@article{ref1,
title="Suicide on railroad rights-of-way: a psychological autopsy study",
journal="Suicide and life-threatening behavior",
year="2014",
author="Berman, Alan L. and Sundararaman, Ramya and Price, Andrea and Au, Josephine S.",
volume="44",
number="6",
pages="710-722",
abstract="FINDINGS from 55 psychological autopsies of decedents who perished on U.S. railroad rights-of-way between October 1, 2007, and September 30, 2010 are reported. Described are distal, proximal, and contextual factors of risk; understandings of why these suicides occurred on railroad rights-of-way; and opportunities for prevention of similar suicides. International comparisons of suicides on railroad rights-of-way are made to highlight distinct findings regarding U.S. cases. Decedents studied exhibited considerable predisposing risk for suicide, with a high prevalence of severe mental disorders and substance abuse. In addition, a number of acute risk factors were commonly observed, notably suicide ideation, hopelessness, anxiety, and anger. In the context of that acute risk, associated situational variables and a relative absence of protective factors are described.<p /> <p>Language: en</p>",
language="en",
issn="0363-0234",
doi="10.1111/sltb.12107",
url="http://dx.doi.org/10.1111/sltb.12107"
}