Regional and local clusters of railway suicides
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...
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| Veröffentlicht in: | Nervenarzt 2004-11, Vol.75 (11), p.1099-1106 |
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| creator | Erazo, N Baumert, J Ladwig, K-H |
| description | 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.
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.
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. |
| doi_str_mv | 10.1007/s00115-004-1703-x |
| format | Article |
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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.
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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.
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.</description><subject>Cause of Death</subject><subject>Cluster Analysis</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Germany - epidemiology</subject><subject>Health Facility Environment - statistics & numerical data</subject><subject>Hospitals, Psychiatric - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Railroads - statistics & numerical data</subject><subject>Registries</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Suicide - prevention & control</subject><subject>Suicide - statistics & numerical data</subject><subject>Suicide, Attempted - prevention & control</subject><subject>Suicide, Attempted - statistics & numerical data</subject><subject>Topography, Medical - statistics & numerical data</subject><issn>0028-2804</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j0tLw0AUhWeh2Fr9AW4kK3dj703muZTiCwqC6DrcSW4kMk1ipkH77w1Yz-Y7i48DR4grhFsEsOsEgKglgJJooZA_J2IJkDuZO1ALcZ7SJ8yeBTgTC9Ra-RztUqxf-aPtO4oZdXUW-2puVZzSnseU9U02Uhu_6ZClqa3amtOFOG0oJr48ciXeH-7fNk9y-_L4vLnbygELv5dBqaBrqNkRGqWNJwpYY1DGWmz0HPK-yR1zQGYbQOe-Moacd54MNsVK3PztDmP_NXHal7s2VRwjddxPqTQWnFNgZ_H6KE5hx3U5jO2OxkP5f7H4BSyLUKs</recordid><startdate>200411</startdate><enddate>200411</enddate><creator>Erazo, N</creator><creator>Baumert, J</creator><creator>Ladwig, K-H</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200411</creationdate><title>Regional and local clusters of railway suicides</title><author>Erazo, N ; Baumert, J ; Ladwig, K-H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p139t-b44b5d0de8a164569aab1d1b46771f5555a99f28eeb1ee7b0529c66a8989a61f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>ger</language><creationdate>2004</creationdate><topic>Cause of Death</topic><topic>Cluster Analysis</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Germany - epidemiology</topic><topic>Health Facility Environment - statistics & numerical data</topic><topic>Hospitals, Psychiatric - statistics & numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Railroads - statistics & numerical data</topic><topic>Registries</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Suicide - prevention & control</topic><topic>Suicide - statistics & numerical data</topic><topic>Suicide, Attempted - prevention & control</topic><topic>Suicide, Attempted - statistics & numerical data</topic><topic>Topography, Medical - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Erazo, N</creatorcontrib><creatorcontrib>Baumert, J</creatorcontrib><creatorcontrib>Ladwig, K-H</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Nervenarzt</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Erazo, N</au><au>Baumert, J</au><au>Ladwig, K-H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Regional and local clusters of railway suicides</atitle><jtitle>Nervenarzt</jtitle><addtitle>Nervenarzt</addtitle><date>2004-11</date><risdate>2004</risdate><volume>75</volume><issue>11</issue><spage>1099</spage><epage>1106</epage><pages>1099-1106</pages><issn>0028-2804</issn><abstract>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.
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.
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.</abstract><cop>Germany</cop><pmid>15549217</pmid><doi>10.1007/s00115-004-1703-x</doi><tpages>8</tpages></addata></record> |
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| ispartof | Nervenarzt, 2004-11, Vol.75 (11), p.1099-1106 |
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| language | ger |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Cause of Death Cluster Analysis Cross-Sectional Studies Female Germany - epidemiology Health Facility Environment - statistics & numerical data Hospitals, Psychiatric - statistics & numerical data Humans Male Railroads - statistics & numerical data Registries Risk Factors Sex Factors Suicide - prevention & control Suicide - statistics & numerical data Suicide, Attempted - prevention & control Suicide, Attempted - statistics & numerical data Topography, Medical - statistics & numerical data |
| title | Regional and local clusters of railway suicides |
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