Int. J. Environ. Res. Public Health 2012, 9 777 trains (seven cases) and airport express trains (14 cases). At the north section, airport express trains were involved in 11 out of 13 incidents in total; nine suicides and two accidents. See Table 4. Table 4. Fatal train-person collisions by track sections and train categories on railway property in the greater Stockholm area, 2005–2008. Track section 4. Discussion Variables C SW N W SE Total Commuter train 5 6 0 4 4 19 Long distance fast train 1 1 2 3 0 7 Train categories Airport express train 3 0 11 0 0 14 Missing Total 0 0 0 0 1 1 9 7 13 7 5 41 This study was a total investigation of all registered train-person collisions with fatal outcome on state-owned rail networks in the greater Stockholm metropolitan area over a four year period 2005–2008. The limited material does not allow detailed statistical analyses and conclusions such as comparisons of risk between track sections, but points nevertheless to important patterns and tendencies relevant for preventative considerations. Moreover, all cases are carefully investigated by STA’s own investigator as well as the main author of this paper which brings the methodological approach of this study close to a qualitative multiple case study [20]. For the sake of comparison with national findings, however, we decided to present our results quantitatively. Due to the limited size of our material, our results should be interpreted with caution. The proportion of suicides and accidents in our material are similar to earlier findings at national level with suicide being the overriding problem [1]. Sex and age distributions are also similar to other studies [1,5,9,11–13]. Most victims, in both categories, are men and usually middle-aged in suicides while younger in accidents. Also, temporal distributions show similarities with earlier national findings and findings from other countries [1,21,22]. Suicide is typically a weekday and daytime problem while accidents are more common at night and weekends. Information on the victim’s pre-crash behavior usually originates from train-drivers’ and bystanders’ testimonies. In suicide, victims are observed awaiting trains at the platform, standing/walking near the edge, or, less commonly, wandering about at level crossings, however usually not conspicuously enough to prompt action. In one third of the cases the victim jumped in front of the train. In only one case, an SOS alarm was triggered, though not early enough to prevent the incident. At national level, awaiting trains for some time on or near tracks at crossings or in secluded areas is a more common pattern [1,3]. The importance of learning from the victims’ pre-crash behavior is also highlighted by others [23]. Among accidents, the corresponding information reveals other scenarios. Victims were observed walking in the wrong direction, or taking shortcuts through broken fences, under closed gates or across tracks between platforms.