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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Does a copycat effect exist in the emergency department?

Woo Jung Kim¹, Youn Joo Song, Kee Namkoong

¹Department of Psychiatry, Armed Forces Capital Hospital, Seongnam, Korea.

International Journal of Psychiatry in Medicine

|June 29, 2013

Summary

A celebrity suicide in Korea triggered a copycat effect, increasing suicide attempts in emergency departments (EDs). The study found more attempts using similar methods and ages, highlighting the need for ED-based prevention strategies.

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Area of Science:

Public Health
Psychiatry
Sociology

Background:

Celebrity suicides have been linked to increased suicide rates, a phenomenon known as the Werther effect or copycat suicides.
Understanding the copycat effect in emergency department (ED) settings is crucial for timely intervention.

Purpose of the Study:

To investigate the copycat effect of a famous actress's suicide on suicide attempts presenting to emergency departments in Korea.
To analyze demographic and clinical characteristics of suicide attempts before and after the celebrity suicide event.

Main Methods:

Retrospective review of medical records for suicide attempt cases at two general hospitals.
Data collected included demographics, psychiatric history, suicide attempt methods, and discharge status for 6 months pre- and post-celebrity suicide.

Main Results:

A total of 319 cases were identified; 158 before and 161 after the event.
Following the celebrity suicide, there was an increase in suicide attempts with similar age and method (hanging), and a rise in those with psychiatric history and multiple methods.
Discharge against advice decreased but remained high (59.6%), with outpatient follow-up compliance below 50%.

Conclusions:

The study confirmed a copycat effect in emergency department suicide attempts following a celebrity suicide.
There is a critical need for ED-initiated prevention of suicide re-attempts.
Developing specific action guides for suicide attempts in the ED, involving inter-hospital, community, and media cooperation, is recommended.