Development of the JAPAN registry of self-harm and suicide attempt: Its prospects in emergency and critical care center nationwide

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  • KOBAYASHI Satoshi
    Japan Suicide Countermeasures Promotion Center,  General Suicide Countermeasure Department Ota memorial hospital, Emergency and Critical care medicine Graduate School of Public Health, Teikyo University Japanese Society for Emergency Medicine’s Working Group for the Management of Japan Registry of Self-harm and Suicide Attempts
  • SUMI Hironori
    Graduate School of Public Health, Teikyo University Japanese Society for Emergency Medicine’s Working Group for the Management of Japan Registry of Self-harm and Suicide Attempts
  • FUKUDA Yoshiharu
    Graduate School of Public Health, Teikyo University Japanese Society for Emergency Medicine’s Working Group for the Management of Japan Registry of Self-harm and Suicide Attempts
  • AKIEDA Kazuki
    Ota memorial hospital, Emergency and Critical care medicine
  • MIYAKE Yasufumi
    Emergency Department, School of Medicine, Teikyo University Japanese Society for Emergency Medicine’s Working Group for the Management of Japan Registry of Self-harm and Suicide Attempts

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Other Title
  • 救急医療機関における自傷・自殺未遂レジストリを用いた臨床研究
  • 救急医療機関における自傷・自殺未遂レジストリを用いた臨床研究 : 自傷・自殺未遂レジストリ(JA-RSA)構築と展望
  • キュウキュウ イリョウ キカン ニ オケル ジショウ ・ ジサツ ミスイ レジストリ オ モチイタ リンショウ ケンキュウ : ジショウ ・ ジサツ ミスイ レジストリ(JA-RSA)コウチク ト テンボウ
  • ―自傷・自殺未遂レジストリ（JA-RSA）構築と展望―

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Abstract

<p>Experience of self-harm or suicide attempt is an important single predictor associated with future suicide deaths. The need for a system for registering cases of self-harm and suicide attempts in medical institutions has been widely noted. The authors developed a nationwide registry system for self-harm and suicide attempts (JA-RSA), prototyped in 2021, and began registering cases at each collaborating institution in FY2022, requesting participation from emergency rooms nationwide. The JA-RSA is the first nationwide, continuous suicide attempt case registry in Japan, and targets patients who are transported to emergency rooms. JA-RSA is also expected to contribute to the study and evaluation of effective suicide prevention measures. As the registry progresses, it will become possible to identify risk factors leading to suicide and risks due to changes in social conditions. Currently, about 60 emergency and critical care centers are participating in JA-RSA, and in the future, JA-RSA aims to have about 300 centers nationwide participate in the program, which will be used to understand the actual situation of self-injury and suicide attempts and to take proactive measures against suicide.</p>

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