Aspects of Suicide Prevention Measure for Suicide Attempters after a Sharp Increase of Suicide in Japan

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  • Kawanishi Chiaki
    Health Management and Promotion Centre, Yokohama City University Graduate School of Medicine

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  • 自殺問題が深刻化してから以降のわが国の自殺未遂者対策の経緯

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The incidence of suicide has markedly increased in Japan since 1998. The government established a basic suicide prevention law in 2006, and the Cabinet Office published the outline of suicide prevention measures in 2007. Care for suicide attempters was included in this outline as previous suicide attempts have proven to a most potent risk factor of suicide later on. In recent Japan, two approaches toward suicide prevention for suicide attempters have been carried out. ACTION-J, a randomized, controlled, multicenter trial of post-suicide attempt case management for the prevention of further attempts, launched in 2006. The primary aim of ACTION-J is to examine the effectiveness of extensive intervention for suicide attempters in prevention of recurrent suicidal behavior, as compared with standard intervention. Another approach includes preparation of guidelines and training workshops for caring for suicide attempters. Action by entire nation is required for suicide prevention in Japan; especially, medical staff can play a great role for suicide prevention of suicide attempters. Additionally, measures for suicide attempters and good practices are expected to grow.

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