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- Charles M. Blow
- David Brooks
- Frank Bruni
- Roger Cohen
- Gail Collins
- Ross Douthat
- Maureen Dowd
- Thomas L. Friedman
- Nicholas Kristof
- Paul Krugman
- Joe Nocera
- Charles M. Blow
- David Brooks
- Frank Bruni
- Roger Cohen
- Gail Collins
- Ross Douthat
- Maureen Dowd
- Thomas L. Friedman
- Nicholas Kristof
- Paul Krugman
- Joe Nocera
When Marilyn Monroe killed herself in August 1962, the nation reacted. In the months afterward, there was extensive news coverage, widespread sorrow and a spate of suicides. According to one study, the suicide rate in the United States jumped by 12 percent compared with the same months in the previous year.
Mental illness is not a communicable disease, but thereâs a strong body of evidence that suicide is still contagious. Publicity surrounding a suicide has been repeatedly and definitively linked to a subsequent increase in suicide, especially among young people. On average, analysis suggests that as many as 5 percent of suicides are influenced by contagion.
People who kill themselves are already vulnerable, but publicity around another suicide appears to make a difference as they are considering their options. The evidence suggests that suicide âoutbreaksâ and âclustersâ are real phenomena; one death can set off others. Thereâs a particularly strong effect from celebrity suicides.
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Credit Dana Nalbandian/WireImage
âSuicide contagion is real, which is why Iâm concerned about it,â said Madelyn Gould, a professor of Epidemiology in Psychiatry at Columbia University, who has studied suicide contagion extensively.
Sheâs particularly concerned this week, after the high-profile death of the comedian and actor Robin Williams.
Suicide prevention advocates have developed guidelines for news media coverage of suicide deaths. The idea is to avoid emphasizing or glamorizing suicide, or to make it seem like a simple or inevitable solution for people who are at risk. The guidelines have been shown to make a difference: A study in Vienna documented a significant drop in suicide risk when reporters began adhering to recommendations for coverage.
That aim has to be weighed against a journalistic duty to keep the public informed. And in the Internet era, a person who wants to know details of a suicide wonât have a hard time finding them. Most of the research on suicide contagion predates the rise of social media.
Few of the expertsâ recommendations make much sense in the case of Mr. Williams. Studies suggest avoiding repetitive or prominent coverage; keeping the word suicide out of news headlines; and remaining silent about the means of suicide. âHow can it not be prominent?â Ms. Gould said.
Experts also say articles should include information about how suicide can be avoided (for instance, noting that the National Suicide Prevention Lifeline is available 24 hours a day at 800-273-8255).
They also recommend avoiding coverage that describes death as an escape for a troubled person. One example was the 1994 death of Kurt Cobain of Nirvana, who was beloved among young music fans, including in Seattle, where his career rose and where he was found dead. Local coverage of his suicide was closely tied to messages about treatment for mental health and suicide prevention, along with a very public discussion of the pain his death caused his family. Those factors may explain why his death bucked the pattern. In the months after Mr. Cobainâs death, calls to suicide prevention lines in the Seattle area surged and suicides actually went down.
âItâs different from any other cause of death,â said Christine Moutier, the chief medical officer at the American Foundation for Suicide Prevention. âWhen someone dies of cancer or heart disease or AIDS, you donât have to worry about messaging it wrong.â
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