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Biomedical subjects

Steven Stack

Publications and source records attributed to Steven Stack.

10 recordsLinked to original sources

The age structures and marital status differences of married and not married male suicide rates: 12 developed countries.

Male suicide rates, circa 1960, specific to age and marital status for 12 developed countries show married men with lower suicide rates than not married men. This results in differences in the age structures of married and not married suicide rates. We test three explanations of lower married than not married suicide rates: 1) Gibbs and Martin's (1964) marital status integration hypothesis; 2) marital status differences in norms regarding the acceptability of suicide; and 3) Durkheim's societal integration theory. All three explanations are supported by multivariate regressions. The strongest support is for societal integration. The models explain over 80% of the variance in both married and not married male age-specific suicide rates. These regression equations generate predicted suicide rates and these predicted rates are then used to see if they account for the observed age structures of married and not married men. They do in 19 of 24 tests.

Adolescent↗

Mass homicide and suicide deadliness and outcome.

A study of 98 lone, rampage killers in the United States from 1949 to 1999 found that those who were killed by police officers killed and wounded more victims than those who completed suicide who, in turn, killed or wounded more victims than those who were captured. Those rampage killers who completed suicide were less likely to be judged schizophrenic and more likely to be killing present or former co-workers.

Adolescent↗

Race and method of suicide: culture and opportunity.

The present study assesses the link between choice of violent methods of suicide and race from the standpoint of two perspectives: differential socio-acceptability and differential availability. To the extent that African Americans form a subculture of violence, and are more exposed to violence, we would expect them to choose violent methods of suicide. Data are from the 1990 mortality detail file of the U.S. Public Health Service and correspond to 19,580 male suicides. The results of a multivariate logistic regression analysis indicate that African Americans are 2.24 times more likely than Caucasians to choose violent methods of suicide. Although they are less likely to own firearms, African Americans are more likely than Caucasians to choose violent methods of suicide.

Adult↗

Suicide in the media: a quantitative review of studies based on non-fictional stories.

Research on the effect of suicide stories in the media on suicide in the real world has been marked by much debate and inconsistent findings. Recent narrative reviews have suggested that research based on nonfictional models is more apt to uncover imitative effects than research based on fictional models. There is, however, substantial variation in media effects within the research restricted to nonfictional accounts of suicide. The present analysis provides some explanations of the variation in findings in the work on nonfictional media. Logistic regression techniques applied to 419 findings from 55 studies determined that: (1) studies measuring the presence of either an entertainment or political celebrity were 5.27 times more likely to find a copycat effect, (2) studies focusing on stories that stressed negative definitions of suicide were 99% less likely to report a copycat effect, (3) research based on television stories (which receive less coverage than print stories) were 79% less likely to find a copycat effect, and (4) studies focusing on female suicide were 4.89 times more likely to report a copycat effect than other studies. The full logistic regression model correctly classified 77.3% of the findings from the 55 studies. Methodological differences among studies are associated with discrepancies in their results.

Adult↗

Emile Durkheim and altruistic suicide.

Altruistic suicides are marked by cultural approval and benefit the social order. They occur in social groups where there is a low value placed on the individual. The principle loci of altruistic suicide are primitive societies and the modern military. Subtypes of altruistic suicide (obligatory, optional, acute) are delineated and evaluated. Military suicide rates are seen as being inversely related to civilian suicide rates. Key limitations of Durkheim's model are discussed including his exaggerating the prevalence of obligatory suicide. Suggested points of departure for future research on altruistic suicide include comparative analyses of suicide in the modern military, and application of the concept of optional altruistic suicide to the impact of suicide acceptability on national suicide rates.

Journal Article↗

Suicide risk among physicians: a multivariate analysis.

It has been hypothesized that previous research on physician suicide has neglected a possible suppressor effect on suicide from a low risk of divorce among physicians. The present article addresses this question using data on 143,885 deaths from the 1990 National Mortality Detail Files. The results of a multivariate logistic regression analysis indicated that when controls are introduced for marital status, gender, race, and other covariates of social status, physicians were 2.45 times more likely to die of suicide than the rest of the working age population. The results suggested that previous work, which had not controlled for the protective effect of marital status, might have underestimated the incidence of physician suicide.

Journal Article↗

Suicide among social workers: a research note.

Occupations have been a relatively neglected risk factor in the etiology of suicide. Client-oriented occupations are often thought to contribute to suicide by increasing psychological stress. The present study tests this thesis for the case of social work. Data were collected from 21 reporting states in the year of 1990. Controls are introduced for possible covariates of social work including gender, race, region, age, and marital status. The results of a preliminary logistic regression analysis found that being a social worker increased the odds of death by suicide by 55.6%, compared to the rest of the working age population. However, when controls for other occupations were incorporated into the analysis, social workers were no longer at elevated odds of death by suicide relative to other professional-managerial occupations. The psychological resources and training of social workers may act as buffers against occupational stress. Being Caucasian, male, younger, and being non-married all increased the odds of death by suicide.

Journal Article↗

The deadliness of mass murderers.

The death toll for mass murders was higher when the murderer committed suicide and when the incident was elsewhere than the Americas and Europe.

Americas↗

Opera subculture and suicide for honor.

The influence of music-based subcultures on suicidality has been the subject of much debate but little scholarly research. While previous work has documented that suicide is a remarkably frequent cause of death in opera, it has not explored the related consequences on opera's audience. In particular, the possible influence of the opera subculture on suicide acceptability has been largely unexplored. Suicide in the case of life without honor, the "Madame Butterfly Effect," is a theme in opera. Persons who are drawn into and/or influenced by the opera subculture of honor are hypothesized to be more accepting of suicide in the case of dishonor to one's family. Data are from the national general social surveys (N = 845). A multivariate logistic regression analysis finds that opera fans are 2.37 times more accepting of suicide because of dishonor than nonfans. Only two variables, religiosity and education, are more closely related to suicide acceptability than opera fanship. These are the first empirical results on the subject of opera and suicide acceptability.

Attitude to Death↗

Clustering in rampage murders.

A study of 81 incidents of rampage murders in the USA from 1988 to 1999 yielded no evidence for clustering.

Cluster Analysis↗