Suicide Prevention Program, Flemish Mental Health Centres, Belgium.
Crisis. 2012 Jan 1;33(1):39-45. doi: 10.1027/0227-5910/a000105.
Belgium is a country with a high suicide rate (19.1/100,000 in 2004), and railway suicide poses a substantial safety and public health problem. This problem was addressed by the Suicide Prevention Unit of Infrabel (Manager of the Belgian Railway Infrastructure), which collects relevant data and implements a prevention program.
To present data on fatal and nonfatal suicidal behavior on the Belgian railway network, including monthly and regional distribution and identification of hotspots; and to present the Infrabel suicide prevention program.
Analysis of Infrabel data on railway suicide (1998-2009) and comparison with data on suicide in Belgium.
A total of 1,092 railway suicides (1998-2009) and 557 suicide attempts (2003-2009) in Belgium (fatality rate of 54%) were studied. Monthly fluctuations were observed, with the majority of suicides occurring in Flanders, followed by Wallonia and Brussels. We identified 34 hotspots accounting for 35% of cases, mostly in Flanders.
In 2004 railway suicide accounted for 5.3% of all suicides in Belgium (railway suicide rate of 1.03/100,000). Such a major human and economic loss warrants implementation of prevention measures. Infrabel has initiated a comprehensive suicide prevention program which focuses mainly on safeguarding the suicide hotspots.
比利时是一个自杀率很高的国家（2004 年为 19.1/10 万），铁路自杀对安全和公共健康构成了重大威胁。比利时铁路基础设施管理者 Infrabel 的自杀预防小组负责处理这一问题，该小组收集相关数据并实施预防计划。
介绍比利时铁路网中致命和非致命自杀行为的数据，包括每月和区域分布以及热点识别；并介绍 Infrabel 的自杀预防计划。
分析 Infrabel 关于铁路自杀的数据（1998-2009 年），并与比利时的自杀数据进行比较。
研究了 1998-2009 年期间在比利时发生的 1092 例铁路自杀事件（死亡率为 54%）和 557 例自杀未遂事件（2003-2009 年）。观察到每月都有波动，大多数自杀事件发生在佛兰德斯，其次是瓦隆和布鲁塞尔。我们确定了 34 个热点，占病例的 35%，主要在佛兰德斯。
2004 年，铁路自杀占比利时所有自杀事件的 5.3%（铁路自杀率为 1.03/10 万）。如此巨大的人员和经济损失需要采取预防措施。Infrabel 已经启动了一项全面的自杀预防计划，主要侧重于保护自杀热点。
