Effect of 11 September 2001 terrorist attacks in the USA on suicide in areas surrounding the crash sites
Open accessAbstract
Background: The terrorist attacks in the USA on 11 September 2001 affected suicide rates in two European countries, whereas overall US rates remained stable. The effect on attack site rates, however, has not been studied. Aims: To examine post-attack suicide rates in areas surrounding the three airline crash sites. Method: Daily mortality rates were modelled using time series techniques. Where rate change was significant, both duration and geographic scope were analysed. Results: Around the World Trade Center, post-attack 180-day rates dropped significantly (t= 2.4,P= 0.0046), whereas comparison condition rates remained stable. No change was observed for Pentagon or Flight 93 crash sites. Conclusions: The differential effect by site suggests that proximity may be less important that other event characteristics. Both temporal and geographic aspects of rate fluctuation after sentinel events appear measurable and further analyses may contribute valuable knowledge about how sociological forces affect these rates.
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Terrorist attacks appear temporally protective against suicide in exposed populations, and greater social cohesion may explain lower suicide rates in New York after September 11, 2001.
“Paradoxically, terrorist attacks appear to be temporally protective against suicide in exposed populations. Greater social cohesion may have explained lower suicide rates in the New York metropolitan area in the months after the September 11, 2001, attacks.28”
From Suicide (2020) · cites this paper as [28]
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- Authors
- Claassen, C. A., Carmody, T., Stewart, S. M., Bossarte, R. M., Larkin, G. L., Woodward, W. A., & Trivedi, M. H.
- Affiliations
- University of Rochester Medicine (US)
- The University of Texas Southwestern Medical Center (US)
- Yale University (US)
- Southern Methodist University (US)
- Corresponding author
- Claassen, Cynthia A.
- ORCID
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2010-05
- Volume
- 196
- Issue
- 5
- Pages
- 359-364
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2096910327
- Cited by
- 74
- References
- 27
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 5 · 2023: 9 · 2022: 8 · 2021: 17 · 2020: 14 · 2018: 1 · 2017: 1 · 2016: 1 · 2014: 1 · 2013: 2 · 2012: 1
- FWCI
- 2.11
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Foundation for Suicide Prevention
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Terrorism, Counterterrorism, and Political Violence
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Keywords
- September 11 attacks, suicide rates, World Trade Center, Pentagon, post-traumatic stress, mass casualty incidents, sentinel events
- MeSH terms
- Humans, Mid-Atlantic Region, New England, North Carolina, South Carolina, Suicide, Time Factors, West Virginia, September 11 Terrorist Attacks
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