Role of media reports in completed and prevented suicide: Werther v. Papageno effects

Role of media reports in completed and prevented suicide: Werther v. Papageno effects
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DOI:
10.1192/bjp.bp.109.074633
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发表时间:
2010-09-01
影响因子:
10.5
通讯作者:
Sonneck, Gernot
Sonneck, Gernot
中科院分区:
医学1区
文献类型:
--
作者:
Niederkrotenthaler, Thomas;Voracek, Martin;Sonneck, Gernot

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背景媒体对自杀的报道一再被证明会引发自杀行为。很少有研究调查特定媒体内容与自杀率之间的关系。甚至更少是已知的自杀相关的媒体内容的可能的预防效果。AimsTo测试的假设,某些媒体内容与自杀的增加,提出了所谓的werther效应,和其他内容与减少自杀,概念化为Papageno效应。此外,以确定类的媒体文章具有类似的报告配置文件,并测试这些类和suicid.MethodContent分析和潜在的类分析(LCA)的497自杀相关的印刷媒体报道在奥地利1月1日至2005年6月30日之间的关联。生态学研究,以确定媒体项目的内容和短期变化之间的关联自杀rates.ResultsRepetitive报告相同的自杀和自杀神话的报告与自杀率呈正相关。没有伴随自杀行为的个人自杀意念的覆盖率与自杀率呈负相关。LCA产生了四类媒体报道,其中掌握危机类(关于在不利情况下采取自杀行为以外的应对策略的个人的文章)与自杀呈负相关,而专家意见类和流行病学事实类与自杀呈正相关。结论自杀报告的影响可能不仅限于有害影响;相反,在不利情况下积极应对的报道,如媒体关于自杀意念的报道,可能具有保护作用。
BackgroundMedia reporting of suicide has repeatedly been shown to trigger suicidal behaviour. Few studies have investigated the associations between specific media content and suicide rates. Even less is known about the possible preventive effects of suicide-related media content.AimsTo test the hypotheses that certain media content is associated with an increase in suicide, suggesting a so-called werther effect, and that other content is associated with a decrease in suicide, conceptualised as a Papageno effect. Further, to identify classes of media articles with similar reporting profiles and to test for associations between these classes and suicide.MethodContent analysis and latent class analysis (LCA) of 497 suicide-related print media reports published in Austria between 1 January and 30 June 2005. Ecological study to identify associations between media item content and short-term changes in suicide rates.ResultsRepetitive reporting of the same suicide and the reporting of suicide myths were positively associated with suicide rates. Coverage of individual suicidal ideation not accompanied by suicidal behaviour was negatively associated with suicide rates. The LCA yielded four classes of media reports, of which the mastery of crisis class (articles on individuals who adopted coping strategies other than suicidal behaviour in adverse circumstances) was negatively associated with suicide, whereas the expert opinion class and the epidemiological facts class were positively associated with suicide.ConclusionsThe impact of suicide reporting may not be restricted to harmful effects; rather, coverage of positive coping in adverse circumstances, as covered in media items about suicidal ideation, may have protective effects.