Individual and community factors for railway suicide: a matched case-control study in Victoria, Australia

Too, Lay San, Spittal, Matthew J., Bugeja, Lyndal, McClure, Roderick and Milner, Allison 2016, Individual and community factors for railway suicide: a matched case-control study in Victoria, Australia, Social psychiatry and psychiatric epidemiology, vol. 51, no. 6, pp. 849-856, doi: 10.1007/s00127-016-1212-9.

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Title Individual and community factors for railway suicide: a matched case-control study in Victoria, Australia
Author(s) Too, Lay San
Spittal, Matthew J.
Bugeja, Lyndal
McClure, Roderick
Milner, AllisonORCID iD for Milner, Allison
Journal name Social psychiatry and psychiatric epidemiology
Volume number 51
Issue number 6
Start page 849
End page 856
Total pages 8
Publisher Springer
Place of publication Berlin, Germany
Publication date 2016-06
ISSN 0933-7954
Keyword(s) suicide
mental health
Summary PURPOSE: This study aims to simultaneously examine individual- and community-level factors associated with railway suicide.

METHODS: We performed a case-control study in Victoria, Australia between 2001 and 2012. Data on cases of railway suicide were obtained from the National Coronial Information System (a database of coronial investigations). Controls were living individuals randomly selected from the Household, Income and Labour Dynamics in Australia study, matching to cases on age groups, sex and year of exposures. A conditional logistic regression model was used to assess the individual-level and community-level influences on individual odds of railway suicide, controlling for socioeconomic status.

RESULTS: Individual-level diagnosed mental illness increased railway suicide odds by six times [95 % confidence interval (CI) 4.5, 9.2]. Community-level factors such as living in an area with a presence of railway tracks [odds ratio (OR) 1.8, 95 % CI 1.2, 2.8], within a city (OR 3.2, 95 % CI 1.9, 5.4), and with a higher overall suicide rate (OR 1.02, 95 % CI 1.01, 1.04) were independently associated with greater individual odds of railway suicide compared to living in an area without a presence of railway tracks, outside a city, and with a relatively lower overall suicide rate.

CONCLUSIONS: The effects of mental illness and high incidence of overall suicides are prominent, but not specific on railway suicide. The effects of presence of railway tracks and city residence suggest the importance of accessibility to the railways for individual risk of railway suicide. Prevention efforts should focus on vulnerable people live in areas with easy access to the railways.
Language eng
DOI 10.1007/s00127-016-1212-9
Field of Research 111799 Public Health and Health Services not elsewhere classified
1103 Clinical Sciences
1702 Cognitive Science
1701 Psychology
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Springer-Verlag Berlin Heidelberg
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Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
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