Extreme safety dictates that the doors can't be opened until the train is stopped and brakes are locked. This would slow operations down and make journey times less competitive so more people would drive which would result in an overall increase in road deaths.
Back in the days of slam doors one or two people were killed every year falling out of trains which were probably mostly suicides so the situation nowadays is vastly improved.
I can remember as a student seeing people regularly jumping out of the Sligo train at the short down platform at Edgeworthstown because it use to take about 5 minutes to work your way up the overcrowded 1810 service.
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