteria: October 30, 2013
• Last Verified: October 1, 2013

More Information

Terms related to this study

• Keywords: Community; Suicide, Prevention
• Additional Relevant MeSH Terms: Behavioral Symptoms; Self-Injurious Behavior; Suicide
• Other Study ID Numbers: J-MISP-02; UMIN000000460 (Registry Identifier: UMIN-CTR)