The Kurt Cobain Suicide Crisis: Perspectives from Research,Public Health,and the News Media

The suicide of rock star Kurt Cobain in 1994 raised immediate concerns among suicidologists and the public at large about the potential for his death to spark copycat suicides, especially among vulnerable youth. The Seattle community, where Cobain lived and died, was especially affected by his sudden death. An overview of Cobain's life and death is presented and various crisis center and community-based interventions that occurred are discussed. Preliminary data collected from the Seattle Medical Examiner's Office and from the Seattle Crisis Center to assess the potential impact of Cobain's death on completed suicides and the incidence of suicide crisis calls are presented. The data obtained from the Seattle King County area suggest that the expected “Werther effect” apparently did not occur, but there was a significant increase in suicide crisis calls following his death. It is hypothesized that the lack of an apparent copycat effect in Seattle may be due to various aspects of the media coverage, the method used in Cobain's suicide, and the crisis center and community outreach interventions that occurred. The Cobain suicide and the role of media influence on copycat suicides are further discussed in commentaries from public health and news media perspectives.     

Dyadic Death: A Typology

In dyadic deaths, a second victim acts in consort with, is associated with, or is killed by a person who, contemporaneous with the first death, then suicides. Dyadic deaths thus include both homicide–suicides and suicide pacts. This paper describes, suggests organizing dynamics of, and illustrates distinct types of dyadic deaths. The proposed typology varies by levels of dominance, dependence–enmeshment, and the presence or absence of hostility in and between partners.     

Use of Trauma‐Informed Care With Incarcerated Offenders

Regardless of preexisting trauma history, offenders regularly experience traumatic events while incarcerated. Current therapeutic approaches focus on coping skills and behavioral responses. The authors recommend integrating the use of trauma‐informed care to address the deeper emotional responses tied to trauma.     

Self-Construal and Forgiveness Revisited: Replication and Extension

Evidence suggests that people who have greater interdependent self-construal forgive others more often because they are motivated to forgive to maintain the relationship. Furthermore, such forgiveness might lead to greater emotional well-being. In this study, we examined the relationship between interdependent self-construal and (a) decisional forgiveness and (b) emotional well-being. We also tested models that included trait forgivingness and the motivation to forgive to maintain relationships. Results indicated that (a) trait forgivingness and relational motivations to forgive uniquely mediate the relationship between interdependent self-construal and decisional forgiveness and (b) trait forgivingness may be a pathway from interdependent self-construal to emotional well-being.     

Neurobiologic correlates of violence: relevance to criminal responsibility

Studies addressing the relationship between neurotransmitter functioning and violent crime are reviewed. A rich literature exists to support the notion that monoamine (i.e., serotonin, dopamine, and norepinephrine) neurotransmitter functioning is related to human aggressive behaviour. Results from these studies provide, at best, indirect evidence that neurotransmitter abnormalities are involved in violent criminal behavior. Few studies have specifically addressed the role of neurotransmitter functioning in violent crime. To illustrate how current knowledge in this area has been applied in forensic settings, a case study in which neurotransmitter functioning was introduced as evidence to support an insanity defense is presented. Potential problems associated with such defenses are discussed. © 1998 John Wiley & Sons, Ltd.     

Thomas Verner Moore and the electronic road to the unconscious: A reminiscence

A number of contemporary commentators and observers have urged a rapprochement between customary methods of psychoanalytic treatment and other modalities in order to shorten the traditional duration of “standard” psychoanalysis. In particular, adoption or adaptation of treatment modalities drawn from the repertoire of behavior therapy has been advocated. This note recalls that nearly 50 years ago the remarkable priest-psychologist-psychiatrist Thomas Verner Moore proposed in The Driving Forces of Human Nature and Their Adjustment, his capstone work, an “electronic road” to the unconscious via the psychogalvanometer as an alternate to the “royal road” of dream analysis and free association, attributing its development to von Stauffenberg, who demonstrated the technique in Munich between 1913-1915. By such reckoning, the union between psychoanalysis and the psychogalvanometer may be nearing its 85th anniversary.     

The effects of p-chloroamphetamine, a depletor of brain serotonin, on the performance of rats in two types of positively reinforced complex spatial discrimination tasks

Learning in male Sprague-Dawley rats was assessed in two types of positively reinforced complex spatial discrimination tasks (Stone 14-unit T-maze and eight-arm radial-arm maze) following cytotoxic lesions of central serotonergic terminal projection fields with p-chloroamphetamine (PCA). Learning, as expressed as mean number of errors per day and mean number of trails required to reach criterion, was significantly enhanced in the PCA-lesioned animals trained in the Stone maze. On the other hand, the performance of the PCA-lesioned animals trained in the eight-arm radial-arm maze was not found to differ significantly from that of saline-injected animals. The improved acquisition of the PCA-lesioned rats trained in the Stone maze was completely abolished following pretreatment with the selective serotonergic reuptake inhibitor norzimeldine. Neurochemical analyses of the brains of representative animals revealed that the levels of serotonin and its major metabolite, 5-hydroxy-3-indoleacetic acid, were both significantly reduced by PCA in all regions examined. While it is clear from these and other studies that the serotonergic nervous system plays an important role in the processes underlying learning and memory, these results further underscore the selective role of this neurotransmitter system in the way information is processed by the brain.     

Limbic system dysfunction and inventoried psychopathology among incarcerated pedophiles

This study explored relationships between “highly probable” neuropathology in the limbic system (as gauged by clinically elevated scores on the Limbic System Check-list-33, or LSCL-33, a screening index for limbic system dysfunction developed by medical researchers at Harvard and Dartmouth) and inventoried psychopathology (as gauged through scores on the MMPI) among a group of adjudicated pedophiles incarcerated for treatment in a specialized prison for criminal sexual psychopaths in a mid-Atlantic state. Principal findings: Only 33 percent of this sample of incarcerated pedophiles exhibits scores on the LSCL-33 at a level high enough to warrant a medical conclusion of “probable” limbic system dysfunction. When scores on the MMPI are grouped according to critical values for clinically relevant scores on the LSCL-33, significant F ratios in one-way analyses of variance are observed on L, F, K, Hs, D, Hy, Pa, Pt, Sc, and Ma. Mean T scores for “probable” dysfunctionals simultaneously reach elevations at or above the threshold of clinical significance for Pd, Pa, and Sc. On that basis, the categorization psychopathic paranoid schizophrenia readily applies to limbic system dysfunctional child sexual abusers studied in this inquiry, but not to their nondysfunctional counterparts. But significant F ratios are observed neither for the age of the victim(s) in the instant offense(s), for the number of prior arrests for sex offenses, for the number of prior arrests for any and all felony offenses, including sex offenses, nor for the offender's current age. However, a stepwise multiple regression between gross number of prior arrests for any and all offenses (including sex offenses) as the most robust of the indices of past criminal activity and both LSCL-33 and MMPI scores across all offenders represented in this inquiry (i.e., the limbic system dysfunctional, the nondysfunctional, and a mid-range group) proceeds to four steps, achieving a multiple R of .575 and encompassing Pd, Mf, Pa, and LSCL-33 scores as the most efficient interactive post-dictive set. Stepwise multiple regression analyses of past arrest record computed independently for limbic system dysfunctionals and nondysfunctionals progresses among dysfunctionals to seven steps, achieving a multiple R of .867 and encompassing Pd, Hy, Ma, Mf, Si, Pa, and Sc scores as the most efficient interactive post-dictive set; and among nondysfunctionals, to six steps, achieving a multiple R of .797 and encompassing Mf, D, Pt, Hy, Pa, and over-controlled hostility scores as the most efficient interactive post-dictive set. The latter results are interpreted as suggesting that neuropathology and psychopathology interact with and potentiate each other in post-dicting criminal behavior among the pedophiles studied in this inquiry. This study was supported in part by the Fund for Correctional and Forensic Psychology, Rutgers University Foundation. The investigators express deep appreciation to Charles Albino for assis-tance in data collection.