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Background: In Japan, more than 30,000 people die in suicide, and it is the very serious problem for Japanese society.In the urban area of Japan, there are a lot of those who died in suicide by jumping from a height.In our hospital (Nippon Medical School Hospital Critical Care Medicine, Tokyo: CCM), we treated survivor of a suicide attempt not only surgeons but also psychiatric medical team.Many patients who committing suicide by jumping from a height has the difficult management for medical support system because they had not only mental illness but also physical illness.However, no study have investigated the detail contents of medical support system for the patients with jumping suicide, i.e., caring at the psychiatry unit, caring at the rehabilitation unit, and medical support at home.In order to clarify the problem of medical support system for the patients with jumping suicide attempt, we aimed to examine how medical support system is performed to the patients to promote the recovering to the normal daily life.Further, we retrospectively verified which medical facilities were used after the patients with jumping suicide attempt finished caring at the emergency care units.Methods: The study population consisted of 70 subjects (31 males, 39 females average age 33.9±13.8 years) who committing suicide by jumping from a height, out of 477 attempted suicide cases admitted to our hospital(Nippon Medical School Hospital Critical Care Medicine, Tokyo: CCM).We carried out an about four-year retrospective survey (2006.1-2010.8) to determine the following: psychiatric diagnosis, inpatient period, outcome at the time of CCM discharge, and demographic features.Results: At the initial assessment, psychiatric diagnosis was 24 cases of psychotic disorder (34.3%), 19 cases of affective disorder (27.1%), 17 cases of anxiety disorder (24.3%), accounting for about 86% of the total.CCM hospitalization was 31.3±28.4 days on average.About 75% of all patients continued in a psychiatric hospital.However, in the other side, patients referred to medical facilities providing both physical rehabilitation and psychiatric treatment were not more than 14% of the total.Conclusion: Subjects mainly contracts psychotic disorder, affective disorder, anxiety disorder.And most of them continued to receive psychiatric treatment during their hospitalization.It was supposed that patients who committed suicide by jumping from a height required continuing psychiatric treatment.They were undergoing long-term hospital care in CCM, but also that the severity of the psychological illness symptoms was high.Furthermore, in Japanese community health care, as well as the problem that shortage of rehabilitation hospitals inclusive of psychiatry departments might be there.In this regard, in terms of management, it is necessary to consider the above-mentioned patients characteristics, as well as the problem of the shortage of rehabilitation hospitals inclusive of psychiatry departments in Japanese community health care.When treating patients, it is also necessary to mediate the patients condition from the viewpoint of relapse suicide prevention.