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

Yutaka Ono, Shuichi Awata, Hideharu Iida, Yasushi Ishida, Naoki Ishizuka, Hiroto Iwasa, Yuichi Kamei, Yutaka Motohashi, Atsuo Nakagawa, Jun Nakamura, Nobuyuki Nishi, Kotaro Otsuka, Hirofumi Oyama, Akio Sakai, Hironori Sakai, Yuriko Suzuki, Miyuki Tajima, Eriko Tanaka, Hidenori Uda, Naohiro Yonemoto, Toshihiko Yotsumoto, Naoki Watanabe, Yutaka Ono, Shuichi Awata, Hideharu Iida, Yasushi Ishida, Naoki Ishizuka, Hiroto Iwasa, Yuichi Kamei, Yutaka Motohashi, Atsuo Nakagawa, Jun Nakamura, Nobuyuki Nishi, Kotaro Otsuka, Hirofumi Oyama, Akio Sakai, Hironori Sakai, Yuriko Suzuki, Miyuki Tajima, Eriko Tanaka, Hidenori Uda, Naohiro Yonemoto, Toshihiko Yotsumoto, Naoki Watanabe

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/design: 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).

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

Trial registration: UMIN Clinical Trials Registry (UMIN-CTR) UMIN000000460.

Figures

Figure 1
Figure 1
Flow diagram of the study.

References

    1. Ishihara A. Suicide in Japan – the analysis of vital statistics. J Ment Health. 2003;49:13–26.
    1. Fujita T. Rapid increases of suicide deaths in metropolitan areas. J Natl Inst Public Health. 2003;52:295–301.
    1. Taylor SJ, Kingdom D, Jenkins R. How are nations trying to prevent suicide? An analysis of national suicide prevention strategies. Acta Psychiatr Scand. 1997;95:457–463. doi: 10.1111/j.1600-0447.1997.tb10132.x.
    1. Mann JJ, Apter A, Bertolote J, Beautrais A, Currier D, Haas A, Hegerl U, Lonnqvist J, Malone K, Marusic A, Mehlum L, Patton G, Phillips M, Rutz W, Rihmer Z, Schmidtke A, Shaffer D, Silverman M, Takahashi Y, Varnik A, Wasserman D, Yip P, Hendin H. Suicide prevention strategies: A systematic review. JAMA. 2005;294:2064–2074. doi: 10.1001/jama.294.16.2064.
    1. Goldney RD. Suicide prevention: A pragmatic review of recent studies. Crisis. 2005;26:128–140.
    1. Takahashi K, Naito H, Morita M, Suga R, Oguma T, Koizumi T. Suicide prevention work for the elderly in Matsunoyama Town, Higashikubiki County, Niigata Prefecture; Psychiatric care for elderly in the community. Seishinshinkeigakuzasshi. 1998;100:469–485. (In Japanese).
    1. Oyama H, Goto M, Fujita M, Shibuya H, Sakashita T. Preventing elderly suicide through primary care by community-based screening for depression in rural Japan. Crisis. 2006;27:58–65.
    1. Oyama H, Koida J, Sakashita T, Sakamoto S, Kudo K. Community-based prevention for suicide in elderly by depression screening and follow-up. Community Ment Health J. 2004;40:249–263. doi: 10.1023/B:COMH.0000026998.29212.17.
    1. Oyama H, Ono Y, Watanabe N, Tanaka E, Kudoh S, Sakashita T, Sakamoto S, Neichi K, Satoh K, Nakamura K, Yoshimura K. Local community intervention through depression screening and group activity for elderly suicide prevention. Psychiatr Clin Neurosci. 2006;60:110–114. doi: 10.1111/j.1440-1819.2006.01468.x.
    1. Oyama H, Watanabe N, Ono Y, Sakashita T, Takenoshita Y, Taguchi M, Takizawa T, Miura R, Kumagai K. Community-based prevention through group activity for elderly successfully reduced the high suicide rate for females. Psychiatr Clin Neurosci. 2005;59:337–344. doi: 10.1111/j.1440-1819.2005.01379.x.
    1. Motohashi Y, Kaneko Y, Sasaki H. Lowering suicide rates in rural Japan. Akita J Public Health. 2005;2:105–106.
    1. O'Brien PC, Fleming TR. A multiple testing procedure for clinical trials. Biometrics. 1979;35:549–556. doi: 10.2307/2530245.

Source: PubMed

Sponsorer og samarbejdspartnere

Medicinske tilstande

Narkotikainterventioner

3
Abonner