1. Can societal collaboration prevent railway suicide? Helena Rådbo, Karlstad University Maria Hedqvist, Trafikverket

2. Content The Swedish Railway system Railway suicide Restrail Pilot project Societal collaboration Results this far and discussion 2 Hedqvist-Rådbo IRSC - Vancouver Canada - October 2013

3. Railway in Sweden 3 Hedqvist-Rådbo IRSC - Vancouver Canada - October 2013 Trafikverket 14700 km 80% electrified 560 stations 6.2 billion passenger km 110 fatalities 2010

4. Suicide in Sweden 4 Hedqvist-Rådbo IRSC - Vancouver Canada - October 2013 17 out of every 100.000 citizens Decline with exception of age 15-24 years Vision Zero –Killed in the transport system –Suicides

5. Railway suicide in Sweden 5 Hedqvist-Rådbo IRSC - Vancouver Canada - October 2013 7% of all suicides occur in the transport system (all modes) 70% of the fatalities in the railway system 5% of the total no. of suicides each year

6. Restrail Co-funded EC FP7 Coordinated by UIC 17 partners – 12 countries Reduce the occurrence of suicide and trespass and service disruptions Analysis and identification of cost effective prevention and mitigation measures 6 Hedqvist-Rådbo IRSC - Vancouver Canada - October 2013

7. Pilot project 7 Hedqvist-Rådbo IRSC - Vancouver Canada - October 2013 Measures assessed as promising or recommended Project already in process Important to evaluate and not just believe that it works! Purpose is to describe the collaboration and to measure the effects

8. Societal collaboration to prevent Railway suicides A model on how stakeholders should act Involves all threats of suicides outside of a persons home Involved stakeholders –The Police authority – The Emergency rescue services – SOS Emergency services – The Ambulance services – The psychiatric care units – The Transport Administration 8 Hedqvist-Rådbo IRSC - Vancouver Canada - October 2013

9. Participants and their responsiblity The Police Authority –always alerted to the threat of suicide The Emergency Rescue service –provided by municipalities SOS Emergency Service –is the organization that first receives an alarm 9 Hedqvist-Rådbo IRSC - Vancouver Canada - October 2013

10. Participants responsiblity The Traffic Control Center –is alerted to introduce a temporary stop of the traffic on the identified site The ambulance service –is dispatched to help with transportation and medical expertise The Transport Administration – Accident site manager is called to the site to make sure that the track is safe for S & R Psychiatric care –are informed of threats of suicide and are prepared to receive the suicidal person 10 Hedqvist-Rådbo IRSC - Vancouver Canada - October 2013

11. Workflow Anyone can initiate a traffic stop If an exact location – traffic stop If a larger search area – temporary speed reduction until the person is found S & R conducted by police, rescue services and ambulance services Ambulance transport the person to psychiatric care 11 Hedqvist-Rådbo IRSC - Vancouver Canada - October 2013

12. Outcome August 2012- May 2013 –13-18 train stops executed each month – Average stoping time – 15 minutes –66 people were helped to psyciatric care –15 deceased –28 traffic stops due to crime 12 Hedqvist-Rådbo IRSC - Vancouver Canada - October 2013

13. Important collaboration It is the system that reacts – not the person in need of help 66 persons was helped to psyciatric care –What if 10% acutally would have commited suicide? Then almost 7 persons were saved Continue evaluation with interviews 13 Hedqvist-Rådbo IRSC - Vancouver Canada - October 2013

14. Or contact either of us through email helena.radbo@kau.se maria.hedqvist@trafikverket.se Thank you for listening! You can find more information about Restrail on the website http://www.restrail.eu