Copycat suicide

Overview
A copycat suicide is defined as a duplication or copycat of another suicide that the person attempting suicide knows about either from local knowledge or due to accounts or depictions of the original suicide on television and in other media. Sometimes this is known as a Werther effect, following the Werther novel of Goethe.

The well-known suicide serves as a model, in the absence of protective factors, for the next suicide. This is referred to as suicide contagion. They occasionally spread through a school system, through a community, or in terms of a celebrity suicide wave, nationally. This is called a suicide cluster. Examples of celebrities whose suicides have inspired suicide clusters include the American musician Kurt Cobain, the Japanese musician Hide and Yukiko Okada.

To prevent this type of suicide, it is customary in some countries for the media to discourage suicide reports except in special cases.

History
The nature of copycat suicides suggests that it is a phenomenon that must have been with us since the development of civilization. One of the earliest known associations between the media and suicide arose from Goethe’s novel Die Leiden des jungen Werthers (The Sorrows of Young Werther), published in 1774. In that work the hero shoots himself after an ill-fated love, and shortly after its publication there were many reports of young men using the same method to commit suicide. This resulted in a ban of the book in several places. Hence the term "Werther effect", used in the technical literature to designate copycat suicides.

Factors in suicide reporting
Publishing the means of suicides, romanticized and sensationalized reporting, particularly about celebrities, suggestions that there is an epidemic, glorifying the deceased and simplifying the reasons all lead to increases in the suicide rate. Increased rate of suicides has been shown to occur up to ten days after a television report. Studies in Japan and Germany have replicated findings of an imitative effect. Etzersdorfer et al. in an Austrian study showed a strong correlation between the number of papers distributed in various areas and the number of subsequent firearm suicides in each area after a related media report. Higher rates of copycat suicides have been found in those with similarities in race, age, and gender to the victim in the original report. Stack analyzed the results from 42 studies and found that those measuring the effect of a celebrity suicide story were 14.3 times more likely to find a copycat effect than studies that did not. Studies based on a real as opposed to fictional story were 4.03 times more likely to uncover a copycat effect and research based on televised stories was 82% less likely to report a copycat effect than research based on newspapers.

Many people interviewed after the suicide of a relative or friend have a tendency to simplify the issues; their grief can lead to their minimizing or ignoring significant factors. Studies show a high incidence of psychiatric disorders in suicide victims at the time of their death with the total figure ranging from 98% to 87.3% with mood disorders and substance abuse being the two most common. These are often undiagnosed or untreated and treatment can result in reductions in the suicide rate. Reports that minimise the impact of psychiatric disorders contribute to copycat suicides whereas reports that mention this factor and provide help-line contact numbers and advice for where sufferers may gain assistance can reduce suicides.

Social Proof Model
An alternate model to explain copycat suicide, called "social proof" by Cialdini, goes beyond the theories of glorification and simplification of reasons to look at why copycat suicides are so similar, demographically and in actual methods, to the original publicized suicide. In the social proof model, people imitate those who seem similar, despite or even because of societal disapproval. This model is important because it has nearly opposite ramifications for what the media ought to do about the copycat suicide effect than the standard model does.

Journalism codes
Various countries have national journalism codes which range from one extreme of, "Suicide and attempted suicide should in general never be given any mention." (Norway, Brazil) to a more moderate, "In cases of suicide, publishing or broadcasting information in an exaggerated way that goes beyond normal dimensions of reporting with the purpose of influencing readers or spectators should not occur. Photography, pictures, visual images or film depicting such cases should not be made public." (Turkey) Many countries do not have national codes but do have in-house guidelines along similar lines. In the U.S. there are no industry wide standards and a survey of inhouse guides of 16 US daily newspapers showed that only three mentioned the word suicide and none gave guidelines about publishing the method of suicide. Craig Branson, online director of the American Society of Newspaper Editors (ASNE), has been quoted as saying, "Industry codes are very generic and totally voluntary. Most ethical decisions are left to individual editors at individual papers. The industry would fight any attempt to create more specific rules or standards, and editors would no doubt ignore them."

Journalist training
Australia is one of the few countries where there is a concerted effort to teach journalism students about this subject. The Mindframe national media initiative followed an ambivalent response by the Australian Press Council to an earlier media resource kit issued by Suicide Prevention Australia and the Australian Institute for Suicide Research and Prevention. The UK-based media ethics charity MediaWise'' provides training for journalists on reporting suicide related issues.