TY - JOUR
T1 - The effectiveness of installing physical barriers for preventing railway suicides and accidents
T2 - Evidence from Japan
AU - Ueda, Michiko
AU - Sawada, Yasuyuki
AU - Matsubayashi, Tetsuya
N1 - Funding Information:
This project was supported by Japan Society for the Promotion of Science Grants-in-Aid for Scientific Research (26870326), the Ministry of Health, Labour and Welfare of Japan Grant (H-26-Seishin-Ippan-003), the Itochube Foundation , and the Sumitomo Life Insurance Research Grant for Female Researchers. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Publisher Copyright:
© 2015 Elsevier B.V. All rights reserved.
PY - 2015/6/1
Y1 - 2015/6/1
N2 - Abstract Background Installing physical barriers, such as platform screen doors (PSDs), on train platforms is considered to be one of the most effective measures to prevent railway suicide. However, there is little evidence on the effectiveness of such barriers. In particular, the effectiveness of half-height, as opposed to full-height, PSDs has never been assessed. Methods Using suicide and accident data between 2004 and 2014 provided by a major railway company in the Tokyo metropolitan area, this study examines whether the installation of half-height PSDs has contributed to the reduction of the incidents of fatal and non-fatal railway suicide. In addition, the study tests whether the installation of PSDs has resulted in the reduction of unintentional falls onto railway tracks. Results Our estimation using a Poisson regression model showed that the introduction of PSDs resulted in a decrease in the number of suicides by 76% (CI: 33-93%). Yet, the installation of PSDs has not completely prevented suicide, as there were cases in which passengers climbed them over. As for unintentional accidents, no fall accidents occurred at stations with PSDs. Limitations Our data come only from one train operator, and thus the generalizability of our results may be limited. We do not fully examine potential substitution effects. Conclusion Platform screen doors are effective in reducing the number of railway suicides. However, half-height PSDs are less effective than the full-height PSDs in preventing intentional entry to the train tracks. Installation of PSDs is an extremely effective method to prevent fall accidents.
AB - Abstract Background Installing physical barriers, such as platform screen doors (PSDs), on train platforms is considered to be one of the most effective measures to prevent railway suicide. However, there is little evidence on the effectiveness of such barriers. In particular, the effectiveness of half-height, as opposed to full-height, PSDs has never been assessed. Methods Using suicide and accident data between 2004 and 2014 provided by a major railway company in the Tokyo metropolitan area, this study examines whether the installation of half-height PSDs has contributed to the reduction of the incidents of fatal and non-fatal railway suicide. In addition, the study tests whether the installation of PSDs has resulted in the reduction of unintentional falls onto railway tracks. Results Our estimation using a Poisson regression model showed that the introduction of PSDs resulted in a decrease in the number of suicides by 76% (CI: 33-93%). Yet, the installation of PSDs has not completely prevented suicide, as there were cases in which passengers climbed them over. As for unintentional accidents, no fall accidents occurred at stations with PSDs. Limitations Our data come only from one train operator, and thus the generalizability of our results may be limited. We do not fully examine potential substitution effects. Conclusion Platform screen doors are effective in reducing the number of railway suicides. However, half-height PSDs are less effective than the full-height PSDs in preventing intentional entry to the train tracks. Installation of PSDs is an extremely effective method to prevent fall accidents.
KW - Japan
KW - Platform screen door
KW - Prevention
KW - Railway suicide
KW - Suicide
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U2 - 10.1016/j.jad.2015.02.017
DO - 10.1016/j.jad.2015.02.017
M3 - Article
C2 - 25770476
AN - SCOPUS:84924385985
SN - 0165-0327
VL - 178
SP - 1
EP - 4
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
M1 - 7294
ER -