A Historical Survey of Police Suicide in Queensland,Australia, 1843–1992

Police suicide research has yielded inconsistent results. An opportunity presented to survey Queensland police suicides in a historical context and add to the existing literature; the study describes changes in police suicide over time, the associated characteristics, and opportunities for intervention. Suicides were examined from the origins of police in Queensland in 1843 up to 1992. Suicide rates were higher earlier, around 60 per 100,000, declining to around 20 per 100,000 recently. The recent rate is lower than most other police studies but the same as the general community (employed). Most suicides were associated with psychological and physical ill health, alcohol abuse, and domestic problems, in keeping with general community surveys. However, occupational problems were more evident than is generally the case. The proximity in time of disciplinary events and suicides was striking. Future studies should explore the interactions between these factors.     

Suicide among police in a federal force

Suicide among police has gained the attention of numerous police forces over the past two decades. The great variation in reported police suicide rates and caveats concerning such statistics are addressed. The paper reports the results of a study of suicide among members (n = 35) of the Royal Canadian Mounted Police (RMCP) between 1960 and 1983. The average annual rate (14.1 per 100,000) of suicide in this force was approximately half that of the comparable general population, and the most common means of suicide was by service revolver (77% of cases). Recommendations are made for suicide prevention and postvention actions in police forces. Finally, the need for reliable, long-term police suicide data bases is stressed.     

Suicide in police--a critical review.

Police officers are commonly referred to as a high-risk group for suicide. So far no comprehensive review has been published about epidemiologic studies among police. This article systematically explores the worldwide literature on suicide in police. None of the recent nationwide studies show elevated suicide rates among police. Other studies show inconsistent results. Conclusively, it is not documented that there is an elevated suicide rate in police. A particular problem in previous research has been methodological shortcomings. There is need for further systematic research, and this review points out some strategies of research.     

Prison suicides in Austria, 1975-1997

Suicide prevention in custody is hampered by the lack of funds and professional staff. In order to evaluate the prison suicide phenomenon, a study was conducted evaluating all suicides that occurred in Austrian prisons between 1975 and 1997 (n = 220). In addition to evaluating the number of male versus female suicides, the preferred suicide methods were studied, as well as suicide risk of different circumstances of custody. Suicide rates of distinguishable, important subgroups of prisoners were calculated. The suicide rate for prisoners on remand was 236.0 per 100,000, and for offenders classified as mentally ill it was 205.4 per 100,000. That is about 8 times higher than the suicide rate in Austria's general population (1975-1997: 24.6 per 100,000). The suicide rate for sentenced offenders was 81.3 per 100,000, about twice the suicide rate in Austria's general male population. We recommend that psychologists or psychiatrists concentrate on the suicide prevention of high-risk offenders after screening the newly admitted offenders for their propensity to suicide.     

A meta-analysis of police suicide rates: findings and issues

Meta-analyses of police suicide rates and ratios to the comparison population were conducted using 101 samples from the literature. The large effect sizes (ES = .74) showed that suicide rates based on short time frames were significantly higher than for long time frames. There were regional differences such that rates in the Americas and Europe were higher than in the Caribbean and Asian regions. There were differences in rates between federal, regional, and municipal police forces. Issues researchers need to address include the use of long time frames; the reporting of more complete suicide statistics, including breakdowns by year, sex, and ethnic groups; and the rates for population comparison groups.     

An epidemiological profile of suicides in Beijing, China

Suicide rates in the Beijing region increase with age. The rural suicide rate is about two to five times of the urban in various age-sex groups. The elderly suicide rate is very serious, especially in the rural area. The average suicide rate for the Beijing region for the period 1987-1996 was 9.8 per 100,000 (6.0 and 17.3 for urban and rural areas, respectively). A low male-to-female ratio was also observed. The female suicide rate for the 15-34 age group was higher than that of its male counterparts, which is unique in other areas of the world. These phenomena can be explained by some of the distinct cultural and economic traits of China. Also, suicides rates in the Beijing region were shown to be on a decreasing trend among the teenaged and the old-age groups. Our findings suggest that the suicide rate in China should not be as high as the estimated rate (31.0 per 100,000), suggested in the Global Health Statistics by Murray and Lopez (1996b, p. 824).     

Predictors of police suicide ideation

Further inquiry into processes that lead to suicide in the police occupation is necessary. Suicide ideation in police officers and possible correlates associated with such ideation is explored in this paper. The focus was on psychologically traumatic police work experiences, the development of posttraumatic stress (PTSD) in officers, and the inordinate use of alcohol associated with this condition. The impact of these occupationally based factors and their association with suicide ideation has not yet been fully explored. Results suggest that certain traumatic police work exposures increase the risk of high level PTSD symptoms, which subsequently increase the risk of high alcohol use and suicide ideation. The combined impact of PTSD and increased alcohol use led to a ten-fold increase risk for suicide ideation.     

A decrease in suicide rates in Japanese rural towns after community-based intervention by the health promotion approach

A community-based intervention study for suicide prevention was conducted in six towns (total population 43,964) in Akita Prefecture of Japan according to a quasi-experimental design to reduce suicide rates in rural towns. Public awareness raising activities using a health promotion approach emphasizing the empowerment of residents and civic participation were conducted. The welfare measures of promoting a sense of purpose among senior citizens and creating a community network were also taken. As a result, the suicide rate per 100,000 in the intervention towns decreased from 70.8 before intervention (1999) to 34.1 after intervention (2004). The suicide rate per 100,000 in the control towns was 47.8 before intervention and 49.1 after intervention.     

A Comparative Evaluation of Police Suicide Rate Validity

The authors assessed sensitivity, specificity, and predictive value of official police suicide rates and compared them to municipal workers. Deaths officially classified as suicide, accidental, and undetermined were submitted to a panel of medical examiners for validation. Six cases originally in the accident and undetermined rubric were reclassified as suicide. Official police suicide rates had less sensitivity (83.3% compared to 92.3%) of actual suicides than municipal worker rates. Police suicide rates also showed a lower negative proportion than municipal worker rates (86.2% compared to 98.7%). A generalizable sensitivity proportion equation for assessing suicide rates in other police groups is presented.     

Suicidal behavior in the municipality of Baerum, Norway: a 12-year prospective study of parasuicide and suicide

The present 12-year (1984-1995) surveillance study includes all hospitalized parasuicide patients (n = 1,031) as well as all suicides (n = 161) in the municipality of Baerum, a suburb of Oslo. The parasuicide rate decreased from 170 per 100,000 in 1984 to 79 per 100,000 in 1995 (53.5%). The parasuicide rates were lower than those in several comparable studies. Rates were higher for divorced females and separated males compared to married and other marital states, and the pattern of relative risk of parasuicide with respect to marital status was stable. Unemployment and substance abuse were positively correlated with parasuicidal behavior for both males and females. Approximately 33% reported one or more previous parasuicidal acts, and 21% repeated the parasuicide during the observation period. Ninety-four percent used self-poisoning as parasuicide method. A total of 2.4% of the parasuiciders committed suicide during the observation period. The mean annual suicide rate in Baerum was 19.0 per 100,000 compared to the national average of 14.7. The results support the notion of parasuicide and suicide being two different but overlapping populations. The implementation of a follow-up system for parasuiciders may have contributed to the reduced parasuicide rate during the study period.     

Prevalence and Risk Factors Associated With Suicides of Army Soldiers 2001–2009

Prevalence and risk factors associated with soldiers' suicides 2001–2009 (N = 874) were examined. Army suicide rates increased from 9 per 100,000 in 2001 to 22 per 100,000 in 2009. Soldier suicides were lower than civilians from 2001 to 2007, but higher than civilians after 2007. Army suicides were disproportionately higher for men, deployment experience, and a history of a mental health diagnosis/treatment; and lower for African Americans. Many involved planning (38%), communication (21%), alcohol (19%), or drugs (8%). Many had legal problems (31%), high stress loads (90%), a history of self-injury (10%), and other contributing factors prior to entry into the Army (31%). Implications for understanding suicide among military personnel are discussed.     

Suicidal behavior in Italy: data, trends and guidelines for a suicide intervention/prevention policy.

Even though in Italy, as in the majority of Mediterranean countries, the increase in suicide rates is not among the highest in Europe, between 1969 and 1989 it showed a sharp upswing (+43% among males and +31% among females). In terms of geographical differences, the regions with the highest suicide rate are the northern ones (up to twice the national average). The age groups with the highest suicide risk are those over 74 years (in 1989 the rate among males over 65 was the highest of all: 31.3 per 100,000). The differences in the between-sexes distribution show that among females over 65 years old the suicide rate rose by 70% between 1974 and 1989, versus 77% for males of the same age. The preliminary epidemiological results of one of two Italian centers are presented. These centers are collaborating with the WHO/EURO Multicenter Study on Parasuicide; parasuicide rates are higher for females than for males (55.9 per 100,000, as against 38.1 for males), while the age group at highest risk is seen to be young women (15-24 years), with a specific rate of 115.6.     

Female Suicide Rates in Ghizer,Pakistan

Suicide is an understudied subject in Pakistan. There are many social, legal, and religious sanctions against it. National rates of suicides are not known. We calculated suicide rates of women in the Ghizer District of the remote Northern Areas of Pakistan. During years 2000 to 2004, 49 women committed suicide. Taking average mean population for women for 5 years as 65,783, we calculated annual crude suicide rates for women as 14.89/100,000/year. For women over the age of 15 years, rates were 33.22/100,000/year; age‐specific rates for 15–24 years were 61.07/100,000 per year. These figures are considerably higher than suicide rates in other parts of Pakistan and may be related to high psychiatric morbidity in Pakistani women. This study underscores the need for a standardized system of registration of suicides in Pakistan. There is also urgent need to address high psychological distress in women in Pakistan.     

High risk factors of hostage barricade incidents in a Japanese sample

Hostage taking incidents in which the police besiege a particular location are known as hostage barricade incidents. The first aim of the present article was to examine the process of risk assessment in hostage incidents, using a group of police officers as the sample. The second aim was to identify the risk factors involved in hostage incidents and examine the degree of concordance between the risk as assessed by the police officers and the figures obtained from the analysis of actual hostage barricade incidents. For the purpose of this study, a survey was carried out across Japan, and 45 police officers responsible for hostage negotiation responded to the questionnaires. Additionally, a sample of 116 actual hostage barricade incidents that occurred in Japan from 1970 to 2002 was utilised to examine the high risk factors involved in such cases. As per the results, a majority of the police officers (73.3%), in response to an open‐ended question, indicated that the highly excited state of the hostage takers was dangerous for the hostages. Moreover, it was demonstrated in all 116 incidents that several factors such as ‘a long siege’ tended to increase the risk of deaths, though this was very rare (n = 4). On the other hand, the proportion of injuries to the hostages was high in expressive situations such as domestic situations or suicide attempt scenarios. On the whole, the results obtained from the analyses of actual incidents were consistent with those obtained from the police officers' risk assessment in many respects. However, the correlation between the degree of risk as assessed by the police officers and the actual rate of deaths/injuries to the hostages was very low. Copyright © 2004 John Wiley & Sons, Ltd.     

Citizen participation in police crisis intervention activities

A naturalistic experiment tested the proposition that police time could be saved in nondangerous crisis intervention calls through the use of citizen participants. Results showed that police officers who used citizen intervention spent less time per call than officers who did not. However, police time was not saved in family disturbance calls. Family disturbance control group calls were rated by police as having a higher degree of physical danger present than other calls.     

Gender Differences in PTSD diagnostic Criteria and Suicidal Ideation in a South African Police Sample

The study examined gender effects on PTSD symptoms to predict of suicidal ideation in a sample of South African police. A male (N = 161) and a female group (N = 56) of South African police officers were assessed by means of the Posttraumatic Diagnostic Scale and a short version of the Adult Suicide Ideation Questionnaire. Linear and stepwise regressions were used to determine which PTSD symptom criteria best predict suicide ideation. Hyperarousal was the primary predictor of suicide ideation in males. For females, intrusive memories was the primary predictor of suicide ideation, and of general problems.     

Demographic factors as predictors of coping strategies among police officers

This study examined the effects of demographic factors on coping responses among police officers. A sample of 233 police officers completed the Ways of Coping Questionnaire (Folkman & Lazarus, 1988). The regression analysis showed that the higher the reported educational attainment, the more police officers reported coping which was emotion-focused and seeking social support. The rank of the officer was directly related to reported emotion-focused coping. These results are discussed relative to research on the relations of demographic factors and coping responses among police officers.     

Linking Work and Domestic Problems With Police Suicide

We reviewed the records of 134 police officers who had undergone their first fitness-for-duty evaluation at our center. Fifty-five percent admitted to previous suicide attempts. We examined possible contributing factors. A logistic regression model correctly classified 79.1% of subjects as to whether or not they attempted suicide. Results indicated that officers reporting marital problems were 4.8 times more likely to have attempted suicide, and 6.7 times more likely if they had been suspended. Interestingly, complaints of being administratively harassed were associated with a lower likelihood that an officer would attempt suicide. Variance explained due to age, race, gender, and substance use was nonsignificant.     

Towards understanding the effects of interviewer training in evaluating the cognitive interview

The effectiveness of the cognitive interview (CI) technique has been demonstrated in experimental studies of eyewitness memory conducted in the USA, Germany, and the UK. Much of the research, however, has used college students as interviewers rather than professionals who regularly interview witnesses (e.g. police officers). The aim of this research was to examine the effects of such CI training using experienced police officers with established interviewing styles. An armed robbery was staged and information was elicited in witness interviews. The CI did not significantly increase correct recall but tended to produce more suppositions and errors. A qualitative analysis of interviewer behaviour showed that many officers had difficulty in applying the new cognitive techniques and in avoiding the use of closed and leading questions. The paper addresses two issues: first, that of training experienced police officers who have received relatively little prior training in investigative interviewing, and second, the extent to which we can generalize from the laboratory data elicited in previous studies of CI.     

Suicidal ideation and attempts in Norwegian police

Studies on suicide among police show inconsistent results, thereby contributing to considerable speculation regarding why police officers commit suicide. The present paper is the first nationwide study on suicidal ideation and attempts among police. 3,272 Norwegian police completed Paykel's Suicidal Feelings in the General Population questionnaire. Lifetime prevalence of specific questionnaire items ranged from 24% for the feeling that life was not worth living, 6.4% for having seriously considered suicide, and 0.7% for attempted suicide. Independent predictors of serious suicidal ideation were marital status, subjective health complaints, reality weakness, anxiety, and depression. Serious suicidal ideation was mainly attributed to personal and family problems.