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Nutrients
toronto transit commission ttc operates public transit system toronto canada 1954 1980 430 suicide deathsattempts ttc subway system 2011 ttc implemented crisis link suicide helpline connect subway passengers counsellors upstream factors media reporting suicide incidents may also influence suicidal behaviour objectives investigate crisis link media reports ttc suicide incidents influenced suicide rates suicide data obtained ttc coroner crisis link data provided distress centres greater toronto 19982021 media articles identified database search toronto media publications interrupted timeseries analysis investigated association crisis link calls media articles quarterly suicide rates subway system 302 suicides ttcs subway system 1998 2021 introduction crisis link associated large nonsignificant decrease ttcrelated suicide rate quarter irr 064 95 ci 036112 subsequent postcrisislink quarter experienced average 2 increase suicide rate irr 102 95 ci 1004104 furthermore ttcrelated media article previous quarter suicide rate ttc increased 2 irr 102 95 ci 1004104 crisis link helpline associated large nonsignificant shortterm decrease suicide rates however outcome sustained may part attributable media reporting associated increased suicides inform suicide prevention policies canada worldwide funding