NATIONAL-SUICIDE-PREVENTION-PROGRAM AND RAILWAY SUICIDE

Suicidal behaviour is a public health problem closely related to other problems such as mental illness, abuse, violence and accidents. This approach is illustrated by the prevention of railway suicides. A theor etical framework is sketched, which allows for the use of principles f rom injury prevention in the prevention of suicide. ICD-9 encoded deat h certificates from 1974, 1980, 1986 and 1987 which concerned suicides and undetermined deaths on roads and railways were analysed (N = 294) . Additional data were collected from autopsy, police and hospital pro tocols and from interviews with engine-drivers. Railroad victims domin ated the sample (78% of cases). The mean age was 42 yr. Alcohol was de tected in 27% of cases, drugs in 36% and severe illness (mostly psychi atric) in 57%. The relationship between types of collision and nature of injury is discussed. Environmental changes, such as changing the lo comotive front design, are suggested as strategies for reducing accide nts and suicides on railways.