The effect of the September 11 terrorist attacks on suicide and deliberate self-harm: a time trend study

Suicide rates may be affected by world news. Our objective was to investigate the possible impact of the terrorist attacks of September 11, 2001, on suicidal behavior in the Netherlands. There was evidence of an increase in rates of suicide and deliberate self-harm in the weeks immediately following the attacks. These findings contrast with Durkheim's (1897) original suggestion that suicide rates decline in times of war and outside threat but are in line with findings of increases in suicidal behavior after media coverage of lethal violence.     

The mental health of pilots: An overview

The impact and long-term psychological consequences of the 11th September 2001 terrorist attacks in the USA involving commercial aircraft are likely to be far-reaching. Pilots were directly affected by these events though it is too early to comprehend the specific psychological and occupational repercussions. While psychologists have written much on the selection of commercial and military aircrew, surprisingly little has been published on the mental health of pilots. They are a unique occupational group in terms of their selection, training, lifestyle, frequent competency and medical checks, as well as the nature and changing demands placed on them. Their 'office' is normally a cramped flight deck on board an aircraft at altitudes of thousands of feet. While some aspects of their job and lifestyle appear attractive to some, their working conditions are, at worst, inhospitable and unpleasant. This paper provides an overview of current research on the mental health of pilots, gathered from a number of different fields and specialities within commercial and military aviation. The review covers their lifestyle, psychological requirements for medical certification, psychological problems amongst air crew, personality factors, disruption to personal relationships, reactions to incidents and accidents, alcohol and drug misuse, suicide by aircraft and environmental challenges. Flight crew should have easy access to psychological support; however, many pilots are distrusting of mental health professionals. Further research is needed to improve an understanding of mental health issues among pilots, especially in order to better understand the psychological impact of the terrorist attacks upon them.     

Is television traumatic? Dreams, stress, and media exposure in the aftermath of September 11, 2001

The terrorist attacks of September 11, 2001, were traumatic for people living throughout the United States. It has been suggested that people living far from the attacks experienced increased stress because of their exposure to the terrorist events via the media, particularly via television. Following a traumatic or stressful event, individuals may have dreams that reflect that experience. As part of a course on dreaming, individuals recorded their dreams both prior to and following the terrorist attacks of September 11, 2001. On September 12, these same individuals reported their activities and media exposure the previous day. Results revealed (a) changes in dream features following the attacks and (b) a strong relation between exposure to the events on television and changes in dream features after the attacks. Because of the study's within-subjects design, the results provide evidence for a direct association between television viewing and subsequent increases in stress and trauma.     

The Al Qaeda 9/11 instructions: a study in the construction of religious martyrdom

A growing global concern about suicide attacks has led to attempts from various disciplines to understand the psychological profiles of persons willing to commit suicide terrorist attacks. Recent reports have suggested that more powerful explanatory models might be discovered using social psychological concepts, with a shift of focus from the individual to the group within which the individual acts and by which the individual is influenced. This paper attempts to do so by presenting an analysis of the Al Qaeda ‘final instructions’ document, which sheds light on the way members of this group were mobilised towards conducting one of the most devastating assaults in modern history. We discuss the use of religious doctrine and rhetorical devices as a psychological strategy employed by this group to inspire, control and mobilise its members before and during the September 11, 2001, attacks.     

Growing up in the shadow of terrorism: youth in America after 9/11

Research conducted in the aftermath of the September 11th terrorist attacks (9/11) suggests that, except for those who directly witnessed or suffered loss from the attacks, for most children the emotional impact was relatively transitory. We review this literature as well as consider other ways in which the attacks may have played a role in the development of adolescents and young adults as they came of age in the shadow of 9/11 in the United States. Specifically, we discuss the potential impact of the collective trauma of 9/11 on children's coping and emotional regulation, their sociopolitical attitudes, and their general beliefs about the world. Developmental issues and the role of parents in shaping their children's responses to 9/11 are also addressed. Researchers interested in children's social, emotional, and psychological development have much to learn about children's reactions to events like 9/11 and factors that might mitigate the negative consequences of such events on children's development.     

System Justification and Affective Responses to Terrorism: Evidence from the November 2015 Paris Attacks

A large stream of research has shown that emotional reactions have a powerful impact on political choices and decision-making processes. Yet little is known about individual-level differences in experiencing specific emotions in the light of threatening events. In this article, we argue that system justification, or the endorsement and bolstering of existing social and political arrangements, is positively associated with the experience of positive emotions and negatively associated with the experience of negative emotions in the light of threat. We test our hypotheses using a study conducted a few days after the November 13, 2015, Paris terror attacks on a large sample in France. Our results show that system justification was positively associated with experiencing hope in the light of the attacks and negatively associated with experiencing fear and anger. Moreover, the size of these effects exceeded the respective size of other psychological characteristics such as authoritarianism, conservatism, and national attachment. These findings extend research on the palliative function of system justification to the domain of emotional responses to terrorist shocks.     

Coping with terrorism: the impact of increased salience of terrorism on mood and self-efficacy of intrinsically religious and nonreligious people

It was hypothesized that intrinsic religiousness helps to cope with increased salience of terrorism. Intrinsically religious and non-religious participants were told that it is highly probable or highly improbable, respectively, that terrorist attacks will occur in Germany. High probability of terrorism only negatively affected the mood of non-religious participants but not of intrinsically religious participants (Study 1). Using as a realistic context of investigation the terrorist suicide bombings in Istanbul, the authors replicated this finding and shed some light on the underlying psychological processes (Study 2): On the day of the terrorist attacks (high salience of terrorism), non-religious participants experienced less positive emotions and less self-efficacy than did intrinsically religious participants. Two months later (low salience of terrorism), no differences were found between non-religious and intrinsically religious participants with regard to mood and self-efficacy. Mediational analyses suggested that the mood effects were associated with differences in the reported sense of self-efficacy.     

Psychological sequelae of remote exposure to the September 11th terrorist attacks in Canadians with and without panic

The purpose of the present investigation was to examine the psychological impact of remote exposure to the events and aftermath of the terrorist attacks in the USA on September 11th, 2001, and to assess what differences, if any, exist between individuals classified with probable panic disorder and those without. Telephone interviews were conducted with 122 residents of the capital city of the Canadian prairie province of Saskatchewan in spring 2002 in order to gather information regarding current mood, fears and avoidance behaviours as well as current post-traumatic stress disorder symptoms specific to September 11th. Consistent with previous findings and despite the remote nature of exposure, results indicated that the psychological well-being and behaviour of participants with probable panic disorder was more adversely affected by the events and aftermath of September 11th than those without panic disorder. These results suggest that remote viewing of traumatic events can have a significant and lingering impact on psychological well-being and behaviour and that these effects are more pronounced in those with panic disorder. Implications of the findings and future research directions are discussed.     

Terrorist threat and employees' perceived ability to cope with organizational change

This study investigated the impact of the perceived threat of terrorism on employees' ability to cope with organizational change as well as potentially underlying psychological mechanisms related to work satisfaction and initiative. Three days after the 2006 thwarted terrorist attacks in the United Kingdom, participants were reminded of terrorist threat (by pictures of terrorist attacks) reported lower levels in their ability to cope with organizational change, as well as lower levels of work satisfaction, than did participants who were not reminded of terrorist threat. Three months later, the same terror salience manipulation had no differential effect on these variables. Mediation analyses revealed that work satisfaction mediated the impact of terror salience on employees' ability to cope with organizational change.     

Cognitive complexity in response to traumatic experiences

Two studies examined how personality motives influence the perception of traumatic events in memory and how such perception may be linked to psychological distress. Participants completed implicit and explicit measures of agentic and communal motives. In Study 1, participants living in New York City at the time of the terrorist attacks wrote their thoughts and feelings about the events of September 11th. In Study 2, participants wrote about a personally traumatic experience. In both studies, they also completed questionnaires on psychological symptoms and stress-related growth. The memories were then scored for differentiation and integration. Agentic motives correlated with differentiated perceptions and differentiation was linked to dissociative symptoms in Study 2. Communal motives related to integrated perceptions, and integration related to stress-related growth in both studies. Findings suggest that motives play a significant role in the perception of traumatic and difficult experiences and that these perceptions may be differentially linked to psychological impact.     

Psychological sequelae of remote exposure to the September 11th terrorist attacks in Canadians with and without panic

The purpose of the present investigation was to examine the psychological impact of remote exposure to the events and aftermath of the terrorist attacks in the USA on September 11th, 2001, and to assess what differences, if any, exist between individuals classified with probable panic disorder and those without. Telephone interviews were conducted with 122 residents of the capital city of the Canadian prairie province of Saskatchewan in spring 2002 in order to gather information regarding current mood, fears and avoidance behaviours as well as current post‐traumatic stress disorder symptoms specific to September 11th. Consistent with previous findings and despite the remote nature of exposure, results indicated that the psychological well‐being and behaviour of participants with probable panic disorder was more adversely affected by the events and aftermath of September 11th than those without panic disorder. These results suggest that remote viewing of traumatic events can have a significant and lingering impact on psychological well‐being and behaviour and that these effects are more pronounced in those with panic disorder. Implications of the findings and future research directions are discussed.     

Reactions to Terror Attacks: A Heuristic Model

What are the signature features of the reactions of mass publics to terrorist attacks? We argue that the available empirical evidence suggests a general pattern of reactions: The peaks of mass reactions to terrorist attacks are limited in size and duration and their end states marked by a return to baselines values of tolerance. We label this perturbation effects. In this article, we review the available evidence for perturbation effects, build a heuristic model of such effects and provide an explanation of their characteristic pattern, combing theories of emotional arousal and opinion leadership. Finally, we relate the overlooked existence of perturbation effects to widespread fears about the frailty of democratic norms in the face of mass terrorism.     

The psychology of ongoing threat: relative risk appraisal, the September 11 attacks, and terrorism-related fears

There are now replicated findings that posttraumatic stress disorder (PTSD) symptoms related to the September 11, 2001, attacks occurred in large numbers of persons who did not fit the traditional definition of exposure to a traumatic event. These data are not explained by traditional epidemiologic "bull's eye" disaster models, which assume the psychological effects are narrowly, geographically circumscribed, or by existing models of PTSD onset. In this article, the authors develop a researchable model to explain these and other terrorism-related phenomena by synthesizing research and concepts from the cognitive science, risk appraisal, traumatic stress, and anxiety disorders literatures. They propose the new term relative risk appraisal to capture the psychological function that is the missing link between the event and subjective response in these and other terrorism-related studies to date. Relative risk appraisal highlights the core notion from cognitive science that human perception is an active, multidimensional process, such that for unpredictable societal threats, proximity to the event is only one of several factors that influence behavioral responses. Addressing distortions in relative risk appraisal effectively could reduce individual and societal vulnerability to a wide range of adverse economic and ethnopolitical consequences to terrorist attacks. The authors present ways in which these concepts and related techniques can be helpful in treating persons with September 11- or terrorism-related distress or psychopathology.     

Israeli adolescents' coping strategies in relation to terrorist attacks

Exposure to terrorism seriously threatens the well-being of children and adolescents. Israeli citizens have witnessed massive ongoing terrorist attacks during the last few years. The present research, conducted among 330 Israeli adolescents, examined coping strategies in relation to terrorist attacks. We found that adolescents utilize more productive than non-productive coping strategies when dealing with terrorist attacks. Moreover, they rarely seek professional help. Male adolescents use more non-productive coping strategies and female adolescents seek more social support as a coping strategy. The impact of exposure to media reports and life satisfaction on adolescents' use of coping strategies is discussed, and potentially effective approaches to coping with terrorist attacks are proposed.     

Impact of Education and Poverty on Terrorism in Turkey: An Empirical Investigation

This study aims at investigating whether education and poverty have a causal effect on terrorist attacks in Turkey from 1980 to 2006. The ARDL bounds testing procedure and Granger-causality analysis within vector error-correction models (VECM) are used. Results of the ARDL bounds testing procedure suggest the rejection of the null hypothesis of no long-run relationship in the where education is the long-run forcing variable for terrorist attacks. The evidence obtained from the Granger-causality analysis within VECM confirms the findings from the ARDL bounds test that there exists a long-run equilibrium relationship between these two series. Results suggest no evidence of long-run relationship between terrorist attacks and poverty.     

The emotional impact and ease of recall of warning signs for suicide: a controlled study

In light of concerns about potential iatrogenic effects of information about suicide, in the current study we examined the emotional impact of reading a list of warning signs for suicide in comparison to comparable lists for heart attacks and diabetes. All participants read two sets of warning signs, with the experimental group reading the suicide warning signs. Results confirm no difference in emotional impact across groups, along with providing evidence that warning signs for suicide are as easy to recall after exposure as warning signs for heart attack. Implications for pubic health campaigns are discussed.     

Anxiety, depressed mood, self-esteem, and traumatic stress symptoms among distant witnesses of the 9/11 terrorist attacks: transitory responses and psychological resilience

Posttraumatic stress related to the September 11, 2001 terrorist attacks and general psychological distress were examined in six cohorts of college students (N=5412) enrolled at an American public university between Spring 2000 and Fall 2002 some 2,500 miles from New York. Consistent with data from Schuster et al.'s (2001) national survey, which used a very low threshold criterion, our findings revealed that 44% of women and 32% of men experienced at least one symptom of posttraumatic stress 6-17 days after the attacks. In contrast to these results, depression levels showed only small differences, and self-esteem and trait anxiety showed no changes. Findings indicate that 9/11-related stress responses among distant witnesses were very mild, transitory and focused in scope, suggesting resilience with respect to broader psychological and psychopathological reactions. Findings are discussed with respect to the role of physical and psychological proximity on the reactions to traumatic events in the general population.     

A prospective investigation of the relationship between just-world beliefs and the desire for revenge after September 11, 2001

We prospectively examined the relationship between individuals' belief in a just world and their desire for revenge against the perpetrators of the September 11 terrorist attacks against the United States. Eighty-three undergraduate students who had completed a measure of just-world beliefs prior to the terrorist attacks were assessed approximately 2 months following the attacks. The more strongly they had endorsed just-world beliefs prior to the attacks, the more distressed they felt about the attacks and the more they desired revenge. Furthermore, the relationship between belief in a just world and the desire for revenge was mediated by feelings of distress in response to the terrorist attacks. The results point to the importance of justice beliefs in understanding responses to the terrorist attacks.     

Discrimination and religiosity among Muslim women in the UK before and after the Charlie Hebdo attacks

In January 2015, media outlets reported a series of attacks by Islamic terror groups in France, instigated at the offices of the Charlie Hebdo publication. Previous research has indicated that the consequence of exposure to terrorist attacks can extend beyond the immediate victims, with a potentially international reach. This secondary data analysis compares the perceptions of discrimination, religiosity, and religious engagement of 240 Muslim women in the UK, recruited before and after the Charlie Hebdo attacks. The results indicate greater religious engagement and perceptions of discrimination among those women recruited after the attacks. This suggests that the impact of such events may reach beyond the immediate victims, and societies need to develop and provide support in response to such attacks, regardless of the geographical location of the event.     

How do personality disorders modify suicide risk?

There is a lack of psychological autopsy studies assessing the influence of axis II disorders on other risk factors for suicide. Therefore, we investigated if the estimated suicide risk for axis I disorders and socio-demographic factors was modified by personality disorders. Psychiatric disorders were evaluated by a semi-structured interview including the Structured Clinical Interview for DSM-IV Axis I (SCID-I) and Personality Disorders (SCID-II) by psychological autopsy method in 163 completed suicides and by personal interview in 396 population-based control persons. Personality disorders modify suicide risk, differently for affective disorders, substance use disorders, smoking, life events during the last three months, and socio-demographic factors such as being single. Estimated suicide risk for socio-demographic factors and life events is not substantially altered following adjustment for affective disorders or substance use disorders. These findings suggest that treatment of personality disorders is essential for suicide prevention.