ArticleAmerican journal of public health2013
Installation of a bridge barrier as a suicide prevention strategy in Montréal, Québec, Canada.
Article in American journal of public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact of interventions at frequently used suicide locations on occurrence of suicides at other sites: a systematic review and meta-analysis.Psychological medicine · 2025Pooled it
- Means restriction for the prevention of suicide by jumping.The Cochrane database of systematic reviews · 2020Pooled it
- Suicide Prevention Measures at High-Risk Locations: A Goal-Directed Motivation Perspective.Behavioral sciences (Basel, Switzerland) · 2025Review
- Evidence for Public Policies to Prevent Suicide Death in the United States.Annual review of public health · 2025Review
- Trends in, and Risk Factors for, Suicide in Public Places: A 17-Year Case-Control Study in Australia.Suicide & life-threatening behavior · 2025Article
- 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
- A Spatial Analysis of Suicide Displacement at a High-Risk Cliff-Based Location Following Installation of a Means Restriction Initiative.Prevention science : the official journal of the Society for Prevention Research · 2023Article
- Structural intervention at one bridge decreases the overall jumping suicide rate in Victoria, Australia.Epidemiology and psychiatric sciences · 2023Article
- Cost-effectiveness of Installing Barriers at Bridge and Cliff Sites for Suicide Prevention in Australia.JAMA network open · 2022Article
- Review
- Article
- Suicidality in Childhood and Adolescence.Deutsches Arzteblatt international · 2020Review
- Article
- Recent Advances in Means Safety as a Suicide Prevention Strategy.Current psychiatry reports · 2016Review
- The prevalence rates of suicide are likely underestimated worldwide: why it matters.Social psychiatry and psychiatric epidemiology · 2016Article
- Leading causes of unintentional injury and suicide mortality in Canadian adults across the urban-rural continuum.Public health reports (Washington, D.C. : 1974)Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe investigated whether the installation of a suicide prevention barrier on Jacques-Cartier Bridge led to displacement of suicides to other jumping sites on Montréal Island and Montérégie, Québec, the 2 regions it connects.
methodsSuicides on Montréal Island and Montérégie were extracted from chief coroners' records. We used Poisson regression to assess changes in annual suicide rates by jumping from Jacques-Cartier Bridge and from other bridges and other sites and by other methods before (1990-June 2004) and after (2005-2009) installation of the barrier.
resultsSuicide rates by jumping from Jacques-Cartier Bridge decreased after installation of the barrier (incidence rate ratio [IRR] = 0.24; 95% confidence interval [CI] = 0.13, 0.43), which persisted when all bridges (IRR = 0.39; 95% CI = 0.27, 0.55) and all jumping sites (IRR = 0.66; 95% CI = 0.54, 0.80) in the regions were considered.
conclusionsLittle or no displacement to other jumping sites may occur after installation of a barrier at an iconic site such as Jacques-Cartier Bridge. A barrier's design is important to its effectiveness and should be considered for new bridges with the potential to become symbolic suicide sites.
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