Suicides spiked after death of Robin Williams

February 07, 2018

In the months after Robin Williams committed suicide in 2014, researchers at Columbia University's Mailman School of Public Health documented a marked 10 percent increase in of suicides. While excess suicides were observed across gender and age groups, males aged 30 to 44 were particularly affected. The data also showed there was a 32 percent increase in suffocation suicides in the five months that followed Williams' death by the same method, compared to a 3 percent rise for all suicides from other methods. The findings are reported online in the journal PLOS ONE.

"Research has shown that the number of suicides increases following a high profile celebrity suicide, but this is the first study, to our knowledge, that has examined the effect of a high-profile suicide on the general population within the modern era of the 24-hours news cycle," said David S. Fink, MPH, MPhil, in the Department of Epidemiology.

According to the researchers, 16,849 suicides would be expected from August to December 2014, compared to the 18,690 suicides that were reported for these months following Williams' death. This increase in the number of suicides per month appeared to remain consistent during this period.

"Although we cannot determine with certainty that these deaths are attributable to the death of Robin Williams, we found both a rapid increase in suicides in August 2014, and specifically suffocation suicides, that paralleled the time and method of Williams' death," observed Fink.

The details of Williams' suicide were widely reported in the media in the days and weeks that followed. Although he had struggles with a form of dementia, the initial reports on Williams' death did not mention the condition.

To conduct the study, the researchers analyzed U.S. monthly suicide rates from the Centers for Disease Control from January 1999 to December 2015 by sex, age, and method. They also used Bloomberg Terminal's news trend function to identify the number of global English-language news media reports on suicide and Robin Williams compared to news media reports from June 2013 to January 2015.

News media reports with the terms "suicide" and "dead," and the name "Robin Williams" drastically increased in the weeks after Williams' suicide. His death was also followed by an increased number of online posts in the "SuicideWatch" forum, a suicide support platform on Reddit, and also with changes in posted content linked to suicidal ideation.

Celebrity suicide effects have led to the World Health Organization to establish media guidelines for reporting a high profile celebrity death, including sensitivity around the method of suicide, the precipitating factors, and the risk factors for suicide apparent in the deceased. Popular news media headlines suggest that media guidelines for suicide reporting tended to deviate from the established suicide reporting guidelines in the case of Williams.

Fink says it is also important to point out the role of social media as a new and emerging risk factor for how information is disseminated after the death of a celebrity. For example, in the case of Kurt Cobain's suicide in 1994, , there was minimal change in suicide rates.

"Williams' death may have provided the necessary stimulus for high-risk segments of the U.S. population, especially middle-aged men in despair, to move from suicidal ideation to attempt," said Fink.
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Co-authors are Julian Santaella-Tenorio and Katherine Keyes of the Mailman School of Public Health.

The study was funded by a training grant from the National Institute of Drug Abuse (5T32DA031099-03).

Columbia University's Mailman School of Public Health

Founded in 1922, Columbia University's Mailman School of Public Health pursues an agenda of research, education, and service to address the critical and complex public health issues affecting New Yorkers, the nation and the world. The Mailman School is the third largest recipient of NIH grants among schools of public health. Its over 450 multi-disciplinary faculty members work in more than 100 countries around the world, addressing such issues as preventing infectious and chronic diseases, environmental health, maternal and child health, health policy, climate change & health, and public health preparedness. It is a leader in public health education with over 1,300 graduate students from more than 40 nations pursuing a variety of master's and doctoral degree programs. The Mailman School is also home to numerous world-renowned research centers including ICAP and the Center for Infection and Immunity. For more information, please visit http://www.mailman.columbia.edu.

Columbia University's Mailman School of Public Health

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