title: The socio-environmental determinants of railway suicide: a systematic review.
abstract: BACKGROUND
  Railway suicide has significant adverse impacts for the victims, their family and friends, witnesses to the incident, general public and train network. There is no previous review on the socio-environmental factors and railway suicide. The research question asked in this review was: 'What socio-environmental risk and protective predictors are significantly associated with railway suicide?'
  
  
  METHODS
  The review searched Medline, PsycINFO, Web of Science and Scopus for English-language studies that assessed the associations between socio-environmental (i.e. geographical, physical, economic and social) factors and railway suicide from their inception to June 2013. It was reported based on the PRISMA Statement.
  
  
  RESULTS
  Eleven studies met the inclusion criteria. They were categorised into railway environments (availability of railways and trains, accessibility to railways and familiarity with trains), population characteristics and impact of media reporting. Findings from ecological studies using population level railway suicide data suggested weak and inconsistent evidence for the first two categories. The evidence on the impact of media reporting was moderately strong, with irresponsible media reporting being associated with an increased risk of railway suicide.
  
  
  CONCLUSIONS
  There is a need for further research activity to strengthen evidence about socio-environmental risk factors for railway suicide. The focus of this research should be on the factors that determine individuals' decisions of using the railway as a method of suicide, with the consideration of a range of geographical, physical, social, and economic factors.
authors.affiliation: Monash Injury Research Institute, Monash University, Melbourne, Victoria 3800, Australia. tiffany.too@monash.edu.
authors.forename: Lay San
authors.initials: LS
authors.lastname: Too
authors.forename: Allison
authors.initials: A
authors.lastname: Milner
authors.forename: Lyndal
authors.initials: L
authors.lastname: Bugeja
authors.forename: Roderick
authors.initials: R
authors.lastname: McClure
mesh_terms: D004777:Environment; D006801:Humans; D011890:Railroads; D012307:Risk Factors; D012959:Socioeconomic Factors; D013405:Suicide / Q000706:statistics & numerical data