@article{ref1,
title="Effect of restricting access to a suicide jumping site",
journal="Australian and New Zealand journal of psychiatry",
year="2009",
author="Skegg, Keren and Herbison, Peter",
volume="43",
number="6",
pages="498-502",
abstract="OBJECTIVE: The road to a headland that had become a suicide jumping hotspot was temporarily closed because of construction work. This created an opportunity to assess whether loss of vehicular access would lead to a reduction in suicides and emergency police callouts for threatened suicide at the site. METHOD: Deaths at the headland were ascertained for a 10 year period before road closure and for 2 years following closure using records from the local police inquest officer, the coroner's pathologist and Marine Search and Rescue. Police provided a list of police callouts for threatened suicide at the site for a 4 year period before closure and for 2 years following closure. Simple rates were compared and incident rate ratios were calculated where possible. RESULTS: There were 13 deaths at the headland involving suicide or open verdicts in the 10 years before access was restricted, and none in the 2 years following road closure. This difference was statistically significant (incident rate difference = 1.3 deaths per year, 95% confidence interval (CI) = 0.6-2.0). No jumping suicides occurred elsewhere in the police district following the road closure. Police callouts for threatened suicide also fell significantly, from 19.3 per year in the 4 years prior to road closure to 9.5 per year for the following 2 years (incident rate ratio = 2.0, 95% CI = 1.2-3.5). CONCLUSIONS: Preventing vehicular access to a suicide jumping hotspot was an effective means of suicide prevention at the site. There was no evidence of substitution to other jumping sites.<p /> <p>Language: en</p>",
language="en",
issn="0004-8674",
doi="10.1080/00048670902873698",
url="http://dx.doi.org/10.1080/00048670902873698"
}