Tag Archives | Imitation

'13 Reasons Why' Probably Increased Emergency Room Visits for Self-Harm among Teenage Girls

Chris Felton

Sociological Science December 11, 2023
10.15195/v10.a33


I present evidence that the release of Netflix’s 13 Reasons Why—a fictional series about the aftermath of a teenage girl’s suicide—caused a temporary spike in emergency room (ER) visits for self-harm among teenage girls in the United States. I conduct an interrupted time series analysis using monthly counts of ER visits obtained from a large, nationally representative survey. I estimate that the show caused an increase of 1,297 self-harm visits (95 percent CI: 634 to 1,965) the month it was released, a 14 percent (6.5 percent, 23 percent) spike relative to the predicted counterfactual. The effect persisted for two months, and ER visits for intentional cutting—the method of suicide portrayed in the series—were unusually high following the show’s release. The findings indicate that fictional portrayals of suicide can influence real-life self-harm behavior, providing support for contagion-based explanations of suicide. Methodologically, the study showcases how to make credible causal claims when effect estimates are likely biased.
Creative Commons LicenseThis work is licensed under a Creative Commons Attribution 4.0 International License.

Chris Felton: Postdoctoral Fellow, Graduate School of Education, Harvard University. This study was completed while the author was a PhD student in the Department of Sociology and Office of Population Research at Princeton University.
E-mail: christopher_felton@gse.harvard.edu

Acknowledgements: For helpful discussions and feedback relevant to this project, I thank (in reverse-alphabetical order) Brandon Stewart, Varun Satish, Momoko Nishikido, Ian Lundberg, Marielle Côté-Gendreau, Dalton Conley, members of the Stewart Lab, the editor, and the anonymous referees. Replication data and code can be found at https://github.com/cmfelton/13rw. All errors are my own.

  • Citation: Felton, Chris. 2023. “’13 Reasons Why’ Probably Increased Emergency Room Visits for Self-Harm among Teenage Girls.” Sociological Science 10: 930-963.
  • Received: March 15, 2023
  • Accepted: March 31, 2023
  • Editors: Arnout van de Rijt, Peter Bearman
  • DOI: 10.15195/v10.a33


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Competitive Exclusion versus Mimetic Isomorphism: An Identified Empirical Test

William P. Barnett, Xiao Xiao, Yi Zhou

Sociological Science June 21, 2021
10.15195/v8.a11


Why are organizations sometimes so similar, and in other cases so different? For decades this question has been central to research on organizations, and two leading theories have answered the question very differently. Neo-institutional theory points to the importance of mimetic isomorphism, where organizations imitate one another as they navigate decisions in the context of uncertainty over what is regarded as legitimate action. By contrast, ecological theory argues that competitive exclusion explains the differences we see around us, as organizations repel one another when they vie for the same resources. Decades of empirical work have tended to confirm one or the other prediction, with little acknowledgement of their opposition. Furthermore, much of the existing empirical work is limited to descriptive studies that make little or no attempt to empirically identify their findings, leaving the empirical record open to concerns over endogeneity. This article conducts an identified empirical test in a context where the two arguments make opposing predictions. In an analysis of auditor selection after the collapse of Arthur Andersen, we find evidence of competitive exclusion but no evidence of mimetic isomorphism. Implications for the continued progress of organization theory are discussed.
Creative Commons LicenseThis work is licensed under a Creative Commons Attribution 4.0 International License.

William P. Barnett: Graduate School of Business, Stanford University
E-mail: william.barnett@stanford.edu

Xiao Xiao: Guanghua School of Management, Peking University
E-mail: xxiao@gsm.pku.edu.cn

Yi Zhou: Center for Social Research, Peking University
E-mail: yizhou.ccer@gmail.com

Acknowledgments: Order of authorship is alphabetical. Correspondence to William Barnett (william.barnett@stanford.edu), or, for questions regarding the data analysis, correspondence to Yi Zhou (yizhou@pku.edu.cn). Research support was provided by the Stanford Graduate School of Business and by Peking University. Thanks for useful advice and comments from Jon Atwell, Özgecan Koçak, Balázs Kovács, Jesper Sørensen, and Olav Sorenson.

  • Citation: Barnett, William P., Xiao Xiao, and Yi Zhou. 2021. “Competitive Exclusion versus Mimetic Isomorphism: An Identified Empirical Test.” Sociological Science 8: 211-229.
  • Received: April 2, 2021
  • Accepted: May 5, 2021
  • Editors: Gabriel Rossman
  • DOI: 10.15195/v8.a11


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