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Journal of Urban Health

, 84:755 | Cite as

Suicide Tourism in Manhattan, New York City, 1990–2004

  • Charles Gross
  • Tinka Markham Piper
  • Angela Bucciarelli
  • Kenneth Tardiff
  • David Vlahov
  • Sandro Galea
Article

Abstract

Suicide accounts for over 30,000 deaths per year in the United States and is associated with psychiatric illness and substance abuse. Research suggests a strong relationship between method of suicide and the lethal means that are readily available in one’s community of residence. However, certain individuals may also seek the opportunity for suicide outside their proximal environment, often in well-known places. Whereas prevention efforts have been aimed at certain repeatedly used sites for suicide (i.e., Golden Gate Bridge), little research has studied “suicide tourism,” the phenomenon of out of town accompanied by suicide. We collected data on all suicide deaths in New York City (NYC) between 1990 and 2004 from the Office of the Chief Medical Examiner of NYC. We examined trends and correlates of out-of-town residents who committed suicide in NYC. Manhattan accounted for 274 of the 407 nonresident suicides in NYC, which represented over 10% of all suicides committed in Manhattan. The most common methods of suicide for the Manhattan nonresidents were long fall, hanging, overdose, drowning, and firearms; the most common locations included hotels and commercial buildings, followed by outside locations such as bridges, parks, and streets. Nonresident victims tended to be younger, more often white and Asian and less often black and Hispanic than their residential counterparts. An analysis of nonresident suicides in Manhattan revealed that it is a location where individuals travel and take their lives, often by similar means and in similar locations. A comparison with residential suicide implied that a different type of individual is at risk for nonresidential suicide, and further research and prevention efforts should be considered.

Keywords

Suicide Manhattan New York Suicide tourism Access to lethal methods Suicide prevention Long falls Media Psychopathology 

References

  1. 1.
    US Department of Health and Human Services Centers for Disease Control and Prevention National Center for Injury Prevention and Control. WISQARS Fatal Injury Report. Available at http://www.cdc.gov.ncipc/wisqars/. Accessed January 10, 2007.
  2. 2.
    Mann JJ. A current perspective of suicide and attempted suicide. Ann Intern Med. 2003;136:302–311.Google Scholar
  3. 3.
    Weissman MM. The epidemiology of suicide attempts, 1960 to 1971. Arch Gen Psychiatry. 1974;30:737–746.PubMedGoogle Scholar
  4. 4.
    Marzuk PM, Leon AC, Tardiff K, Morgan EB, Stajic M, Mann J. The effect of access to lethal methods of injury on suicide rates. Arch Gen Psychiatry. 1992;49:451–458.PubMedGoogle Scholar
  5. 5.
    Stack S. Suicide: a 15-year review of the sociological literature part I: cultural and economic factors. Suicide Life Threat Behav. 2000;30(2):145–162.PubMedGoogle Scholar
  6. 6.
    Beautrais AL, Joyce PR, Mulder RT. Access to firearms and the risk of suicide: a case control study. Aust N Z J Psychiatry. 1996;30:741–748.CrossRefPubMedGoogle Scholar
  7. 7.
    Piper TM, Tracy M, Bucciarelli A, Tardiff K, Galea S. Firearm suicide in New York City in the 1990s. Inj Prev. 2006;12(1):41–45.CrossRefPubMedGoogle Scholar
  8. 8.
    Abrams RC, Marzuk PM, Tardiff, K, Leon AC. Preference for fall from height as a method of suicide by elderly residents of New York City. Am J Public Health. 2005;95(6):1000–1002.CrossRefPubMedGoogle Scholar
  9. 9.
    Gunnell D, Nowers M. Suicide by jumping. Acta Psychiatr Scand. 1997;96:1–6.CrossRefPubMedGoogle Scholar
  10. 10.
    Lester D. Preventing suicide by restricting access to methods for suicide. Arch Suicide Res. 1998;4(1):7–24.Google Scholar
  11. 11.
    Seiden, RH, Spence M. A tale of two bridges: comparative suicide incidence on the Golden Gate Bridge and San Francisco–Oakland Bay Bridges. Omega. 1983;14(3):201–209.Google Scholar
  12. 12.
    Friend T. The fatal grandeur of the Golden Gate Bridge. New Yorker. October 13, 2003.Google Scholar
  13. 13.
    Mckinley J. San Franciscans try again to suicide-proof the Golden Gate Bridge. New York Times. August 11, 2006.Google Scholar
  14. 14.
    Hampson R. Man goes 173 ft. down in history at Niagara Falls. USA Today. October 21, 2003.Google Scholar
  15. 15.
    Ohberg A. The role of suicide methods in suicide prevention. Psychiatr Fenn. 1998;29:141–1449.Google Scholar
  16. 16.
    Lester D. Why do people choose particular methods for suicide? Act Nerv Super (Praha). 1988;30(4):312–314.Google Scholar
  17. 17.
    De Leo D, Evans R, Neulinger K. Hanging, firearm, and non-domestic gas suicides among males: a comparative study. Aust N Z J Psychiatry. 2002;36:183–189.CrossRefPubMedGoogle Scholar
  18. 18.
    de Moore GM, Robertson AR. Suicide attempts by firearms and by leaping from heights: a comparative study by survivors. Am J Psychiatry. 1999; 156:1425–1431.PubMedGoogle Scholar
  19. 19.
    Phillips DP. The influence of suggestion on suicide: substantive and theoretical implications of the Werther effect. Am Sociol Rev. 1974;39:340–354.CrossRefGoogle Scholar
  20. 20.
    Hassan R. Effects of newspaper stories on the incidence of suicides in Australia. Aust N Z J Psychiatry. 1995;29(3):480–483.CrossRefPubMedGoogle Scholar
  21. 21.
    Mishara BL. Suicide in the Montreal subway system: characteristics of the victims, antecedents, and implications for prevention. Can J Psychiatry. 1999;44(7):690–696.PubMedGoogle Scholar

Copyright information

© The New York Academy of Medicine 2007

Authors and Affiliations

  • Charles Gross
    • 1
    • 2
  • Tinka Markham Piper
    • 3
  • Angela Bucciarelli
    • 3
  • Kenneth Tardiff
    • 1
    • 2
  • David Vlahov
    • 3
  • Sandro Galea
    • 3
    • 4
    • 5
  1. 1.Department of PsychiatryWeill Cornell Medical College, Cornell UniversityNew YorkUSA
  2. 2.Subprogram in Clinical PsychologyThe Graduate Center, City University of New YorkNew YorkUSA
  3. 3.Center for Urban Epidemiologic StudiesNew York Academy of MedicineNew YorkUSA
  4. 4.Department of Epidemiology, School of Public HealthUniversity of MichiganAnn ArborUSA
  5. 5.Department of EpidemiologyColumbia University Mailman School of Public HealthNew YorkUSA

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