Suicide by decapitation as a primary method of injury is not common. When decapitation does occur in association with suicide, it may be a secondary consequence of the primary method of suicide, for example massive blunt force trauma, or hanging with a significant drop; however, primary suicidal decapitation has been described specifically in the context of railway incidents wherein victims lie across railroad tracks in-front of oncoming trains. Herein we report the case of a 49-year-old male who was decapitated after lying-down with his neck atop a railroad track in a railroad stockyard. He was subsequently run over by a train as it began to move to leave the stockyard. This case of train-assisted suicide occurs less often than the more common modality of suicide by train wherein victims stand or jump in front of a moving train or lay their body across the railroad tracks in order to be struck by an oncoming train.

作为主要伤害方法的斩首自杀并不常见。当斩首确实与自杀有关时，它可能是主要自杀方法的次要后果，例如巨大的钝器创伤，或明显下垂的悬吊；然而，在铁路事故中特别描述了初级自杀斩首，其中受害者横卧在迎面而来的火车前面的铁轨上。在此，我们报道了一名 49 岁男性在铁路料场的铁轨上躺下后被斩首的案例。他随后被一列火车碾过，因为它开始离开牲畜场。