Unlike circular cell coverage in public land mobile communications, narrow-strip-shaped cell coverage should be considered in high-speed railway (HSR) communications. Moreover, for the coverage analysis in HSR communications, most works ignore the effect of small-scale fading, which results in an inaccurate coverage performance evaluation. In this paper, we focus on the coverage analysis for HSR communications with narrow-strip-shaped cells over the Suzuki fading channel, where the composite channel fading includes path loss, lognormal shadowing, and Rayleigh-distributed small-scale fading. Based on the channel model, we first analyze the statistical characteristic of the received signal-to-noise ratio. Then, we derive analytical expressions of the edge coverage probability (ECP) and the percentage of cell coverage area (CCA). To link the edge coverage performance and the average coverage performance of a cell, we express the percentage of CCA as a summation of the ECP and a positive increment. As special cases, we also obtain the coverage performance expressions for the systems without small-scale fading. Through Monte Carlo simulations, the accuracy of the derived expressions is verified. Numerical results also show that the small-scale fading has a strong effect on coverage performance and cannot be ignored. In addition, the effects of key parameters are also discussed.