Community the key to preventing suicidesWorth reading the whole of this excellent and informative article by Professor Yutaka Motohashi, professor of Public Health at Akita University. The article places emphasis on the need for funds for suicide prevention programs, not just for research programs on the suicide. The majority of the suicides reflected in the high annual suicide rates are preventable and many of these needless deaths could be prevented if there is a stronger resolve in the political and social will to do so. - Timi
"... It is said that suicide and unemployment rates are commensurate. That connection is certainly evident in low-income prefectures.
In 2000, the Akita prefectural government embarked on an extensive program that targeted suicide prevention. The mainstay of the program placed emphasis on primary prevention through public health activities by improving health standards of both individuals and the wider community.
A noteworthy aspect of the program is that it chose not to center around the typical secondary mode of prevention-the early discovery and treatment of depression.
The prefectural government established venues in local communities equipped to provide health education and advice. Residents are able to participate as they wish.
In fiscal 2001, the prefectural government designated six towns as a model area and urged them to come up with primary ways of preventing suicide.
Today, these six towns have very active "community advisers," all local citizens who listen to concerns expressed by others. They also set up venues where residents can get together to discuss their interpersonal problems.
In 2001, these six towns had a combined 30 suicides. In 2004, that figure dropped to 13.
No other town recorded a similar decline, which suggests the prevention program was working.
There are those who point out that while this remedy may work for rural communities, it would not apply to cities.
But the "Akita model" is not an atypical case.
There is no difference between rural and urban communities in that they all contain people who are suffering and want to live but need help in seeking assistance.
The issue is how to create a support network that fits and meets the needs of individual localities.
The essence of what was achieved in the rural communities can be applied in various ways in cities. Cities, for example, could be divided into clear-cut areas that have assigned health workers who diligently establish themselves in their assigned areas. The areas could also draw on the power of local people to help bring down suicide rates.
The central government, meanwhile, should provide the necessary powers to local governments to help them implement measures that fit the local situation. Preventing suicides is a matter of "local autonomy."
Presently, the Ministry of Health, Labor and Welfare has placed suicide prevention research as the centerpiece of its prevention programs. In my view, it is actual prevention activities that need to be urgently put in place, not research.
To begin with, perhaps the government should help the other prefectures to establish prevention programs on a par with Akita's. But rather than force the same set of activities onto the various prefectures, it should allocate funds that local governments can use at their discretion. The annual budget for Akita's suicide prevention program comes to just under 10 million yen. If the central government allocated 10 million yen to each prefecture, it would add up to only 470 million yen.
Could the government not add this to the health ministry's annual suicide prevention budget of 855 million yen?
If only the government would continue to earmark this additional amount until 2010, the year by which its target of reducing suicides by 30 percent is supposed to be reached.
There are still many prefectures that have not undertaken any kind of suicide prevention measures. But if they are given funds, they surely will take action.
Suicides are like automobile accidents in that they are by and large "avoidable deaths."
A public outcry arose in the 1970s over what was termed traffic warfare. Since then, traffic fatalities have been significantly reduced. The traffic safety activities that were enforced involved the central government, local authorities, schools and workplaces. They would also serve as an effective model for suicide prevention activities."
International Herald Tribune/Asahi Newspaper, August 3, 2005