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Preventing suicide via one method doesn't turn people away from suicide, just from that particular method.



My understanding is that there are two types of suicides: premeditated ones, and spur-of-the-moment ones.

Putting up fences next to train tracks won't do much for the former, but I suspect it will reduce the frequency of the latter (which it did, in this case).


> (which it did, in this case).

It reduced the frequency of "suicide by train". But suicides overall went up 30% from what the article states. It's more likely that the people who could no longer use this method as a spur of the moment thing just chose something else. Transportation related suicide accounts for 0.4% (or ~170 in 2012) of suicides in the US. [0] "Fall", another spur of the moment method, accounts for 6 times as much. You can only build so many fences.

As someone with a bit of experience on the topic I can tell you that when suicidal ideation reaches the tipping point you need more than a fence to stop them.

But I'm not saying "don't put up the fence". I just found GP's remark that "The fences and guards have absolutely helped" either a bit cynical or unrealistically optimistic. The only thing we can say with certainty is that it helped keep the trains going. I'm not sure it definitively saved lives. For that we need to do a lot more than build a fence...

[0] http://lostallhope.com/suicide-statistics/us-methods-suicide


It sounds like "it's complicated" is a better way of thinking about suicide prevention. It's pretty hard to measure a localized "it's no longer happening," when measures for suicide prevention are put in place.

Things effective one place, are less effective in others because of "sociocultural" reasons [0], but there is some evidence to suggest denying people access to the tools to commit suicide, and reducing media coverage (social contagion/clustering) seem to help.

With that said, yes, you are right, just changing one thing doesn't do much, there needs to be a bigger picture approach that addresses many factors.

[0] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1414695/


This seems intuitively obvious, but all the research I’ve read suggests the opposite: a very sizable fraction of people with suicidal ideation will not commit suicide if given even marginally fewer opportunities to do so.




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