imitative suicides - The Odum Institute
Transcription
imitative suicides - The Odum Institute
IMITATIVE SUICIDES: A NATIONAL STUDY OF THE EFFECTS OF TELEVISION NEWS STORIES* KENNETH A. BOLLEN DAVID P. PHILLIPS Dartmouth College University of California at San Diego A 1974 ASR paper by Phillips showed that suicides increase in the month of highly publicized suicide stories. Several subsequent papers have built on this finding and have suggested that publicized suicide stories trigger increases in covert suicides disguised as motor vehicle or airplane accidents. If the original ASR findings cannot be replicated, then doubt is cast on all these studies. In this paper we demonstrate that U.S. daily suicides increase significantly after highly publicized suicide stories appear on television evening news programs. We provide the first evidence that the increase in suicides occurs only after and not before the suicide story. In addition, we provide the first systematic study of the length of time a suicide story affects suicides; the effect probably does not extend beyond ten days. These findings support and extend the literature on imitative suicides. In the early twentiethcenturyDurkheimand Tardeconducteda famousand bitterdebateon the relativeimportanceof imitation.,Durkheim ([1892] 1964, [1897] 1966) claimed that imitation did not significantlyaffect "social facts" in generalor suicide rates in particular.' His view is sharedimplicitly,if not explicitly,by modern sociologists, who have almost entirely ignored the topics of imitationand suggestion. In contrast to sociology, other disciplines have continuedto displaya vigorousinterestin the topics of imitation and suggestion. Psychologists have conducted more than 2,000 studies of the imitationof violence in the mass media (reviewed in Surgeon General, 1972; NIMH, 1982;Comstock, 1975;Comstock and Fisher, 1975; Comstock and Lindsey, 1975; Gordon and Verna, 1978; Liebert and Schwartzberg, 1977; Hearold, 1979; Wilhoit andde Bock, 1980;Robertsand Bachen, 1981). Economists and market researchershave examinedthe impact of imitationand suggestion in advertising (Dirksen and Kroeger, 1973; Michmanand Jugenheimer,1976;Sandageand *Directall correspondenceto: KennethA. Bollen, Department of Sociology, Dartmouth College, Hanover, NH 03755. This researchwas carriedout while Bollen was at GeneralMotorsResearchLaboratories.We wish to thank a numberof individualswho aided the completionof this project.CraigPalmerandTom Laffey providedcomputerprogramming.Useful comments on earlierversions of the paper were given by Ken Barb and Greg Cermak. Marilyn Southern typed severaldraftsand the final versionof the paper.The Inter-universityConsortiumfor Politicaland Social Research suppliedthe mortalitydata. 1 For a useful introductionto Durkheim'sdebate with Tardeon this issue, see Clark(1969, especially pp.7-18, "ConflictingIntellectualCurrents:Tarde, Durkheim,and Sociology"). 802 Fryburger, 1975; Engel et al., 1973; Jacoby, 1976). Sociological interest in imitation has been revived, particularlyin recent work on overt and covert imitativesuicides. The first of these studies by Phillips (1974) showed that (1) monthly U.S. suicide rates increased in the month of a front-page suicide story; (2) the greater the publicity devoted to the suicide story, the greaterthe increase in suicides; and (3) the increase in suicides occurredmainly in the geographic areas receiving the publicity. These findings persisted after seasonal and time trend corrections, and suggested that suicide stories triggerimitative suicides. A series of papers on covert or disguised suicidesfollowed. These studies suggestedthat some imitative suicides are disguised as accidents. Phillips (1977, 1979) showed that daily Californiamotor vehicle fatalities (MVP) increased significantly following front-page suicide stories. Bollen and Phillips (1981) replicated this finding for Detroit. Phillips (1978, 1980)also showed that daily U.S. noncommercialairplanecrashes increased significantly after highly publicized murder-suicide stories. All of these studies controlledfor seasonal fluctuations and trends. Most of the studies also found that the greater the publicity devoted to a story, the greaterthe increase in mortality,and that the increases in mortality occurred primarily in the geographic areas where the suicide stories were most publicized. Confidence in this chain of investigations dependsupon the validityof the findingsin the original suicide study (Phillips, 1974). There are at least two reasons for viewing this study with caution. First, the research has not been replicated.At present, we know only that the results in the originalpaper hold when a particular time period (1947-1968) is examined AmericanSocological Review 1982, Vol. 47 (December:802-809 IMITATIVE SUICIDES with a relatively unconventional, quasiexperimentalanalytic technique. These original findings need to be replicatedfor another time period with another, more conventional statistical technique. A second reason for reservingjudgmenton the validityof the originalsuicide study is that its findings are based on monthlyratherthan daily data. This study showed that U.S. suicides increasedin the calendarmonthwhich contained a publicized suicide story Because this findingis based on monthlydata it leaves open the possibility that suicides increased in the few days prior to the publicized suicide story, as well as just afterwards. If daily suicide data revealed that U.S. suicides rise immediatelyprior to a suicide story, then the findings in the original suicide study would have to be substantiallyreinterpreted.And, because this study forms the foundationof all subsequentstudies in the area, they too would need to be reinterpreted.In sum, a replicative study using daily suicide data has the potential to support or undermine a growing body of research whose reliability has not been seriously questioned In the following sections, we use a quasiexperimental technique as well as a conventional regressionanalysis to examine U.S. daily suicides, 1972-1976. We seek to determine: (1) whetherit is possible to replicatethe originalfindingof a rise in U.S. suicides after publicized suicide stories, (2) whether the increase in suicides occurs only after a suicide story and not before, and (3) how long the rise in suicides persists after the appearanceof a suicide story. DATA SOURCES Mortality Data We obtained detailed U.S. daily mortality statistics, 1972-1976, from the InterUniversity Consortiumfor Politicaland Social Research; this organization,in turn, had acquiredthe data from the U.S. NationalCenter for Health Statistics. These high-qualitydata provide the basis for all federal mortality statistics.3 2 Phillips's method of analyzing his monthly data (1974:343) does not eliminate this possibility, though it does render it unlikely. I The International Classification of Diseases category of "Suicide and self-inflicted injury" (E950-E959) was used to select the suicide deaths from the master tape. Our data set covers the period 1972-1976 because U.S. computerized mortality data were not available outside of this time period when we conducted our study. 803 Data on Television Coverage of Suicide Stories Previous research has relied on newspaper stories for publicitymeasures.Newspapersare well suited for the study of city or state areas but less feasible for nationalstudies. The major problemis the developmentof a nationallyrepresentative sample of papers that have publically available subject indices with which front-pagesuicide stories may be located. Although major papers (e.g., the New York Times) have such indices, these newspapers are not representativeof all U.S. newspapers. Television news programs are a desirable alternative source for publicity measures for several reasons. First, more so than any newspaper, television news reaches a nationalaudience. Second, television news is the major source of news for many Americans.A practical advantage is that a subject index for the eveningnews is availablefor the time periodof this analysis. Thus, television news stories providea useful exploratorytest of the national response to publicized suicides.4 The Vanderbilt Television News Index (Joint University Libraries, 1972-76) was searched under the topic heading "suicide" for all suicide stories carried on two or more of the networkevening news programs(presentedby ABC, CBS, and NBC). We considered only stories about specific individualsuicides; we omitted stories discussing the general suicide rate or trends in that rate, because abstract storiesof this type are presumablynot likely to triggerimitative suicides.5 METHODS OF ANALYSIS To providea meaningfulanalysis,the effects of suicide stories must be disentangledfrom the effects of other, extraneous variables. This "disentangling"was accomplishedin two different ways. First, we conducted a brief, ex4 One disadvantage of this national publicity measure is that it does not allow us to examine easily whether areas receiving the greatest publicity have the greatest suicide response to the publicity. Newspaper publicity measures do have this advantage over television measures. 5 We also eliminated stories that occurred too near a public holiday; this was necessary in order to separate the effects of suicide stories from the effects of holidays on suicides. Following the same procedure used by Bollen and Phillips (1981), we eliminated a suicide story, if (1) a holiday falls 0-6 days after the publicized suicide, or (2) a holiday falls 0-4 days before the publicized suicide. If multiple stories occurred within a week, only the most recent story date was used. Finally, if the actual suicide was a number of years before the reporting of it, the story was dropped since people may not identify with such "historic" cases. 804 AMERICAN SOCIOLOGICAL REVIEW Table 1. U.S. Suicides in Week Following Suicide Stories Publicized on Two or Three of the Major Television Network Evening News Programsa (1) Date of Publicized Suicideb (2) Suicides in Experimental Period (3) Suicides in Control Period (4) Difference Between Experimentaland Control Period Suicides April 25, 1972 554 444 110 June 4, 1973 528 93 435 487 514 September11, 1973 -27 20 482 462 July 15, 1974 21 April 11, 1975 593 572 52 553 501 September3, 1975 May 13, 1976 -25 550 575 244 TOTALS 3747 3503 a The experimentalperiodis definedas the day of the publicizedsuicide and the six days followingit. For definitionof control period see the text. b In chronologicalorderthe suicide storiesare on the followingindividuals:G. Sanders(actor),E. Brudno (ex-POW),S. Allende(presidentof Chile),C. Chubbuck(talk-showhostess), E. Black(corporateemployee) and J. Howe (husbandof B. Ford's private secretary), USSR airplanecrewman, and D. McRae (Virginia man). ploratoryanalysis, using a quasi-experimental design, in which an experimental period is comparedwith a matchedcontrol period. Second, we conducted a more thorough,systematic analysis, using a conventional regression analysis to control explicitly for potentially confoundingvariables. Quasi-Experimental Analysis As we noted earlier, no previous research has studiedthe fluctuationof daily suicides around suicide stories. Thus, at the startof this study, we could not be certainon which days, if any, suicides would increase. We initially defined the experimental period as the entire week after the publicizedsuicide, ratherthan as any particularday. Later in this study daily figures will also be used. To determine whether the number of suicides in the experimentalperiodis unusually high, we comparethis numberwith the number of deaths in a matchedcontrol period. In general, the controlperiod is the week priorto the experimentalperiod.6 The following example illustratesour procedure.ChristineChubbuck, a television talk show hostess, shot herself while on the air on Monday,July 15, 1974.The experimentalweek is from Monday,July 15 to Sunday, July 21. The control period is from Monday, July 8 to Sunday, July 14. Table 1 describes the numberof suicides in the experimentalweeks and in matchedcontrol weeks. A positive number in column 4 indicates that more suicides occur in the experimental period than one would expect from 6 The only exception to this rule occurs when the control period contains a holiday. In this case, the first precedingweek that is free from holidayeffects is used as the control period. controlperiodmortality.It is evident that U.S. suicides generallyincrease in the week after a publicized suicide story (p=0.068; t = 1.725, 6 d.f.; one-tailed t-test for matched pairs). Overall,U.S. suicides increasedby 7.0 percent after suicide stories. In the above analysis we have aggregated suicide statistics for the entire week following the suicide story. We have not examined the increase in suicides for each day separately. Table2 presentsthis type of daily analysis. The increasein suicides is greatestfor the sixth day (12.3%)and next greatest for the second day (9.5%). On most of the other days examined, the increasein suicides is small but not negligible. In short, suicides do not produce a single peak; rather,the increase in suicides is spread over the week following the publicizedsuicide story. Overall, for the entire week, suicides increaseby about35 (i.e., 244/7)afterthe average suicide story. Our exploratory, quasi-experimental analysis of the suicide data suggests that publicized suicides trigger additional suicides. However, this approach, though simple and convenient, is not very powerful, because it does not utilize all the informationavailablein Table 2. Absolute and Percentage Increase in U.S. Suicides on Day of Publicized Suicide and in the Following Six Days Day 0 1 2 3 4 5 6 Absolute Increase (Experimental-Control) Percentage Increase 28 35 45 32 35 6 63 5.2 6.8 9.5 6.7 7.4 1.1 12.3 IMITATIVESUICIDES the data. For example, this technique compares only one control period with each experimentalperiod, thus producinghighly variable estimates of the number of dead to be expected in each experimentalperiod. An alternative, more powerful approach, based on regressionanalysis, implicitlyuses a number of control periods for each experimental period. With an increased number of control periods, idiosyncratic fluctuations in any one controlperiodno longerpose a serious problem. An additionalbenefit of regression analysis is that it allows us to attack certain problems not easily investigated with the quasi-experimentalapproach.For example, we use regression procedures to determine how long the effect of a story lasts. REGRESSIONANALYSIS Effect of a Suicide Story X Days After Appearance of the Story Our regression analyses use dummy variables to control for the potentially confoundingeffects of day of the week, month, year, and holidays. For instance, to control the dayof-the-week effects, a 0-1 variable is coded for all days that are Mondays,anotherdummy variablefor Tuesday, etc., with Sundaybeing the omitted category. With the seasonal and holiday factors included as explanatoryvariables, the estimates of the publicized suicide effects are net of the influences that, say, a particularday of the week, month,or year may have on suicides. A dummyvariable,STORY(X),is also used to indicate the occurrence of a publicized suicide. The regression coefficient for STORY(X)gives the effect of a suicide story on suicides X days later (i.e., the effect of STORYlagged X days). Initially,our analysis will be restrictedto ten days after the story. In a later section, we will relax this restriction. Table3 presentsour regressionresults.7This 'We tested for autocorrelationof the regression residuals.The usualDurbin-Watsontest for autocorrelationis not appropriatewhen a laggedendogenous variable-SUICIDE(I) in our model-is used in a regression (Nerlove and Wallis, 1966). However, Durbin(1970) has devised two alternativetests for equations with lagged endogenous variables. Durbin's h test requiresthat (I -N(VAr(a))be positive, where N is the numberof cases and Var(a)is the estimated variance of the coefficient of the lagged endogenousvariable(Durbin,i970:418).This is not true for our model. A two-step alternativetest describedby Durbin(1970)was used instead.The first step is to computethe residuals,e, fromthe ordinary least-squaresregression. Next, regress e(0) on e(1) and the other explanatoryvariables in the original equation.The significanceof the coefficient for the e(l) variable is a test of autocorrelation.Applying this test we find a coefficient of 0.0581 with a stan- 805 Table 3. SUICIDES Regressed on Publicized Suicide Story, Controlling for Daily, Monthly, Yearly, and Holiday Effects for U.S., 1972-1976 Regressand R2 R2 F Degrees of Freedom N SUICIDES 0.168 0.150 9.2 39, 1777 1817 Regressor Regression Coefficient t-statistic Intercept 64.93* 0.07* 6.28* 6.03** 1.93 0.73 -0.05 1.30 7.65* 8.03* -0.16 0.58 -4.34 6.81* 1.11 0.83 -0.07 0.41 -1.44 1.39 3.60* 4-37* 5.60* 3.31* 2.26* 3.32* 3.94* 2.39* 0.41 -0.88 -5.08* -4.35* -2.80* 0.67 5.43 -9.19* -2.41 -6.96* -5.07* -0.01 33.08 2.92 1.66 1.60 0.51 0.19 -0.01 0.34 2.03 2.12 -0.04 0.15 -1.15 7.79 1.24 0.94 -0.08 0.47 -1.65 1.18 3.13 3.73 4.65 2.84 1.93 2.87 3.29 2.08 0.34 -0.75 -6.77 -5.85 -3.80 0.92 1.62 -3.84 -0.71 -3.00 -2.34 -0.00 SUICIDE(1)a STORY(0) STORY(l) STORY(2) STORY(3) STORY(4) STORY(5) STORY(6) STORY(7) STORY(8) STORY(9) STORY(10) Monday Tuesday Wednesday Thursday Friday Saturday February March April May June July August September October November December 1972 1973 1974 1975 New Years Memorial Day July 4 Labor Day Thanksgiving Christmas a Suicides lagged one day. * Significant at 0.05 level or better, one-tailed t-test. ** Significant at 0.055 level. darderrorof 0.1973.Thus, the coefficientis less than a thirdthe size of its standarderrorand is clearlynot statistically significant. The possibility of higher order autocorrelationwas less formally considered by examiningthe correlogramof the residualsfrom the regression. Strictly speaking these correlations are not-fullyaccuratebecause the residualsare computed from an equation with a lagged endogenous variable.But this methodwould suggest a potential problem if fairly large correlations (say 0.2 or greater)occurred.The largestcorrelationwas about 0.1, which was deemed negligible. 806 table reveals that suicides peak twice after a publicizedsuicide story. The first peak occurs on the day of the publicizedstory and the day after(lags 0 and 1), and the second peak occurs on the sixth and seventh days after the story (lags 6 and 7). If we sum these four significant coefficients, [STORY(0), STORY(1), STORY(6),and STORY(7)],we obtain an estimate of the net increase in suicides in the week following the "average" suicide story. When this is done, we find an increase of nearly 28 suicides for each story.8 These STORY coefficients are sufficiently large to have substantive importanceand not just statistical significance. One way to assess this importanceis to compare the size of the STORYcoefficients with the size of the other coefficients in Table 3. Combined,the STORY coefficients are greater than any day-ofthe-week, month, year, or holiday effect. When considered individually,the significant STORY coefficients are generally largerthan the coefficients for the other variables. For example, each of the four STORY coefficients-STORY(0), STORY(1), STORY(6),STORY(7)- is largerthan any of the monthly or yearly effects. The largest day-of-the-week effect is for Monday, when an increase of 6.81 suicides is expected. This coefficient is smaller than the coefficients for STORY(6)[= 7.65] and STORY(7)[= 8.03] and is only slightlylargerthan the coefficients AMERICAN SOCIOLOGICAL REVIEW A Test for Spuriousness In this paper and in the literatureit has been assumed that the increase in suicides after a suicide story is in some way triggeredby the appearance of that story. This assumption would have to be discarded if it is found that suicides increaseprior to suicide stories. We tested this assumption in the following way. In additionto the variableslisted in Table 3, we introducedlead terms, STORY(+X), designed to estimate the effect of a story X days beforethe appearanceof that story. The results of this regression show that suicides do not increase prior to the appearanceof a suicide story. Half the STORY(+X) coefficients are positive and half are negative. None of the coefficients is statistically significant at the 0.05 level. The same conclusion is reached if the regression equation is rerun, with the lagged variables, STORY(X),removed. How Long Does the Effect Last? Systematicestimates of the durationof suicide story effects have not been provided previously in the literature.Until now, our analyses have been restrictedto a ten-day period. Several procedures can be employed to discover whether the effect of a suicide story lasts beyond the tenth day. For example, the coefficient for STORY(X)can be calculated for increasingly large values of X. However, this approachis complicatedby the fact that, when for STORY(0) [= 6.28] or STORY(l) [= 6.03]. In sum, suicide stories generallyhave a larger many values of X are examined simultashort-termeffect on suicides than do the other neously, some coefficients will be statistically significantby chance alone. For examplewhen extraneous variablesconsidered.9 our analysis was extended to X = 250, statistically significantcoefficients would still occa8 If the criterion of a 0.05 level of significance is sionally emerge. strictly applied, STORY(l) with p = 0.055 would fail The difficultyof identifyingsignificantcoefto meet this standard. In this case the increase in ficients is compoundedby the fact that suicide suicides based only on "statistically significant" coefficients would be estimated at about 22 in the stories do not have a smoothly diminishing week after each publicized suicide. effect over time. For instance, in the case of 9 Although the effect of any given suicide story is suicidal motor vehicle fatalities, previous requite large compared with seasonal effects, the search (Phillips, 1979; Bollen and Phillips, cumulative effect of all suicide stories combined is 1981)found a sharp "spike" in motor vehicle not large compared with the cumulative effect of all deaths three days after a suicide story, with no seasonal factors combined. This is because heavily significantincreases immediatelysurrounding publicized suicide stories occur only rarely. Also, some of the other results in Table 3 deserve ad- this spike. With such a pattern one might ditional comment. First, note that suicides are much plausibly find a second or third spike many higher on Monday than on any other day of the days later without significant coefficients inweek. Suicides are most frequent in March through tervening.'0 October, with the highest suicide levels occurring from April to May. The smallest number of suicides occurred in 1972-1974, while the level of suicides was about equal in 1975 and 1976. Finally, suicides decrease markedly on all holidays (except for New Year's Day). This finding is consistent with results in an earlier study (Phillips and Liu, 1980). A detailed comparison of the temporal variations in suicides and motor vehicle fatalities is in Bollen (forthcoming). 10 This erratic lag structure also rules out the use of some of the more common distributed lag structures developed in econometric research (see, e.g., Maddala, 1977:355-89; Griliches, 1967). Most of these econometric techniques assume a rather smooth lag structure. For instance, the Koyck scheme assumes a geometric decline in effects while the Almond lag technique assumes that a polynomial can be used to approximate the lag pattern. In addi- IMITATIVE SUICIDES 807 Table 4. Incrementin the ExplainedVariance(R2)of Suicide with Additionof Lagged Variables Equation R2 Lagged Variables (1) 0.1727 STORY(O)-STORY(10) (2) 0.1766 STORY(0)-STORY(20) (3) STORY(0)-STORY(30) 0.1802 (4) STORY(0)-STORY(60) 0.1969 (5) STORY(0)-STORY(100) 0.2225 a None of the F-values is statisticallysignificantat 0.05 level. ComparedEquations F-Valuea (2) to (1) (3) to (1) (4) to (1) (5) to (1) 0.797 0.762 0.988 1.137 -- After considering several procedures, we vides no evidence that suicide stories affect the adopted two techniques for estimatingthe du- level of suicides for more than ten days. ration of suicide story effects: (1) Replication In summary, the replicationtechnique provides some evidence that the effect of a suicide Technique, and (2) F-test. story mayextend beyond the tenthday, but the F-test does not supportthis finding. In the abReplication Technique sence of additionaldata, it seems safest to conThe same regressionswere run for the U.S. clude that the suicide stories exert all or almost data under analysis here and for earlier all of their effect within the first ten days. Californiadata (takenfrom Phillips, 1979).We sought to determinewhether suicides peaked significantlyon the same day in both data sets. SUMMARYAND DISCUSSION If simultaneouspeaks were found on, say, the Our empiricalfindings provide: 20thday in both data sets, then one wouldhave (1) a replicationof a key finding-the rise in some evidence that the effect of a suicide story overt suicides after a publicized suicide lasts for 20 days. story, For each data set, the variables, (2) the first evidence that this rise occurs STORY(0)-STORY(100),were included in a after and not before the suicide story, regressionequation. The choice of 100 days is (3) the first systematic investigation of the arbitrary,but if evidence of a significantpeak length of time a suicide story affects is found in both data sets on, say, the 99th day, mortality. the analysis could be extended beyond the These findingsbuttressthe generalliterature 100th day. This turned out to be necessary. on imitative suicides. The key results in this Beyond the 10th day, only STORY(31) and literature are now replicated, both for overt STORY(75) were statistically significant in suicides (Phillips, 1974,and this paper)and for both data sets. These results suggest that the covert suicides (Phillips, 1977, 1979, 1982; effect of a publicized suicide might extend as Bollen and Phillips, 1981).Taken together, all far as the 75th day. However, the evidence of these findings support the hypothesis that fromthe F-test does not supportthese findings. publicized suicides triggerimitative behavior; sometimesthis behavioris overt (in the formof an explicit suicide) and sometimes covert (in the form of automobileor airplaneaccidents). F-test for Statistical Significance Up to now we have been using the word In this procedure, we use an F-test (Nam- "imitation" as a global, descriptive term, boodiri et al., 1975: Part I) to determine meaning the performance of an act after a whether there is a significantincrementin ex- similaract has been modeled by another perplained variance when the lagged coefficients son. We have not tried to speculate on the are extended beyond the tenth day. In other psychosocialprocesses that underlieimitation. words, we test whether the goodness of fit of Now that some majorfindingsin the literature the regression equations is significantly im- have been replicated, it seems appropriatefor proved as we add STORY(I1)-STORY(30), researchersto begin to examine the detailed STORY(11)-STORY(60), or STORY(11)- individualprocesses leading to imitation. STORY(100)to the equation. The analyses to date have been based on Table 4 presents the appropriateF-statistics macro mortality data. This has limited us to and indicates that there is no statistically sig- studying aggregate responses to publicized nificant increment in explained variance be- suicides. Futureresearchmightprofitablyturn yond a lag of ten days. Thus, this table pro- from macroanalyses to micro studies of imitation. For example, it would be valuable to tion, manyof these techniquesrequirethe researcher study case historiesof individualswho commit to specify the durationof the effect, andthis begs the suicide after a publicizedsuicide to determine in what respects they differ from individuals question we are seeking to answer. 808 dying in a time period without publicized suicides. This type of study would require interviewswith friends and relativesof the deceased and is only feasible for smallgeographical areas. However, such intensive case studies should provide a great deal of information on the imitationprocess. Anotherphenomenonthat may be better explainedwith microanalyses is the double peak in deathsaftera publicizedsuicide story. Many of the macroanalyses in the literaturesuggest that two groups of "imitators" may existthose who respond early to the suicide story and those who respond late. In this paper, for example, suicides peak on days 0,1 and then again on days 6,7. The California study of motorvehicle fatalitiesshows a doublepeak on day 3 and on day 8 while a similardouble peak exists for airplane accidents following publicized suicides. The early respondersin the firstpeak may be more impulsive and may have already contemplatedsuicide, even before the example of the publicized suicide occurred. For these early responders, the publicized suicide may serve merely to precipitatea death that would have occurredeven in the absence of the publicized suicide. In contrast, late responders may make a less impulsive, more considered response to the publicizedsuicide. These persons may not have contemplatedsuicide prior to the example of the publicized suicide. The findings cited above also indicate that the early suicide peak precedes the early auto accident peak, and the late suicide peak precedes the late auto accident peak. Thus, persons dying by suicide seem to react more quicklyto the publicizedsuicide story than do persons dying in auto accidents. 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