Railway suicides fall disproportionately on psychiatric patients and cluster near mental-health facilities

Where track runs close to psychiatric institutions, add targeted fencing, barriers, or routing/siting changes to break the physical proximity that makes those sections hotspots for patient suicides — a driver generic network-wide measures leave unaddressed.

Establish protocols linking mental-health services and rail operators — sharing elevated-risk periods (e.g. around discharge), agreeing alerting and safety-planning for patients near rail — so clinical risk information translates into targeted operational vigilance.