How Blue Lights on Train Platforms Combat Tokyo’s Suicide Epidemic
nextcity.org
nextcity.org
So they don't know how blue lights do anything. The title of the article is totally misleading.
If it hits the same frequencies.
The frequency of the light is important here, because our body/eyes pick up on and react differently to, well, different frequencies. Just because we perceive two lights as producing the same color does not mean that we will get the same reaction, physiologically, from both of them.
Light therapy is a common treatment for seasonal affective disorder and depression. Just speculating, but this sounds like a public health version of that, something like adding iodine to salt or fluoride to drinking water.
http://www.cochrane.org/CD011269/DEPRESSN_light-therapy-prev...
> Which studies were included in the review?
> We searched databases up to August 2015 for studies on light therapy to prevent winter depression. Among 2986 records, we found one randomised controlled study including 46 people who received light therapy or no treatment. All individuals in these studies had a history of winter depression.
> What does the evidence from the review reveal?
> The quality of evidence for all outcomes was very low, so we can draw no conclusions about whether light therapy is effective in preventing winter depression. The included study provided no information on side effects of light therapy.
[...]
> Authors' conclusions:
> Evidence on light therapy as preventive treatment for patients with a history of SAD is limited. Methodological limitations and the small sample size of the only available study have precluded review author conclusions on effects of light therapy for SAD. Given that comparative evidence for light therapy versus other preventive options is limited, the decision for or against initiating preventive treatment of SAD and the treatment selected should be strongly based on patient preferences. It has a plausible mechanism of action, and (so long as other treatment approaches aren't ignored) it's unlikely to do any harm.
> the small sample size of the only available study
The only study?
https://scholar.google.com/scholar?q=light+therapy+depressio...
There are numerous studies showing a benefit from light therapy.
It is true that the the quality of the evidence could be improved. That's a political/financial issue, not a reflection of the efficacy (or lack thereof) of light therapy. The available evidence supports the treatment.
Basically when you say "there are studies that show X" you aren't saying anything because "studies" are cheap unless your methodology is rigorous and sound, which isn't the case a lot of the time.
http://archpsyc.jamanetwork.com/article.aspx?articleid=20429...
http://ajp.psychiatryonline.org/doi/full/10.1176/ajp.2006.16...
http://archpsyc.jamanetwork.com/article.aspx?articleid=20433...
Apparently, 91 papers passed Nussbaumer et al's assessment of the abstract (and were presumably randomized, controlled trials):
We assessed 91 full-text papers for inclusion in the review, but only one study providing data from 46 people met our eligibility criteria.
Those eligibility criteria were:
For efficacy, we included randomised controlled trials on adults with a history of winter-type SAD who were free of symptoms at the beginning of the study.
I think it may have been the focus on prevention (rather than treatment of symptomatic depression) that excluded all the other papers.
I just skimmed the paper the paper the first time and didn't notice that the authors were searching for studies of a very specific question: prevention (excluding treatment) of seasonal affective disorder (excluding any other form of depression).
From Article: "84 percent decrease in suicides at stations with the blue lights."
Along with the shift in meaning of "literally," another major shift in language is occurring w/r/t to the use of "How."
Often these days, you can substitute "How" with "That."
For example, in this article, it's not about "How the lights helped people." It's more like "That the lights helped people."
I'm not trying to say you're wrong or that I like this practice. All I'm saying is it's part of a bigger trend.
> Often these days, you can substitute "How" with "That."
Not really; the uses of "how" -- which aren't really substitutes for "that" -- that don't address a mechanism by which an effect is achieved but either the manner in which it manifests or the degree to which it manifests (the latter being essentially the same as phrase "how much", though the "much" is often left out) are both centuries old and in continuous, common use.
The article is not about merely "That the lights reduce suicide" but "How [much] the lights reduce suicide". Which is a long-established, not novel, use of "How", despite being distinct from another potential meaning of "how", "By what mechanism did the lights reduce suicide."
It appears that they also don't know whether the blue lights prevent suicides, or merely relocate them to somewhere besides train stations.
Regardless, reducing the number of suicides in train stations is not a bad goal ...
> Part of the reason the city concentrates its efforts here is because such “human accidents” are costly and can disrupt tens of thousands of passengers for up to an hour, weekly or even daily.
... but it is not really a goal that is motivated by concern for the people who might kill themselves.
I'll save you the click: They don't really know why the blue lights reduce people's urge to commit suicide, they just do.
http://psychcentral.com/blog/archives/2008/12/13/can-blue-co... gives some more reasonable account (part of the change may be that people do not commit suicide _there_) and references the paper in question (http://phys.org/news/2008-12-blue-streetlights-crime-suicide...) which is titled (emphasis added): "Blue streetlights may prevent crime, suicide".
Unfortunately, I cannot find the text.
As to the effect, I now think it may be real in the sense that it prevents suicide on impulse. People who are suicidal all the time will probably find another place or method to do so, but people who just feel miserable and have suicidal impulses may be prevented from jumping.
And of course, that may change once people have grown up in cities that are illuminated sky-blue throughout the night.
As the population changes younger people find new methods, so it's not enough by itself.
But if you look at other changes (eg limiting the sizes of paracetamol packets sold over the counter) we see a shift from paracetamol to opiates or tri-cyclics or anti-psychotics.
those who formulate a plan and carry it out are more likely to formulate an alternative plan if the one they initially had in mind wasn't going to be possible
those who act on impulse find that if they have to think about it, the impulse has gone
could be
I hope people aren't trying to kill themselves with paracetamol!
That's one of the nastiest ways to die. It takes about five days between OD and death, and it's exceedingly painful. Doctors can't do anything to save you, you're stuck explaining to your family that you're dying by your own hand, and you almost always change your mind during that time but it's too late. Did I mention the extreme pain?
As far as ways to die go, paracetamol-induced liver failure is one of the most nightmarish. If people are choosing to kill themselves by ODing on heroin instead of on paracetamol, well, at least their death will be less excruciating.
This wouldn't be a new finding. Several years ago, I read that putting railings on bridges dropped the overall suicide rate for similar reasons.
http://www.nytimes.com/2008/07/06/magazine/06suicide-t.html?...
As both the article and another commenter note, British suicide rates dropped as the most popular method of suicide (sticking your head in the oven) was made more difficult by the reduction of coal-gas ovens.
Another interesting addendum is the impulsively suicidal generally choose the most effective methods (jumping off a bridge, shooting oneself, etc) while the most determinedly suicidal choose the least effective methods (overdosing, cutting, etc.) It's perversely the opposite of what you might expect.
This article gives me the impression that all they're really trying to do, realizing it or not, is make it possible for that anti-pattern, and all the anti-patterns surrounding it, to continue to exist. "Be strong, go to work!"
Also, if you have to travel 67 minutes to and from work in a cattle car, and you're part of the "salary man" cohort with legendary working hours, how can you have any time at all to take advantage of the "free" mental health services mentioned elsewhere in this thread.
I've been on software "death marches" of a few weeks or months. The stereotype that I see in my at a distance news reading from Japan looks like a lifelong death march.
We are not "meant," or evolved, depending on your point of view, to work and stress all our waking hours. We are not meant to live in Tokyo and similar environments.
http://www.nytimes.com/2012/06/29/nyregion/new-york-police-d...
http://www.reuters.com/article/us-crime-newyork-statistics-i...
However it is kind of hard to fudge suicide reports I guess.
Makes me sad to hear suicide is so high in Japan, especially with free/low-cost mental and physical health care. Has to be a cultural thing where it is accepted and then one person sees/reads about another doing it so it plants the idea in their head that it is okay.
http://www.japantimes.co.jp/news/2013/02/03/national/media-n...
What's the error rate in other countries?
http://articles.latimes.com/2007/nov/09/world/fg-autopsy9
"Photos of the teenager's corpse show a deep cut on his right arm, horrific bruising on his neck and chest. His face is swollen and covered with cuts. A silhouette of violence runs from the corner of his left eye over the cheekbone to his jaw, and his legs are pocked with small burns the size of a lighted cigarette.
But police in Japan's Aichi prefecture saw something else when they looked at the body of Takashi Saito, a 17-year-old sumo wrestler who arrived at a hospital in June. The cause of death was "heart disease," police declared.
As is common in Japan, Aichi police reached their verdict on how Saito died without an autopsy. No need for a coroner, they said. No crime involved. Only 6.3% of the unnatural deaths in Aichi are investigated by a medical examiner, a minuscule rate even by nationwide standards in Japan, where an autopsy is performed in 11.2% of cases."
The four new Prague metro stations are equipped with a blue band at the edge of the platform, which starts to blink when a train approaches.
I wonder if this is coincidental.
(On second thought, most Prague underground stations are lit with light that's closer to the "daylight" range than to "incadescent", but that might be an artifact of the lighting systems rather than a deliberate choice)
TL;DR: Just a UX coincidence.
It's comments like yours, which make HN interesting. Even if the upcoming questions are of rather idiosyncratic nature.
I assume that the C line stations equipped with those bands are the ones up north (thanks for the addition). I have to admit that I never made it that far.
As a side note. The general design of the Prague metro stations are pretty awesome (well, most of them anyway). The "bubble" design of the older A metro stations is almost iconic.
Really a testament to Czech design in my view.
Thanks again for the insight.
Yep, that's them; there's nothing to see in the desolate northern wastes anyway ;) Except perhaps the Strizkov "White Whale" metro station, a Schrödingerish case of good/bad design: you'll love and/or hate it.
[1] http://ignition.co/398 [2] https://en.wikipedia.org/wiki/Herbivore_men
This would keep the murder rate artificially low and the suicide rate artificially high.
I also heard that due to the nature of elderly benefit receival in Japan, its status as having some of the longest living people might also be in doubt...
Nothing substantial I can give you, but I'll just mention this :-)
Also, on the suicide rate, seems like Japan is a ways down the list at 9th place with a rate of 28.2 per 100,000 (for years 1985 - 2015) [1].
[1] https://en.wikipedia.org/wiki/List_of_countries_by_suicide_r...
How does this drive them to extinction? Nothing stops people with hobbies from having plenty of children.
Even for South Korea this is only approaching 0.03%
You can buy "SAD lamps" which emit a fairly bright cold color temperature light which in theory helps you generally feel better.
F.lux: https://justgetflux.com/
Redshift: http://jonls.dk/redshift/