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Dec 6, 2022
By Annenberg Public Policy Center of the University of PennsylvaniaDecember 6, 2022 According to U.S. media data collected and analyzed by the Annenberg Public Policy Center (APPC) of the University of Pennsylvania, the false claim that the suicide rate rises during the year-end holiday season persisted in some news coverage through the 2021-22 holidays. Some news media stories still inaccurately link suicide with the Christmas holiday season. The holiday-suicide myth is the long-perpetuated false claim that the suicide rate rises during the year-end holiday season. In some news coverage through the 2021-22 holidays the holiday-suicide myth persisted, according to U.S. media data collected and analyzed by the Annenberg Public Policy Center (APPC) of the University of Pennsylvania. In fact, although the U.S. suicide rate increased in 2021 after two years of declines, the average daily suicide rate during the holiday months remained among the lower rates of the year. APPC’s media analysis, which is based on newspaper stories published over the 2021-22 holiday season, found that a little more than half of the stories that directly discussed the holidays and the suicide rate supported the false myth, while the remainder debunked it. Percentage of news stories mentioning both the holiday season and suicide (in a non-coincidental way) that support or debunk the holiday-suicide myth. Stories published during the holiday season from 1999-2022. Source: Annenberg Public Policy Center. Credit: Annenberg Public Policy Center For over two decades, the Annenberg Public Policy Center has sought to correct the popular misconception linking the holidays with suicide by analyzing newspaper stories to see whether they perpetuated or debunked the holiday-suicide myth. Over the 2021-22 holiday season, only 25 stories made the connection, with 14 of those perpetuating the myth (56%) and 11 debunking it (44%) – among the lowest total counts since APPC has tracked this. (See accompanying figures.) “Our experience in tracking news stories about suicide over the holidays shows how difficult it is to stamp out this myth,” said Dan Romer, research director of the Annenberg Public Policy Center. “In the 23 years of our study, only nine years had higher rates of debunking of the myth and only three of those occurred in the last 10 years.” Holiday Suicides: Fact or Myth? The idea that suicides occur more frequently during the holiday season is a long perpetuated myth. CDC’s National Center for Health Statistics reports that the suicide rate is, in fact, the lowest in December. The rate peaks in the spring and the fall. This pattern has not changed in recent years. The holiday suicide myth supports misinformation about suicide that might ultimately hamper prevention efforts. However, suicide remains a major public health problem, one that occurs throughout the year. It is the 10th leading cause of death for all Americans. Each year, more than 36,000 people take their own lives. In addition, more than 374,000 are treated in emergency departments for self-inflicted injuries. The U.S. suicide rate rises again Provisional data from the Centers for Disease Control and Prevention (CDC) show that the number of suicides increased in 2021, following declines in 2019 and 2020. However, the national age-adjusted suicide rate in 2021 was no higher than the recent peak in 2018 (14.0 per 100,000 population in 2021 vs. 14.2 in 2018). In 2020, the COVID-19 pandemic was declared, followed by lockdowns in parts of the United States. According to provisional data released by the CDC’s National Center for Health Statistics in September 2022, the number of suicides in 2021 was 4% higher than in 2020. The CDC noted that the monthly number of suicides was lower in 2021 than in 2020 in January, February, and July, and higher in all of the other months. Average number of suicides per day in each month from January 1999-December 2021. The holiday-season months November to January are shaded. Data: CDC’s National Center for Health Statistics. The 2021 data are provisional. Credit: Annenberg Public Policy Center In 2021, the average number of U.S. suicide deaths per day in January and December put those two months among the lowest of the 12 months – 10th and 12th, respectively. The suicide rate in November in 2021 made it 7th among the 12 months. The month with the highest rate of suicides in 2021 was August. (See figures and table.) “For some people this may be an emotionally fraught time of year,” Romer said. “With stories focusing on the holiday blues, seasonal affective disorder, and other changes in the seasons, there are a lot of factors that would seem to support the myth. There is also concern for those who have lost friends and family during the year and who may be experiencing sadness about those losses. But we should not assume that these experiences lead people to suicide.” At the same time, the pandemic exacerbated levels of anxiety and depression, particularly among young people. From December 29, 2021-January 10, 2022, for example, 47.5% of 18- to 29-year-olds in the United States showed symptoms of anxiety disorder or depressive disorder, according to surveys conducted by the U.S. Census Bureau and the National Center for Health Statistics. That compared with 32.1% for the overall U.S. rate during that period. Data: CDC. Table: Annenberg Public Policy Center. Data for 2021 are provisional. Perpetuating or debunking the holiday-suicide myth APPC has analyzed news coverage of the holiday-suicide myth across 23 holiday seasons, from 1999-2000 through 2021-22. In most of those years, more newspaper stories supported the myth than debunked it, as was the case over the 2021-22 holidays. The false connection between the holidays and suicide can be seen in stories such as these: In a question-and-answer column published December 22, 2021, in the Highland (Ill.) News Leader, Focus on the Family president Jim Daly responded to a question from someone who was not feeling particularly merry by saying: “I get it – for every festive party and joyous carol this Christmas season, there will be someone out there who, for various reasons, just barely makes it through. And unfortunately, some WON’T make it through – the numbers show that depression and suicide rates peak this time of year.” In “The Bright Side: Happy Thanksgiving,” which ran on November 23, 2021, in the Spencer (Ind.) Evening World, guest columnist Anne Bright wrote about the causes of holiday stress: “Most experts agree that unrealistic expectations are a major contributor. The over-commercialization of the holidays has led us to believe that our lives should be a ‘Hallmark’ TV special. Add financial stress, toxic family situations, fatigue, loneliness, and unhealthy eating habits and the situation can become critical. Depression and suicide increase dramatically during the ‘jolly’ season.” Stories debunking the myth include these: A guest column by Chris Schillig in The (Ohio) Alliance on December 11, 2021, noted: “It is often said that suicides increase near the holidays, but this is not accurate. Suicide attempts decrease at Christmastime and peak in the summer months. Still, the warning signs should never be overlooked.” A December 18, 2021, story in The (Va.) Winchester Star about suicide prevention help being available year-round, said, “While people may think suicides increase during the holidays, statistics show otherwise.” The story went on to cite CDC monthly suicide data and the Annenberg Public Policy Center’s 2018 findings. Number of news stories that support the holiday suicide myth, from the 1999-2000 holiday season through the 2021-22 holiday season. Credit: Annenberg Public Policy Center Why it’s important to dispel the holiday-suicide myth It’s important for reporters and news organizations to dispel the myth because allowing people to think that suicide is more likely during the holiday season can have contagious effects on people who are contemplating suicide. National recommendations for reporting on suicide advise journalists not to promote information that can increase contagion, such as reports of epidemics or seasonal increases, especially when the claim has no basis in fact. The national recommendations, which were developed by journalism and suicide-prevention groups along with the Annenberg Public Policy Center, say that reporters should consult reliable sources such as the CDC on suicide rates and provide information about resources that can help people in need. Journalists helping to dispel the holiday-suicide myth can provide resources for readers who are in or know of someone who is in a potential crisis. Those offering valuable information include the CDC , the Suicide Prevention Resource Center , the National Institute of Mental Health , and the Substance Abuse and Mental Health Services Administration ( SAMHSA ). In July 2022, the National Suicide Prevention Lifeline was renamed the 988 Suicide & Crisis Lifeline, and 9-8-8 was officially implemented as the hotline’s three-digit nationwide telephone number. Methodology News and feature stories linking suicide with the holidays were identified through searches of both the LexisNexis and NewsBank databases. The researchers used the search terms “suicide” or “suicides” with variations of the words “holiday,” “Christmas,” “New Years,” “increase,” “peak,” and “rise,” from November 15, 2021, through January 31, 2022. APPC’s searches originally used the LexisNexis database but were expanded in 2019 to include NewsBank for wider coverage of the U.S. press. A reanalysis of past years since 2015-16, including NewsBank, did not substantially alter the proportion of stories debunking or supporting the myth. Researchers determined whether the stories supported the link, debunked it, or showed a coincidental reference. Coincidental stories were eliminated. Only domestic suicides were counted; overseas suicide bombings, for example, were excluded. Lauren Hawkins and Madison Russ collected and supervised the coding of the stories, and Thomas Christaldi, Sienna Horvath, Tara Shilkret, and Julia Van Lare did the coding. The Annenberg Public Policy Center was established in 1993 to educate the public and policymakers about communication’s role in advancing public understanding of political, science, and health issues at the local, state, and federal levels.
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