Suicidal Behaviour on Subway Systems: A Review of the Epidemiology

Ratnayake, Ruwan; Links, Paul S.; Eynan, Rahel

doi:10.1007/s11524-007-9211-5

Cited by 24 publications

(31 citation statements)

References 34 publications

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“…1,7,8 To our knowledge, this is the first study to investigate possible differences of suicide and suicide attempt rates in stations, with and without surveillance units.…”

Section: Structural Station Characteristicsmentioning

confidence: 97%

“…1,9 Train types using electrified third rail power supply that causes severe electrocution in case of bodily contact as well as high train speed seem to impact subway suicide risk. 1,9,10 In Vienna, two different train types have been operative since the opening of the subway system: the first train type (the so-called Silberpfeil-"Silver Arrow") uses third rail power supply and has a maximum speed of approximately 80 km/h (50 mph). The second train type is tramlike, which uses overhead power supply and has a lower maximum speed (60 km/h, 37 mph).…”

Section: Structural Station Characteristicsmentioning

confidence: 99%

“…1 Persons who died by subway suicide have repeatedly been found to be younger than completed suicide cases in general, with most but not all studies suggesting a peak in the age group between 30 and 40 years, [1][2][3][4][5][6] which means a considerable number of years of potential life lost. Subway suicides and suicide attempts do not seem to be equally distributed across subway stations.…”

Section: Introductionmentioning

confidence: 99%

“…Factors such as the crowdedness of stations, the location of the station in the urban context as well as technical features of the trains have been discussed to impact on suicide and suicide attempt risk. 1 To date, there is no study available which provides multivariate testing of associations of potentially influential station characteristics with suicides and suicide attempts. 1 …”

Section: Introductionmentioning

confidence: 99%

“…1 To date, there is no study available which provides multivariate testing of associations of potentially influential station characteristics with suicides and suicide attempts. 1 …”

Section: Introductionmentioning

confidence: 99%

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Predictors of Suicide and Suicide Attempt in Subway Stations: A Population-based Ecological Study

Niederkrotenthaler

Sonneck²,

Dervic

et al. 2012

J Urban Health

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Suicidal behavior on the subway often involves young people and has a considerable impact on public life, but little is known about factors associated with suicides and suicide attempts in specific subway stations. Between 1979 and 2009, 185 suicides and 107 suicide attempts occurred on the subway in Vienna, Austria. Station-specific suicide and suicide attempt rates (defined as the frequency of suicidal incidents per time period) were modeled as the outcome variables in bivariate and multivariate Poisson regression models. Structural station characteristics (presence of a surveillance unit, train types used, and construction on street level versus other construction), contextual station characteristics (neighborhood to historical sites, size of the catchment area, and in operation during time period of extensive media reporting on subway suicides), and passenger-based characteristics (number of passengers getting on the trains per day, use as meeting point by drug users, and socioeconomic status of the population in the catchment area) were used as the explanatory variables. In the multivariate analyses, subway suicides increased when stations were served by the faster train type. Subway suicide attempts increased with the daily number of passengers getting on the trains and with the stations' use as meeting points by drug users. The findings indicate that there are some differences between subway suicides and suicide attempts. Completed suicides seem to vary most with train type used. Suicide attempts seem to depend mostly on passenger-based characteristics, specifically on the station's crowdedness and on its use as meeting point by drug users. Suicide-preventive interventions should concentrate on crowded stations and on stations frequented by risk groups.

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“…1,7,8 To our knowledge, this is the first study to investigate possible differences of suicide and suicide attempt rates in stations, with and without surveillance units.…”

Section: Structural Station Characteristicsmentioning

confidence: 97%

Section: Structural Station Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…1 To date, there is no study available which provides multivariate testing of associations of potentially influential station characteristics with suicides and suicide attempts. 1 …”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Predictors of Suicide and Suicide Attempt in Subway Stations: A Population-based Ecological Study

Niederkrotenthaler

Sonneck²,

Dervic

et al. 2012

J Urban Health

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Vision Zero In Suicide Prevention And Suicide Preventive Methods

Wasserman

Tadić

Bec

2022

The Vision Zero Handbook

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According to the World Health Organization (WHO), suicide is a global public health issue, and countries need to be working toward a comprehensive and holistic response to prevent suicide and suicidal behaviors. Vision Zero for suicide is an aspiring goal that aims to lower suicide occurrence through a combined action of public health and healthcare sectors. Vision Zero for suicide has a multilevel and multidisciplinary approach that intends to provide a systemic change in society to facilitate and put suicide prevention on the agenda. This chapter explores the origins of Vision Zero for suicide by first presenting theoretical models that influenced suicidal behavior preventive programs. Then, Vision Zero for suicide goals, advantages, challenges, and examples of implementation in some countries will be presented. Further, evidence-based suicide prevention programs in existing public health and healthcare settings will be described as they support the Vision Zero aims. Vision Zero is an ambitious goal, but one that is worth aspiring to achieve, as the potential outcomes for suicide prevention implementation and research are very worthwhile.

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