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To cite this Article Merari, Ariel , Diamant, Ilan , Bibi, Arie , Broshi, Yoav and Zakin, Giora(2010) 'Personality
Characteristics of “Self Martyrs”/“Suicide Bombers” and Organizers of Suicide Attacks', Terrorism and Political Violence,
22: 1, 87 — 101
To link to this Article: DOI: 10.1080/09546550903409312
URL: http://dx.doi.org/10.1080/09546550903409312
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Terrorism and Political Violence, 22:87–101, 2010
Copyright # Taylor & Francis Group, LLC
ISSN: 0954-6553 print=1556-1836 online
DOI: 10.1080/09546550903409312
Personality Characteristics of
‘‘Self Martyrs’’/‘‘Suicide Bombers’’ and
Organizers of Suicide Attacks
YOAV BROSHI
Bar Ilan University, Ramat-Gan, Israel
GIORA ZAKIN
Department of Psychology, Tel Aviv University, Tel Aviv, Israel
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Ariel Merari is a retired professor of psychology at Tel Aviv University. He has studied
terrorism and political violence for more than 30 years and has published widely on these
subjects. Ilan Diamant is a clinical psychologist in private practice. He holds a Ph.D. degree
in clinical psychology from the University of London and teaches at the Department of
Psychology, Tel Aviv University. Arie Bibi is a clinical psychologist in private practice. He
holds a Ph.D. degree in clinical psychology from Tel Aviv University, where he also teaches
at the Department of Psychology and the School of Social Work. Yoav Broshi is a clinical
psychologist in private practice. He received an M.A. degree in clinical psychology from Tel
Aviv University and is currently a doctoral student at Bar Ilan University. Giora Zakin is a
clinical psychologist in private practice. He holds a Ph.D. degree in clinical psychology from
Tel Aviv University where he also teaches at the Department of Psychology.
This article includes excerpts from the first author’s forthcoming book, Driven to Death:
Psychological and Social Aspects of Suicide Terrorism (Oxford: Oxford University Press, 2010).
The authors wish to thank to Baruch Zadik, Ilan Baruch, and Haim Aharoni, who
participated in conducting clinical interviews and tests and to Eran Shadach, who participated
in assessing tests results.
Address correspondence to Ariel Merari, Department of Psychology, Tel Aviv
University, Tel Aviv 69978, Israel. E-mail: merari@post.tau.ac.il
87
88 A. Merari et al.
but none of the control and organizers groups’ participants displayed sub-clinical sui-
cidal tendencies. Significantly more martyr than control group members displayed
symptoms of depression.
Campaigns of suicide attacks have, in some cases, had far reaching strategic-
political consequences. The obvious example has been the September 11, 2001,
attacks in the United States, which resulted in a massive change in U.S. global
policy. Other cases in point are the withdrawal of the Multi-National Force from
Lebanon in 1984, following a series of suicide attacks, and the suicide bombing cam-
paign in Israel in the 1990s, which has effectively undermined the Israeli-Palestinian
peace process.
The frequency of suicide attacks has increased considerably in recent years. A
simple count of these attacks around the globe is shown in Figure 1. Of the 2,622
martyrdom attacks that were carried out around the world in the period of 1981
through 2008, 2,218 attacks (84.5%) took place in the recent five years (2004–
2008). Most martyrdom attacks have been carried out in countries where an acute
violent conflict has been taking place. The decline in the global number of martyrdom
attacks in 2008 (469 attacks, compared to 608 in 2007) was due mainly to a reduction
in the number of attacks in Iraq. Yet, there has been a considerable rise in the number
of countries where suicide attacks have taken place—17 countries in the period of
1981–2000, compared to 32 in the period of 2001–2008.
Method
Subjects
Three groups of jailed Palestinian terrorists were included in the study: (a) would-be
suicide bombers, (b) a control group of terrorists arrested for participation in non-
suicide missions, and (c) organizers of suicide operations.
The suicides’ sample included fifteen men, who had been arrested in the process
of trying to carry out a suicide attack. Four of them were caught at the intended site
90 A. Merari et al.
of attack, as the explosive charges they were carrying failed to detonate because of a
technical defect. Ten of the other eleven were caught carrying the explosive charge on
the way to the target, where they intended to explode themselves, and one was
caught a day before he was supposed to carry out the suicide attack, having already
been videotaped in the final ritual before dispatching. Of all suicide candidates in jail
at that time, these fifteen men were the closest to implementing their suicide mission.
Five of the would-be suicides in the sample were sent by Hamas, five by the
Palestinian Islamic Jihad (PIJ), and five by Fatah’s al-Aqsa Martyrs Brigades. These
groups comprise the three main Palestinian organizations that have perpetrated
martyrdom operations. On average, the attempted suicide attack (and date of arrest)
took place 7.5 months prior to the time of interviews and testing (range: 2–16).
The mean age of the suicide group at the time of arrest was 19.8 (range: 16–23).
All of them were unmarried. Two of them had only partial elementary school educa-
tion, five had partial high school education, seven had full high school education,
and one had partial university education.
The control sample included 12 men, who had been tried and jailed for participa-
tion in various political violence activities, ranging from stone throwing to armed
assaults. An attempt was made to match the controls with the would-be martyrs
as to age, marital status, education, and organizational affiliation. The average date
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of arrest of control group subjects took place 13 months prior to the time of the
interviews (range: 4–43 months).
The mean age of control group subjects at the time of arrest was 19.6 (range:
16–23) and all of them were unmarried. One of them had partial elementary school
education, one had full elementary school education, six had partial high school
education, three full high school, and one had partial university education.
The organizers sample included fourteen who had been jailed for commanding
and coordinating suicide attacks. Five of them were Hamas members, five were
PIJ members, and four were members of Fatah’s al-Aqsa Martyrs Brigades. They
were responsible for organizing 1–9 martyrdom attacks each (including unsuccessful
attacks), an average of 3.7 attacks per organizer. The participating organizers had
been sentenced to long prison terms, ranging between 18 years and 35 cumulative life
sentences. At the time of the interviews they had already been in prison for an
average of 35.6 months (range: 9–118 months).
All Palestinian martyrdom operations have been organized by a group. The deci-
sion to carry out a suicide attack and its preparation were done by the local leadership
of the military arm of the organization (e.g., Hamas military leader in the Tul Karem
area, or PIJ leader in the town of Jenin). Typically, several persons were involved in
the preparation of a suicide attack, having a variety of roles: making the explosive
device, identifying and recruiting a potential candidate for the mission, collecting
information on security forces’ routines, and escorting the martyrdom candidate to
the target. These preparations are orchestrated by the local leader of the organization,
who makes the operational decisions and sometimes also produces the explosive device.
This person is called here the organizer of the attack. The suicide candidate is usually
brought to the organizer for approval, and the organizer is commonly present at the
videotaping ritual of the candidate before he is dispatched on his mission.
The organizers’ mean age at the time of arrest was 27.6 (range: 21–36). Seven
of them were single. The other seven were married, of whom all but one had children
(1–3). Three of the organizers had full university training (two of them had bachelor’s
degrees in engineering and one in religion studies); three had partial university
Personality Characteristics of Suicide Bombers 91
training, five had full high school education and three only partial high school
education. There were conspicuous differences in education between the groups.
Whereas all Hamas organizers had at least partial university education (three had
university degrees and two were students), none of the Fatah organizers had
university education—two had completed high school and two had only partial high
school education. PIJ organizers fell in the middle: three had completed high school,
one had only partial high school education, and one was a university student.
explained to them the study’s aims. We told them that the study was designed to
investigate the personality characteristics, motivations, and decision-making of
commanders and rank-and-file members of insurgent groups. We explained that we
were particularly interested in what makes people sacrifice themselves for a cause,
what motivates them to carry out martyrdom missions, and how they were selected
and prepared for these missions. We also said that we were interested in their traits
as leaders, their interaction with their subordinates, and the way they coped with
problems that they had to confront. We added that this was the first study of its kind
but we hoped that researchers in other countries would carry out similar studies, so as
to discover to what extent there are similarities in personality characteristics of insur-
gent groups’ leaders and members across different cultures and contexts. A discussion
developed following this introduction. The three Hamas leaders (all of them had aca-
demic degrees) asked many questions on our credentials and background, who were
the other researchers on the team, and about the nature and course of development of
national liberation movements. One of the organizers asked to see a sample of the first
author’s publications (which were delivered to him a few days later). After a couple of
hours of lively discussion the four leaders decided to cooperate with the research
team. Their consent was instrumental in obtaining other participants’ cooperation.
In general, members of the organizers group displayed much more interest in the
study than members of the would-be martyr and control groups. The latter, although
they were willing to participate in the study, did not express much interest in it.
The participants were interviewed in jail, in comfortable offices. Four senior clinical
psychologists, fluent in Arabic, interviewed the participants and tested them in individual
sessions (one interviewer and one interviewee at a time). Each session was composed of a
comprehensive clinical semi-structured interview aiming at getting the biographical
background, significant events in life, adjustment to change, and coping with crises.
The semi-structured interviews were followed by a series of psychological tests. The
set of tests included: Rorschach test,8 TAT (Thematic Apperception Test),9 House-
Tree-Person drawings,10 and an adapted version of the California Personality Inventory
(CPI)11 comprised of 300 questions (CHPI),12 which had been translated into Arabic.
92 A. Merari et al.
Results
In the absence of previous empirical psychological research on martyrdom bombers,
our null hypothesis was that there were no differences between the suicide and the
control groups. We assumed, however, that the main relevant personality factors
to be explored were: ego-strength, suicidal tendencies, depressive tendencies, post-
traumatic stress disorder, and psychopathic tendencies.
Ego Strength
The concept of Ego is generally referred to as a central personality process that
organizes and integrates both internal and external realms, hence critical to the mode
and quality of one’s healthy and adaptive functioning.14
Personality Characteristics of Suicide Bombers 93
Ego strength is a concept that captures the person’s ability to efficiently cope
with external and internal stress, and to regulate one’s emotions and need states.
It has an active quality and direct bearing on one’s capacity to act independently
with self control, to establish and maintain focus and attention, to actualize
pre-conceived plans, to think logically, and to prevent intrusion of primary thinking
and impulse derivatives, holding good reality testing and sense.15 Kernberg’s struc-
tural diagnosis of personality organization16 follows Bellack’s and adds the matrix of
object relations integration as the bedrock of ego strength development and levels. In
Kernberg’s approach personality organization can be classified into three broad
levels of ego functioning (strength): low (psychotic), intermediate (borderline),
and high (normal).17 In the present study we use Kernberg’s model to assess ego-
strength levels.
the martyr group’s participants tend to function best in relatively limited and unde-
manding circumstances, in which routine is the order of the day and neither careful
analysis nor higher-level concept formation is required. Their social perception is less
accurate and they are more likely to form unrealistic impressions of people and inter-
personal events.
The results of this study suggest that a major difference between the martyr and
organizer groups is in coping resources. Thus, suicide bombers have a narrow
perspective and a constricted experience of reality. They have less available resources
for planning and implementing deliberate strategies of coping with decision making
and they are more likely to show inept and ineffective ways to cope with ordinary
experience of daily living. Conversely, organizers have high coping resources that
are available for them to initiate, plan, and implement strategies for deliberate actions.
The control group seems to be in-between the other groups. That is, no specific
coping resources profile can be discerned for them.
Personality Styles
Having reviewed the data, we have noticed qualitative patterns of personality styles
that differentiate between the groups. Hence, we present a preliminary analysis of
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these differences.
The classification of personality styles relies on the Diagnostic and Statistical
Manual of Mental Disorders (DSM-IV).19 DSM-IV classifies personality disorders
into three clusters: cluster A refers to people who appear odd or eccentric to others
(paranoid, schizoid, schizotypal); cluster B refers to people who appear overly
emotional, unstable, or self dramatizing to others (antisocial, borderline, histrionic,
narcissistic); cluster C refers to people who appear tense and anxiety ridden to others
(avoidant, dependent, obsessive-compulsive). The classification of personality styles
relies on the clinical picture depicted by analyzing the participants’ behaviors in-vivo;
the narrative of their biography; and their responses to several psychological tests.
Comparison between the suicide and the other two groups, i.e., the control and
the organizers groups, shows a significant difference in personality styles. Most of
the suicide group subjects were assessed as having characteristics of cluster C,
namely avoidant and dependent styles, while most of the subjects in the control
and the organizers group were assessed as having characteristics of cluster B, i.e.,
impulsive and emotionally unstable style. Nine of the 13 subjects in the suicide
group (69%) whose personality style could be classified were assessed as having
dependent-avoidant personality styles while only two subjects in the control group
(20%) and one subject in the organizers group (8.3%) were assessed as such. Four sub-
jects in the suicide group (30.8%) were assessed as having impulsive and emotionally
unstable style while eight subjects in the control group (80%) and eleven subjects in
the organizers group (91.7%) were assessed as such.
None of the subjects were classified under cluster A (bizarre characteristics). It is
also significant to note that none of the subjects were assessed as having psychotic
characteristics.
These differences between the martyrdom and the other two groups were found
significant in a Chi-square analysis (martyrdom and control group: Chi-square
value ¼ 5.490, df ¼ 1, a ¼ .019; martyrdom and organizers group: Chi-square
value ¼ 9.642, df ¼ 1, a ¼ .002). Table 2 presents the frequencies of personality styles
of the martyrdom, control and organizers groups.
Personality Characteristics of Suicide Bombers 95
People having dependent and avoidant personality styles are described as longing
for interpersonal relationships from a position of low self-esteem. They are always
in need of reassurance and cannot function well without someone else to take care
of them.20
A 21-year-old suicide bomber, for example, described himself in childhood as
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secluded, playing alone, and avoiding the company of other children. When feeling
distressed he used to stroll around by himself. He did not have intimate friends, was
reluctant to express emotions, and was intimidated by unfamiliar conditions. The
interviewer described him as lacking of energy, cordial, quite shy, trying to comply
with the interviewer’s expectations.
People having impulsive and emotionally unstable styles are characterized by
emotional states that may change rapidly between melancholy, agitation, and
hyperactivity. They show volatility in their occupational and social life. They tend
to have a polarized perception of reality, categorizing the external world into ‘‘black
or white.’’ They are prone to feel anger and rage and are more likely to act out their
emotions.21
A 22-year-old suicide bomber, for example, described many labile emotional
shifts, responding to perceived provocations by eruptive aggressive behavior: ‘‘When
I feel tense nobody can speak to me . . . If one merely approaches me to say ‘Hello,’ I
may hit him, and on the other hand, when I see a small child crying I may cry with
him.’’ After his father’s traumatic death of heart attack he almost committed suicide
by cutting his wrists, only to be saved and cooled down by his mother and a Muslim
cleric. He also described a lifelong maladjustment, expressing anger towards most of
the people in his town, whom he perceived as cons and liars.
Eight participants in the martyrdom bombers’ group (53.3%) were assessed as having
apparent depressive tendencies whereas only one participant (8.3%) was found in the
control group. In the organizers group only three participants (21.4%) were assessed
as having depressive tendencies. The difference between this group and the martyr-
dom group fell slightly short of reaching statistical significance (Chi-square value ¼
3.131, df ¼ 1, a ¼ .077).
It should be noted that not only about half of the participants in the martyrdom
group were assessed as having marked depressive tendencies, but also three of them
have shown co-morbidity with post-traumatic stress disorder (PTSD), whereas none
of the participants in either the control or the organizers groups were assessed as
having PTSD.
Participants who were assessed as having depressive tendencies showed marked
clinical signs such as melancholy, sadness, lack of vitality, psychomotor slowness,
low energy, tearfulness, emotional constriction, and distracted attention. The depres-
sive signs in these participants were shown in the psychological tests, particularly in
the themes produced in the TAT. Repeated themes involved protagonists in distress,
feeling helplessness, loneliness, painfulness, and sadness, expressing pessimism and
contemplation about situations without positive resolutions. They repeatedly por-
trayed family dynamics where the child fails to meet parents’ expectation, tragic reci-
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Discussion
In this study we found significant differences between the psychological characteris-
tics of suicide bombers, non-suicide terrorists, and organizers of suicide attacks. Yet,
the results of the study should be interpreted with caution not only because of the
small sample size, but because it only dealt with Palestinian would-be martyrs. It
is possible that martyrdom bombers in other societies and conditions are different
in important respects. The existence of culture and situation-dependent psychologi-
cal differences between suicide bombers across foci of martyrdom attacks around the
world is suggested by variations in the demographic characteristics of martyrdom
bombers (e.g., in gender composition, education, and age).
With this limitation in mind, the study’s findings suggest that although there is
no single personality profile of Palestinian would-be suicide bombers, contrary to the
general notion most of them do have distinctive personality characteristics. In
the majority of the cases, these characteristics converge to a personality style and
ego structure that is susceptible to social influence, especially by persons perceived
as authoritative. A significant number of the would-be martyrs also displayed
sub-clinical suicidal characteristics, some of them against the backdrop of depression
and=or post-traumatic stress syndrome.
Personality Characteristics of Suicide Bombers 97
It should be clear, however, that personality factors alone cannot explain the
phenomenon of willingness to carry out a suicide attack. Essentially, suicide attacks
are a group phenomenon, and practically all of them have been planned and
organized by groups rather than carried out by individuals acting alone on their
own initiative. Thus, the creation of a suicide bomber is a product of the interaction
between groups and individuals, in which certain individual characteristics make a
person more likely to carry out a martyrdom operation.
The results show that the organizers are endowed with more ego strength as
compared to the would-be suicides. This finding supports the hypothesis that the
latter have a weaker personality structure and that people in this group are more
susceptible to suggestions and outside pressure. Paucity of ego resources means that
one is less able to regulate his daily adjustment tasks and needs other people for
support and direction. This makes him more prone to exploitation by people he calls
upon for support. However, this argument does not clarify the difference between
the martyrdom and the control group. Results suggest that the participants in the
control group have more resources than in the martyrdom group, but the difference
did not reach statistical significance. Thus, while we can infer that both would-be
martyrs and controls were influenced by the stronger organizers to act, in trying
to explain the different course of action chosen by members of each group (i.e.,
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group those who were caught carrying the explosive charge on their way to the
target. As mentioned above, four of the subjects actually reached the target and tried
to activate the explosive charge, which failed to explode due to technical malfunc-
tioning (Subgroup A). Behaviorally, these four should be regarded as complete
martyrs, because they actually committed the act. The other eleven subjects in the
would-be martyrs group (Subgroup B) were caught on the way to the target and
did not try to activate the charge either because they could not reach it (e.g., it
was in the car’s trunk), or because they did not want to kill the group member
who escorted and guided them on the way. If suicides who complete their missions
are different from the would-be suicides in our sample, a comparison between the
four who tried to activate the device and the eleven who were caught on the way
to the target should reveal them. Table 3 shows this comparison. Although the small
number of subjects in Subgroup A precluded a statistical test of significance of
differences, several differences between the two sub-groups are worth noting. First,
whereas all those who actually pressed the switch were assessed as having
avoidant-dependent personality styles, only 54.5% of those who did not activate
the explosive device belonged to this category. In addition, a higher percentage of
subgroup B were assessed as suffering from depression and=or PTSD. Altogether,
however, the similarities between Subgroup B and Subgroup A subjects were greater
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Could the Personality Characteristics of the Would-Be Suicides, Which Were Found
in This Study, Be Attributed to Circumstances Rather Than to Personality Traits?
Because both the suicide group and the control group were interviewed and tested in
prison, it is unlikely that the personality differences between the groups were the
result of the conditions of incarceration. However, a possible event that might,
hypothetically, have a depressing effect on the would-be martyrs was their failure
to carry out the mission. While this possibility cannot be dismissed completely, it
does not seem likely either. In the interviews, the subjects did not express depression
or self-criticism in connection with their failure to carry out the mission. They
usually attributed the failure to God’s will, saying that apparently God wanted them
to live. Furthermore, the autobiographical descriptions of the subjects who were
assessed as depressed suggested that their mental state had been marked by depres-
sion and isolation long before they carried out their martyrdom attempt.
Table 3. Comparison of would-be suicides who tried to activate the charge with
those that did not try
Demographic
Age
Mean 19.25 19.55
Range 16–23 15–23
Education
Partial elementary 25% 9.1%
Full elementary 0 0
Partial high school 75% 18.2%
Full high school 0 63.6%
Partial university 0 9.1%
Family economic status
Low 0 27.3%
Middle 100% 72.7%
High 0 0
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Employment
Blue Collar 50% 72.7%
Student 50% 27.3%
Unemployed 0 8.3%
Refugee camp dweller 0 27.3%
Refugee family 0 45.4%
Religiosity
Very religious 25% 18.2%
Ordinary religious 75% 81.8%
Little religious
Not religious
Psychological
Personality type
Introvert 100% 54.5%
Extravert 0 36.4%
Unclear 0 9.1%
Suicidal 25% 45.4%
Depression=PTSD 25% 45.4%
Mission Related
Sending group
Hamas 50% 27.3%
PIJ 50% 36.4%
Fatah 0 36.4%
Organization member 50% 54.5%
Previous resistance activity
Violent armed 25% 27.3%
Violent unarmed 0 18.2%
(Continued )
100 A. Merari et al.
Table 3. Continued
Non-violent 0 9.1%
None 75% 45.4%
Volunteered for the mission 75% 45.4%
Hesitated 50% 72.7%
Videotaping 75% 63.6%
Notes
1. Israel Defense Force. Casualties Since 30.9.00 Updated 20.11.03. Available at:
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personality characteristics. See: Anat Berko and Edna Erez, ‘‘Gender, Palestinian Women,
and Terrorism: Women’s Liberation or Oppression?’’ Studies in Conflict and Terrorism 30,
no. 6 (2007): 493–519.
8. John E. Exner, The Rorschach: A Comprehensive System (New York: Wiley, 1993).
9. Henry A. Murray, Thematic Apperception Test: Manual (Cambridge, MA: Harvard
University Press, 1943).
10. John N. Buck, The H-T-P Technique: A Qualitative and Quantitative Scoring
Manual, Journal of Clinical Psychology, Monograph Supplement No. 5, (1948); Emanuel F.
Hammer, A Comparison of House-Tree-Person (H-T-P) Clinical Research Manual (Los Angeles:
Western Psychological Services, 1955).
11. Edwin I. Megargee, The California Psychological Inventory Handbook (San Francisco:
Jossey-Bass, 1972).
12. Baruch Nevo and R. Nordheimer, ‘‘Further experiments with the Hebrew version
of the C.P.I.,’’ Haifa University Selection and Assessment Unit Reports, No. 76–20 (Haifa:
University of Haifa, Israel, 1975).
13. John E. Exner, The Rorschach: A Comprehensive System, 4th ed., Vol, 1 (Hoboken,
NJ: Wiley, 2004).
14. Gertrude Blanck and Rubin Blanck, Ego Psychology: Theory and Practice (New York:
Columbia University Press, 1974); Gertrude Blanck and Rubin Blanck, Ego Psychology II:
Psychoanalytic Developmental Psychology (New York: Columbia University Press, 1979).
15. Leopold Bellak, Marvin Hurvich, and Helen Gediman, Ego Functions in Schizophre-
nics, Neurotics, and Normals (New York: Wiley, 1973).
16. Otto Kernberg, Borderline Conditions and Pathological Narcissism (New York:
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Aronson, 1975); Otto Kernberg, Object Relations Theory and Clinical Psychoanalysis
(New York: Aronson, 1976).
17. Well-integrated personality with normal or neurotic features.
18. John E. Exner, The Rorschach: A Comprehensive System (New York: Wiley, 1993).
19. Diagnostic and Statistical Manual of Mental Disorders (Washington, DC: American
Psychiatric Association, 1994).
20. Glen O. Gabbard, Psychodynamic Psychiatry in Clinical Practice, 4th ed. (Washington,
DC: American Psychiatric Publishing, 2005).
21. Ibid.
22. Robert D. Hare, Psychopathy: Theory and Research (New York: Wiley, 1970).
23. In an interesting study, Benmelech and Berrebi compared the age and education of
Palestinian suicide bombers who succeeded in completing their missions during the second
Intifada with those that failed. They found that whereas the mean age of 42 failed suicide
bombers was 18.8, the mean age of 106 successful suicide bombers was 22.0. The average
education level of successful suicide bombers was also significantly higher than that of failed
bombers. It should be noted that these authors defined failed bombers quite broadly, to
include those who ‘‘(1) failed to detonate their explosive devices, (2) looked suspicious and
were apprehended or killed by civilians, policemen, or soldiers, (3) panicked and blew them-
selves up before they reached the target, or (4) chickened out’’ (p. 234). See: Efraim Benmelech
and Claude Berrebi, ‘‘Human Capital and the Productivity of Suicide Bombers,’’ Journal of
Economic Perspectives 21, no. 3 (2007): 223–238.
24. Eve K. Mościcki, ‘‘Epidemiology of Suicide,’’ in: Douglas G. Jacobs, ed., The
Harvard Medical School Guide to Suicide Assessment and Intervention (San Francisco:
Jossey-Bass, 1999); Bruce Bongar, The Suicidal Patient: Clinical and Legal Standards of Care,
2nd ed. (Washington, DC: American Psychological Association, 2002); World Health
Organization, Guidelines for the Primary Prevention of Mental, Neurological and Psychosocial
Disorders, 4. Suicide (Geneva: Division of Mental Health, World Health Organization
Publication WHO=MNH=MND=93.24, 1993).