PDF(Pubmed)
Abstract：
UNASSIGNED: Although uncommon, suicide by jumping is almost always lethal and can be significantly elevated locally due to the availability of tall structures including bridges and other high-risk locations. Empirical evidence suggests that restricting access to certain suicide methods is highly effective at preventing suicide, prompting the construction of physical barriers in many high-risk jumping locations. However, some have argued that these measures are too costly and only lead to method or location substitution.
UNASSIGNED: To examine whether physical barriers are effective at preventing suicide by jumping or whether method or location substitution occur.
UNASSIGNED: An integrative review of the most representative literature.
UNASSIGNED: Results clearly show that physical barriers are highly effective at preventing suicide by jumping with little to no method or location substitution occurring. Furthermore, their cost is far outweighed by the monetary benefits of averted suicides.
UNASSIGNED: Using the Italian pre-alpine/alpine areas as a paradigm, we argue that local topography and socioeconomic particularities led to significantly elevated rates of suicide in general, and of suicide by jumping from bridges in particular, especially among young adults who are more vulnerable to economic crises and show elevated susceptibility to impulsive acts, a known characteristic associated with suicide by jumping, which makes the issue even more topical and clinically relevant. As these finding are easily generalized to other territories with similar topographical and/or economic characteristics, we end with a call to action, urging local authorities to heed the scientific evidence and take the necessary steps to improve suicide prevention.
UNASSIGNED: To examine whether physical barriers are effective at preventing suicide by jumping or whether method or location substitution occur.
UNASSIGNED: An integrative review of the most representative literature.
UNASSIGNED: Results clearly show that physical barriers are highly effective at preventing suicide by jumping with little to no method or location substitution occurring. Furthermore, their cost is far outweighed by the monetary benefits of averted suicides.
UNASSIGNED: Using the Italian pre-alpine/alpine areas as a paradigm, we argue that local topography and socioeconomic particularities led to significantly elevated rates of suicide in general, and of suicide by jumping from bridges in particular, especially among young adults who are more vulnerable to economic crises and show elevated susceptibility to impulsive acts, a known characteristic associated with suicide by jumping, which makes the issue even more topical and clinically relevant. As these finding are easily generalized to other territories with similar topographical and/or economic characteristics, we end with a call to action, urging local authorities to heed the scientific evidence and take the necessary steps to improve suicide prevention.
摘要：
■虽然不常见，通过跳跃自杀几乎总是致命的，并且由于包括桥梁和其他高风险地点在内的高建筑物的可用性，可以在局部显着升高。经验证据表明，限制使用某些自杀方法对预防自杀非常有效，促使在许多高风险跳跃地点建造物理屏障。然而,一些人认为，这些措施成本太高，只会导致方法或地点替代。
■检查物理障碍是否有效防止跳跃自杀或方法或位置替代是否发生。
■对最具代表性的文献进行综合评述。
■结果清楚地表明，物理障碍在通过跳跃而几乎没有方法或位置替代发生时非常有效地预防自杀。此外，他们的成本远远超过了避免自杀的金钱利益。
■使用意大利前高山/高山地区作为范例，我们认为，当地的地形和社会经济的特殊性导致自杀率显著升高，尤其是跳桥自杀，特别是在年轻人中，他们更容易受到经济危机的影响，并且对冲动行为表现出更高的敏感性，与跳跃自杀有关的已知特征，这使得这个问题更加局部和临床相关。由于这些发现很容易推广到具有相似地形和/或经济特征的其他地区，我们以行动呼吁结束，敦促地方当局听取科学证据，并采取必要步骤改善自杀预防。
■检查物理障碍是否有效防止跳跃自杀或方法或位置替代是否发生。
■对最具代表性的文献进行综合评述。
■结果清楚地表明，物理障碍在通过跳跃而几乎没有方法或位置替代发生时非常有效地预防自杀。此外，他们的成本远远超过了避免自杀的金钱利益。
■使用意大利前高山/高山地区作为范例，我们认为，当地的地形和社会经济的特殊性导致自杀率显著升高，尤其是跳桥自杀，特别是在年轻人中，他们更容易受到经济危机的影响，并且对冲动行为表现出更高的敏感性，与跳跃自杀有关的已知特征，这使得这个问题更加局部和临床相关。由于这些发现很容易推广到具有相似地形和/或经济特征的其他地区，我们以行动呼吁结束，敦促地方当局听取科学证据，并采取必要步骤改善自杀预防。
