Evidence map›Paper›PMID 31181955›Full record

ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2019

Suicide Mortality in Canada after the Death of Robin Williams, in the Context of High-Fidelity to Suicide Reporting Guidelines in the Canadian Media.

Rob Whitley, David S Fink, Julian Santaella-Tenorio, Katherine M Keyes

Abstract read
In one paragraph

Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Quantitative Methods to Detect Suicide and Self-Harm Clusters: A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Observational
  6. Article
  7. Canadian news media coverage of suicide during the COVID-19 pandemic.Social psychiatry and psychiatric epidemiology · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. The global impact of celebrity suicides: implications for prevention.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2021
    Article
  14. Suicide Contagion.Current trauma reports · 2021
    Review
  15. Article
  16. Why social justice matters: a context for suicide prevention efforts.International journal for equity in health · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Rob WhitleyDepartment of Psychiatry, Douglas Mental Health University Institute, McGill University, Montreal, Quebec.ORCID 0000-0001-5376-9241
David S FinkDepartment of Epidemiology, Mailman School of Public Health, Columbia University, NY, USA.
Julian Santaella-TenorioDepartment of Epidemiology and Biostatistics, Pontificia Universidad Javeriana, Cali, Bogotá, Colombia.
Katherine M KeyesDepartment of Epidemiology, Mailman School of Public Health, Columbia University, NY, USA.

Funding

Substance Abuse Epidemiology Training Program (SAETP) at Columbia UniversityT32DA031099 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DEBORAH S HASIN, Silvia Saboia Martins · 2012 to 2026
$6.1M
Suicide as a contagion: modeling and forecasting emergent outbreaksR01MH121410 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KEYES, KATHERINE M., SHAMAN, JEFFREY L · 2020 to 2024
$3.2M
NIDA NIH HHS T32 DA031099
6 · The paper itself

Abstract

backgroundEvidence suggests that suicide mortality increases after high-profile suicide deaths. Indeed, suicide in the United States increased disproportionately after the suicide by suffocation of well-known comedian Robin Williams in August 2014. Such increases are often attributed to irresponsible media coverage of the suicide contributing to "copycat suicides." However, recent research indicates that the mainstream Canadian media have significantly improved their suicide coverage, with high fidelity to suicide reporting guidelines after Williams' death. As such, the aim of the present study is to examine suicide mortality in Canada after Robin Williams' suicide.

methodsWe obtained deidentified monthly suicide count data from January 1999 to December 2015 stratified by age, sex, and method of suicide from Statistics Canada. We used time-series analyses to estimate the expected number of suicides in the months following Robin Williams' death. This was done using a seasonal autoregressive integrated moving averages (SARIMA) method. Expected suicides were then compared with observed suicides.

resultsAugust 2014 was the month with the highest number of suicides from 2010 to 2015. The time-series model indicated a 16% increase in the expected number of suicides during the months from August to December 2014 inclusive. Moreover, males over 30 had the greatest number of excess suicides, and suicides by suffocation (the method used by Robin Williams) were also higher in August and the following months.

interpretationSuicides increased in Canada after Robin Williams' death, despite the improved mainstream media coverage witnessed in other studies. Other factors (e.g., social and alternative media) may have contributed to the observed increase in suicide.

Indexed as

Cause of DeathFamous PersonsImitative BehaviorAdolescentAdultAgedCanadaChildFemaleHumansMaleMass MediaMiddle AgedSuicide, CompletedYoung AdultCanadacontagionmediasuicide

Identifiers

PMID31181955
PMCPMC6882074

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.