Behaviours preceding suicides at railway and underground locations: a multimethodological qualitative approach
Objectives 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 i...
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| Format: | Article |
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BMJ Publishing Group
2018-04-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/8/4/e021076.full |
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| author | Lisa Marzano Jay-Marie Mackenzie Jo Borrill Emily Hawkins Bob Fields Ian Kruger Ian Noonan |
| author_facet | Lisa Marzano Jay-Marie Mackenzie Jo Borrill Emily Hawkins Bob Fields Ian Kruger Ian Noonan |
| author_sort | Lisa Marzano |
| collection | DOAJ |
| description | Objectives 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 rail suicide attempt (n=9), CCTV footage of individuals who died by rail suicide (n=16) and qualitative survey data providing views from rail staff (n=79).Results Our research suggests that 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.Conclusions 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. |
| format | Article |
| id | doaj-art-68aaf3b7bfc84d12ae292077afaeb679 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2018-04-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-68aaf3b7bfc84d12ae292077afaeb6792025-02-01T18:45:09ZengBMJ Publishing GroupBMJ Open2044-60552018-04-018410.1136/bmjopen-2017-021076Behaviours preceding suicides at railway and underground locations: a multimethodological qualitative approachLisa Marzano0Jay-Marie Mackenzie1Jo Borrill2Emily Hawkins3Bob Fields4Ian Kruger5Ian Noonan6Departement of Psychology, School of Science and Technology, Middlesex University, London, UK1 Department of Psychology, University of Westminster, London, UK1 Department of Psychology, University of Westminster, London, UK2 Department of Mental Health, King’s College London School of Medical Education, London, UK3 Department of Computer Science, Middlesex University, London, UK4 Department of Psychology, Middlesex University, London, UK2 Department of Mental Health, King’s College London School of Medical Education, London, UKObjectives 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 rail suicide attempt (n=9), CCTV footage of individuals who died by rail suicide (n=16) and qualitative survey data providing views from rail staff (n=79).Results Our research suggests that 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.Conclusions 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.https://bmjopen.bmj.com/content/8/4/e021076.full |
| spellingShingle | Lisa Marzano Jay-Marie Mackenzie Jo Borrill Emily Hawkins Bob Fields Ian Kruger Ian Noonan Behaviours preceding suicides at railway and underground locations: a multimethodological qualitative approach BMJ Open |
| title | Behaviours preceding suicides at railway and underground locations: a multimethodological qualitative approach |
| title_full | Behaviours preceding suicides at railway and underground locations: a multimethodological qualitative approach |
| title_fullStr | Behaviours preceding suicides at railway and underground locations: a multimethodological qualitative approach |
| title_full_unstemmed | Behaviours preceding suicides at railway and underground locations: a multimethodological qualitative approach |
| title_short | Behaviours preceding suicides at railway and underground locations: a multimethodological qualitative approach |
| title_sort | behaviours preceding suicides at railway and underground locations a multimethodological qualitative approach |
| url | https://bmjopen.bmj.com/content/8/4/e021076.full |
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