06 April 2012

Which Suicides Get Media Attention and Which Don't.

I had a chance to speak with a veteran North Suburban writer this week regarding the media coverage of the Lake Forest and Barrington Suicides.  Being a Police Psychologist in the North Shore suburbs I often run into the reporters from various local publications including the Pioneer Press and the TribLocal.  Tuesdays before noon seem to be the optimum time for them to stop by the station and read through the daily call logs for the previous week.  As an aside, for those of you who fear being identified in the local crime blotter for the week (the most read section of the papers reportedly), it's best to have your run in on Tuesday's or Wednesday's as they are the oldest dates by the time the reporters read about them; just a thought.

In any event, when discussing the media coverage of the Lake Forest and Barrington suicides with the veteran (who, by the way, did not know about the most recent Lake Forest Metra suicide) I was told the factor used to judge whether a suburban suicide was published or not was the "street test."  Apparently the street test comes down to whether or not the body could be seen from the street.  All things being equal, those that occur out of public sight are not written about and those that can be seen from any street are written about.

While I can appreciate the attempt at sensitivity I'm left with wondering about the validity of any story written by reporters who know there is an appreciable difference between actual suicides on the North Shore and those that are reported.  This is especially true when they begin to use words like cluster or crisis.  In other words why, when you already know several suicides have occurred but are private do you then pull the trigger on sensationalizing those which are public?  Put another way, as a reporter you know there are suicides on a monthly basis and you refrain from writing about them but when 2 or 3 occur which are public, you make it a point to write ongoing stories for weeks and sometimes months?  And you use words like cluster or contagion?

I suspect I know the answer and it involves readership but you also know it's really not a valid or reliable basis for your conclusions?

Having been taught long ago not to pick fights with people who buy ink by the gallon or paper by the pound I have no interest in condemning you on the basis of this the practice but I do have an interest in utilizing some sanity and sensitivity in the process of public acknowledgement.  

I don't prescribe to the idea of hiding the facts regarding suicide and it's regular occurrence in the North Shore Suburbs of Chicago.  I just believe a greater adherence to guidelines that might inhibit suicide contagion is a good idea for all, especially when it comes to our children and adolescents or is suggestive that somehow our North Suburban Schools or Communities are in crisis when they are not. 













 

01 April 2012

We Don't Seem To Be Learning Regarding Suicide And The Media


The recent loss of another young person in Lake Forest to an apparent suicide appears to have taught us little. Lake Forest Illinois has now had three highly publicized deaths of adolescents since January 1st of this year. Before that is was Barrington Illinois where 5 individuals took their lives over a three year period and where the media focused it's attention. Before that it was St. Charles, Naperville and Elgin that caught our attention.

Many have rightfully suggested that suicide clusters have been spurred by contagion, also known as the "Werther Effect" (a synonym for media induced imitation effects of suicidal behavior).

A suicide cluster is defined by Scientists as three or more suicides in a specific location that occur over a short period of time. Contagion is a term used to identify those situations where there is some linkage between the deaths such as personal knowledge of each other, a shared identity as in school attendance or simply an age range within a specific geographical location. While the term cluster denotes a linkage of location, contagion describes an hypothesized relationship that is in some way related to cause and effect.

As a police psychologist in an affluent northern Illinois suburb I am directly aware of the various numbers and types of death that occur within our Village limits. Some are suicides, some due to accidents and some related to the normal aging process and health deterioration. Few of them are publicized except when the local press takes special interest such as obvious suicides or car accidents. I can tell you that each and every year there are more than enough self inflicted deaths that meet the criteria of a cluster, yet are not publicized. If I include the number of attempted suicides in our town (as well as others that touch our Village limits, based on the radio traffic of dispatchers) then there are easily 4 or more per month within a population of approximately 50,000.

An interesting side point here is that for years, local writers have tried to get at some measure of how many actual suicides there are in the affluent North Shore Suburbs. When you combine that with the suicides of persons who live here but take their life at other locations (downtown, at weekend homes or on trips of various types) my educated prediction would be it easily tops two per month and more. This prediction covers all age ranges and is not limited to adolescents who comprise a much smaller segment. A careful review of the local obituaries for a 6 month period should get you all the information necessary to concur.

Getting back to the issue at hand; are we learning from any of this? The answer is sadly, no. We continue to publicize suicides, especially those of adolescents and young adults, in a manner and fashion that promotes contagion. But, please before you try and burn me at the stake for my position consider the studies that have been done and the information learned from them. Then decide for yourself if we have learned anything.

Johansson, Lindqvist, and Eriksson (2006) found in Sweden that it is important to bear in mind the risk of further suicides and the risk of cluster formation in a society struck by a teenager suicide.

 
Niederkrotenthaler, Herberth, and Sonneck (2007) found that in "Austria, "Media Guidelines for Reporting on Suicides", have been issued to the media since 1987 as a suicide-preventive experiment. Since then, the aims of the experiment have been to reduce the numbers of suicides and suicide attempts in the Viennese subway and to reduce the overall suicide numbers. After the introduction of the media guidelines, the number of subway suicides and suicide attempts dropped more than 80% within 6 months. Since 1991, suicides plus suicide attempts - but not the number of suicides alone - have slowly and significantly increased. The increase of passenger numbers of the Viennese subway, which have nearly doubled, and the decrease of the overall suicide numbers in Vienna (-40%) and Austria (-33%) since mid 1987 increase the plausibility of the hypothesis, that the Austrian media guidelines have had an impact on suicidal behavior." The Austrian guidelines can be found here; http://www.iasp.info/pdf/task_forces/austrian_media_guidelines.pdf

The World Health Organization (WHO) has also published guidelines for media coverage of suicidal acts (2008).
  1. Avoid language which sensationalizes or normalizes suicide, or presents it as a solution to problems.
  2. Avoid prominent placement and undue repetition of stories about suicide.
  3. Avoid explicit description of the method used in a completed or attempted suicide.
  4. Avoid providing detailed information about the site of a completed or attempted suicide.
  5. Photographs or video footage of the scene of a given suicide should not be used, particularly if doing so makes the location or method clear to the reader or viewer.
  6. Use of the word ‘suicide’ in the headline should be avoided, as should be explicit reference to the method or site of the suicide.
  7. Take particular care in reporting celebrity suicides.
  8. Show due consideration for people bereaved by suicide.
  9. Provide information about where to seek help.
http://www.who.int/mental_health/prevention/suicide/resource_media.pdf

When you take both guidelines into consideration, you can see that our press has learned very little when judging the reporting of the most recent Lake Forest tragedy.

I for one, fully expect even more sensational headlines and the resultant increase in adolescent suicides. I wish it wasn't so but it doesn't look like anyone is putting into practice what we've learned. I wish they would learn.