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High-Profile Suicides Could Influence Students, Teens
Recent suicides of high-profile celebrities lead experts to worry that young people will copy the act of taking their own lives.
"They think, 'Well, OK, that person hung themselves from a banister using 10-foot rope,' then that might be something that they want to emulate," said Blaise Aguirre, M.D., a psychiatrist specializing in mood and personality disorders in adolescents at McLean Hospital outside Boston.
"The sensationalism can make this option seem attractive," comedian Bridget Phetasy, who has struggled with suicidal thoughts, wrote in a New York Post op-ed. "In all these cases, I've heard more details about their deaths than I care to know, and I can't help but feel like the way we're covering these deaths isn't helping."
Suicide is the second-leading cause of death among 15- to 29-year-olds around the world, according to the World Health Organization (WHO) in Geneva, and has more than doubled in the past decade. Only road traffic fatalities top suicide as the primary cause of adolescent deaths, with boys accounting for 77 percent of those deaths worldwide.
Experts say they are frustrated by the attention given to celebrity suicides, such as travel TV host Anthony Bourdain and fashion designer Kate Spade last week, and the impact on youths at risk. High-profile suicide can trigger contagion, which acts like a virus and may push others to take their lives. After the 2014 suicide of Robin Williams, a popular comedian and actor, researchers saw a nearly 10 percent increase in suicides. People grieving a suicide were 65 percent more likely to attempt to take their own life, a study from the University of London showed.
No one is sure why the contagion effect exists, Aguirre said. He said he thinks that hearing or reading about a suicide "activates neurons that are correlated with suicide" and makes suicide more acceptable to those at risk. Contagion does not influence people who are not at risk, he said.
Many experts say media about suicide amplifies contagion. The popular show 13 Reasons Why, based on a young-adult novel by Jay Asher, follows 17-year-old Clay Jensen as he listens to tapes left by his deceased classmate Hannah, explaining why she killed herself. Asher's novel was published in 2007 and made the American Library Association's list of most banned books in 2012 and again in 2017, the year the Netflix show first aired.
Critics say the show and its explicit portrayal of Hannah's suicide is irresponsible. The suicide is more graphic in the TV series than the book.
"In a person who is not at risk, it's not a dangerous show," Aguirre said. "But in a person who is at risk, it's a very dangerous show."
Nic Sheff, who wrote the episode that portrays Hannah's suicide, defended himself in a Vanity Fair op-ed.
"Facing these issues head-on — talking about them, being open about them — will always be our best defense against losing another life," he wrote. "It overwhelmingly seems to me that the most irresponsible thing we could've done would have been not to show the death at all."
The controversy remains fresh. Katrina Sheffield, a Florida mom, said the show inspired her daughter's suicide attempt in May. Her daughter sent a text during her attempt, saying that it was "taking longer" than on 13 Reasons Why, and her method was similar to Hannah's.
"I have told our daughter that instead of finding 13 reasons why — let's find 14 on why not!" Sheffield wrote. In a Facebook video, she urged parents to talk to their children about suicide.
Females are more likely to have suicidal thoughts, called ideation, although the suicide rate is almost four times higher in males. In the U.S., rates are increasing overall, reports the CDC.
Research suggests that age and race are closely correlated with self-harm statistics. Black children aged 5 to 12 are twice as likely to commit suicide as their white peers, but black teens aged 13 to 17 are 50 percent less likely to do so than white teens.
Lesbian, gay, bisexual, transgender, queer and other (LGBTQ+) students are also at high-risk — they're more than twice as likely to consider suicide and over three times more likely to attempt it than their heterosexual peers. Nearly 45 percent of transgender respondents to a Canadian survey reported that they had planned an attempt at least once.
Facebook has released a program intended to spot users at risk of suicide or self-harm based on their posts, even if no one reports it.
The World Health Organization offers a guide on reporting suicide, advising the media to be cautious "in reporting celebrity suicides."
"Don't place stories about suicide prominently, and do not unduly repeat such stories," WHO advised. It discourages describing suicide details, such as method or location.
"The more detail that you give legitimizes that way of doing it. Why not just say the person died by suicide and have that be its own talking point?" Aguirre said. Describing the suicide in detail "doesn't tell you about the underlying mental health."
American mental health advocacy groups called for increased attention to and funding for mental health issues following news last week of the death of Bourdain and Spade.
"Too many people in America do not have access to mental health services, and too often we neglect the impacts of traumatic events that sometimes fester for decades before taking people's lives," Paul Gionfriddo, president and CEO of Mental Health America, said in a statement.
"With all of us working together, and by collectively making a massive investment in suicide prevention research, resources and quality mental health care, we can, and we will, reverse the rising suicide rate," the American Foundation for Suicide Prevention wrote.
"Suicide Prevention is a social justice Issue," tweeted mental health advocate Jacob Griffin.
South African law student, writer and activist Luke Waltham called for action.
"Actively make your spaces brave ones where people, including yourself, can speak about your feelings and experiences," Waltham tweeted.
National Suicide Prevention Lifeline: 1-800-273-TALK (8255)
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Geopolitical tensions and growing competition in tech between the United States and China appear to be spilling over into academia despite commitments from the world’s two biggest economies to boost people-to-people exchanges.
The United States remains the top choice for Chinese students seeking to study abroad with nearly 300,000 studying in American colleges and universities during the 2022-2023 school year. But reports of some cases that students and professors are facing extra scrutiny while passing through immigration and the deportation of others are raising concerns.
For Chen Xiaojin, a doctoral student studying semiconductor materials at a university in the Washington, D.C., metropolitan area, it has been six years since she returned to her hometown of Beijing.
At first, it was the COVID-19 pandemic that kept her from going home. But over the past two years, she has been deterred by accounts of Chinese students majoring in science and engineering being required to reapply for their visas upon returning to China.
She also says she is worried by reports over the past six months of Chinese students being deported, even at nearby Dulles Airport.
"My current research is relatively sensitive, and my boss [adviser] is getting funds from the U.S. Department of Defense, making it even more sensitive,” she told VOA. "I am afraid that I won't be able to return after I go back [to China]."
Chen says that if she did return to China, she would have to apply for a new visa.
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Immigration attorney Dan Berger represented one Chinese student who was deported late last year. He tells VOA Mandarin that the student studied biological sciences at Yale University and was about to complete her doctorate.
She visited her family in China and got a new visa but was deported by customs at Dulles Airport and barred from reentering the country for five years. Berger said he did not see anything suspicious in the transcript of the conversation between the student and the customs officer.
"We have seen what seems like a pattern over the last six months of Chinese PhD students being turned around…. more than I've seen in quite a while," he said.
Matthew Brazil, a fellow at the Jamestown Foundation, said neither country seems willing to explain the situation. However, he believes that in most cases, the United States must have valid reasons for blocking visa holders from entering the country.
In some cases, the student’s background may not match what is written on the visa application. In other cases, customs agents may also find something that the State Department missed, and once they see it, they are responsible for taking action.
"I wish the Chinese side would be specific about their students who were refused entry,” he said. “The fact that both sides are mum on details and that the Chinese side is engaged with the usual angry rhetoric means that each has security concerns. And that says to me that there was good reason for the U.S. to stop these particular applicants."
Brazil also sees a connection between the entry denials and export control regulations issued by the United States in October 2022 that restrict China's ability to obtain advanced computing chips, develop and maintain supercomputers, and manufacture advanced semiconductors.
U.S. Customs and Border Protection is one of the law enforcement agencies authorized to investigate violations of export control regulations, he said.
"Beijing's intelligence agencies are known to focus attention on PRC [People's Republic of China] students and scientists headed abroad who study or work on dual-use technologies controlled under the Export Administration Act — compelling Chinese students and scientists to report on what they've learned when they return to China on holiday,” he said. “This has been true for decades."
Bill Drexel, a fellow for the Technology and National Security Program at the Center for a New American Security, said the U.S. government did find some cases where students tried to steal strategic technology for China.
"I think it would both not be surprising that they found some really questionable or incriminating evidence for some students,” he said. “It would also not be surprising if, in their hunt for really solid evidence, they also may have made some mistakes on other students.”
Drexel adds that “it’s just kind of an unfortunate fact of the time that we live in and the tactics that the CCP uses when it comes to these measures."
In a post on X in early May, U.S. ambassador to China Nicholas Burns tried to dispel concerns about visas and entry to the United States for students and scholars. In the post, he said "99.9% of Chinese students holding visas encounter no issues upon entering the United States.”
In an interview with The Wall Street Journal Monday, Burns said it is China that is making it impossible to promote people-to-people ties. Burns told the Journal that students attending events sponsored by the United States in China have been interrogated and intimidated.
He also said that since U.S. President Joe Biden and China’s leader Xi Jinping held their summit in San Francisco last year, China’s Ministry of State Security and other agencies had interfered with Chinese citizens’ participation at some 61 events.
At a regular briefing on Wednesday, Chinese Foreign Ministry spokesperson Mao Ning dismissed those accusations, saying that they did not “reflect reality" and that went against key understandings reached by both countries’ presidents in San Francisco.
“The United States, under the pretext of 'national security,' unjustifiably harasses, interrogates, and deports Chinese students in the U.S., causing them significant harm and creating a severe chilling effect,” Mao said. “The image of the United States in the minds of the Chinese people fundamentally depends on the actions of the United States itself.”
Drexel said he believes Burns’ comments about visas and students' willingness to study in the U.S. still ring true.
“On balance, it's still the case that American universities are overwhelmingly warm towards Chinese students and want them in large numbers," he said.
However, Berger, the immigration lawyer, is concerned about the chilling effect recent cases involving Chinese students could have.
"In general, we are being more careful about advising Chinese graduate students in STEM fields about traveling and letting them know that there is some small risk,” he said.
Even though the risk is small, it does seem to be real at the moment, he said.
Adrianna Zhang contributed to this report.
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