Citation

Mishara BL, Bardon C. Safety Sci. 2017; 91: 251-259.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/j.ssci.2016.06.017

PMID

unavailable

Abstract

This study presents and compares the prevalence and characteristics of rail-related suicide and other railway fatalities in Canada over 10 years, from 1999 to 2008. The methodology involved in-depth data analysis of records from provincial coroner and medical examiner's investigations, railway company reports and Transportation Safety Board data. We identify physical risk factors and psychosocial descriptions of people who commit suicide and compared them to accidental (non-suicide) railway fatalities in order to identify at-risk populations and better target and elaborate railway suicide prevention strategies. We identified 460 accidental deaths and 428 suicides. Most people (94.7%) died on the site of the incident, although not always immediately. Canada does not have any specific locations with high incidence suicide or accidents clusters. We conclude that impairment of some type, by illness, substance abuse or intoxication, advanced age or immature youth, play an important role in a significant number of accidents, suggesting that more intense warnings of approaching trains may help prevent accidental deaths. Mental illness, although often being treated, is associated with the majority of suicide fatalities, and more than one-third of suicides occur on rails near psychiatric facilities, suggesting targeted prevention strategies in facilities near rails and at track locations in proximity to mental health facilities.

What is already known on this subject:

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In other countries we have basic data on location, time and date, gender, age and some basic epidemiological characteristics of railway fatalities, usually combining suicides and accidental fatalities in studies of collisions or Person Under Train (PUT) incidents.
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Hotspots for suicides have been identified in Europe, often near psychiatric facilities.


What this study adds:

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We provide more in-depth information on fatality victims from analyses of detailed coroners' investigations and industry reports on all railway fatalities in Canada over an extended period of ten years.
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We compare characteristics of deaths by suicide with accident fatalities in order to develop specific recommendations for prevention programmes that consider the specific characteristics of each type of fatality.
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Our approach provides a model for developing prevention strategies based upon in-depth comparative analyses of suicides and accident fatalities to adapt prevention approaches to characteristics unique to a country or location, and the different characteristics of people who die on railways by suicide and in accidental fatalities.

Language: en