Suicide contagion : is the media placing the public at risk? An analysis of suicide reporting in New Zealand : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Clinical Psychology at Massey University, Palmerston North, New Zealand

The media’s reporting of suicide has been shown to increase subsequent community suicide rates through a process called suicide contagion. It is not necessarily the reporting of suicide that causes suicide contagion, but rather it is the manner in which it is reported. As a result, within New Zealand a number of legislative (the Coroners Act, 2006) and industry guidelines (Reporting Suicide: A resource for the media, 2011) have been introduced to decrease any risk of suicide contagion. The aim of the present study was to investigate how suicide is portrayed in newspapers, examine whether suicide reporting has changed between two timeframes, and explore journalists’ beliefs and behaviour about suicide reporting. The present thesis is divided into two parts. Study One uses quantitative and qualitative methods to compare and contrast all suicide newspaper articles from leading New Zealand newspapers from 12 month periods in 1997 (pre-suicide guidelines) and 2009 (post-suicide guidelines). The results revealed that reporting quality had improved where there was a decrease in the occurrence of elements known to contribute to suicide contagion. However, despite reporting quality improving the study identified that articles continued to include a number of areas where suicide reporting could be improved upon. Study Two complemented Study One by interviewing journalists about their knowledge of contagion, reporting practices and barriers and difficulties in suicide reporting. The rhetorical analysis demonstrated that participants argued that evidence for suicide contagion was inconclusive and problematic. This had important implications as the media argued their reporting was to a high standard and consequently did not view reporting guidelines or the Coroners Act as necessary. As a result, participants largely avoided these restrictions and viewed them as a threat to media freedom. Together these studies demonstrated that suicide reporting quality can still be improved, however, in order to improve writing styles, implementing suicide guidelines does not appear enough. Instead, this study demonstrates that it is necessary to increase media awareness of suicide contagion, so the media understand the importance of applying reporting guidelines

Preventing Suicide in Colorado: Progress Achieved & Goals for the Future

This 2009 report, issued jointly by Mental Health America of Colorado and The Colorado Trust, updates both the state's 1998 Suicide Prevention and Intervention Plan to address Colorado's historically high suicide rate, as well as The Trust's 2002 report Suicide in Colorado, which documented the problem of suicide across the state and identified suicide-prevention resources. This report details key facts and figures about the suicide rate in Colorado, many of the prevention achievements in the past 10 years, and recommendations to strengthen suicide prevention and awareness efforts into the future

Suicide rates in Maltese Islands (1955-2009) analysed in European context using WHO data

Aim: To calculate the suicide rates (for males and females) in Malta and other European countries with long series of suicide mortality as recorded in the WHO (World Health Organization) database, and compare the Maltese suicide rates with European rates. Method: Suicide rates were computed from the WHO database as rates (suicides per 100,000 persons) using the reported suicide and population counts in Malta and ten other European countries for a common period 1955-2009. Suicide rates were age standardized following the WHO recommendations. These calculations were carried out separately for both sexes. Results: Compared to other European counties, the suicide rates (both male and female) in Malta have remained at considerably low level as calculated over the full period. Maltese suicide rates have however multiplied since the 1980s. European data exhibit clear decrease in suicide rates towards the present consistently in several countries. Malta is the only European country showing its highest suicide rates during the 2000s. Conclusions: Although the suicide rates in Malta remain at considerably low level, they have exhibited a notable increase towards the present, whereas the European suicide rates are in decline. Becoming aware of this fact and the issue may help in building a suicide prevention programme to mitigate the situation.peer-reviewe

Health Care for Veterans: Suicide Prevention

[Excerpt] Congress has attempted to address the problem of suicide among veterans through legislation and oversight hearings, both on prevention of veteran suicide specifically and on veteran mental health more broadly. A task as challenging as preventing suicide requires collaboration among federal agencies, state and local governments, other organizations, communities, and individuals. This report, however, focuses on activities of the Veterans Health Administration (VHA) within the Department of Veterans Affairs (VA). The VHA’s approach to suicide prevention is based in part on the National Strategy for Suicide Prevention, which involves multiple federal departments, including the VA, Defense (DOD), and Education (ED), as well as several agencies within Health and Human Services (HHS). While this CRS report focuses on suicide prevention efforts of the VHA, activities of other entities are discussed as they relate to VHA activities. This CRS report begins with a brief overview of the public health framework for suicide prevention, which forms the basis for both the National Strategy for Suicide Prevention and the VHA’s approach to suicide prevention. The three subsequent parts of the report correspond to the three major components of the public health framework: (1) suicide surveillance, (2) suicide risk factors and protective factors, and (3) suicide prevention interventions. The final section addresses potential issues for Congress, and the Appendix summarizes provisions of public laws addressing suicide prevention among veterans

The Logic behind Suicide Terrorism and its Connection to Islam

The purpose of this thesis is to analyze suicide terrorism and to examine the logic behind it. The thesis will examine recent Islamic suicide terrorism and why it is so successful. This paper will also attempt to define suicide terrorism and explain how it functions. The first half of this thesis reviews a short history of suicide terrorism to show the logic behind it. It will begin with the Old Testament and continue throughout history until the September 11, 2001 attacks on the World Trade Center in New York City. This thesis will discuss the motivation for terrorist organizations to encourage, and individuals to commit, suicide attacks within their certain causes. It will also examine the mental thought process behind suicide terrorists. The second half of this thesis will examine the Islamic use of suicide terrorism to show that they follow the rational pattern of other suicide terrorists. It will discuss Islam and the violence of the religion. It will also examine martyrdom along with the goals and rewards of the jihadists. This thesis will look at the way the Western world, Christians, and Jews view Islamic suicide terrorists. Finally, the thesis will discuss the difference between historical and current suicide terrorism and how it will continue

Denomination, Religious Context, and Suicide: Neo-Durkheimian Multilevel Explanations Tested with Individual and Contextual Data

In Suicide, Durkheim found that involvement in religious communities is inversely related to suicide risk. In this article, two explanations for this relationship are examined. One is that religious networks provide support. The other is that religious communities prohibit suicide. To examine these hypotheses, individual-level data on suicide in the Netherlands from 1936 to 1973 are used. The results show that with an increase in the proportion of religious persons in a municipality, the chances of committing suicide decrease for every denomination in that municipality, as well as among nonchurch members. Furthermore, along with the secularization of Dutch society, the impact of religious composition on suicide wanes. These results contradict the network-support mechanism and confirm the notion that religious communities have a general protective effect against suicide.

Suicide Rates as They Vary by Region, Sexuality, and Gender

Suicide rates are not consistent worldwide. They vary in a wide variety of ways. Region, sexuality, and gender are all factors that influence suicide. This essay examines the manners in which region, sexuality, and gender influence suicide by themselves and, in some cases, with each other. It offers explanations for why they do so. Finally, this paper aims to give suggestions on future research regarding suicide and future policies to help reduce suicide rates

A History of Trauma is Associated with Aggression, Depression, Non-Suicidal Self-Injury Behavior, and Suicide Ideation in First-Episode Psychosis.

The association between trauma and psychosis outcomes is well-established, and yet the impact of trauma on comorbid clinical symptoms-such as aggression, non-suicidal self-injury behavior (NSSIB), suicide ideation, and suicide behavior-for those with psychosis is unclear. To effectively treat those with first-episode psychosis (FEP) and a history of trauma, we need to understand the impact of trauma on their whole presentation. FEP participants were recruited from an Early Psychosis Program (N = 187, ages 12-35, 72.2% male). Clinicians gathered history of trauma, aggression, and suicide data, and rated current symptom severity and functioning. Data was coded using clinician rated measures, self-report measures, and retrospective clinical chart review. Regression analyses examined whether trauma was associated with a history of aggression, suicidal ideation, suicide behavior, NSSIB, symptoms, and functioning. Trauma was associated with aggression, aggression severity and type of aggression (aggression towards others). Trauma was also associated with depression severity, suicide ideation, most severe suicide ideation, and NSSIB. Trauma was not associated with suicide behavior, severity of suicide behavior or psychosocial functioning. Integrating trauma treatment into FEP care could reduce rates of depression, aggression, suicide ideation, and NSSIB for those with a history of trauma. To reduce suicide attempt occurrence and improve functioning, more research is needed

Suicide in Patients with Dementia

Suicide is a major public health issue in many industrialized countries. It is one of the top ten causes of death and older age is a significant risk factor for suicide. For example, in Japan older adults (age ≥ 65) shared about 18.5% of total population but account for 24% of all suicide, in Taiwan, older adults representing 12.4% of the total population and account for 28.9% of suicide death. Dementia is a broad term for a progressive deterioration in memory ability and dementia patients ran higher risk for suicide

What differentiates prisoners who attempt suicide from those who experience suicidal ideation? A nationally representative study

Objective: Many people who think about suicide do not engage in suicidal behavior. Identifying risk factors implicated in the process of behavioral enaction is crucial for suicide prevention, particularly in high-risk groups such as prisoners. Method: Cross-sectional data were drawn from a nationally representative sample of 17,891 prisoners (79% men) in the United States. We compared prisoners who attempted suicide (attempters; n = 2,496) with those who thought about suicide but never made an attempt (ideators; n = 1,716) on a range of established risk factors. Results: More than half (59%) of participants who experienced suicidal ideation had also attempted suicide. Violent offending, trauma, brain injury, alcohol abuse, and certain mental disorders distinguished attempters from ideators. Conclusion: Our results fit within recent ideation-to-action theories that emphasize the role of a capability for suicide in the transition from thoughts to acts of suicide