Identifying measures with the highest potential to reduce suicides on Finnish railways

Area of Science:

• Public Health
• Transportation Safety
• Mental Health Services

Background:

• Railway suicides pose a significant public health and safety concern.
• Existing suicide prevention measures require systematic evaluation for specific environments like railways.
• A comprehensive approach is needed to address the multifaceted nature of railway suicides.

Purpose of the Study:

• To systematically evaluate known suicide prevention measures for their suitability in the Finnish railway context.
• To prioritize effective strategies for reducing suicides on Finnish railways.
• To provide actionable insights for railway stakeholders in Finland and internationally.

Main Methods:

• Selection and grouping of 21 known suicide prevention measures.
• Development and application of 12 assessment criteria.
• Conducting a literature review and expert workshop for prioritization.

Main Results:

• Top priority measures include gatekeeper training, camera surveillance, and detection systems.
• Collaboration between railway organizations, police, and mental health providers is crucial.
• Prioritized measures are categorized based on expert assessments for implementation.

Conclusions:

• A multi-faceted approach combining technological solutions, personnel training, and inter-organizational cooperation is most effective.
• The study provides a framework for selecting and implementing suicide prevention strategies on railways.
• Findings support safer railway operations, reduce loss of life, and mitigate trauma for staff and witnesses.