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Metrics details. 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 , and will continue for 3. Participants are Japanese and foreign residents living in the intervention and control regions a total of population of 2,, individuals. The present study is designed to evaluate the effectiveness of the community-based suicide prevention program in the seven participating areas. Peer Review reports. This was the highest rate of increase recorded since the Ministry began tracking mortality statistics.

The number of suicides remained high in subsequent years, reaching 29, in and 32, in In terms of the number of suicides, three peaks have emerged since World War II. However, the most recent rise that started in has shown no signs of abating, and represents the worst in Japan's history.

Therefore, it is clear that suicide prevention measures are urgently needed in Japan. It has been pointed out that the suicide rate has traditionally been high in the three prefectures of the northern Tohoku area Akita, Iwate, and Aomori , Niigata, Shimane, and the Kyushu area Miyazaki, Kagoshima, and Okinawa [ 1 ].