Johan Fredin-Knutzén

Johan Fredin-Knutzén

Phd Student
Visiting address: Granits väg 4, 17177 Solna
Postal address: C7 Lärande, Informatik, Management och Etik, C7 NASP Carli, 171 77 Stockholm

About me

  • I am Programme Director for suicide prevention in transport systems and public environments at the National Centre for Suicide Research and Prevention (NASP), which is part of the Centre for Health Economics, Informatics and Healthcare Research (CHIS) within Region Stockholm Health Care Services. I am also a PhD candidate at Karolinska Institutet, with a dissertation on suicide preventive measures in transport systems.

    My work concerns suicide prevention in transport systems and other public environments, with a particular focus on scalable measures, means restriction and implementation in real world settings.

    I provide expert support on suicide prevention in transport systems and support regional, national and, international infrastructure projects. I also conduct research and innovation work in the field.

    I currently lead a multiyear research project commissioned by the Swedish Transport Administration, aimed at improving suicide prevention in rail transport. I also lead several smaller projects on suicide in transport systems and other public environments, funded by organisations including the Swedish Transport Administration and the National Board of Housing, Building and Planning.

    My research concerns scalable suicide preventive measures in transport systems and other public environments, including fencing along railways, AI based video surveillance and other means restriction interventions.

    I have a background as a clinical psychologist in child and adolescent psychiatry. I am also trained in rail transport and have worked as a train driver and traffic controller. Since 2016, alongside my work as a clinical psychologist, I have worked as a consultant in the Swedish railway sector with a focus on preventing suicide and trespassing.

    A full CV and publications list are avaliable on GitHub.

Articles

Grants

  • Effect evaluations of suicide and train-person collision preventive measures in rail-bound transport
    Swedish Transport Administration
    1 April 2026 - 31 March 2030
    Suicide is the dominant cause of railway-related deaths in Sweden, accounting for about 90% of the cases. The remaining incidents are classified as accidents, with unknown but non-suicidal intent. Suicidal behavior also underlies a large share of the delays reported as “trespassing on tracks.” The government has set an interim target to halve the number of fatalities on the railway by 2030, and suicide prevention is a critical part of this effort. Sweden also has a new national strategy for mental health and suicide prevention, where restricting access to lethal means – such as the railway – is highlighted as a priority area. The strategy emphasizes the importance of collaboration between multiple societal actors, with the Swedish Transport Administration being one of the agencies assigned a specific mandate. International experience shows that physical measures can reduce the number of suicides. In the Netherlands, ProRail has reduced suicide numbers by about 30%. Swedish pilot studies conducted by the researchers behind this proposal have shown that barrier fences and end-of-platform fences at stations in Stockholm have not only reduced suicides but also decreased track trespassing, delays, and train-person collisions. Together, the results indicate that suicide preventive measures both save lives and strengthen the robustness of the railway. The overarching aim of the project is to generate new knowledge about measures that can effectively reduce the number of suicides in the Swedish railway system and other rail-bound transport. The project directly contributes to the transport policy objectives: the safety objective, that no one should be killed or seriously injured in traffic, and the functionality objective, an efficient and punctual railway service. It also relates to Vision Zero, where railway suicides represent a central challenge. By preventing suicides and other train-person collisions, the project contributes to social sustainability and improved public health, while at the same time creating a more robust and reliable railway. The project intends to strengthen the scientific foundation for suicide prevention and provide knowledge that enables the Swedish Transport Administration and other actors to prioritize measures in a resource-efficient way.

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