Characteristics of Train Stations Where Railway Suicides Have Occurred and Locations Within the Stations
Abstract
Abstract.Background: To devise effective railway suicide countermeasures, it is necessary to identify stations where suicide is likely to occur. Aim: We explored the characteristics of stations where railway suicides have occurred and locations within the stations. Method: (Study 1) Using suicide data from between April 2014 and September 2019 provided by a major railway company in Japan, station-specific suicide was modeled as an outcome variable in a multivariate Poisson regression model. (Study 2) With railway company staff, we visited stations where suicide frequently occurs and conducted fieldwork. Results: (Study 1) Our estimation using a Poisson regression model revealed that railway suicides were more frequent when stations were serviced by passing trains, had a large number of passengers, and were located near psychiatric hospitals. (Study 2) Of 50 suicides, 48.0% occurred in front of benches or waiting rooms, 26.0% occurred at the front end of the platform, 24.0% occurred at the entrance to the platform, and 22.0% occurred at a blind spot for the train driver. Limitations: All data were provided by one railway company in Japan, limiting the generalizability of the results. Conclusion: Stations where suicide occurs frequently have distinct characteristics. Focusing on suicide hotspots may aid suicide prevention.
References
2017). Rail-suicide prevention: Systematic literature review of evidence-based activities. Asia Pacific Psychiatry, 9,
(e12246 . 10.1111/appy.122462016). The effectiveness of platform screen doors for the prevention of subway suicides in South Korea. Journal of Affective Disorders, 194, 80–83. 10.1016/j.jad.2016.01.026.
(1999). Effect of station design on death in the London Underground: observational study. British Medical Journal, 319, 957. 10.1136/bmj.319.7215.957
(1992). Railway suicide: The psychological effects on drivers. Psychological Medicine, 22, 407–414. 10.1017/S003329170003035X
(2015). A systematic review of the literature on safety measures to prevent railway suicides and trespassing accidents. Accident Analysis & Prevention, 81, 30–50. 10.1016/j.aap.2015.04.012
(2009). Evaluating the effectiveness of barrier installation for preventing railway suicides in Hong Kong. Journal of Affective Disorders, 114, 254–262. 10.1016/j.jad.2008.07.021
(2013). Does the installation of blue lights on train platforms prevent suicide?: A before-and-after observational study from Japan. Journal of Affective Disorders, 147, 385–388. 10.1016/j.jad.2012.08.018
(2014). Does the installation of blue lights on train platforms shift suicide to another station? Evidence from Japan. Journal of Affective Disorders, 169, 57–60. 10.1016/j.jad.2014.07.036
(Ministry of Land, Infrastructure, Transport and Tourism in Japan . (2010). Investigation report on safety improvement by promoting understanding of railway users. http://www.mlit.go.jp/common/000120234.pdf2007). Railway and metro suicides: Understanding the problem and prevention potential. Crisis, 28, 36–43. 10.1027/0227-5910.28.S1.36
(2012). Predictors of suicide and suicide attempt in subway stations: A population-based ecological study. Journal of Urban Health, 89, 339–353. 10.1007/s11524-011-9656-4
(1994). The epidemiology of suicide on the London Underground. Social Science & Medicine, 38, 409–418. 10.1016/0277-9536(94)90440-5
(2016). Willingness to pay for suicide prevention in Japan. Death Studies, 40, 283–289. 10.1080/07481187.2015.1129371
(2014). The socio-environmental determinants of railway suicide: a systematic review. BMC Public Health, 14, 20.
(Transportation Policy Council . (2016). The future of urban railways in the Tokyo metropolitan area. https://www.mlit.go.jp/common/001128513.pdf2015). The effectiveness of installing physical barriers for preventing railway suicides and accidents: Evidence from Japan. Journal of Affective Disorders, 178, 1–4. 10.1016/j.jad.2015.02.017
(World Health Organization . (2014). Preventing suicide: A global imperative. http://www.who.int/mental_health/suicide-prevention/world_report_2014/en/