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Zhang J, Liu F, Chen Z, Yu Z, Xiao X, Shi L, Guo Z. A multi-level analysis on the causes of train-pedestrian collisions in Southwest China 2011-2020. ACCIDENT; ANALYSIS AND PREVENTION 2023; 193:107332. [PMID: 37801815 DOI: 10.1016/j.aap.2023.107332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Revised: 09/16/2023] [Accepted: 09/27/2023] [Indexed: 10/08/2023]
Abstract
Collisions between trains and pedestrians are the primary cause of railway casualties. However, there remains a lack of comprehensive understanding regarding the underlying causes of this phenomenon. This study employs a multi-level approach to investigate the factors associated with the occurrence and severity of train-pedestrian collisions. The investigation is based on 2160 independent cases that occurred in southwest China from 2011 to 2020. Multiple contributing factors related to the victim, train, track, and socio-economic status of the surrounding district were examined, utilizing information from various sources. At the county level, several risk factors were identified in predicting the occurrence rate. These factors include higher population density and a greater number of normal-speed stations. However, the presence of high-speed train stations did not exhibit any significant impact. Additionally, the study found that regulations pertaining to protective fences were highly effective in reducing the occurrence rate. Regarding the prediction of collision severity, certain factors were found to increase the death rate. These factors include young men as victims, engaging in lying down or crossing behaviors, higher train speeds, gentle downhill slopes, lower education levels, and a higher proportion of the labor force. These findings emphasize the necessity of adopting a comprehensive perspective when examining the causes of train-pedestrian collisions. Furthermore, it underscores the significance of considering the notable differences between rapidly developing countries such as China and developed countries. Based on our findings, we also provide corresponding policy suggestions.
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Affiliation(s)
- Jingyu Zhang
- CAS Key Laboratory of Behavioral Science, Institute of Psychology, 100101, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing 100049, China
| | - Fangyan Liu
- School of Transportation and Logistics, Southwest Jiaotong University, Chengdu 610031, China
| | - Zhenqi Chen
- School of Transportation and Logistics, Southwest Jiaotong University, Chengdu 610031, China
| | - Zhenhua Yu
- School of Transportation and Logistics, Southwest Jiaotong University, Chengdu 610031, China
| | - Xingyao Xiao
- Berkeley School of Education, University of California, Berkeley, CA 94720, United States
| | - Lei Shi
- School of Transportation and Logistics, Southwest Jiaotong University, Chengdu 610031, China; National Engineering Laboratory of Integrated Transportation Big Data Application Technology, Chengdu 611756, China; National United Engineering Laboratory of Integrated and Intelligent Transportation, Southwest Jiaotong University, Chengdu 611756, China; Comprehensive Transportation Key Laboratory of Sichuan Province, Chengdu 610031, China
| | - Zizheng Guo
- School of Transportation and Logistics, Southwest Jiaotong University, Chengdu 610031, China; National Engineering Laboratory of Integrated Transportation Big Data Application Technology, Chengdu 611756, China; National United Engineering Laboratory of Integrated and Intelligent Transportation, Southwest Jiaotong University, Chengdu 611756, China; Comprehensive Transportation Key Laboratory of Sichuan Province, Chengdu 610031, China.
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Silla A. Identifying measures with the highest potential to reduce suicides on Finnish railways. APPLIED ERGONOMICS 2022; 102:103748. [PMID: 35349938 DOI: 10.1016/j.apergo.2022.103748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 03/04/2022] [Accepted: 03/14/2022] [Indexed: 06/14/2023]
Abstract
The purpose of this study was to work systematically through all known measures for preventing railway suicides and to consider their suitability for the Finnish railway environment. The research method included a selection and grouping of measures, definition of assessment criteria, a literature review and compilation of assessment forms, and a workshop for experts in the field. We assessed 21 measures based on 12 specified criteria. Specifically, the aim of these criteria was to support the identification and structuring of the available information on each measure to be in easily exploitable format for railway stakeholders. The measures were listed in order of priority in three categories based on final assessments from the workshop. The measures categorised as top priority with the highest potential to reduce suicides on Finnish railways included training of railway personnel to identify suicidal people (also called Gatekeeper training), camera surveillance, detection systems (radar, movement sensors, etc.), collaboration between organisations, learning from international experience, cooperation between railway organisations, police and fire and rescue services, and training of mental health providers. This prioritisation, together with the information included in the assessment forms and expert's views related to each measure, support the Finnish railway stakeholders in selecting measures and defining implementation strategies to prevent railway suicides on Finnish railways. The insights of Finnish experts on the effectiveness and potential implementation of these different measures are valuable information also for railway stakeholders in other countries when selecting appropriate measures to prevent railway suicides. The results of this study support the safe and effective functioning of the railway system by adding knowledge that will help effectively prevent railway suicides and loss of life, delays to train traffic, and work-related stress and trauma to railway staff, rescue personnel and eyewitnesses.
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Affiliation(s)
- Anne Silla
- VTT Technical Research Centre of Finland Ltd, P.O. Box 1000, 02044, VTT, Finland.
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Characteristics of Train-Pedestrian Collisions in Southwest China, 2011-2020. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19106104. [PMID: 35627643 PMCID: PMC9142036 DOI: 10.3390/ijerph19106104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Revised: 05/15/2022] [Accepted: 05/16/2022] [Indexed: 11/17/2022]
Abstract
Although train-pedestrian collisions are the primary source of railway casualties, the characteristics of this phenomenon have not been fully investigated in China. This study examined such collisions in the Greater Sichuan-Chongqing area of China by conducting a thorough descriptive analysis of 2090 incident records from 2011 to 2020. The results showed that such collisions have declined gradually over the past decade, but the fatality rate remains high. We found that such collisions were more likely to happen to men, senior citizens and people crossing the tracks and that they occurred more frequently in the morning. While collision rates dropped in February, collisions were more likely to occur in December. In contrast to the situation in Western countries, weekends were not related to increased occurrence. The absence of a protective fence led to a higher collision rate, but level crossings are no longer a concern since most such structures in China have been rebuilt as overpasses. Mild slopes and extreme curvatures were also found to increase the occurrence of such collisions. Freight trains were most likely to be involved in train-pedestrian collisions, and collisions caused by high-speed trains were rare both absolutely and relatively. However, when collisions did occur, higher train speeds were linked with higher fatality rates. The findings suggest that patterns of train-pedestrian collisions in China differ from those in the Western world. This difference might be caused by differences in culture, geography, weather and railway development policies. Future research directions and possible preventive measures are also discussed.
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Zhang Z, Zaman A, Xu J, Liu X. Artificial intelligence-aided railroad trespassing detection and data analytics: Methodology and a case study. ACCIDENT; ANALYSIS AND PREVENTION 2022; 168:106594. [PMID: 35176587 DOI: 10.1016/j.aap.2022.106594] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 01/09/2022] [Accepted: 01/31/2022] [Indexed: 06/14/2023]
Abstract
The railroad industry plays a principal role in the transportation infrastructure and economic prosperity of the United States, and safety is of the utmost importance. Trespassing is the leading cause of rail-related fatalities and there has been little progress in reducing the trespassing frequency and deaths for the past ten years in the United States. Although the widespread deployment of surveillance cameras and vast amounts of video data in the railroad industry make witnessing these events achievable, it requires enormous labor-hours to monitor real-time videos or archival video data. To address this challenge and leverage this big data, this study develops a robust Artificial Intelligence (AI)-aided framework for the automatic detection of trespassing events. This deep learning-based tool automatically detects trespassing events, differentiates types of violators, generates video clips, and documents basic information of the trespassing events into one dataset. This study aims to provide the railroad industry with state-of-the-art AI tools to harness the untapped potential of video surveillance infrastructure through the risk analysis of their data feeds in specific locations. In the case study, the AI has analyzed over 1,600 h of archival video footage and detected around 3,000 trespassing events from one grade crossing in New Jersey. The data generated from these big video data will potentially help understand human factors in railroad safety research and contribute to specific trespassing proactive safety risk management initiatives and improve the safety of the train crew, rail passengers, and road users through engineering, education, and enforcement solutions to trespassing.
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Affiliation(s)
- Zhipeng Zhang
- Shanghai Key Laboratory for Digital Maintenance of Buildings and Infrastructure, School of Naval Architecture, Ocean and Civil Engineering, Shanghai Jiao Tong University, China; Department of Civil and Environmental Engineering, Rutgers, The State University of New Jersey, USA
| | - Asim Zaman
- Department of Civil and Environmental Engineering, Rutgers, The State University of New Jersey, USA
| | - Jinxuan Xu
- Department of Electrical and Computer Engineering, Rutgers, The State University of New Jersey, USA
| | - Xiang Liu
- Department of Civil and Environmental Engineering, Rutgers, The State University of New Jersey, USA
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Pennell C, Lindholm E, Latreille J, Kadakia S, Nanassy A, Ciullo S, Arthur LG, Grewal H, Prasad R. Pediatric Train Injuries: A 10-Year Review From the Pennsylvania Trauma Outcomes Study Database. Pediatr Emerg Care 2022; 38:70-74. [PMID: 34618417 DOI: 10.1097/pec.0000000000002351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES Trains can cause severe injuries in pediatric patients requiring significant resource utilization. We sought to review train injuries in Pennsylvania to determine the burden of these injuries on the pediatric trauma system. METHODS We queried the Pennsylvania Trauma Outcomes Study Database to identify patients younger than 18 years injured by trains between 2007 and 2016. Demographics, hospital course, outcomes, and resource utilization were reviewed. RESULTS Thirty-five children from 17 Pennsylvania counties were included. Three counties accounted for 48.6% of injured children. The median age was 15.0 years, and most patients were White (60.0%) and male (77.1%). The median length of stay was 8.0 days and overall mortality 8.6%. Intensive care unit admission was required for 65.7%. The median Injury Severity and Functional Status at Discharge scores were 14.0 and 18.0, respectively. Major orthopedic injuries (fracture or amputation) were the most common (57.1%) followed by traumatic brain injury (45.7%), pneumothorax (14.3%), and solid organ injury (14.3%). Operative management was common with 65.7% undergoing surgery. CONCLUSIONS Injuries caused by trains can be severe and are most commonly orthopedic or traumatic brain injuries. Targeted safety interventions may be possible given the common mechanisms and geographic clustering of these injuries.
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Affiliation(s)
- Christopher Pennell
- From the Department of Pediatric General, Thoracic, and Minimally Invasive Surgery, St Christopher's Hospital for Children
| | - Erika Lindholm
- From the Department of Pediatric General, Thoracic, and Minimally Invasive Surgery, St Christopher's Hospital for Children
| | | | | | - Autumn Nanassy
- From the Department of Pediatric General, Thoracic, and Minimally Invasive Surgery, St Christopher's Hospital for Children
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A Holistic Analysis of Train-Vehicle Accidents at Highway-Rail Grade Crossings in Florida. SUSTAINABILITY 2021. [DOI: 10.3390/su13168842] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Highway-rail grade crossing (HRGC) accidents pose a serious risk of safety to highway users, including pedestrians trying to cross HRGCs. A significant increase in the number of HRGC accidents globally calls for greater research efforts, which are not limited to the analysis of accidents at HRGCs but also understanding user perception, driver behavior, potential conflicting areas at crossings, effectiveness of countermeasures and user perception towards them. HRGC safety is one of the priority areas in the State of Florida, since the state HRGCs experienced a total of 429 injuries and 146 fatalities between 2010 and 2019 with a significant increase in HRGC accidents over the last years. The present study aims to conduct a comprehensive analysis of the HRGCs that experienced accidents in Florida over the last years. The databases maintained by the Federal Rail Administration (FRA) are used to gather the relevant information for a total of 578 crossings that experienced at least one accident from 2010 to 2019. In contrast with many of the previous efforts, this study investigates a wide range of various factors, including physical and operational characteristics of crossings, vehicle and train characteristics, spatial characteristics, temporal and environmental characteristics, driver actions and related characteristics, and other relevant information. The outcomes of this research will help better understanding the major causes behind accidents at the HRGCs in the State of Florida in a holistic way by considering a variety of relevant factors, which will assist the appropriate stakeholders with implementation of safety improvement projects across the state.
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Wali B, Khattak AJ, Ahmad N. Injury severity analysis of pedestrian and bicyclist trespassing crashes at non-crossings: A hybrid predictive text analytics and heterogeneity-based statistical modeling approach. ACCIDENT; ANALYSIS AND PREVENTION 2021; 150:105835. [PMID: 33310430 DOI: 10.1016/j.aap.2020.105835] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Revised: 08/13/2020] [Accepted: 10/03/2020] [Indexed: 06/12/2023]
Abstract
Non-motorists involved in rail-trespassing crashes are usually more vulnerable to receiving major or fatal injuries. Previous research has used traditional quantitative crash data for understanding factors contributing to injury outcomes of non-motorists in train involved collisions. However, usually overlooked crash narratives can provide useful and unique contextual crash-specific information regarding factors associated with injury outcomes. The main objective of this study is to harness the rapid advancements in more sophisticated qualitative analysis procedures for identifying thematic concepts in unstructured crash narrative data. A two-staged hybrid approach is proposed where text mining is applied first to extract valuable information from crash narratives followed by inclusion of the new variables derived from text mining in formulation of advanced statistical models for injury outcomes. By using ten-year (2006-2015) non-motorist non-crossing trespassing injury data obtained from the Federal Railroad Administration, statistical procedures and advanced machine learning text analytics are applied to extract unique information on contributory factors of trespassers' injury outcomes. The key concepts are systematically categorized into trespasser, injury, train, medical, and location related factors. A total of 13 unique variables are extracted from the thematic concepts that are not present in traditional tabular crash data. The analysis reveals a positive statistically significant association between presence of crash narrative and trespasser's injury outcome (coded as minor, major, and fatal injury). Compared to crashes with minor injuries, crashes involving major and fatal injuries are more likely to be reported with crash narratives. A crosstabulation of new variables derived from text mining with injury outcomes revealed that trespassers with confirmed suicide attempts, trespassers wearing headphones, or talking on cell phones are more likely to receive fatal injuries. Among other factors identified, trespassers under alcohol influence, trespasser hit by commuter train, and advance warnings by engineer are associated with more severe (major and fatal) trespasser injury outcomes. Accounting for unobserved heterogeneity and controlling for other factors, fixed and random parameter discrete outcome models are developed to understand the heterogeneous correlations between trespasser injury outcomes and the new crash specific explanatory variables derived from text mining - providing deeper insights. Practical implications and future research directions are discussed.
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Affiliation(s)
- Behram Wali
- Urban Design 4 Health, Inc., United States; Department of Civil & Environmental Engineering, The University of Tennessee, United States.
| | - Asad J Khattak
- Department of Civil & Environmental Engineering, The University of Tennessee, United States.
| | - Numan Ahmad
- Department of Civil & Environmental Engineering, The University of Tennessee, United States.
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Pawłowski W, Lasota D, Goniewicz M, Rzońca P, Goniewicz K, Krajewski P. The Effect of Ethyl Alcohol upon Pedestrian Trauma Sustained in Traffic Crashes. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16081471. [PMID: 31027255 PMCID: PMC6517985 DOI: 10.3390/ijerph16081471] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/24/2019] [Revised: 03/28/2019] [Accepted: 04/23/2019] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Every year more than 1.2 million people worldwide die due to trauma sustained in road crashes, with an additional number of people injured exceeding 50 million. To a large extent, this applies to so called "unprotected road users", including pedestrians. The risk involved in a traffic crash for pedestrians can result from many factors, one of which is participation in road traffic when under the influence of alcohol. The aim of this study was to analyze the impact of alcohol use among pedestrians as unprotected road traffic participants, and the consequences of them being struck by motor vehicles. MATERIAL AND METHODS The source of data was the medical documentation of the Department of Forensic Medicine at the Medical University of Warsaw. The sample for this research consisted of 313 pedestrians who were victims of fatal road crashes resulting from a collision with a mechanical vehicle. The obtained results were subjected to statistical analysis using the STATISTICA version 12.5 program (StatSoft Polska, Cracow, Poland). RESULTS Male fatalities constituted the majority of the study sample. Nearly half of the fatal pedestrian victims were found to be under the influence of alcohol. The statistical analysis demonstrated a significant relationship between the gender and age of the victims, as well as between the place of the event, the place of death, the mechanism of the event, and the presence of alcohol in pedestrians. CONCLUSIONS Among pedestrians, victims of road crashes who were under the influence of alcohol were predominantly drunk young males. Victims under the influence of alcohol were more likely to become fatalities in crashes where the mechanism of the incident was being struck by a passenger car, and when the place of the incident was a rural area, in these cases the rates of death directly at the scene were much more frequent. The eradication of alcohol consumption by all road users should be the overriding objective of all measures aimed at reducing the number of road crashes.
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Affiliation(s)
- Witold Pawłowski
- Department of Disaster Medicine, Medical University of Warsaw, 02-091 Warszawa, Poland.
| | - Dorota Lasota
- Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, 02-091 Warszawa, Poland.
| | - Mariusz Goniewicz
- Department of Emergency Medicine, Medical University of Lublin, 20-059 Lublin, Poland.
| | - Patryk Rzońca
- Department of Emergency Medicine, Medical University of Lublin, 20-059 Lublin, Poland.
| | - Krzysztof Goniewicz
- Department of Security Studies, Polish Air Force Academy, 08-521 Dęblin, Poland.
| | - Paweł Krajewski
- Department of Forensic Medicine, Medical University of Warsaw, 02-091 Warszawa, Poland.
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Zhang M, Khattak AJ, Liu J, Clarke D. A comparative study of rail-pedestrian trespassing crash injury severity between highway-rail grade crossings and non-crossings. ACCIDENT; ANALYSIS AND PREVENTION 2018; 117:427-438. [PMID: 29496186 DOI: 10.1016/j.aap.2018.02.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/01/2017] [Revised: 01/23/2018] [Accepted: 02/01/2018] [Indexed: 06/08/2023]
Abstract
Rail-trespassing crashes that involve various levels of injuries to pedestrians are under-researched. Rail trespassing could occur at crossings where pedestrians are present at the wrong time and at non-crossings where pedestrians are not legally allowed to be present. This paper presents a comparative study examining rail-trespassing crashes in two contexts: highway-rail grade crossings vs. non-crossings. How pre-crash trespassing behaviors and other factors (e.g., crash time, locations, and socio-demographics) differ between grade crossings and non-crossings are explored. The analysis relies on a ten-year (2006-2015) database of rail-pedestrian trespassing crash records extracted from a Federal Railroad Administration safety database. Of these 7157 rail-pedestrian trespassing crashes, 6236 (87%) occurred at non-crossings, while 921 (13%) occurred at grade crossings. About 60% of the crashes were fatal at both crossings and non-crossings. The most prevalent pre-crash trespassing behavior is running or walking, 63% at grade crossings and 44% at non-crossings. Lying or sleeping account for 29% of non-crossing crashes, whereas they are 3.6% at grade crossings. A unique aspect of the study is that a diverse set of variables based on geographic variations across counties along with crash or injury data are modeled. Considering the data structure and heterogeneity that may exist due to unobserved factors, the multilevel mixed-effect ordered logistic regressions models are estimated. The results show that the correlates of injury severity differ across highway-rail grade crossings and non-crossings. For example, lying or sleeping on or near tracks contributed to higher chances of fatal injury in both contexts, however, they were relatively more injurious at grade crossings. The analytical results can provide guidance on railway safety improvement plans.
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Affiliation(s)
- Meng Zhang
- Department of Civil and Environmental Engineering, The University of Tennessee, Knoxville 311 John Tickle Building, Knoxville, TN 37996, United States.
| | - Asad J Khattak
- Department of Civil & Environmental Engineering, The University of Tennessee, Knoxville 322 John Tickle Building, Knoxville, TN 37996, United States.
| | - Jun Liu
- Travel Demand Modeling, Virginia Department of Transportation, United States.
| | - David Clarke
- Department of Civil & Environmental Engineering, Center for Transportation Research, The University of Tennessee, Knoxville 309 Conference Center Building, Knoxville, TN 37996, United States.
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Too LS, Bugeja L, Milner A, McClure R, Spittal MJ. Predictors of using trains as a suicide method: Findings from Victoria, Australia. Psychiatry Res 2017; 253:233-239. [PMID: 28395228 DOI: 10.1016/j.psychres.2017.03.057] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2016] [Revised: 02/08/2017] [Accepted: 03/31/2017] [Indexed: 11/26/2022]
Abstract
This study aimed to investigate the factors associated with the choice of trains over other means of suicide. We performed a case-control study using data on all suicides in Victoria, Australia between 2009 and 2012. Cases were those who died by rail suicide and controls were those who died by suicide by any other means. A logistic regression model was used to estimate the association between the choice of trains and a range of individual-level and neighbourhood-level factors. Individuals who were never married had double odds of using trains compared to individuals who were married. Those from areas with a higher proportion of people who travel to work by train also had greater odds of dying by railway suicide compared to those from areas with a relatively lower proportion of people who travel to work by train. Prevention efforts should consider limiting access to the railways and other evidence-based suicide prevention activities.
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Affiliation(s)
- Lay San Too
- Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Victoria, Australia.
| | - Lyndal Bugeja
- Department of Forensic Medicine, School of Public Health and Preventive Medicine, Monash University, Victoria, Australia
| | - Allison Milner
- Deakin Population Health SRC, School of Health and Social Development, Deakin University, Victoria, Australia; Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Victoria, Australia
| | - Roderick McClure
- Harvard Injury Control Research Center, Harvard School of Public Health, Massachusetts, United States
| | - Matthew J Spittal
- Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Victoria, Australia
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Kallberg VP, Silla A. Prevention of railway trespassing by automatic sound warning-A pilot study. TRAFFIC INJURY PREVENTION 2017; 18:330-335. [PMID: 27327449 DOI: 10.1080/15389588.2016.1203426] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/03/2015] [Accepted: 06/14/2016] [Indexed: 06/06/2023]
Abstract
OBJECTIVE The objective of this study was to investigate the effects of a sound warning system on the frequency of trespassing at 2 pilot test sites in Finland. METHODS The effect of automatic prerecorded sound warning on the prevention of railway trespassing was evaluated based on observations at 2 test sites in Finland. At both sites an illegal footpath crossed the railway, and the average daily number of trespassers before implementation of the measures was about 18 at both sites. RESULTS The results showed that trespassing was reduced at these sites by 18 and 44%, respectively. Because of the lack of proper control sites, it is possible that the real effects of the measure are somewhat smaller. CONCLUSIONS The current study concludes that automatic sound warning may be efficient and cost effective at locations where fencing is not a viable option. However, it is not likely to be a cost-effective panacea for all kinds of sites where trespassing occurs, especially in countries like Finland where trespassing is scattered along the railway network rather than concentrated to a limited number of sites.
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Affiliation(s)
| | - Anne Silla
- a VTT Technical Research Centre of Finland , Espoo , Finland
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12
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Mishara BL, Bardon C, Dupont S. Can CCTV identify people in public transit stations who are at risk of attempting suicide? An analysis of CCTV video recordings of attempters and a comparative investigation. BMC Public Health 2016; 16:1245. [PMID: 27974046 PMCID: PMC5157080 DOI: 10.1186/s12889-016-3888-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2015] [Accepted: 11/29/2016] [Indexed: 11/30/2022] Open
Abstract
Background Suicides incur in all public transit systems which do not completely impede access to tracks. We conducted two studies to determine if we can reliably identify in stations people at risk of suicide in order to intervene in a timely manner. The first study analysed all CCTV recordings of suicide attempters in Montreal underground stations over 2 years to identify behaviours indicating suicide risk. The second study verified the potential of using those behaviours to discriminate attempters from other passengers in real time. Methods First study: Trained observers watched CCTV video recordings of 60 attempters, with 2–3 independent observers coding seven easily observable behaviours and five behaviours requiring interpretation (e.g. “strange behaviours,” “anxious behaviour”). Second study: We randomly mixed 63 five-minute CCTV recordings before an attempt with 56 recordings from the same cameras at the same time of day, and day of week, but when no suicide attempt was to occur. Thirty-three undergraduate students after only 10 min of instructions watched the recordings and indicated if they observed each of 13 behaviours identified in the First Study. Results First study: Fifty (83%) of attempters had easily observable behaviours potentially indicative of an impending attempt, and 37 (61%) had two or more of these behaviours. Forty-five (75%) had at least one behaviours requiring interpretation. Twenty-two witnesses attempted to intervene to stop the attempt, and 75% of attempters had behaviours indicating possible ambivalence (e.g. waiting for several trains to pass; trying to get out of the path of the train). Second study: Two behaviours, leaving an object on the platform and pacing back and forth from the yellow line (just before the edge of the platform), could identify 24% of attempters with no false positives. The other target behaviours were also present in non-attempters. However, having two or more of these behaviours indicated a likelihood of being at risk of attempting suicide. Conclusions We conclude that real time observations of CCTV monitors, automated computer monitoring of CCTV signals, and/or training of drivers and transit personnel on behavioural indications of suicide risk, may identify attempters with few false positives, and potentially save lives.
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Affiliation(s)
- Brian L Mishara
- Centre for Research and Intervention on Suicide and Euthanasia (CRISE), Psychology Department, Université du Québec à Montréal, CRISE-UQAM, C.P. 8888, Succ. Centre-ville, Montreal, QC, H3C 3P8, Canada.
| | - Cécile Bardon
- Centre for Research and Intervention on Suicide and Euthanasia (CRISE), Psychology Department, Université du Québec à Montréal, CRISE-UQAM, C.P. 8888, Succ. Centre-ville, Montreal, QC, H3C 3P8, Canada
| | - Serge Dupont
- Metro Network, Société des Transports de Montréal, Montréal, Canada
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Havârneanu GM, Burkhardt JM, Silla A. Optimizing suicide and trespass prevention on railways: a problem-solving model from the RESTRAIL project. Int J Inj Contr Saf Promot 2016; 24:469-486. [DOI: 10.1080/17457300.2016.1232275] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
| | | | - Anne Silla
- VTT Technical Research Centre of Finland Ltd., Espoo, Finland
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Mishara BL, Bardon C. Systematic review of research on railway and urban transit system suicides. J Affect Disord 2016; 193:215-26. [PMID: 26773913 DOI: 10.1016/j.jad.2015.12.042] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2015] [Revised: 12/21/2015] [Accepted: 12/26/2015] [Indexed: 10/22/2022]
Abstract
INTRODUCTION We critically review research on railway suicides to inform suicide prevention initiatives and future studies, including who is at risk and why, and behaviours at track locations. METHOD Literature was identified from Scopus, Web of Science, Google Scholar and our documentation centre, and contacting 71 railway companies, resulting in 716 articles and eight unpublished reports, with 94 having empirical data on 55 unique studies. Research quality was critically assessed. RESULTS The quality of studies varies greatly with frequent shortcomings: no justification of sample size, lacking information on the reliability and validity of measures, no explanation nor theoretical understanding of findings. Railway suicides resemble closely people who use other methods, although they tend to be younger. As with other suicide methods, mental health problems are likely to be present. Railway suicide attempters usually die, but most urban transportation systems attempters survive. Railway suicides are rarely impulsive; people usually go to the railway for the purpose of killing themselves. Hotspots have been the focus of some prevention measures. We know little about why people choose railway suicide, but studies of survivors suggest they often thought they would have an immediate, certain and painless death. Media reports on railway suicides can increase their incidence. CONCLUSIONS Most research focuses on the incidence and characteristics of events and attempters. Research has not shown that railway suicides are different from suicides by other means. Better quality research is needed, particularly studies that investigate why people use railways to kill themselves and how railway suicides can be effectively prevented, as well as more evaluations of prevention programmes. Because of significant variations by country and region in characteristics of railway suicides, prevention programmes should conduct a local assessment of the characteristics of attempters and incidents. PRACTICAL IMPLICATIONS We need more research on indicators of suicide risk in attempters on railway property, and studies of how suicidal people on railway property are prevented from suicide. Changing beliefs and attitudes about railway suicides, reducing media reports, offering help onsite, controlling access at hotspots and better staff training in mental health facilities near tracks are promising prevention strategies. However, local specificities must be considered in planning prevention strategies.
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Affiliation(s)
- Brian L Mishara
- Centre for Research and Intervention on Suicide and Euthanasia, Psychology Department, Université du Québec à Montréal, Canada.
| | - Cécile Bardon
- Centre for Research and Intervention on Suicide and Euthanasia, Psychology Department, Université du Québec à Montréal, Canada
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Savage I. Analysis of fatal train-pedestrian collisions in metropolitan Chicago 2004-2012. ACCIDENT; ANALYSIS AND PREVENTION 2016; 86:217-228. [PMID: 26595177 DOI: 10.1016/j.aap.2015.11.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/02/2015] [Revised: 10/19/2015] [Accepted: 11/03/2015] [Indexed: 06/05/2023]
Abstract
The paper analyzes spatial and temporal data on fatal train-pedestrian collisions in the Chicago metropolitan area between 2004 and 2012. In comparing different municipalities within the region, the density of grade crossings and stations is found to increase the frequency of unintentional deaths. However, unintentional deaths do not increase with train volume suggesting that pedestrians may exercise more care around busier lines. The distribution of apparent intentional deaths is less strongly related to the density of crossings and stations suggesting that those intending self-harm will seek out a point of access. Apparent intentional deaths are more prevalent on lines with frequent passenger trains, and in municipalities with higher incomes and lower population densities. While most of the apparent intentional deaths (about 70%) are not associated with any copycat activities, the dataset contains possible clusters of intentional deaths that are proximate in both time and space. There was also a highly publicized suicide that led to a 95% increase in apparent intentional deaths throughout the region in the 18 weeks following the incident.
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Havârneanu GM, Burkhardt JM, Paran F. A systematic review of the literature on safety measures to prevent railway suicides and trespassing accidents. ACCIDENT; ANALYSIS AND PREVENTION 2015; 81:30-50. [PMID: 25939134 DOI: 10.1016/j.aap.2015.04.012] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2014] [Revised: 04/09/2015] [Accepted: 04/11/2015] [Indexed: 05/23/2023]
Abstract
This review covers a central aspect in railway safety which is the prevention of suicides and trespassing accidents. The paper attempts to answer the following research question: 'What measures are available to reduce railway suicide and trespass, and what is the evidence for their effectiveness?' The review is based on 139 relevant publications, ranging from 1978 to 2014. The analysis aimed to identify the past and current trend in the prevention practice by looking both quantitatively and qualitatively at the recommended measures. According to the results, there has been a constant focus on suicide prevention, and only relatively recent interest in trespass countermeasures. The content analysis revealed 19 main preventative categories which include more than 100 specific measures. We identified 16 common categories against railway suicide and trespass, and 3 categories of specific measures to prevent suicide. There are only 22 studies which provide empirical support for the effectiveness of measures. Actual combinations of measures are barely evaluated, but several challenges emerge from the literature. The discussion focuses on the need for a unified approach to suicide and trespass prevention, and on the importance to consider the effect mechanism of the measures in order to design better interventions.
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Affiliation(s)
- Grigore M Havârneanu
- International Union of Railways (UIC), Security division, 16 rue Jean Rey, F-75015 Paris, France.
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Berman AL, Sundararaman R, Price A, Au JS. Suicide on railroad rights-of-way: a psychological autopsy study. Suicide Life Threat Behav 2014; 44:710-22. [PMID: 24946977 DOI: 10.1111/sltb.12107] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/29/2014] [Accepted: 03/06/2014] [Indexed: 12/01/2022]
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.
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Affiliation(s)
- Alan L Berman
- American Association of Suicidology, Washington, DC, USA
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Sousa S, Santos L, Dinis-Oliveira RJ, Magalhães T, Santos A. Pedestrian fatalities resulting from train-person collisions. TRAFFIC INJURY PREVENTION 2014; 16:208-212. [PMID: 24761944 DOI: 10.1080/15389588.2014.914181] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
OBJECTIVE Train-person collisions have a significant impact in our society, due to their negative economic and psychological effects. This work aims to study fatalities resulting from train-person collisions in Portugal. METHODS A retrospective study was conducted based on the analysis of autopsy reports related to train-person fatalities performed in the North Branch of the National Institute of Legal Medicine and Forensic Sciences. RESULTS Suicide was responsible for most of the cases, and males were more often involved in train-person collisions than females. Victims, between 40 and 59 years old, were found to be involved in a high percentage (39%) of the cases, and people older than 65 accounted for a significant percentage (40%) of the accidents. No seasonality was observed in suicide cases, but a decrease in accident numbers was registered in summer. Regarding weekday and time of day, afternoon and non-rush hour were the times when most suicides were observed, whereas accidents did not showed a specific weekday or time of day, except for rush hour, during which they were more frequent. Alcohol-positive blood analysis accounting for 25% of the cases. CONCLUSIONS Differences from other European studies were found, which may be related to the different cultures of the countries/regions, as well as to the differences in the railway systems. More extensive studies must be performed in order to develop strategies to prevent train-person collisions.
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Affiliation(s)
- Sérgio Sousa
- a Department of Legal Medicine and Forensic Sciences, Faculty of Medicine , University of Porto , Porto , Portugal
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Clarner A, Graessel E, Scholz J, Niedermeier A, Uter W, Drexler H. Work-related posttraumatic stress disorder (PTSD) and other emotional diseases as consequence of traumatic events in public transportation: a systematic review. Int Arch Occup Environ Health 2014; 88:549-64. [PMID: 25267495 DOI: 10.1007/s00420-014-0980-3] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2014] [Accepted: 09/04/2014] [Indexed: 10/24/2022]
Abstract
BACKGROUND Drivers in public transportation are at risk of experiencing potential traumatic events such as accidents involving persons, collisions, or suicides. In this context, the question arises to what extent psychological traumatization and posttraumatic diseases occur. PURPOSE The aim of this systematic review was to describe the frequency and nature of work-related posttraumatic disorders, to analyze risk and prognostic factors after potentially traumatic events (accidents resulting in damage to property and/or in injury or death), and address sick leave after such events in the realm of public transportation, based on the available literature. METHODS Systematic review based on four databases (PubMed, PSYNDEX/MEDLINE, ScienceDirect, PILOTS) between 1980 and June 2013. RESULTS We identified seven studies (four longitudinal, three cross-sectional) that examine employees after person under train (PUT) events. PTSD prevalences varied broadly between 0.7 and 17 %. The same applies to dysthymia/neurotic depression (1-26 %). However, similarly low prevalences of major depression (1.3-2.8 %) and panic disorder (0.5-1.3 %) have been observed. Risk factors of PTSD comprised individual, work-related, event-related, and prognostic aspects. Following the traumatic event, a total of 69-81 % of the drivers were absent, and if sick leave occurs, this was on average 3-19 days. CONCLUSIONS It became evident that drivers in public transportation run a high risk of sick leave. It was also striking that despite the immense impact of PUT and high number of suicides, only an infinitesimal number of studies exists. Due to various differences (period of follow-up, instrument of measurement and study period), it turned out that the comparability of the results of the studies is limited. For various reasons, further research is urgently needed, as from an occupational health point of view the issue of posttraumatic diseases and implications for fitness for service should be addressed.
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Affiliation(s)
- Annika Clarner
- Institute and Outpatient Clinic of Occupational, Social and Environmental Medicine, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany,
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Rådbo H, Andersson R. Patterns of suicide and other trespassing fatalities on state-owned railways in greater Stockholm; implications for prevention. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2012; 9:772-80. [PMID: 22690162 PMCID: PMC3367276 DOI: 10.3390/ijerph9030772] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/13/2012] [Revised: 02/22/2012] [Accepted: 03/02/2012] [Indexed: 11/17/2022]
Abstract
Each year, approximately 80-100 people are killed on state-owned railways due to train-person collisions in Sweden. Underlying causes are suicide and accidents; suicide constituting a vast majority. Earlier Swedish studies at a national level revealed a relation between population density and incident frequency, however, with places of occurrence often located to the outskirts of cities some distance away from station areas where victims can await approaching trains in seclusion. The aim of this study was to investigate whether this national pattern also applies to larger urban areas such as greater Stockholm, and to discuss preventative implications based on these observations. All registered incidents (N = 41) where people were hit or run-over by trains with a fatal outcome over the four-year period 2005-2008 were investigated. Results deviating from the national pattern include that most incidents occur at station areas, and that most victims enter the tracks from platforms. Passing express trains appear to be overrepresented, compared to commuter trains. Due to a low number of cases, our observations must be interpreted with caution. However, they imply that preventative measures in this type of area should focus on platform safety foremost, especially protection against rapid trains passing by station areas.
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Affiliation(s)
- Helena Rådbo
- Department of Health and Environmental Sciences, Karlstad University, Karlstad 65188, Sweden.
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