{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T05:02:19Z","timestamp":1789621339494,"version":"build-2803163510"},"reference-count":20,"publisher":"American Public Health Association","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:p> Objectives. We investigated whether the installation of a suicide prevention barrier on Jacques-Cartier Bridge led to displacement of suicides to other jumping sites on Montr\u00e9al Island and Mont\u00e9r\u00e9gie, Qu\u00e9bec, the 2 regions it connects. <\/jats:p><jats:p> Methods. Suicides on Montr\u00e9al Island and Mont\u00e9r\u00e9gie were extracted from chief coroners\u2019 records. We used Poisson regression to assess changes in annual suicide rates by jumping from Jacques-Cartier Bridge and from other bridges and other sites and by other methods before (1990\u2013June 2004) and after (2005\u20132009) installation of the barrier. <\/jats:p><jats:p> Results. Suicide rates by jumping from Jacques-Cartier Bridge decreased after installation of the barrier (incidence rate ratio [IRR]\u2009=\u20090.24; 95% confidence interval [CI]\u2009=\u20090.13, 0.43), which persisted when all bridges (IRR\u2009=\u20090.39; 95% CI\u2009=\u20090.27, 0.55) and all jumping sites (IRR\u2009=\u20090.66; 95% CI\u2009=\u20090.54, 0.80) in the regions were considered. <\/jats:p><jats:p> Conclusions. Little or no displacement to other jumping sites may occur after installation of a barrier at an iconic site such as Jacques-Cartier Bridge. A barrier\u2019s design is important to its effectiveness and should be considered for new bridges with the potential to become symbolic suicide sites. <\/jats:p>","DOI":"10.2105\/ajph.2012.301089","type":"journal-article","created":{"date-parts":[[2013,5,16]],"date-time":"2013-05-16T20:02:50Z","timestamp":1368734570000},"page":"1235-1239","source":"Crossref","is-referenced-by-count":37,"title":["Installation of a Bridge Barrier as a Suicide Prevention Strategy in Montr\u00e9al, Qu\u00e9bec, Canada"],"prefix":"10.2105","volume":"103","author":[{"given":"St\u00e9phane","family":"Perron","sequence":"first","affiliation":[{"name":"St\u00e9phane Perron, Stephanie Burrows, and Michel Fournier are with the Direction de Sant\u00e9 Publique de Montr\u00e9al, Qu\u00e9bec. St\u00e9phane Perron is also with the D\u00e9partement de m\u00e9decine sociale et pr\u00e9ventive, Facult\u00e9 de m\u00e9decine, Universit\u00e9 de Montr\u00e9al, Qu\u00e9bec. Paul-Andr\u00e9 Perron is with the Bureau du Coroner, Qu\u00e9bec, Montr\u00e9al, Qu\u00e9bec. Fr\u00e9d\u00e9ric Ouellet is with the \u00c9cole de criminologie, Universit\u00e9 de Montr\u00e9al."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Burrows","sequence":"additional","affiliation":[{"name":"St\u00e9phane Perron, Stephanie Burrows, and Michel Fournier are with the Direction de Sant\u00e9 Publique de Montr\u00e9al, Qu\u00e9bec. St\u00e9phane Perron is also with the D\u00e9partement de m\u00e9decine sociale et pr\u00e9ventive, Facult\u00e9 de m\u00e9decine, Universit\u00e9 de Montr\u00e9al, Qu\u00e9bec. Paul-Andr\u00e9 Perron is with the Bureau du Coroner, Qu\u00e9bec, Montr\u00e9al, Qu\u00e9bec. Fr\u00e9d\u00e9ric Ouellet is with the \u00c9cole de criminologie, Universit\u00e9 de Montr\u00e9al."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Fournier","sequence":"additional","affiliation":[{"name":"St\u00e9phane Perron, Stephanie Burrows, and Michel Fournier are with the Direction de Sant\u00e9 Publique de Montr\u00e9al, Qu\u00e9bec. St\u00e9phane Perron is also with the D\u00e9partement de m\u00e9decine sociale et pr\u00e9ventive, Facult\u00e9 de m\u00e9decine, Universit\u00e9 de Montr\u00e9al, Qu\u00e9bec. Paul-Andr\u00e9 Perron is with the Bureau du Coroner, Qu\u00e9bec, Montr\u00e9al, Qu\u00e9bec. Fr\u00e9d\u00e9ric Ouellet is with the \u00c9cole de criminologie, Universit\u00e9 de Montr\u00e9al."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul-Andr\u00e9","family":"Perron","sequence":"additional","affiliation":[{"name":"St\u00e9phane Perron, Stephanie Burrows, and Michel Fournier are with the Direction de Sant\u00e9 Publique de Montr\u00e9al, Qu\u00e9bec. St\u00e9phane Perron is also with the D\u00e9partement de m\u00e9decine sociale et pr\u00e9ventive, Facult\u00e9 de m\u00e9decine, Universit\u00e9 de Montr\u00e9al, Qu\u00e9bec. Paul-Andr\u00e9 Perron is with the Bureau du Coroner, Qu\u00e9bec, Montr\u00e9al, Qu\u00e9bec. Fr\u00e9d\u00e9ric Ouellet is with the \u00c9cole de criminologie, Universit\u00e9 de Montr\u00e9al."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Ouellet","sequence":"additional","affiliation":[{"name":"St\u00e9phane Perron, Stephanie Burrows, and Michel Fournier are with the Direction de Sant\u00e9 Publique de Montr\u00e9al, Qu\u00e9bec. St\u00e9phane Perron is also with the D\u00e9partement de m\u00e9decine sociale et pr\u00e9ventive, Facult\u00e9 de m\u00e9decine, Universit\u00e9 de Montr\u00e9al, Qu\u00e9bec. Paul-Andr\u00e9 Perron is with the Bureau du Coroner, Qu\u00e9bec, Montr\u00e9al, Qu\u00e9bec. Fr\u00e9d\u00e9ric Ouellet is with the \u00c9cole de criminologie, Universit\u00e9 de Montr\u00e9al."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"844","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.16.2064"},{"issue":"2","key":"bib2","doi-asserted-by":"crossref","first-page":"65","DOI":"10.5694\/j.1326-5377.1998.tb126713.x","volume":"168","author":"Routley VH","year":"1998","journal-title":"Med J Aust"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0040105"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.1080\/15563650903093192"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1007\/s001270050261"},{"key":"bib6","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291701003920"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1521\/suli.33.2.151.22775"},{"key":"bib8","doi-asserted-by":"publisher","DOI":"10.2466\/pr0.1995.77.1.294"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.1136\/ip.2006.013748"},{"key":"bib10","doi-asserted-by":"publisher","DOI":"10.1521\/suli.2005.35.4.460"},{"key":"bib11","doi-asserted-by":"publisher","DOI":"10.1080\/0004867010060501"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.106.027136"},{"key":"bib13","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c2884"},{"key":"bib14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1997.tb09897.x"},{"issue":"4","key":"bib15","first-page":"289","volume":"122","author":"Rosen DH","year":"1975","journal-title":"West J Med"},{"key":"bib16","first-page":"36","author":"Glenn WM","year":"2003","journal-title":"MD Canada"},{"key":"bib18","doi-asserted-by":"publisher","DOI":"10.1080\/00048670902873714"},{"key":"bib19","doi-asserted-by":"publisher","DOI":"10.2466\/pms.1993.77.2.534"},{"key":"bib20","volume-title":"L\u2019\u00e9pid\u00e9miologie du suicide au Qu\u00e9bec: que savons-nous de la situation r\u00e9cente?","author":"St-Laurent D","year":"2004"},{"key":"bib21","doi-asserted-by":"publisher","DOI":"10.1136\/ip.2009.022491"}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.2012.301089","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,10]],"date-time":"2022-05-10T00:37:48Z","timestamp":1652143068000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.2012.301089"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7]]},"references-count":20,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2013,7]]}},"alternative-id":["10.2105\/AJPH.2012.301089"],"URL":"https:\/\/doi.org\/10.2105\/ajph.2012.301089","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,7]]}}}