SynthesisBMC public health2013
Interventions to reduce suicides at suicide hotspots: a systematic review.
Synthesis in BMC public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
42 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Effectiveness of suicide means restriction: an overview of systematic reviews.BMJ mental health · 2025Pooled it
- Quantitative Methods to Detect Suicide and Self-Harm Clusters: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Means restriction for the prevention of suicide by jumping.The Cochrane database of systematic reviews · 2020Pooled it
- Work-related posttraumatic stress disorder (PTSD) and other emotional diseases as consequence of traumatic events in public transportation: a systematic review.International archives of occupational and environmental health · 2015Pooled it
- Interventions for primary prevention of suicide in university and other post-secondary educational settings.The Cochrane database of systematic reviews · 2014Pooled it
- The socio-environmental determinants of railway suicide: a systematic review.BMC public health · 2014Pooled it
- Are we Using the Right Evidence to Inform Suicide Prevention in Low- and Middle-Income Countries? An Umbrella Review.Archives of suicide research : official journal of the International Academy for Suicide ResearchPooled it
- A Descriptive Analysis of Suicide Trends by Race/Ethnicity, Sex, and Age Categories in Santa Clara County, California From 2018 to 2023.AJPM focus · 2026Article
- Effectiveness of surveillance technology for the prevention of suicides in public spaces: a systematic review.BMJ public health · 2026Article
- A Pilot Qualitative Study to Better Understand the Factors Related to Suicides and Inform Public Health Action Across a Predominantly Coastal and Rural Area: Cornwall, Southwest of England.International journal of environmental research and public health · 2025Article
- Identification and Analysis of Critical Suicide Sites and Factors in Castilla-La Mancha (2020-2024): Forensic and Healthcare Collaboration for Prevention.Behavioral sciences (Basel, Switzerland) · 2025Article
- Community-based Suicide Interventions in Rural United States: A Scoping Review.Community mental health journal · 2025Article
- Child and Adolescent Suicides in Turkey (2004-2023): A Comprehensive Evaluation.Child psychiatry and human development · 2025Article
- The land cover paradox: Characteristics of blue- and green spaces within and beyond high-risk suicide clusters.SSM - population health · 2025Article
- Evidence for Public Policies to Prevent Suicide Death in the United States.Annual review of public health · 2025Review
- Change in incidents of suicidal acts after intervention on a bridge in South Korea.Social psychiatry and psychiatric epidemiology · 2025Article
- "Razones para Vivir": Hybrid implementation study in Colombia for health governance and improving suicidal behavior.Revista panamericana de salud publica = Pan American journal of public health · 2025Article
- Strategies for Reducing Suicide at Railroads: A Scoping Review of Evidence and Gaps.International journal of environmental research and public health · 2024Article
- Effectiveness of physical barriers to prevent suicide by jumping from high-risk bridges: From an integrative review to a northern Italian province's paradigm.Preventive medicine reports · 2024Review
- Methods of suicide used by people with cancer: a scoping review protocol.HRB open research · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background'Suicide hotspots' include tall structures (for example, bridges and cliffs), railway tracks, and isolated locations (for example, rural car parks) which offer direct means for suicide or seclusion that prevents intervention.
methodsWe searched Medline for studies that could inform the following question: 'What interventions are available to reduce suicides at hotspots, and are they effective?'
resultsThere are four main approaches: (a) restricting access to means (through installation of physical barriers); (b) encouraging help-seeking (by placement of signs and telephones); (c) increasing the likelihood of intervention by a third party (through surveillance and staff training); and (d) encouraging responsible media reporting of suicide (through guidelines for journalists). There is relatively strong evidence that reducing access to means can avert suicides at hotspots without substitution effects. The evidence is weaker for the other approaches, although they show promise.
conclusionsMore well-designed intervention studies are needed to strengthen this evidence base.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.