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Railway suicide analysis and Prevention in a Swedish context
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences.
Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences.ORCID iD: 0000-0002-0293-1795
2008 (English)Conference paper (Other (popular science, discussion, etc.))
Abstract [en]

Suicide is a dominating, although hidden, safety problem on Swedish railroads. The aim of my first paper (Rådbo et al, 2005) is to describe the epidemiology of fatal train-person collisions as a basis for systems-oriented prevention. Data on collision circumstances were collected from narrative reports at the Swedish National Rail Administration. Results shows how the events were evenly distributed by months and weekdays, however most suicides occur in day-time while unintentional events usually occur at night. Most train-person collisions happened in densely populated areas, and 75 % of the suicide victims were waiting on or close to the track before the collision. Significance test between types of injury event (suicide, accident or unknown intent) showed small or no differences, and one conclusion is that traditional approaches to accident prevention by systems modification seem largely applicable to combat railroad suicide as well. Our findings show promising preventive potentials. The aim of my second paper (Rådbo et al, 2007) is to theoretically derive and categorise a set of railway suicide prevention strategies with special regard to measures under the potential control of the railway system-owners. The methodological approach departs from synthesizing generic accident and suicide prevention models. Secondly, potential barriers are identified by means of fault tree analysis (FTA), and thirdly results from this analysis are validated against Haddons ten energy-based injury prevention strategies.Our results include 20 separate preventive strategies, of which most are in reach of railway system-owners themselves. Four of them aim to reduce perceived attractiveness and availability, nine aim to influence accessibility to track areas and the potential of collision, five strategies aim to mitigate consequences of collision, and three encompass medical survival and recovery strategies.To evaluate the barriers practical feasibility, etc., is beyond the aim of this study. However, technological development and innovations may turn less realistic alternatives today into more realistic possibilities tomorrow, as has been proven in other fields.Further researchAt the ERA seminar I also will tell you about further research and my two not yet publicized studies that includes in my theses. The aim of my third paper Suicide and potentials for suicide prevention on the Swedish Rail Network; a qualitative multiple case study is to evaluate the content of existing reports on railway suicide incidents from a preventive perspective and to identify and categorise additional preventive-oriented information from independent site investigations. The overall goal of my fourth study Feasibility of railway suicide prevention strategies; a focus group study is to explore preferences for preventative strategies against railway suicide among relevant professional groups. More specifically, this study aims are to analyze the acceptance and understanding of theoretically and empirically derived preventative strategies among selected professional groups, and to validate and further develop these strategies.

Place, publisher, year, edition, pages
2008.
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
URN: urn:nbn:se:kau:diva-22839OAI: oai:DiVA.org:kau-22839DiVA: diva2:596593
Conference
Trespassers on railway lines and suicide ERA seminar
Available from: 2013-01-22 Created: 2013-01-22 Last updated: 2015-01-29Bibliographically approved

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Rådbo, HelenaSvedung, IngeAndersson, Ragnar
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Department of Environmental and Life SciencesDepartment of Health and Environmental Sciences
Public Health, Global Health, Social Medicine and Epidemiology

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