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Preventing suicides on the railways: learning from lived and living experiences
Jay-Marie Mackenzie1, Ian Marsh2, Bob Fields3
1University of Westminster, London, UK.
BMC Public Health
|May 2, 2025
Summary
Lived experience perspectives are crucial for effective railway suicide prevention. Strategies should address cultural narratives, environmental access, and support systems, considering individual needs and mental health service limitations.
Area of Science:
- Public Health
- Mental Health Research
- Suicidology
Background:
- Limited capture of lived/ing experience in railway suicide prevention policy.
- Need to understand perspectives of individuals who have considered or attempted suicide by train.
Purpose of the Study:
- Explore lived/ing experience perceptions of effective/ineffective railway suicide prevention approaches.
- Identify underlying reasons for perceived effectiveness or ineffectiveness.
Main Methods:
- Qualitative interviews with 34 individuals with lived/ing experience of railway suicidality.
- Online survey (N=269) on suicidality at rail locations.
- Online ethnography of relevant online content (254 posts, 1228 comments).
Main Results:
- Identified strategies: challenging cultural narratives, environmental restrictions, enhancing help-seeking and third-party interventions.
- Cruciality of context-specific approaches ('what works for whom, and when').
- Highlighted challenges posed by stretched mental health services.
Conclusions:
- Lived/ing experience offers vital insights into suicide prevention measures' value and unintended consequences.
- Reiteration of the need for comprehensive, multi-stage suicide prevention strategies for railways.
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