The purpose of this study was to examine the establishment of a support model in Kawasaki City that connects suicide attempters to community support after discharge from an emergency medical center to improve their quality of life and prevent them from reattempting suicide. The participants were suicide attempters living in the center of Kawasaki City (Nakahara, Takatsu, and Miyamae wards) who agreed to participate. Follow-up interviews were conducted with the participants every month after the initial interview by the Kawasaki City Chubu Care Team, which consisted of members of the Teikyo University Mizoguchi Hospital, Nippon Medical School Musashikosugi Hospital, Kawasaki City Mental Health and Welfare Center, Ida Center for Persons with Disabilities, and the health and welfare centers of the Nakahara, Takatsu, and Miyamae wards. The study period was from September 2018 to September 2020. This study was conducted with the approval of the Ethics Committees of Teikyo University School of Medicine and Nippon Medical School Musashikosugi Hospital. Of the 20 participants who agreed to be referred to the Kawasaki Chubu Care Team, 10 (50.0%) were referred to the initial interview, of whom eight completed the six follow-up monthly interviews. Summary scores for the "physical", "mental", and "role/social" aspects of health-related quality of life (SF-36) showed a trend toward improvement at 6 months. Three of the eight participants reattempted suicide during the follow-up interview period, and one reattempted after the end of the follow-up period. We were unable to conduct the initial interview with 10 patients (50.0%) because they were transferred to another hospital (n=3), transferred to an institution (n=1), could not be contacted (n=4), consent was not obtained from the patient's family (n=1), and consent was withdrawn (n=1). Based on the results of this study, it is necessary to incorporate follow-up procedures other than the six follow-up monthly interviews that are less burdensome for the participants. Further development of community support for suicide attempters is required.
 Authors'abstract