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. 2018 Jul 30;190(30):E900–E907. doi: 10.1503/cmaj.170698

Table 2:

Characteristics of articles focusing on suicide in major publications in Toronto media (2011–2014) and their association with increases or decreases in suicides after publication

Characteristics of media item Total (%)
n = 6367
No. of articles followed by increased suicides (%) No. of articles followed by no change in suicides (%) No. of articles followed by decreased suicides (%) Harmful effect analysis* Protective effect analysis
Increased v. no change or decreased suicides
OR (95% CI)
No change or increased v. decreased suicides
OR (95% CI)
Item location
Front page 314 (4.9) 134 (42.7) 50 (15.9) 130 (41.4) 0.95 (0.76–1.20) 1.03 (0.82–1.30)
Online 2667 (41.9) 1191 (44.7) 367 (13.8) 1109 (41.6) 1.06 (0.96–1.18) 1.04 (0.94–1.15)
Age focus
Youth 2014 (31.6) 836 (41.5) 268 (13.3) 910 (45.2) 0.87 (0.79–0.97) 0.83 (0.75–0.93)
Adult 2029 (31.9) 913 (45.0) 288 (14.2) 828 (40.8) 1.08 (0.97–1.20) 1.08 (0.97–1.21)
Older adults 458 (7.2) 232 (50.7) 67 (14.6) 159 (34.7) 1.35 (1.11–1.63) 1.40 (1.15–1.71)
Gender focus
Male 3417 (53.7) 1465 (42.9) 438 (12.8) 1514 (44.3) 1.05 (0.94–1.16) 0.94 (0.85–1.04)
Female 2501 (39.3) 1076 (43.0) 360 (14.4) 1065 (42.6) 0.95 (0.86–1.05) 0.97 (0.88–1.08)
Suicide focus
Ideation 1547 (24.3) 659 (42.6) 244 (15.8) 644 (41.6) 0.94 (0.84–1.05) 1.03 (0.92–1.16)
Attempt 1079 (16.9) 467 (43.3) 158 (14.6) 454 (42.1) 0.98 (0.86–1.11) 1.00 (0.88–1.15)
Death 4764 (74.8) 2062 (43.3) 650 (13.6) 2052 (43.1) 0.92 (0.83–1.04) 0.86 (0.77–0.97)
Article focus
Specific person’s death or suicidality 5199 (81.7) 2245 (43.2) 708 (13.6) 2246 (43.2) 0.88 (0.77–1.00) 0.79 (0.69–.90)
Suicide research 1220 (19.2) 549 (45) 176 (14.4) 495 (40.6) 1.06 (0.94–1.21) 1.08 (0.96–1.23)
Suicide public policy 1050 (16.5) 412 (39.2) 155 (14.8) 483 (46) 0.80 (0.70–0.92) 0.83 (0.73–0.95)
Assisted death 1123 (17.6) 519 (46.2) 169 (15.0) 435 (38.7) 1.13 (0.99–1.28) 1.19 (1.04–1.36)
Individual murder-suicide 483 (7.6) 202 (41.8) 40 (8.3) 241 (49.9) 0.92 (0.76–1.11) 0.71 (0.59–0.86)
Mass murder-suicide 131 (2.1) 63 (48.1) 24 (18.3) 44 (33.6) 1.19 (0.85–1.69) 1.45 (1.01–2.09)
Suicide pact 131 (2.1) 75 (57.3) 18 (13.7) 38 (29.0) 1.74 (1.23–2.47) 1.81 (1.23–2.64)
Legal issues related to suicide 2929 (46.0) 1298 (44.3) 452 (15.4) 1179 (40.3) 1.04 (0.94–1.15) 1.16 (1.05–1.28)
Suicide as institutional protest 80 (1.3) 36 (45) 14 (17.5) 30 (37.5) 1.05 (0.68–1.64) 1.22 (0.77–1.92)
Suicide in fiction 289 (4.5) 128 (44.3) 48 (16.6) 113 (39.1) 0.90 (0.68–1.19) 1.07 (0.81–1.41)
Article type
Opinion column 952 (15.0) 434 (45.6) 144 (15.1) 374 (39.3) 1.09 (0.95–1.25) 1.15 (1.00–1.32)
Advice column 28 (0.4) 10 (35.7) 1 (3.6) 17 (60.7) 0.71 (0.33–1.55) 0.47 (0.22–1.01)

Note: CI = confidence interval, OR = odds ratio.

*

Harmful effect = comparisons of proportion of articles followed by increased suicides v. proportion of articles followed by no change or decreased suicides; ORs > 1 show a harmful effect.

Protective effect = comparisons of proportion of articles followed by decreased suicides v. proportion of articles followed by no change or increased suicides; ORs < 1 show a protective effect.