Trial reportPloS one2013
Effectiveness of a multimodal community intervention program to prevent suicide and suicide attempts: a quasi-experimental study.
Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Community Intervention Trial of Multimodal Suicide Prevention Program in Japan (NOCOMIT-J)
Preventing Psychological Distress and Suicidal Behaviours: a Web-based and Mobile Suicide Prevention Intervention in the General Population
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Methods and efficacy of social support interventions in preventing suicide: a systematic review and meta-analysis.Evidence-based mental health · 2022Pooled it
- Effect of the LifeSpan suicide prevention model on self-harm and suicide in four communities in New South Wales, Australia: a stepped-wedge, cluster randomised controlled trial.BMJ mental health · 2025Trial
- Preventing suicidal behaviours with a multilevel intervention: a cluster randomised controlled trial.BMC public health · 2018Trial
- The impact of national suicide prevention strategies on suicide rates in the Region of the Americas: An interrupted time-series analysis using WHO Global Health Estimates.Global mental health (Cambridge, England) · 2026Article
- Outcome Evaluation of a Multimodal Suicide Prevention Program Designed Through International Collaboration: Protocol for a Controlled Interrupted Time Series Study.JMIR research protocols · 2025Article
- Case management for suicide prevention: a rapid review and evidence map.Social psychiatry and psychiatric epidemiology · 2025Review
- Effectiveness of a communal, multilevel, interdisciplinary suicide prevention program.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- Establishment and molecular characterization of the novel cutaneous squamous cell carcinoma cell line from advanced-stage Indian patient.Human cell · 2025Article
- Suicide Interventions in Spain and Japan: A Comparative Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- Suicide Prevention Interventions and Their Linkages in Multilayered Approaches for Older Adults: A Review and Comparison.Frontiers in public health · 2022Review
- Article
- Development and Evaluation of a Gatekeeper Training Program Regarding Anxiety about Radiation Health Effects Following a Nuclear Power Plant Accident: A Single-Arm Intervention Pilot Trial.International journal of environmental research and public health · 2020Article
- Article
- Spatial clustering of suicide mortality and associated community characteristics in Kanagawa prefecture, Japan, 2011-2017.BMC psychiatry · 2020Article
- Are national suicide prevention programs effective? A comparison of 4 verum and 4 control countries over 30 years.BMC psychiatry · 2019Article
- Prevention of suicidal behaviour: Results of a controlled community-based intervention study in four European countries.PloS one · 2019Article
- Developing a Hypothetical Model for Suicide Progression in Older Adults With Universal, Selective, and Indicated Prevention Strategies.Frontiers in psychiatry · 2019Article
- Australian R U OK?Day campaign: improving helping beliefs, intentions and behaviours.International journal of mental health systems · 2019Article
- Suicide prevention gatekeeper training in the Netherlands improves gatekeepers' knowledge of suicide prevention and their confidence to discuss suicidality, an observational study.BMC public health · 2018Observational
- Suicidal Ideation and Social Capital: Community Matters.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
21 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMultilevel and multimodal interventions have been suggested for suicide prevention. However, few studies have reported the outcomes of such interventions for suicidal behaviours.
methodsWe examined the effectiveness of a community-based multimodal intervention for suicide prevention in rural areas with high suicide rates, compared with a parallel prevention-as-usual control group, covering a total of 631,133 persons. The effectiveness was also examined in highly populated areas near metropolitan cities (1,319,972 persons). The intervention started in July 2006, and continued for 3.5 years. The primary outcome was the incidence of composite outcome, consisting of completed suicides and suicide attempts requiring admission to an emergency ward for critical care. We compared the rate ratios (RRs) of the outcomes adjusted by sex, age group, region, period and interaction terms. Analyses were performed on an intention-to-treat basis and stratified by sex and age groups.
findingsIn the rural areas, the overall median adherence of the intervention was significantly higher. The RR of the composite outcome in the intervention group decreased 7% compared with that of the control group. Subgroup analyses demonstrated heterogeneous effects among subpopulations: the RR of the composite outcome in the intervention group was significantly lower in males (RR = 0.77, 95% CI 0.59-0.998, p = 0.0485) and the RR of suicide attempts was significantly lower in males (RR = 0.39, 95% CI 0.22-0.68, p = 0.001) and the elderly (RR = 0.35, 95% CI 0.17-0.71, p = 0.004). The intervention had no effect on the RR of the composite outcome in the highly populated areas.
interpretationOur findings suggest that this community-based multimodal intervention for suicide prevention could be implemented in rural areas, but not in highly populated areas. The effectiveness of the intervention was shown for males and for the elderly in rural areas.
trial registrationClinicalTrials.gov NCT00737165 UMIN Clinical Trials Registry UMIN000000460.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.