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      Assessing the Quality of Media Reporting of Suicide Deaths in Bangladesh Against World Health Organization Guidelines

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          Abstract

          Abstract. Background: Media reporting of suicide events has thus far gone without sufficient scrutiny in Bangladesh. Aim: The purpose of this study was to assess the quality of newspaper reporting of suicides in Bangladesh against international guidelines. Methods: We used content analysis to assess the quality of suicide reporting in six daily newspapers in Bangladesh. The newspapers were hand-searched between November 2016 and April 2017 and 327 articles reporting on suicide deaths were retrieved. Results: The mean number of suicide articles per day per newspaper was 0.3 (range across newspapers 0.11–0.70) and the mean length was 11.3 sentences. Harmful reporting practices were very common (for example, a detailed suicide method was reported in 75.5% of articles) while almost no potentially helpful reporting practices were observed (for example, no articles gave contact details for a suicide support service). Limitations: The findings are limited to print mass media. Conclusions: We observed that explicit and simplistic reports of suicide deaths were frequently observed in newspapers in Bangladesh. Attempts should be made to understand the perspectives of media professionals in relation to suicide reporting, and to devise strategies to boost the positive contribution that media can make to suicide prevention in this context.

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          Most cited references33

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          Suicide and suicidal behaviour.

          Suicide is a complex public health problem of global importance. Suicidal behaviour differs between sexes, age groups, geographic regions, and sociopolitical settings, and variably associates with different risk factors, suggesting aetiological heterogeneity. Although there is no effective algorithm to predict suicide in clinical practice, improved recognition and understanding of clinical, psychological, sociological, and biological factors might help the detection of high-risk individuals and assist in treatment selection. Psychotherapeutic, pharmacological, or neuromodulatory treatments of mental disorders can often prevent suicidal behaviour; additionally, regular follow-up of people who attempt suicide by mental health services is key to prevent future suicidal behaviour.
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            Suicide in the media: a quantitative review of studies based on non-fictional stories.

            Research on the effect of suicide stories in the media on suicide in the real world has been marked by much debate and inconsistent findings. Recent narrative reviews have suggested that research based on nonfictional models is more apt to uncover imitative effects than research based on fictional models. There is, however, substantial variation in media effects within the research restricted to nonfictional accounts of suicide. The present analysis provides some explanations of the variation in findings in the work on nonfictional media. Logistic regression techniques applied to 419 findings from 55 studies determined that: (1) studies measuring the presence of either an entertainment or political celebrity were 5.27 times more likely to find a copycat effect, (2) studies focusing on stories that stressed negative definitions of suicide were 99% less likely to report a copycat effect, (3) research based on television stories (which receive less coverage than print stories) were 79% less likely to find a copycat effect, and (4) studies focusing on female suicide were 4.89 times more likely to report a copycat effect than other studies. The full logistic regression model correctly classified 77.3% of the findings from the 55 studies. Methodological differences among studies are associated with discrepancies in their results.
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              Assessing the impact of media guidelines for reporting on suicides in Austria: interrupted time series analysis.

              Media guidelines for reporting on suicides are a widely used means of preventing imitative suicides, but scientific accounts of their impact on suicide numbers are sparse. This report provides an evaluation of the Austrian guidelines that were introduced in 1987 as a natural experiment. The impact of the guidelines was tested by applying an autoregressive integrated moving average (ARIMA) model and a linear regression model. In addition to a nationwide evaluation, Austria was divided into three areas according to regional differences in coverage rates of the collaborating newspapers and the impact of the intervention was tested for each area separately. Main outcome measures were the overall annual suicide numbers, and the numbers of Viennese subway suicides that were exceptionally newsworthy for the mass media. In order to test intermediate impacts, also quantitative and qualitative changes in media reporting after the introduction of the guidelines were analysed. There was some evidence of a nationwide impact of the guidelines, calculated as a significant reduction of 81 suicides (95% confidence interval: -149 to -13; t = -2.32, df = 54, p <0.024) annually. This effect was particularly due to a significant reduction in the area with the highest coverage rates of the collaborating newspapers. Viennese subway suicides showed a highly significant level shift (t = -4.44, df = 19, p <0.001) and a highly significant trend change (t = -4.20, df = 19, p <0.001) after the introduction of the guidelines. These effects corresponded to significant changes in the quality and quantity of media reporting. The present results clearly support the hypothesis that the media guidelines have had an impact on the quality of reporting as well as on suicidal behaviour in Austria, and stress the importance of collaborating with nationwide, but also with regional media to achieve efficacy. Further research is needed to provide an international insight into this public health issue.
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                Author and article information

                Contributors
                Journal
                cri
                Crisis
                Hogrefe Publishing
                0227-5910
                2151-2396
                May 29, 2019
                2020
                : 41
                : 1
                : 47-53
                Affiliations
                [ 1 ]Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
                [ 2 ]Department of Psychiatry, Aga Khan University, Karachi, Pakistan
                [ 3 ]Centre for Public Health, Medical University of Vienna, Austria
                [ 4 ]Faculty of Political Science and Economics, Waseda University, Tokyo, Japan
                [ 5 ]Nossal Institute for Global Health, The University of Melbourne, VIC, Australia
                Author notes
                Gregory Armstrong, Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, 333 Exhibition St., Melbourne, VIC 3010, Australia, g.armstrong@ 123456unimelb.edu.au
                Author information
                https://orcid.org/0000-0002-8073-9213
                Article
                cri_41_1_47
                10.1027/0227-5910/a000603
                31140319
                2c4d0e10-857c-4031-8d93-d8316c512bf6
                Copyright @ 2019
                History
                : July 24, 2018
                : February 10, 2010
                : February 14, 2019
                Funding
                Funding: Dr. Gregory Armstrong is funded by a National Health and Medical Research Council (Australia) Early Career Fellowship (GNT1138096).
                Categories
                Research Trends

                Emergency medicine & Trauma,Psychology,Health & Social care,Clinical Psychology & Psychiatry,Public health
                suicide,media,guidelines,Bangladesh

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