Behaviours preceding suicides at railway and underground locations: a multimethodological qualitative approach

Mackenzie, Jay-Marie, Borrill, Jo, Hawkins, Emily, Fields, Bob, Kruger, Ian, Noonan, Ian and Marzano, Lisa (2018) Behaviours preceding suicides at railway and underground locations: a multimethodological qualitative approach. BMJ Open, 8 (4). ISSN 2044-6055 (doi:10.1136/bmjopen-2017-021076)

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Abstract

Background: Suicides by train have devastating consequences for families, the rail industry, staff dealing with the aftermath of such incidents, and potential witnesses. To reduce suicides and suicide attempts by rail it is important to learn how safe interventions can be made. However, very little is known about how to identify someone who may be about to make a suicide attempt at a railway location (including underground/subways). The current research employed a novel way of understanding what behaviours might immediately precede a suicide or suicide attempt at these locations.
Design and Methods: A qualitative thematic approach was used for three parallel studies. Data were gathered from several sources including: interviews with individuals who survived a suicide attempt at a railway or underground location (N=9); CCTV footage of individuals who died by suicide at a rail or underground location (N=16); and qualitative survey data providing views from rail staff (N=79).
Results: Our research suggests there are several behaviours that people may carry out before a suicide or suicide attempt at a rail location including: station hopping and platform switching; limiting contact with others; positioning themselves at the end of the track where the train/tube approaches; allowing trains to pass by; and carrying out repetitive behaviours.
Interpretation: There are several behaviours that may be identifiable in the moments leading up to a suicide or suicide attempt on the railways, which may present opportunities for intervention. These findings have implications for several stakeholders including rail providers, transport police and other organisations focused on suicide prevention.

Item Type: Article
Additional Information: Article number = e021076
Research Areas: A. > School of Science and Technology > Psychology
Item ID: 23660
Notes on copyright: © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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Depositing User: Lisa Marzano
Date Deposited: 27 Feb 2018 12:14
Last Modified: 10 Oct 2019 17:42
URI: https://eprints.mdx.ac.uk/id/eprint/23660

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