title: The effectiveness of installing physical barriers for preventing railway suicides and accidents: evidence from Japan.
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.
  
  
  CONCLUSIONS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Syracuse University, United States. Electronic address: michiko.uedaballmer@gmail.com.
authors.forename: Michiko
authors.initials: M
authors.lastname: Ueda
authors.affiliation: The University of Tokyo, Japan.
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Sawada
authors.affiliation: Osaka University, Japan.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Matsubayashi
mesh_terms: D000056:Accident Prevention / Q000379:methods* / Q000706:statistics & numerical data*; D001107:Architectural Accessibility; D006801:Humans; D007564:Japan; D008297:Male; D015397:Program Evaluation; D011890:Railroads; D013405:Suicide / Q000706:statistics & numerical data*; D014041:Tokyo; D000092864:Suicide Prevention
keywords: Japan; Platform screen door; Prevention; Railway suicide; Suicide