We deal with method of suicide, psychiatric illness, and social issues of suicide attempters in general hospitals, which is a unique feature of suicide prevention in general hospitals in comparison with psychiatric hospitals or government agencies. In emergency medicine, psychiatrists as well as physicians need to consider what is the top priority in a patient's situation.
 When psychiatrist evaluates the suicide risk of each patient, he needs to assess how many risk factors the patient has and the risk factors' mutual relationships. Then medical staff and supporters share the information to identify high risk patients.
 As risk factors related to suicide vary among the age groups, personnel and professions responsible for those patients differ to deal with their issues. We are expected to cooperate with many kinds of institutions of not only psychiatric field but also of other areas to deal with such problems. In those cases, it is very important to share the information about suicide risk.
 We have experienced the treatments of many suicide attempters. Now our department have started outpatient clinic to see patients with suicide-related events(e. g. interrupted suicide attempt, suicidal ideation, self-harm)and survivors. We intend to develop their ability to seek support by themselves and then to avoid isolation. Psychiatrists and medical staff who deal with suicidal patients in outpatient clinic also need to be aware of preventing isolation.
 <Authors' abstract>