Evidence map›Paper›PMID 41782357›Full record

ArticleBJPsych open2026

Experiences of receiving a bystander intervention during a suicide attempt on the railways.

Bethany Cliffe, Dafni Katsampa, Jay-Marie Mackenzie, Ian Marsh, Lisa Marzano

Abstract read
In one paragraph

Article in BJPsych open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Bethany CliffePsychology, University of Westminster, London, UK.ORCID https://orcid.org/0000-0002-0520-3726
Dafni KatsampaPsychology, Middlesex University, London, UK.ORCID https://orcid.org/0000-0002-7254-1653
Jay-Marie MackenziePsychology, University of Westminster, London, UK.ORCID https://orcid.org/0000-0002-0716-2155
Ian MarshAllied Health, https://ror.org/0489ggv38Canterbury Christ Church University, Canterbury, UK.ORCID https://orcid.org/0000-0003-3576-4724
Lisa MarzanoPsychology, Middlesex University, London, UK.ORCID https://orcid.org/0000-0001-9735-3512

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPromoting bystander interventions is a core strategy to prevent suicides in public places, but little is known about how people with lived experience perceive this intervention.

aimsTo explore people's experiences of receiving an intervention during a suicide attempt on the railways.

methodInterviews were conducted with 28 people with experience of receiving a bystander intervention during a suicide attempt on the railways. Interview data were triangulated with an online ethnography exploring posts made on forums and similar platforms openly discussing suicide.

resultsUsing reflexive thematic analysis, five themes were generated: (a) 'I'm a good actor… we all carry a mask': concealing feelings and intentions; (b) 'It kind of draws your attention away but it doesn't almost shine a spotlight': interventions should be gentle and not draw more attention; (c) 'People that were getting in my way were just making me want to try harder': interventions can trigger difficult feelings in the moment; (d) 'I did feel different, I felt better': the power of small talk; and (e) 'You feel like a human being and you feel like they actually care': wanting to feel cared for.

conclusionsFindings suggested that some people actively avoid receiving an intervention by concealing how they are feeling in that moment. Interventions that are gentle and do not draw attention may be preferable, such as making small talk and simple gestures such as smiling or being near the individual. Conversely, more intrusive or aggressive interventions may be triggering and exacerbate suicidality.

Indexed as

bystander interventionrailway suicidesSuicide prevention

Identifiers

PMID41782357
PMCPMC13107300

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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.