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There is certainly evidence that assertive situation administration can lessen the incidence of recurrent suicidal behavior among suicide attempters. This study evaluated the consequence of an assertive instance management training curriculum. PRACTICES This multicenter, before-and-after study was performed at 10 facilities in Japan. Participants had been 274 medical workers. We utilized Japanese versions for the Attitudes to Suicide Prevention scale (ASP-J), the Gatekeeper Self-Efficacy Scal