@article{ref1,
title="Regional and local clusters of railway suicides",
journal="Nervenarzt",
year="2004",
author="Erazo, Natalia and Baumert, Jens and Ladwig, Karl-Heinz",
volume="75",
number="11",
pages="1099-1106",
abstract="BACKGROUND AND METHOD. Suicide research has identified regional and local clusters of increased suicide prevalence. As part of a comprehensive prevention strategy to fight railway suicides, we sought to identify such particular clusters on the German Railway net (total length 37,080 km) during a 6-year observation period (1997-2002). Data stem from the central registry of all person accidents on the German Railway net. RESULTS. During the observation period, a total of 5,731 suicides (in average 18 cases per week) were registered. Against expectation derived from distribution patterns in the general suicide research, we found a preponderance in the southern part compared to the northern part of Germany and a significant downward trend from west to east ( p=0.004). Most suicides occurred on open track (66%) compared to suicides at railway platforms (34%). We identified 16 places of high risk with 6 to 29 suicides per railway km. Of these high risk places, 75% were in the proximity of psychiatric hospitals. CONCLUSION. Increased awareness for regional and local suicide clusters, initiatives to reduce the accessibility and warning infra-red beams are among recommendations for suicide prevention derived from these data.",
language="",
issn="0028-2804",
doi="10.1007/s00115-004-1703-x",
url="http://dx.doi.org/10.1007/s00115-004-1703-x"
}