Literature DB >> 30724142

Factors deterring and prompting the decision to attempt suicide on the railway networks: findings from 353 online surveys and 34 semi-structured interviews.

Lisa Marzano1, Jay-Marie Mackenzie2, Ian Kruger3, Jo Borrill2, Bob Fields4.   

Abstract

BACKGROUND: There is a suicide on the British railways every 36 hours. However, the reasons why people choose to die by train are not well understood.AimsTo explore factors influencing and discouraging the decision to attempt suicide on the railway networks.
METHOD: We conducted an online survey and qualitative interviews with individuals who had contemplated or attempted suicide by train.
RESULTS: A total of 353 survey responders had considered and 23 had attempted suicide at rail locations (including railways and metro/underground); a third of these cases were impulsive. The most frequently reported motivations for contemplating or attempting suicide were perceptions of quick and certain lethality (54 and 37%, respectively) and easy access to rail settings (33 and 38%, respectively). The main factor discouraging people from rail suicide was its wider impact, especially on train drivers (19%). In qualitative interviews (N = 34) the desire to avoid intervention from others was also a common motivating factor for attempting suicide on the railway networks.
CONCLUSIONS: People attempt suicide by train because railway settings are easy to access and because of an inaccurate perception of certain and quick lethality. Tackling exaggerated perceptions of lethality may help reduce suicides by train.Declaration of interestNone.

Entities:  

Keywords:  Suicide; metro; rail; suicide methods; underground

Year:  2019        PMID: 30724142     DOI: 10.1192/bjp.2018.303

Source DB:  PubMed          Journal:  Br J Psychiatry        ISSN: 0007-1250            Impact factor:   9.319


  5 in total

1.  First-person accounts of the processes and planning involved in a suicide attempt on the railway.

Authors:  Ian Marsh; Lisa Marzano; David Mosse; Jay-Marie Mackenzie
Journal:  BJPsych Open       Date:  2021-01-20

2.  Representing suicide: Giving voice to a desire to die?

Authors:  Ian Marsh; Rachel Winter; Lisa Marzano
Journal:  Health (London)       Date:  2021-09-20

3.  Intervening to prevent suicide at railway locations: findings from a qualitative study with front-line staff and rail commuters.

Authors:  Dafni Katsampa; Jay-Marie Mackenzie; Ioana Crivatu; Lisa Marzano
Journal:  BJPsych Open       Date:  2022-03-09

4.  Alcohol and the Risk of Railway Suicide.

Authors:  Dorota Lasota; Ahmed Al-Wathinani; Paweł Krajewski; Dagmara Mirowska-Guzel; Krzysztof Goniewicz; Attila J Hertelendy; Riyadh A Alhazmi; Witold Pawłowski; Amir Khorram-Manesh; Mariusz Goniewicz
Journal:  Int J Environ Res Public Health       Date:  2020-09-24       Impact factor: 3.390

5.  Patterns and motivations for method choices in suicidal thoughts and behaviour: qualitative content analysis of a large online survey.

Authors:  Lisa Marzano; Dafni Katsampa; Jay-Marie Mackenzie; Ian Kruger; Nazli El-Gharbawi; Denika Ffolkes-St-Helene; Hafswa Mohiddin; Bob Fields
Journal:  BJPsych Open       Date:  2021-02-24
  5 in total

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