The effectiveness of structural interventions at suicide hotspots: a meta-analysis
Open accessAbstract
BACKGROUND: Certain sites have gained notoriety as 'hotspots' for suicide by jumping. Structural interventions (e.g. barriers and safety nets) have been installed at some of these sites. Individual studies examining the effectiveness of these interventions have been underpowered. METHOD: We conducted a meta-analysis, pooling data from nine studies. RESULTS: Following the interventions, there was an 86% reduction in jumping suicides per year at the sites in question (95% CI 79% to 91%). There was a 44% increase in jumping suicides per year at nearby sites (95% CI 15% to 81%), but the net gain was a 28% reduction in all jumping suicides per year in the study cities (95% CI 13% to 40%). CONCLUSIONS: Structural interventions at 'hotspots' avert suicide at these sites. Some increases in suicide are evident at neighbouring sites, but there is an overall gain in terms of a reduction in all suicides by jumping.
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Steeg, S., Ledden, S., Marzano, L., Dutta, R., Quinlivan, L. M., Kapur, N., John, A. M., & Webb, R. T. (2025) · BMJ Mental Health · doi:10.1136/bmjment-2025-302069 · Cited by 10 · see citing works
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Self-citationDwyer, J., Spittal, M. J., Scurrah, K. J., Pirkis, J., Bugeja, L. C., & Clapperton, A. (2023) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796023000720 · Cited by 8 · see citing works
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POLÍTICAS PÚBLICAS EM SUICÍDIO: DO PATERNALISMO CLÁSSICO AO PATERNALISMO LIBERTÁRIO E NUDGING
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Har sikring av Tromsøbrua hindret selvmord?
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- Authors
- Pirkis, J., Spittal, M. J., Cox, G., Robinson, J., Cheung, Y. T. D., & Studdert, D.
- Affiliations
- The University of Melbourne (AU)
- Venue
- International Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-03-15
- Volume
- 42
- Issue
- 2
- Pages
- 541-548
- ISSN
- 0300-5771 (ISSN-L)
- 1464-3685
- OpenAlex
- W2125422714
- Cited by
- 114
- References
- 41
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 14 · 2023: 8 · 2022: 10 · 2021: 13 · 2020: 8 · 2019: 11 · 2018: 7 · 2017: 9 · 2016: 10 · 2015: 8 · 2014: 3 · 2013: 4
- FWCI
- 1.22
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- International Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Minerva Access (University of Melbourne) (submittedVersion)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Australian Government
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- suicide hotspots, structural interventions, barriers, social safety nets, suicide prevention, suicide rates, intervention effectiveness
- MeSH terms
- Suicide Prevention, Architectural Accessibility, Environment Design, Humans, Safety
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