Abstract

Suicide is a major public health concern all over the world. Five percent of all suicides in Sweden occur on railways, and from a railway safety perspective suicide constitutes a majority (about 75 %) of all railway-related fatalities. The aim of this study is to explore preferences for preventative strategies against railway suicide among relevant professional groups. A focus group approach was chosen. Based on a pre-designed model, themes raised for discussion included reducing attractiveness, physical barriers, psycho-logical deterrents, technical surveillance and train design properties, each of them resulting in some concrete measures proposed by the participants. We found a general acceptance and understanding among practitioners of our earlier theoretically derived strategies to prevent railway suicide, although individual participants ex-pressed some scepticism regarding how far one can go in hindering determined individuals. Several concrete proposals were met with optimistic expectation and support.

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