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Railway suicide: the psychological effects on drivers

  • Richard Farmer (a1), Troy Tranah (a1), Ian O'Donnell (a1) and Jose Catalan (a1)

People have jumped (or fallen) in front of trains on the London Underground system in increasing numbers throughout the twentieth century. During the past decade there have been about 100 such incidents each year, of which around 90 would involve the train driver witnessing his train strike the person on the track. Most are suicides or attempts at suicide. They represent major unexpected and violent events in the lives of the train drivers and it might be expected that some of them would respond by developing a post-traumatic stress reaction of the type identified by Horowitz (1976) or other adverse psychological reactions or both. The research reported in this paper was designed to characterize the range of responses of drivers to the experiences of killing or injuring members of the public during the course of their daily work. It was found that 16·3% of the drivers involved in incidents did develop post-traumatic stress disorder and that other diagnoses, e.g. depression and phobic states, were present in 39·5% of drivers when interviewed one month after the incident.

Corresponding author
1Address for correspondence: Mr Troy Tranah, Department of Public Health and Epidemiology, Charing Cross and Westminster Medical School (University of London), 17 Horseferry Road, London SW1P 2AR.
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American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders (Third Edition – Revised) American Psychiatric Association: Washington, DC.
Cocks, R. A. (1989). Trauma in the tube: the problem of railway suicide and its consequences. Stress Medicine 5, 9397.
Derogatis, L. R., Lipman, R. S. & Covi, L. (1973). The SCL-90: an out-patient psychiatric rating scale. Psychopharmacology Bulletin 9, 1328.
Farmer, R. D. T., O'Donnell, I. & Tranah, T. (1991). Suicide on the London Underground system. International Journal of Epidemiology 20, 707711.
Fleiss, J. L. (1981). Statistical Methods for Rates and Proportions. Second Edition. John Wiley & Sons: New York.
Goldberg, D. & Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine 9, 139145.
Goldberg, D. & Williams, P. (1988). A User's Guide to the General Health Questionnaire, NFER-NELSON: Windsor.
Green, B. L., Lindy, J. D. & Grace, M. C. (1985). Post-traumatic stress disorder. Towards DSM-IV. Journal of Nervous and Mental Disease 173, 406411.
Guggenheim, F. G. & Weisman, A. D. (1972). Suicide in the subway: publicly witnessed attempts of 50 cases. Journal of Nervous and Mental Disease 155, 404409.
Holen, A., Sund, A. & Weisaeth, L. (1983). The Alexander Kielland Disaster March 27th 1980: psychological reactions among the survivors. Division of Disaster Psychiatry, University of Oslo: Oslo.
Horowitz, M. J. (1976). Stress Response Syndromes. Jason Aronson: New York.
Horowitz, M., Wilner, N. & Alvarez, W. (1979). Impact of event scale: a measure of subjective stress. Psychosomatic Medicine 41, 209218.
Horowitz, M. J., Wilner, N., Kaltreider, N. & Alvarez, W. (1980). Signs and symptoms of post-traumatic stress disorder. Archives of General Psychiatry 37, 8592.
Johnston, D. W. C. & Waddell, J. P. (1984). Death and injury patterns, Toronto subway system 1954–1980. Journal of Trauma 24, 619622.
McGuire, B. (1990). Post-traumatic stress disorder: a review. Irish Journal of Psychology 11, 123.
Ramsay, R. (1990). Post-traumatic stress disorder; a new clinical entity? Journal of Psychosomatic Research 34, 355365.
Symonds, R. L. (1985). Psychiatric aspects of railway suicide. Psychological Medicine 15, 609621.
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). The Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: Cambridge.
Wing, J. K., Mann, S. A., Leff, J. P. & Nixon, J. N. (1978). The concept of a ‘case’ in psychiatric population surveys. Psychological Medicine 8, 203217.
World Health Organization (1977). International Classification of Diseases. Manual of the International Statistical Classification of Diseases, Injuries, and Causes of Death. Volume 1. Her Majesty's Stationery Office: London.
World Health Organization (1990). International Classification of Diseases. ICD-10. 1990 Draft of Chapter V. Categories F00-F99. Mental and Behavioural Disorders. WHO: Geneva.
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Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
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