The Issue:
Figure 1- Proportion of suicidal thoughts experienced, separated according to age group and sex. |
Why is it that so many of us hide
from the word suicide? Rates of suicide and self-harm are an enormous concern
throughout society, with 6,122 people in the UK taking their own lives in 2014
(Samaritans Suicide Statistics Report, 2016), although the figures are likely
to be larger than this since many suicides go unreported. Those aged 15-24 are
at particular risk, with suicide being reported as the leading cause of death
in this age group (Eskin et al, 2016), greater than deaths caused by car
fatalities. Of this age group, over 20% of males and females combined admitted
to having suicidal thoughts at some point in their lives (see Figure 1), and
self-harm rates have risen significantly between the years 2000 and 2007,
particularly for females in the younger generation (see Figure 2), (McManus et
al, 2009). What’s more, fewer than 4% of young adults are likely to talk to a
professional about their concerns (Borrill, Fox, Flynn, & Roger, 2009).
These facts troubled us, and we wanted to engage in a project to help raise
awareness of suicide and self-harm amongst university students, and provide
support for those who may be suffering or know someone close to them who is at
risk. We felt that it was important to encourage people to fight the taboo
surrounding suicide and speak out about it, as silence can be the biggest
killer if this issue is neglected.
Figure 2- Proportion of self-harm rates in the years 2000 and 2007, divided according to gender and age range. |
What we did:
Figure 3- Our draft storyboard : a project in the making. |
We decided to create a spoken
word poem on suicide and self-harm, and used this to form a short animation.
This helped to convey a story whereby a young male adult is suffering from suicidal
thoughts and self-harm, and is helped by a female friend who recognises the
warning signs and persuades him to seek help (see Figure 3). We provided contact details of
charities where individuals can get support (e.g: Nightline, Samaritans, and
Papyrus’s HOPELine). We also made a Facebook page (see: fb.me/suicide.speakoutseekhelp) where our
animation can be found, and uploaded it to YouTube. Our Facebook page includes
advice on what to do if an individual feels as though they or someone else is
at risk, and offers a variety of distraction and coping strategies that
students can try if they feel like harming themselves. A couple of the main
suggestions put forward here include the idea of a ‘Hope Box’ in which the
person can store things that make them happy or bring comfort (such as
photographs and calming objects), and the suggestion of making a ‘Safety Plan’
which provides details of what to do when at crisis point. In the near future,
we hope to have our animation shown on the student cinema to target a wider
audience to raise further awareness of the issue.
Persuasion techniques used:
Similarity Altercast-
Similarity altercasting is a
theory of social persuasion which posits that perceived similarity between the
self and another will increase compliance to that other person in virtue of
having a shared identity. This persuasive technique was shown in a lab experiment
by Baron (1971). The study manipulated the degree of a subject’s perceived
attitude similarity (high or low) to a confederate (by leading them to believe
that they had very similar or very dissimilar answers on an attitude
questionnaire), and then instructed the confederate to request a small, medium,
or large favour from the subject. Although the small request elicited similar
rates of compliance for low and high similarity conditions, there was a large
discrepancy between rates of compliance in the low and high similarity
conditions for medium requests (30% low vs 90% high) and large requests (50%
low vs 100% high). The experiment demonstrates how high levels of perceived
similarity by an audience to a source makes their actions far more likely to be
influenced by the source.
We
tried to persuade others to change their behaviour and speak openly about
suicide by using similarity altercasting in our animation. First, as Warwick
University students ourselves we targeted our animation towards Warwick
University students by stressing the prevalence of suicide within our
university. Second, we created a simple look for our male and female characters
to provide a literal and metaphorical ‘blank canvas’ onto which the audience
can view themselves as being in the story and identifying with their plight.
The hope is that identifying with the audience in this way will create a shared
sense of identity which will increase the likelihood of the audience complying
with our request to speak out about suicide.
Elaboration
Likelihood Model-
The Elaboration Likelihood Model (Petty
& Cacioppo, 1986) tells us that attitude change is mediated by the way in
which the following two factors interact with a piece of persuasive
communication: the audience’s ability to think about the message, and
the audience’s motivation to think about the message. If the audience
are able and motivated to think about the message, they may take the “central
route” to persuasion. The central route to persuasion means engaging with and
being persuaded by the content of the message. For example, someone who votes
for a political candidate after careful consideration of her arguments has
taken the central route to persuasion. If the audience are not able to decode
the message and are not motivated to do so, they may be influenced by cues
other than the content of the message, thus taking the “peripheral route” to
persuasion. For example, marketers often use other cues such as celebrity
endorsements to motivate their audience to purchase their product or service.
In this case, the audience might not be
persuaded by a genuine need for the product itself but because their favourite
celebrity uses it, so it seems that it would be a good idea for them to use it,
too. According to Petty and Cacioppo, “Attitude changes that result from
processing issue-relevant arguments (central route) will show greater temporal
persistence, greater prediction of behaviour, and greater resistance to counter
persuasion than attitude changes that result from mostly peripheral cues” (1986:
21).
Thus, through our project we aimed to
persuade people via the central route. In order to do this, we had to ensure
that the audience were able to understand our message and were motivated to do
so. This lead to one of the primary motivations for creating an animation: we
felt that creating a storyline would communicate the aspects of suicide that we
wanted to get across (such as its prevalence, the warning signs, what to do if
you are affected, and the importance of not hiding from the issue) in an easy
way to follow and understand, rather than throwing lots of information about
suicide at the viewer. To motivate our viewers, we realised that the issue had
to come across in a way that genuinely mattered to them. That is why we decided
to focus on suicide at university - an issue that is present within the
audience’s environment, and as such directly affects their community.
Measuring
behaviour change:
It is difficult to garner an instant measure of behaviour change with regards to suicide, as the primary indicator would be rates of suicide at university which requires time to elapse before the data can be collected. However, one of our main aims was to remove the stigma around suicide, so those who suffer can seek help before it is too late. Just by getting our message out to people helps to get people talking about suicide, which helps to remove the stigma. Therefore, our first measure is the number of views of our animation on our YouTube account. This view count will reflect how many people we have managed to reach. Our second measure is our Facebook page, which provides an extensive measure of audience engagement, including page views, page likes, post engagements, and reach (posts that get likes and comments appear on user’s news feeds, so reach is a measure of how many people see our posts). The numbers are rising day by day, and we hope that this continues.
Concerns:
There were some issues that we had to consider during the
making of our project, one of which is the phenomenon known as ‘The Werther
Effect’ (Phillips, 1974). This refers to copy-cat suicide, in which an
individual is more likely to attempt the act after a suicide story has been
highly publicised. This ‘suicide contagion’ effect has been witnessed in the
past, for instance, when Marilyn Monroe took her life in 1962 there were 200
more suicides in the USA in the following month; a rise of 12% (Stack, 2003).
It has been noted that the risk of imitative suicide is higher up to ten days
after a media report (Phillips, 1982). It has also been found that the younger
generation are more susceptible to this effect, especially if the publicised
figure was someone they could relate to, for instance, a well-known or liked
celebrity, or someone who was of a similar age and the same gender, or facing
similar circumstances (Sisask & Värnik, 2012).
However, other research has suggested that this phenomenon
is misleading, and evidence for the Werther Effect is much less consistent than
it first appears (Sullivan, 2007). Charities trying to raise awareness of youth
suicide (such as Papyrus), emphasise the importance of talking about the issue
and state that this itself does not cause an increase in figures. Despite this
mixed research, we wanted to ensure that our project did not have an adverse
effect on students by making the idea of suicide more salient and alluring. For
this reason, we tried to present the problem and offer a solution, emphasising
the idea that there is hope for those who are suffering, and paid particular
attention to those who had attempted suicide and survived, having overcome their obstacles; for instance, Tina
Turner, Ian Thorpe, and Mike Tyson. This led us to develop our motto, “What
would Tina Turner do? Keep singing. What would Ian Thorpe do? Keep swimming.
What would Mike Tyson do? Keep fighting. So don’t give up your battle.”
Why the project is late (a more personal note):
You may have noticed
that this post has appeared a bit later than other Behaviour Change student’s.
This is because of just how personal this project has been for us. Since making
the storyboard, many of my friends have confided in me about suicidal thoughts
and self-harm urges. I have felt overwhelmed by the number of people who are
feeling so troubled that they have actually hurt themselves or thought about
giving up. I’ve had to take someone to hospital because of their thoughts and
urges. I have wiped and bandaged wounds, given hugs, made drinks and most
importantly listened to their thoughts. I’m not going to lie, it was difficult.
I avoided work, broke down and even ended up hurting my friends because of the
stress. This is a really important topic for me and I really want people to be
able to talk about their feelings or support their friends. However, that does
NOT mean you should handle everything yourself. If there’s one message I want
you to take home from this, it’s this: You are NOT alone. If you’ve
spotted signs that your friend is not okay, please don’t try to take on
everything yourself. The most important thing to do is listen. There is
help out there and though you may desperately want to help them, you cannot
control them. They are NOT your responsibility. Take them to the doctor or
suggest people they can contact. You can even help make a plan or suggest
coping strategies, but don’t let their issues take over your life. You can’t
help others if you are not okay yourself (and trust me, I learnt that the hard
way). So listen to your friends and speak up about suicide. Find someone to
talk to about your own feelings. Don’t hide from suicide.
If you have been affected by anything
from our project (or anything else), please don’t hesitate to contact any of
the following:
- The best place for a free cuppa and
someone to talk to without them telling you what to do: Warwick Nightline
- http://warwick.nightline.ac.uk/
- For a someone to talk to at any hour of
day or night: Samaritans - http://www.samaritans.org/how-we-can-help-you/contact-us?
- For a suicide specific charity: Papyrus
- https://www.papyrus-uk.org/
- For help outside of the UK: Befrienders
- http://www.befrienders.org/
You can make it through this. Just keep doing what you do.
Catherine Turvey, Sara Jane Sutty, & Lloyd Caffrey-Thanacoody
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