TY - JOUR PY - 2014// TI - Suicide on railroad rights-of-way: a psychological autopsy study JO - Suicide and life-threatening behavior A1 - Berman, Alan L. A1 - Sundararaman, Ramya A1 - Price, Andrea A1 - Au, Josephine S. SP - 710 EP - 722 VL - 44 IS - 6 N2 - 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.

Language: en

LA - en SN - 0363-0234 UR - http://dx.doi.org/10.1111/sltb.12107 ID - ref1 ER -