What the highest rated movie of all time may teach us about portraying suicide in film

Abstract

Media portrayals of suicide can have a substantial, negative influence on suicide rates often described as the Werther effect (Sinyor et al., 2018). One of the most extreme examples of this phenomenon was the publicity surrounding the death of Robin Williams which was associated with an increase of more than 1800 deaths in the United States in late 2014 (Fink et al., 2018). Recently, there has been renewed interest in the potential deleterious effects of fictional media depictions given an association between the release of the Netflix show 13 Reasons Why and increased youth suicides (Niederkrotenthaler et al., 2019). In our conversations with members of the entertainment media (and the mainstream media), a common theme is frustration with what they perceive as an emphasis by the suicide prevention community on what we discourage them from publishing. Given that their job is ultimately to create and disseminate content, we have received feedback that models for how to do so safely and appropriately may be just as important as a list of elements to avoid. Historically, the best evidence in this area has been from non-fictional, news media coverage. Specifically, news stories emphasizing resilience and the absence of suicide attempts/ deaths in the face of suicidal crises have been associated with reductions in suicide across a population, the so-called Papageno effect (Sinyor et al., 2018) (following publication of newspaper stories in which people experiencing suicidal crises did not engage in suicidal behaviour and went on to survive [socalled ‘mastery of crisis’ articles], there was a small, statistically significant reduction in suicides in Austria). While the issues involved in fictional and non-fictional depictions have some overlap, they are not identical, and, ideally, fictional archetypes would inform this discussion. Numerous films have explored the topic of suicide in different ways, but The Shawshank Redemption (1994), the number 1 film of all time according to users of the Internet Movie Database (IMDB; see IMDB.com Top 250), provides a rich basis for discussion of the potential impacts of suicide-related content in fictional movies based on what is currently known about media impacts on suicide. The Shawshank Redemption tells the story of a wrongly imprisoned man who eventually escapes to freedom. During its 142-minute running time, it includes four potential or actual suicide vignettes relating to its two protagonists (Andy and Red) and two supporting characters (Brooks and Norton). The film is not entirely consistent with responsible media recommendations, specifically in relation to the latter two characters who both die by suicide. A major theme of the film is the impact of institutionalization that comes with lengthy incarceration on the human spirit. Brooks is released after five decades in prison to a world that appears foreign and terrifying. He contemplates engaging in crime so that he can be sent back to the world he knows. He writes a letter to his friends: ‘I don’t like it here. I’m tired of being afraid all the time. I’ve decided not to stay’. In despair, he carves ‘Brooks was here’ into a wood ceiling beam and then hangs himself from it. Norton, the prison’s warden and the film’s main villain, is depicted shooting himself in the head rather than being arrested when Andy exposes his criminal activities. Both scenes are potentially problematic with each depicting a lethal suicide method. Brooks is also a highly identifiable character and identification appears to mediate much of the risk of suicide contagion (Till et al., 2015). Identification with the Norton character may be less likely and news media portrayals of suicide in villains are often associated with a reduction in subsequent suicides (Sinyor et al., 2018). However, being accused of a crime is a risk factor for suicide and about half of suicides in jail populations occur while defendants are What the highest rated movie of all time may teach us about portraying suicide in film