Norman, H.; Marzano, L.; Winter, R.; Ioana, C.; Mackenzie, J.; Marsh, I.

Factors prompting and deterring suicides on the roads

Article

Norman, H., Marzano, L., Winter, R., Ioana, C., Mackenzie, J. and Marsh, I. 2023. Factors prompting and deterring suicides on the roads. BJPsych Open. 9 (3). https://doi.org/10.1192/bjo.2023.52

Publication dates
Type	Article
Title	Factors prompting and deterring suicides on the roads
Authors	Norman, H., Marzano, L., Winter, R., Ioana, C., Mackenzie, J. and Marsh, I.
Abstract	Background: In addition to the devastating impact on the individual and their families, suicides on the roads can cause distress and harm to other people who might be involved in a collision or witness an attempt. Despite an increased focus on the characteristics and circumstances of road-related suicides, little is known about why people choose to end their lives in this way. Aims: The aim of the current study was to investigate the factors prompting and deterring the decision to attempt suicide on the roads. Method: We conducted a secondary analysis of survey data, as well as seven in-depth qualitative interviews. Participants had lived experience of suicidal ideation or behaviour at a bridge or road location. We also carried out an online ethnography to explore interactions in different online communities relating to this method of suicide. Results: Participants perceived a road-related suicide to be quick, lethal, easy and accessible, and to have the potential to appear accidental. The proportion of participants who described their thoughts and attempts as impulsive appeared to be higher than had been observed with other method choices. The potential impact on other people was a strongly dissuasive factor. Conclusions: Measures designed to prevent access to potentially lethal sites may be particularly important, given that many participants described their thoughts and behaviour as impulsive. In addition, fostering a culture of care and consideration for other road users may help to dissuade people from taking action on the roads.
Keywords	Suicide; roads; self-harm; impulsive; suicide method
Sustainable Development Goals	3 Good health and well-being
Middlesex University Theme	Health & Wellbeing
Publisher	Cambridge University Press
Journal	BJPsych Open
ISSN	2056-4724
Electronic	2056-4724
Online	03 May 2023
Print	May 2023
Publication process dates
Deposited	17 Mar 2023
Accepted	14 Mar 2023
Output status	Published
Publisher's version	factors-prompting-and-deterring-suicides-on-the-roads.pdf License CC BY 4.0
Accepted author manuscript	File Access Level Restricted
Copyright Statement	Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists License: This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Digital Object Identifier (DOI)	https://doi.org/10.1192/bjo.2023.52
Web of Science identifier	WOS:000980526900001
Language	English

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Psychiatric disorders in women prisoners who have engaged in near-lethal self-harm: case–control study

Marzano, L., Fazel, S., Rivlin, A. and Hawton, K. 2010. Psychiatric disorders in women prisoners who have engaged in near-lethal self-harm: case–control study. The British Journal of Psychiatry. 197 (3), pp. 219-226. https://doi.org/10.1192/bjp.bp.109.075424