This article was originally published on August 24, 2014 on the Not Dead Yet website.
The sudden emergence of suicide prevention organizations and their representatives in the media responding to the death of Robin Williams has been mind-blowingly outrageous to me – I track the suicide coverage – assisted and non-assisted – of old, ill and disabled people regularly. It’s part of my job. A near-constant in reading and watching that coverage has been the near-total absence of suicide prevention organizations and professionals in reacting to any suicide of old, ill or elderly people labelled as “right to die,” death with dignity,” “end of life,” “assisted suicide” or any other terminology that seeks to differentiate the suicides of some people from the larger group deemed as “preventable tragedies.”
In the aftermath of Robin Williams’ apparent suicide, suicide prevention experts and the press want to take special care about warning the public and make sure that the coverage of his death doesn’t spark a rise in suicidal behavior. Here’s a sampling of the reactions, starting with a response to a tweet put out by the Academy of Motion Picture Arts & Sciences as reported in the Washington Post:
On Monday night, as fans around the world began to grieve Robin Williams’s death, the Academy of Motion Picture Arts and Sciences — best known, in many circles, as the people behind the Oscars — sent out what may be the iconic social media image of Williams’s death.
“@TheAcademy: Genie, you’re free. pic.twitter.com/BPsV44mTvD”
8:26 AM – 12 Aug 2014 Los Angeles, CA, United States
More than 270,000 people have shared the tweet, which means that, per the analytics site Topsy, as many as 69 million people have seen it.
The problem? It violates well-established public health standards for how we talk about suicide.
“If it doesn’t cross the line, it comes very, very close to it,” said Christine Moutier, chief medical officer at the American Foundation for Suicide Prevention. “Suicide should never be presented as an option. That’s a formula for potential contagion.” (Emphasis added.)
Moutier is referring to a well-documented phenomenon, better-known as “copycat suicide,” in which media coverage or publicity around one death encourages other vulnerable people to commit suicide in the same way. Adolescents are most at risk of suicide contagion; in recent years, groups like AFSP have also become particularly attentive to the role the Internet plays in romanticizing notorious or high-profile deaths, something it has long asked both the news and entertainment industries to avoid.
“The potential for online reports, photos/videos and stories to go viral makes it vital that online coverage of suicide follow site or industry safety recommendations,” one media guide reads.
But in the hours since @TheAcademy’s tweet went viral, professionals like Moutier have become concerned that it doesn’t, in fact, follow established safety recommendations. The starry sky from Disney’s Aladdin, and the written implication that suicide is somehow a liberating option, presents suicide in too celebratory a light, Moutier said.
The International Business Times presented this quote from a representative of the American Association of Suicidology:
The American Association of Suicidology has advised journalists to sensitively cover the death because certain types of news coverage are believed to increase the likelihood of suicide in vulnerable individuals. The association noted that the risk of copycat suicides increases when the story specifically describes the suicide method, but covering the suicide carefully can change public misperceptions and prompt those who are vulnerable or at risk to seek help.Those are just two examples, but they’re typical of the way in which top suicide prevention organizations have been aggressively going after the press and spreading caution about the harm caused by irresponsible journalism.
I, for one, am extremely unimpressed and underwhelmed by the suicide prevention brigade. Even in this latest episode of a publicized suicide, I see nothing in their messaging to indicate that any of the organizations or their reps care at all if old, ill and disabled people kill ourselves (unless, of course, we’re Robin Williams).
Let me offer up one more quote before I talk about the total lack of integrity these organizations have shown in regard to suicides of old, ill and disabled people – deaths I get to read about far too often. This is from Michelle Cornette, executive director of the American Association of Suicidology, who appeared on Lawrence O’Donnell’s show “The Last Word” on MSNBC:
I think what`s really important to keep in mind with respect to suicidal thinking and individuals who die by suicide is that they have essentially reached a cognitive state where they`re not really thinking about other people. In fact, there`s some interesting research that`s come out in recent years indicating there`s a very strong association between perceptions of burden on others and risk for suicide, meaning the individuals come to believe that their death is worth more than their life to their loved ones. (Emphasis added.)Starting with that last point – about the association of being a burden – there’s an elephant in the living room (one of many) in Oregon assisted suicide data. According to information given by prescribing doctors, 49% of people requesting assisted suicide give “being a burden” as a major reason for wanting to commit suicide. Oregon, btw, has one of the highest overall suicide rates in the country, and the rates for all ages are climbing. The state government (and suicide prevention organizations) aren’t inclined to look at legalized assisted suicide and the promotion of suicide as rational, even brave by both pro-assisted organizations and the press and how they might be influencing the overall suicide rates. One would think that good science would dictate at least considering a contagion effect from the normalization of suicide under the assisted suicide statute. It’s interesting – and disturbing – that outside of ex-director of the American Foundation for Suicide Prevention (AFSP) Herb Hendin, I’ve never heard or read any suicide prevention professional highlight that the feeling of “being a burden” is a significant risk factor for suicide in general.
All of these suicide prevention organizations have media guidelines on reporting responsibly when covering suicides. Among those guidelines are:
*Suicide is complex. There are almost always multiple causes, including psychiatric illnesses, that may not have been recognized or treated. However, these illnesses are treatable.• Refer to research findings that mental disorders and/or substance abuse have been found in 90% of people who have died by suicide.• Avoid reporting that death by suicide was preceded by a single event, such as a recent job loss, divorce or bad grades. Reporting like this leaves the public with an overly simplistic and misleading understanding of suicide.• Consider quoting a suicide prevention expert on causes and treatments. Avoid putting expert opinions in a sensationalistic context.• Use your story to inform readers about the causes of suicide, its warning signs, trends in rates and recent treatment advances.• Add statement(s) about the many treatment options available, stories of those who overcame a suicidal crisis and resources for help.• Include up-to-date local/national resources where readers/viewers can find treatment, information and advice that promotes help-seeking. (Source: https://www.afsp.org/content/download/1066/16814/file/recommendations.pdf)