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Retired

Member
The media must stop ignoring suicide
BY MARK HENICK, Ottawa Citizen Op-Ed Page
September 4, 2009

On the evening of Tuesday, Aug. 25, a well known former Fredericton city councillor walked into the Emergency Room with a lot on his mind. It is not known if he told them he was going to take his own life. Whatever happened in the ER, one thing was certain: he did not get rushed past the queue for immediate psychiatric care.

Instead he ended up leaving, just walking right out the door. He called the police from in front of the hospital and, with phone in one hand and 16-gauge shotgun in the other, told them that he intended to kill himself. When the lone officer arrived on site — it was perhaps assumed by the dispatcher to be just another “jumper” call — the man placed the barrel of the shotgun to his head and pulled the trigger.

The next day the local paper’s front-page headline read, “Ancient craft kept alive,” accompanied by a picture and illuminating article on birchbark canoe making. It wasn’t until page A3 that one could find an article about an officer who witnessed a suicide. The victim was secondary — merely the setting.

A CBC report later that day stated that “Fredericton police and CBC News normally do not report on suicides. …” They made an exception in this case because the man was well known. The local paper the following day carried a front-page story about the people who mourned the loss of the victim. It also contained the disclaimer that the paper didn’t “usually report on suicides or identify the victims,” apparently for the same reason.

What both of these accounts seemed to miss are the most important questions. Why was there only one officer there? Did the victim talk to anyone in the ER? If he did, why was he not treated immediately? And the most important question of all: Why did his illness get this far without intervention? These are all questions I will be waiting for answers to, but I have the feeling it will be a long wait.

According to the World Health Organization, there are approximately 121 million people worldwide who live with depression, and 850,000 who die by suicide each year. Yet, sadly, less than 25 per cent of those affected have access to effective treatment. By 2020 depression is projected to be the second leading cause of disability for both sexes across all ages worldwide. Here in Canada, 96 per cent of physicians already recognize depression as one of the three leading causes of disability in this country, according to a new national survey.

He called the police from in front of the hospital and, with phone in one hand and 16-gauge shotgun in the other, told them that he intended to kill himself.

People with mental illnesses used to be warehoused in asylums until the community treatment wave of the 1970s and onward. Institutions were closed en masse, but one important element slipped through the cracks: the part about community treatment. Former senator Michael Kirby, who left the Senate to chair the newly minted Mental Health Commission of Canada, was recently quoted in the Calgary Herald as saying “I’m embarrassed to say this as a Canadian, but we have really made the streets and the prisons the asylums of the 21st century.”

But even if adequate treatment were available, the stigma that we place on mental illness is powerful enough in itself to prevent people from seeking it.
Though they are some of the oldest and most common disorders, mental illnesses continue to be treated as secrets, as though talking about how we are feeling somehow makes us weaker. In the case of suicide, many believe that talking about it encourages it. Even some organizations push this erroneous belief.

The media will freely report on homicides, arsons, rapes and pedophilia, without any apparent concern as to whether or not it will encourage people to commit these acts or, as it is so often put, to “give them the idea to go out and do it.” Talking about suicide does not encourage suicide, especially not if you are reporting it responsibly.

The exception to the media ban on suicide reporting as stated in the above mentioned reports is deeply offensive to anyone who has themselves or has had family members who contemplated or attempted suicide. Or who have completed suicide. Saying that they are willing to break their own (archaic) norm to report on this particular suicide because the victim was so well known means one morbid, irresponsible thing:

Nobody else who dies by suicide is “important” enough to report on.

If this man shot the officer, there is little doubt it would have been big news. If he shot a passing vehicle, it would have been splashed over the front page. If he fired aimlessly into the sky, he surely would have made headlines. If it was a standoff and he didn’t shoot anything, even that would have received more attention.

But none of this happened. He shot himself. Therefore it was too taboo for even the news. Except that his name was well known, and that sells papers.

More Canadians die by suicide than in car accidents. This is a reality of the world we live in. To avoid talking about it only perpetuates the stigma around mental illness.

If someone caught the flu and died on the steps of the hospital without being treated there would be an uprising, a revolution. We are facing a mental illness epidemic in this country, one that we can’t afford to ignore any longer.

Of all the unpreventable problems in the world, this is not one of them. We have the tools; there are plenty of effective treatments out there if those in power, politically and otherwise, choose to put the attention and resources behind making them widely available. More than anything I’ve ever begged for in my life, please. Somebody do something.

Mark Henick is a student at St. Thomas University in Fredericton. He is president of the Students' Union and is the youngest member of the board of directors for the Canadian Mental Health Association, N.B., division. He uses his experience with depression to advocate mental health awareness through public lectures and the media.
 
in many countries there is an unwritten rule for journalists to not report suicides or details on the suicides, because of the copycat behaviour that seems to occur when they are reported. i don't think i disagree with this policy. it is to protect those most vulnerable.
 

Retired

Member
because of the copycat behaviour that seems to occur when they are reported

And.... that's the point. There does not seem to be evidence that reporting a suicide triggers suicide.

It's part of the stigma and the misunderstanding of the dynamics of suicidal behaviour.

In the same way asking someone who appears to be suicidal, if they in fact are contemplating suicide, does not trigger suicide but instead often results in providing relief and allows for further discussion, toward a ptoentially successful intervention.
 

Jazzey

Account Closed
Member
I think that someone's headspace is just that. When I have suicidal ideation, I don't get triggered by others. I feel their pain, I feel empathy because I know that vortex well. But I'm not triggered by others. And reaching out is probably the hardest thing.

I'm saddened by Mr. Cameron's suicide. And I also have a lot of questions about what happened in the ER that night. What did he say to them? What was their response (if any)?

I am grateful that they published the article though and thank you for posting it Steve. Maybe others will start asking questions about this topic, get better informed.
 

Daniel E.

daniel@psychlinks.ca
Administrator
There does not seem to be evidence that reporting a suicide triggers suicide.
I guess it's one of those "correlation is not causation" issues since previous research had reported a correlation. To your point:

"Reporting of suicide in an appropriate, accurate and potentially helpful manner by enlightened media can prevent tragic loss of lives by suicide."

International Association for Suicide Prevention
 
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Retired

Member
I am grateful that they published the article

and I am impressed with Mr. Mark Henick who articulated the story in a manner that brought the issue of suicide avoidance to light.

He sounds like someone who could be Canada's newest star in mental health awareness.

Bravo Mr. Henick!
 
i must have misunderstood or either been misinformed by articles i have read. maybe i didn't read with a critical enough eye when i read about the copy cat behaviour? are there studies out there proving what really goes on?
 

Daniel E.

daniel@psychlinks.ca
Administrator
A 2001 review of a number of studies, the conclusion of which is that the copycat effect is real and significant:

http://www.columbia.edu/itc/hs/medical/bioethics/nyspi/material/SuicideAndTheMedia.pdf

And a recent 2007 Taiwan study says the same thing, at least for sensationalized celibrity suicide reporting:

The extensive media reporting of the celebrity suicide was followed by an increase in suicides with a strong implication of a modelling effect. The results provide further support for the need for more restrained reporting of suicides as part of suicide prevention strategies to decrease the imitation effect.

The influence of media reporting of the suicide of...[Int J Epidemiol. 2007] - PubMed Result
 
great article, thanks daniel. i thought this was a good nuance:

GOULD: We’re not saying to not report about suicide. What we’re hoping
is that if you report about suicide in a realistic fashion without misinformation,
if you provide resource lists and so on, people who are vulnerable may
then seek help. That’s why we would like to develop a collaboration with media
representatives and journalists to find that balance where you avoid negative
influence but present just enough information so that those who don’t
know what to do with their inner turmoil and perhaps aren’t in treatment will
know where to go. We want responsible reporting. Reporting about suicide in
itself is not the problem, but how suicide is reported is a critical concern. It
can be done in such a way that people who are vulnerable may learn how to
get help or, unfortunately, it may contribute to the problem.
 
And.... that's the point. There does not seem to be evidence that reporting a suicide triggers suicide.
i have to admit i only skimmed the article and didn't read it carefully.. :eek:

however, i do recall an article on psychlinks about talking to teens about suicide, and that having regular discussions on it with a teenage group in fact increased the number of suicides. reason being, those discussions took away the stigma and normalized it. it became an acceptable choice. does anyone remember this article?
 
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