 This study examined the differences in the characteristics of patients hospitalized for suicide attempts in the emergency room, requiring inpatient care before and during the COVID-19 pandemic over a period of two years. It was found that there were no significant differences in the number of patients hospitalized for suicide attempts, average age, or gender ratio between the pre-pandemic and post-pandemic periods. Additionally, acute drug intoxication and overmedication in patients increased significantly during the pandemic. The self-inflicted means of injury with high fatality rates were similar between the two periods. However, the rate of physical complications significantly increased during the pandemic, while the proportion of unemployed individuals significantly decreased. Despite predictions of an increase in suicides due to the pandemic, no significant changes were observed in this survey of the Hanchinawaji region, including Kobi. This may be attributed to the effectiveness of suicide prevention measures and mental health measures implemented by the Japanese government following an increase in suicides and after past natural disasters. This article was authored by Kyohei Otani, Ryohei Yoshikawa, at Tsumi Naitu, and others. We are article.tv, links in the description below.