Skip to main content

Advertisement

Log in

Gender and Suicide Method: Do Women Avoid Facial Disfiguration?

  • Original Article
  • Published:
Sex Roles Aims and scope Submit manuscript

Abstract

This study hypothesizes that women are less likely than men to use suicide methods that disfigure the face. Gender differences in the use of suicide methods that disfigure the face were examined using medical examiner’s files of 621 suicides covering a 10-year period from Summit County, Ohio in the U.S. Results showed that while firearms are the preferred method for both women and men, women were less likely to shoot themselves in the head. A series of logistic regression analyses revealed that gender, age, stressful life events and prior suicide attempts were predictors of methods that disfigure the face/head. Significant differences between men and women in correlates of suicide method emerged when the sample was split by gender. The results support the position that women who commit suicide are more likely than men who commit suicide to avoid facial disfiguration.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Altman, D. G., & Bland, M. (2003). Interaction revisited: The difference between two estimates. British Medical Journal, 326, 219. doi:10.1136/bmj.326.7382.219.

    Article  PubMed  Google Scholar 

  • Barber, M. E., Marzuk, P. M., Leon, A. C., & Portera, L. (1998). Aborted suicide attempts: A new classification of suicidal behavior. American Journal of Psychiatry, 155, 385–389.

    PubMed  Google Scholar 

  • Bushman, B. J. (1997). Effects of alcohol on human aggression: Validity of proposed explanations. In M. Galanter (Ed.), Recent developments in alcoholism: Alcohol and violence (pp. 227–243). New York: Plenum Press.

  • Buss, D. M. (1989). Sex differences in human mate preferences: Evolutionary hypotheses tested in 37 cultures. Behavioral and Brain Sciences, 12, 1–49. doi:10.1017/S0140525X00023992.

    Article  Google Scholar 

  • Campbell, F. R. (1997). Changing the legacy of suicide. Suicide & Life-Threatening Behavior, 27, 329–338. doi:10.1111/j.1943-278X.1997.tb00512.x.

    Google Scholar 

  • Canetto, S. S. (1992). She died for love and he died for glory: Gender myths of suicidal behavior. Omega, 26, 1–17. doi:10.2190/74YQ-YNB8-R43R-7X4A.

    Google Scholar 

  • Canetto, S. S. (2008). Women and suicidal behavior: A cultural analysis. American Journal of Orthopsychiatry, 78, 259–266. doi:10.1037/a0013973.

    Article  PubMed  Google Scholar 

  • Canetto, S. S., & Sakinofsky, I. (1998). The gender paradox in suicides. Suicide & Life-Threatening Behavior, 28, 1–23. doi:10.1111/j.1943-278X.1998.tb00622.x.

    Google Scholar 

  • Cavanagh, J. T. O., Owens, D. G. C., & Johnstone, E. C. (1999). Life events in suicide and undetermined death in south-east Scotland: A case-control study using the method of psychological autopsy. Social Psychiatry and Psychiatric Epidemiology, 34, 645–650. doi:10.1007/s001270050187.

    Article  PubMed  Google Scholar 

  • Chuang, H.-L., & Huang, W.-C. (2004). A multinomial, logit analysis of methods used by persons who completed suicide. Suicide & Life-threatening Behavior, 34, 298–310. doi:10.1521/suli.34.3.298.42779.

    Article  Google Scholar 

  • Clay, D., Vignoles, V. L., & Dittmar, H. (2005). Body image and self-esteem among adolescent girls: Testing the influence of sociocultural factors. Journal of Research on Adolescence, 15, 451–477. doi:10.1111/j.1532-7795.2005.00107.x.

    Article  Google Scholar 

  • Cohen, R. (2005, April 17). Gonzo nights. New York Times.

  • Cohle, S. (1977). Handgun suicides. Forensic Science Gazette, 8, 2.

    Google Scholar 

  • Conwell, Y., & Brent, D. (1995). Suicide and aging: I. Patterns of psychiatric diagnosis. International Psychogeriatrics, 7, 149–181. doi:10.1017/S1041610295001943.

    Article  PubMed  Google Scholar 

  • Conwell, Y., Duberstein, P. R., Cox, C., Herrmann, J. H., Forbes, N. T., & Caine, E. D. (1998). Age differences in behaviors leading to complete suicide: A psychological autopsy. American Journal of Geriatric Psychiatry, 6, 122–126.

    PubMed  Google Scholar 

  • Cross, C. R. (2001). Heavier than heaven: A biography of Kurt Cobain. New York: Hyperion.

    Google Scholar 

  • Denning, D. G., Conwell, Y., King, D., & Cox, C. (2000). Method choice, intent and gender in completed suicide. Suicide and Life-Threatening Behavior, 30, 282–288. doi:10.1111/j.1943-278X.2000.tb00992.x.

    PubMed  Google Scholar 

  • Eisele, J. W., Reay, D. T., & Cook, A. (1981). Sites of suicidal gunshot wounds. Journal of Forensic Science, 26, 480–485. doi:10.1520/JFS11388J.

    Google Scholar 

  • Gottschall, J. (2008). The “beauty myth” is no myth: Emphasis on male-female attractiveness in world folk tales. Human Nature, 19, 174–188. doi:10.1007/s12110-008-9035-3.

    Article  Google Scholar 

  • Hawkins, N., Richards, P. S., Granley, H. M., & Stein, D. M. (2004). The impact of exposure to the thin-ideal media image on women. Eating Disorders, 12, 35–50. doi:10.1080/10640260490267751.

    Article  PubMed  Google Scholar 

  • Heikkinen, M. E., Isometsa, E. T., Aro, H. M., Sarna, S. J., & Lonnqvist, J. K. (1995). Age-related variation in recent life events preceding suicide. The Journal of Nervous and Mental Disease, 183, 325–331. doi:10.1097/00005053-199505000-00009.

    Article  PubMed  Google Scholar 

  • Hendin, H., Maltsberger, J. T., Lipschitz, A., Haas, A., & Kyle, J. (2001). Recognizing and responding to a suicide crisis. Suicide and Life-Threatening Behavior, 31, 115–127. doi:10.1521/suli.31.2.115.21515.

    Article  PubMed  Google Scholar 

  • Henriksson, M. M., Hellevi, M. A., Marttunen, M. J., Heikkinen, M. E., Isometsa, E. T., Kuoppasalmi, K. I., et al. (1993). Mental disorders and comorbidity in suicide. The American Journal of Psychiatry, 150, 935–940.

    PubMed  Google Scholar 

  • Hentges, B. A., Bartsch, R. A., & Meier, J. A. (2007). Gender representation in commercials as a function of target audience age. Communication Research Reports, 24, 55–62. doi:10.1080/08824090601128174.

    Article  Google Scholar 

  • Hesse-Biber, S., Leavy, P., Quinn, C. E., & Zoino, J. (2006). The mass marketing of disordered eating and eating disorders: The social psychology of women, thinness and culture. Women’s Studies International Forum, 29, 208–224. doi:10.1016/j.wsif.2006.03.007.

    Article  Google Scholar 

  • Holden, R. R., & McLeod, L. D. (2000). The structure of the Reasons for Attempting Suicide Questionnaire (RASQ) in a nonclinical adult population. Personality and Individual Differences, 29, 621–628. doi:10.1016/S0191-8869(99)00214-7.

    Article  Google Scholar 

  • Kaplan, M. S., & Geling, O. (1998). Firearm suicides and homicides in the United States: Regional variations and patterns of gun ownership. Social Science & Medicine, 46, 1227–1233. doi:10.1016/S0277-9536(97)10051-X.

    Article  Google Scholar 

  • Kaplan, A. G., & Klein, R. B. (1989). Women and suicide. In D. Jacobs & H. N. Brown (Eds.), Suicide: Understanding and responding: Harvard Medical School Perspectives (pp. 257–282). Madison: International Universities Press.

    Google Scholar 

  • Kaplan, M. S., Adamek, M. E., Geling, O., & Calderon, A. (1997). Firearm suicide among older women in the U.S. Social Science & Medicine, 44, 1427–1430. doi:10.1016/S0277-9536(96)00325-5.

    Article  Google Scholar 

  • Kellermann, A. L., Somes, G., Rivara, F. P., Lee, R. K., & Banton, J. G. (1998). Injuries and deaths due to firearms in the home. The Journal of Trauma: Injury, Infection, and Critical Care, 45, 263–267.

    Article  Google Scholar 

  • Kessler, R. C., Borges, G., & Walters, E. E. (1999). Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Archives of General Psychiatry, 56, 617–626. doi:10.1001/archpsyc.56.7.617.

    Article  PubMed  Google Scholar 

  • Kirk, C. A. (2004). Sylvia Plath: A biography. Westport: Greenwood.

    Google Scholar 

  • Klieve, H., Sveticic, J., & De Leo, D. (2009). Who uses firearms as a means of suicide? A population study exploring firearm accessibility and method choice. BMC Medicine, 7, 52–60. doi:10.1186/1741-7015-7-52.

    Article  PubMed  Google Scholar 

  • Kohlmeier, R. E., McMahan, C. A., & DiMaio, V. J. M. (2001). Suicide by firearms: A 15-year experience. American Journal of Forensic Medicine and Pathology, 22, 337–340.

    Article  PubMed  Google Scholar 

  • Kosky, R. J., & Dundas, P. (2000). Death by hanging: Implications for prevention of an important method of youth suicide. Australian and New Zealand Journal of Psychiatry, 34, 836–841. doi:10.1046/j.1440-1614.2000.00807.x.

    Article  PubMed  Google Scholar 

  • Kposowa, A. J., & McElvain, J. P. (2006). Gender, place, and method of suicide. Social Psychiatry and Psychiatric Epidemiology, 41, 435–443. doi:10.1007/s00127-006-0054-2.

    Article  PubMed  Google Scholar 

  • Kung, H.-S., Pearson, J. L., & Liu, X. (2003). Risk factors for male and female suicide decedents ages 15–64 in the United States. Social Psychiatry and Psychiatric Epidemiology, 38, 419–426. doi:10.1007/s00127-003-0656-x.

    Article  PubMed  Google Scholar 

  • Kushner, H. I. (1995). Women and suicidal behavior: Epidemiology, gender and lethality in historical perspective. In S. S. Canetto & D. Lester (Eds.), Women and suicidal behavior (pp. 11–34). New York: Springer.

    Google Scholar 

  • Labre, M. P., & Walsh-Childers, K. (2003). Friendly advice? Beauty messages in websites of teen magazines. Mass Communication & Society, 6, 379–396. doi:10.1207/S15327825MCS0604_3.

    Article  Google Scholar 

  • Lester, D. (1988). Why do people choose particular methods for suicide? Activitas Nervosa Superior, 30, 312–314.

    PubMed  Google Scholar 

  • Luoma, J. B., Martin, C. E., & Pearson, J. L. (2002). Contact with mental health and primary care providers before suicide: A review of the evidence. The American Journal of Psychiatry, 159, 909–916. doi:10.1176/appi.ajp.159.6.909.

    Article  PubMed  Google Scholar 

  • Maltsberger, J. T., Hendin, H., Haas, A. P., & Lipschitz, A. (2003). Determination of precipitating events in the suicide of psychiatric patients. Suicide and Life-Threatening Behavior, 33, 111–119. doi:10.1521/suli.33.2.111.22778.

    Article  PubMed  Google Scholar 

  • Mann, J. J. (2004). Searching for triggers of suicidal behavior. The American Journal of Psychiatry, 161, 395–397. doi:10.1176/appi.ajp.161.3.395.

    Article  PubMed  Google Scholar 

  • Maris, R. W., Berman, A. L., & Silverman, M. M. (2000). Comprehensive textbook of suicidology. New York: Guilford.

    Google Scholar 

  • Markey, C. N., & Markey, P. M. (2009). Correlates of young women’s interest in obtaining cosmetic surgery. Sex Roles, 61, 158–166. doi:10.1007/s11199-009-9625-5.

    Article  Google Scholar 

  • Marks, A., & Stokes, C. S. (1976). Socialization, firearms, and suicide. Social Problems, 5, 622–639.

    Article  Google Scholar 

  • Martunnen, M. J., Henriksson, M. M., Hillevi, M. A., Heikkinen, M. E., Isometsa, E. T., & Lonnqvist, J. K. (1995). Suicide among female youth: Characteristics and comparisons with males in age groups 13 to 22 years. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 1297–1307. doi:10.1097/00004583-199510000-00015.

    Article  Google Scholar 

  • Menard, S. W. (2002). Applied logistic regression analysis (2nd ed.). Thousand Oaks: Sage.

    Google Scholar 

  • Meyers, J. (1985). Hemingway: A biography. London: Macmillan.

    Google Scholar 

  • Mitchell, J. S., & Milvenan, J. (1977). Shotgun suicides. The Forensic Science Gazette, 8, 3.

    Google Scholar 

  • Moscicki, E. K. (1994). Gender differences in completed and attempted suicides. Annals of Epidemiology, 4, 152–158. doi:10.1016/1047-2797(94)90062-0.

    Article  PubMed  Google Scholar 

  • Moscicki, E. K. (1995). Epidemiology of suicide. International Psychogeriatrics, 7, 137–148. doi:10.1017/S1041610295001931.

    Article  PubMed  Google Scholar 

  • Parker, R. N., & Rebhun, L. A. (1995). Alcohol and homicide: A deadly combination of two American traditions. New York: State University of New York Press.

    Google Scholar 

  • Payne, S., Swami, V., & Stanistreet, D. L. (2008). The social construction of gender and its influence on suicide: A review of the literature. Journal of Men’s Health & Gender, 5, 23–35. doi:10.1016/j.jomh.2007.11.002.

    Google Scholar 

  • Rich, C. L., Ricketts, J. E., Fowler, R. C., & Young, D. (1988). Some differences between men and women who commit suicide. The American Journal of Psychiatry, 45, 718–722.

    Google Scholar 

  • Romero, M., & Wintemute, G. J. (2002). The epidemiology of firearm suicide in the United States. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 79, 39–48. doi:10.1093/jurban/79.1.39.

    Article  Google Scholar 

  • Sanchez, D. T., & Crocker, J. (2005). How investment in gender ideals affects well-being: The role of external contingencies of self-worth. Psychology of Women Quarterly, 29, 63–77. doi:10.1111/j.1471-6402.2005.00169.x.

    Article  Google Scholar 

  • Schmeling, A., Strauch, H., & Rothschild, M. A. (2001). Female suicides in Berlin with the use of firearms. Forensic Science International, 124, 178–181. doi:10.1016/S0379-0738(01)00594-1.

    Article  PubMed  Google Scholar 

  • Skogman, K., Alsen, M., & Ojehagan, A. (2004). Sex differences in risk factors for suicide after attempted suicide: A follow-up study of 1052 suicide attempters. Social Psychiatry & Psychiatric Epidemiology, 39, 113–120. doi:10.1007/s00127-004-0709-9.

    Article  Google Scholar 

  • Smith, T. W., & Smith, R. J. (1995). Changes in firearms ownership among women, 1980–1994. Journal of Criminal Law & Criminology, 86, 133–149.

    Article  Google Scholar 

  • Stack, S., & Wasserman, I. (2009). Gender and suicide risk: The role of wound site. Suicide and Life-Threatening Behavior, 39(1), 13–20. doi:10.1521/suli.2009.39.1.13.

    Article  PubMed  Google Scholar 

  • Steer, R. A., Beck, A. T., Garrison, B., & Lester, D. (1988). Eventual suicide in interrupted and uninterrupted attempters: A challenge to the cry-for-help hypothesis. Suicide & Life-threatening Behavior, 18, 119–128. doi:10.1111/j.1943-278X.1988.tb00146.x.

    Google Scholar 

  • Stone, I. C. (1987). Observations and statistics relating to suicide weapons. Journal of Forensic Sciences, 32, 711–716.

    PubMed  Google Scholar 

  • Stone, I.C. (1992). Characteristics of firearm and gunshot wounds as markers of suicide. The American Journal of Forensic Medicine and Pathology, 13, 275–280.

    Google Scholar 

  • Suter, B. (1976). Suicide and women. In B. Wolman & H. Krauss (Eds.), Between survival and suicide (pp. 129–161). New York: Gardner.

    Google Scholar 

  • Tewksbury, R., Suresh, G., & Holmes, R. M. (2010). Factors related to suicide via firearms and hanging and leaving of suicide notes. International Journal of Men’s Health, 9, 40–49. doi:10.3149/jmh.0901.40.

    Article  Google Scholar 

  • Whitworth, M. H. (2005). Virginia Woolf. New York: Oxford University Press.

    Google Scholar 

  • Wintemute, G. J., Parham, C. A., Beaumont, J. J., Wright, M., & Drake, C. (1999). Mortality among recent purchasers of handguns. New England Journal of Medicine, 341, 1583–1589. doi:10.1056/NEJM199911183412106.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mark S. Davis.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Callanan, V.J., Davis, M.S. Gender and Suicide Method: Do Women Avoid Facial Disfiguration?. Sex Roles 65, 867–879 (2011). https://doi.org/10.1007/s11199-011-0043-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11199-011-0043-0

Keywords

Navigation