Preventing suicide: closing the exits revisited by David Lester

By David Lester

Suicide-proofing a room can hinder suicidal behaviour in incarcerated prisoners and in psychiatric sufferers. The query addressed during this e-book is whether or not suicide-proofing the final setting prevents suicide within the basic inhabitants. the ultimate bankruptcy sums up the implications and discusses the problems prompted by means of this physique of study.

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Marzuk, P. , Leon, A. , Morgan, E. , & Mann, J. J. (1992). The effect of access to lethal methods of injury on suicide rates. Archives of General Psychiatry, 49, 451-458. Martinez, M. , & Ballesteros, S. (2006). Suicidal inhalation of motorbike exhaust. Journal of Analytical Toxicology, 30, 697-702. Mott, J. , Wolfe, M. , Alverson, C. , Macdonald, S. , Bailey, C. , Ball, L. , Moorman, J. , Somers, J. , Mannino, D. , & Redd, S. C. (2002). National vehicle emissions policies and practices and declining US carbon monoxide-related mortality.

1990; Lester & Jason, 1989). Seiden and Spence (1982, 1983-1984) compared suicides from two similar bridges in the San Francisco area: the Golden Gate Bridge and the Bay Bridge. Both bridges opened in the 1930s (1937 and 1936, respectively), and they are of similar height above the water (200 feet). The Golden Gate Bridge carries about half the traffic of the Bay Bridge, is only 1/8th of the length, but it does allow pedestrians to walk across the bridge. The Golden Gate Bridge has had by far the most pedestrian suicides (230 versus 5), but also more vehicle-transported suicides (325 versus 107).

Removing Barriers Beautrais (2001) took advantage of a decision by a town council in somewhere in Australia or New Zealand (Beautrais did not want to name the town) to remove safety barriers from a bridge on the grounds that (i) they were 48 David Lester unsightly, (ii) they impeded rescue efforts, and (iii) they did not prevent suicide. 29 afterwards. Beautrais also looked for switching. Did more suicides occur by jumping elsewhere in the city? Focusing on the two-year periods before and after removal of the barriers, the number of suicides by jumping remained constant (14 in each two-year period), but the location did switch to the newly unfenced bridge, a change that was statistically significant.

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