title: Rail-suicide prevention: Systematic literature review of evidence-based activities.
abstract: BACKGROUND
  Rail-related suicide is a relatively rare but extremely lethal method of suicide that can have far-reaching consequences.
  
  
  OBJECTIVE
  The aim of the systematic literature review was to analyze the existing literature on the effectiveness of rail-suicide prevention activities.
  
  
  METHODS
  Databases used were Scopus, Medline, and ProQuest.
  The search terms used were "suicid*," "prevent*," "rail*," or "train."
  
  
  METHODS
  English-language studies published in peer-reviewed journals between 1 January 1990 and 30 April 2015 that presented an overview of rail-related suicide prevention activities and included an analysis of effectiveness were used.
  
  
  RESULTS
  We retrieved 1,229 results in the original search with nine papers presenting empirical evidence. Three studies in the review analyzed the effectiveness of platform screen doors and another three analyzed the installation of blue lights, two papers analyzed the effectiveness of suicide pits, and one included the influence of media reporting guidelines.
  
  
  CONCLUSIONS
  Platform screen doors, suicide pits, blue lights, and improved media guidelines all have the potential to reduce rail-related suicide events and deaths.
  
  
  CONCLUSIONS
  The review was restricted to English-language peer-reviewed papers published within the chosen time period.
authors.affiliation: Australian Institute for Suicide Research and Prevention, National Centre of Excellence in Suicide Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention, Griffith University, Nathan, QLD, Australia.
authors.forename: Emma
authors.initials: E
authors.lastname: Barker
authors.affiliation: Australian Institute for Suicide Research and Prevention, National Centre of Excellence in Suicide Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention, Griffith University, Nathan, QLD, Australia.
authors.forename: Kairi
authors.initials: K
authors.lastname: Kolves
authors.affiliation: Australian Institute for Suicide Research and Prevention, National Centre of Excellence in Suicide Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention, Griffith University, Nathan, QLD, Australia.
authors.forename: Diego
authors.initials: D
authors.lastname: De Leo
mesh_terms: D006801:Humans; D011890:Railroads / Q000706:statistics & numerical data*; D013405:Suicide / Q000706:statistics & numerical data*; D000092864:Suicide Prevention
keywords: prevention; rail; suicide; suicide attempt; train