Citation

Too LS, Bugeja L, Milner A, McClure RJ, Spittal MJ. Psychiatry Res. 2017; 253: 233-239.

Affiliation

Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Victoria, Australia.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/j.psychres.2017.03.057

PMID

28395228

Abstract

This study aimed to investigate the factors associated with the choice of trains over other means of suicide. We performed a case-control study using data on all suicides in Victoria, Australia between 2009 and 2012. Cases were those who died by rail suicide and controls were those who died by suicide by any other means. A logistic regression model was used to estimate the association between the choice of trains and a range of individual-level and neighbourhood-level factors. Individuals who were never married had double odds of using trains compared to individuals who were married. Those from areas with a higher proportion of people who travel to work by train also had greater odds of dying by railway suicide compared to those from areas with a relatively lower proportion of people who travel to work by train. Prevention efforts should consider limiting access to the railways and other evidence-based suicide prevention activities.

Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.

Language: en

Keywords

Australia; Railroads; Railway; Suicide