Dynamics of suicidal frequency changes within the Poland rail system - an attempt of epidemiological analyzes. / Dynamika zmian czestotliwosci samobójstw na kolei w Polsce ­ próba analizy epidemiologicznej.

ABSTRACT

OBJECTIVES: The analysis presented in the article is the first study of suicide on railway tracks in Poland. METHODS: An epidemiological assessment was conducted, study type case series, population-based with use of the data from the National Police Headquarters. The rates of railway suicides in Poland in the years 2007-2018 were compared to the overall number of suicides in Poland and in the Europe. RESULTS: In 2007-2018, the average share of deaths by railway suicide in the overall number of suicides committed in Poland amounted to 2.06%. Between the years 1999 -2018 there is a growing number of railway suicide attempts and railway suicide attempts without deaths. Since 2012, an increase of suicide attempts on railway tracks, along with a constant number of suicide deaths, has been observed. In 2017 - 2018, throwing oneself under a train to end one's lifewas the third most commonly chosen method in Poland. Although it accounted for only a small percentage of all methods of suicide, it was chosen relatively more often than in other European countries. CONCLUSIONS: Poland belongs to a small group of European countries where the number of deaths by suicide has displayed an upward tendency in the course of 20 years. There is a growing number of unsuccessful railway suicide attempts. The index of deaths on railway tracks in Poland, was considerably higher than the average index for the EU.