a Ministry of Health , Israel Center for Disease Control (ICDC) , Ramat Gan , Israel.
b Biostatistics Unit Gertner Institute for Epidemiology and Health Policy Research , Ramat Gan , Israel.
Arch Suicide Res. 2019 Jul-Sep;23(3):440-454. doi: 10.1080/13811118.2018.1456991. Epub 2018 Nov 16.
This study investigated associations between indiscriminate media reporting of suicides and later inflated suicide counts among Israel's general population between the years 2008 and 2012. Self-inflicted deaths that received post-suicide media exposure (referred to as "publicized suicides") were selected via Google news search-hit appraisals. Distributions of suicides were inspected and risk ratios (RRs) estimated by comparing population suicide rates 4 weeks before and 4 weeks after each publicized suicide ("reference" vs. "affected" periods, respectively). Poisson time series regression was employed to account also for secular trends and seasonality. A total of 2,119 people died by suicide, 13 of whom received noticeable media attention throughout the study. No meaningful impact following the 13 deaths on subsequent suicide counts during the observation window (affected vs. reference phase) was found. Poisson regression confirmed that suicide counts following publicized suicides were independent of media coverage. Given the pronounced search hits following the publicized suicides developing regulation practices that constrain indiscreet media reporting should officially be included as part of suicide prevention practices. Future research should focus on imitation suicide effects as a function of post-suicide media exposure, while including both risk and protective factors.
本研究调查了 2008 年至 2012 年间,以色列普通人群中媒体对自杀事件不加区分的报道与随后自杀人数增加之间的关联。通过谷歌新闻搜索命中评估,选择了受到媒体报道(称为“公开自杀”)后的自杀死亡案例。通过比较公开自杀前后四周的人口自杀率(分别为“参照”和“受影响”时期),检查自杀分布情况并估计风险比(RR)。泊松时间序列回归也考虑了季节性趋势和季节性。共有 2119 人自杀,其中 13 人在整个研究期间受到媒体的广泛关注。在观察窗口内(受影响与参照阶段),没有发现这 13 起死亡事件对随后自杀人数的明显影响。泊松回归证实,公开自杀事件后的自杀人数与媒体报道无关。鉴于公开自杀事件后的搜索量显著增加,应正式将限制媒体不当报道的监管措施纳入自杀预防措施的一部分。未来的研究应重点关注作为媒体报道后模仿自杀效应的风险和保护因素。