Noda Village is located in the Kuji area, which has a high rate of suicide in Iwate. In 2001, suicide prevention activities were started as an important issue in cooperation with the local government, public health center, and local organizations, including Iwate Medical University. Local practitioners built relationships with visible networks and advanced comprehensive suicide prevention. As the village was heavily damaged by the Great East Japan Earthquake Tsunami in 2011, suicide prevention and mental care in the disaster area were simultaneously focused on. A section of the Health Welfare Department shared problems with experts and pushed forward plan development. A promotion system that assumed the mayor as the responsible person was created, and the related section of the government participated in it widely. We also conducted a questionnaire to understand the broad needs of the residents. As a result, reported problems included improvement of the consultation counter, gatekeeper training, and isolated preventive community improvement. In addition, during the team meeting with the cooperating staff, the tasks for suicide prevention and basic ideas were considered comprehensively. Furthermore, we utilized an existing committee to spread the use of the plan effectively and appointed 13 special committee members, including a local physician, dentist, director of the public health center, and a psychiatrist, and conducted "a sectional meeting on community improvement of 21st century committee resident's welfare" referring to 20 constitutions. The activity briefing sessions were widely publicized to local residents in order for the action plan of Iwate and that of Kuji Public Health Center to remain consistent. We will promote the plan and improve the system of local support as the next step.
 Authors' abstract