2020
DOI: 10.1016/j.jaac.2019.04.020
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Association Between the Release of Netflix’s 13 Reasons Why and Suicide Rates in the United States: An Interrupted Time Series Analysis

Abstract: Objective: To estimate the association between the release of the Netflix series 13 Reasons Why and suicide rates in the United States.Method: Using segmented quasi-Poisson regression and Holt-Winters forecasting models, we assessed monthly rates of suicide among individuals aged 10 to 64 years grouped into 3 age categories (

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Cited by 138 publications
(116 citation statements)
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References 25 publications
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“…The results agreed with some results from earlier studies done in other populations in some respects such as immigration background [13][14][15], suicide being more common on Mondays [20][21][22], and drowning being more common among adults. On the other hand there are also some results that contrast with studies done in other populations, such as not having more youth suicides in the weekend [3] or no increase in suicides in the period surrounding the release of 13 Reasons Why [18]. This suggests some results might be generalizable to other countries whereas some others are not, due to possible cultural elements.…”
Section: Generalizabilitymentioning
confidence: 69%
See 1 more Smart Citation
“…The results agreed with some results from earlier studies done in other populations in some respects such as immigration background [13][14][15], suicide being more common on Mondays [20][21][22], and drowning being more common among adults. On the other hand there are also some results that contrast with studies done in other populations, such as not having more youth suicides in the weekend [3] or no increase in suicides in the period surrounding the release of 13 Reasons Why [18]. This suggests some results might be generalizable to other countries whereas some others are not, due to possible cultural elements.…”
Section: Generalizabilitymentioning
confidence: 69%
“…If we look at how suicides were distributed among youths in the various months in the period 2013-2017, none of the months have a significantly high or low amount of suicides (Table 11). Among youth in the United States a significant increase was found in the amount of suicides in March and April of 2017, which was associated with the release of the Netflix series "13 Reasons Why" [18]. However, no such increase was found in suicides among the youth in the Netherlands in those same months.…”
Section: Month and Day Of The Weekmentioning
confidence: 99%
“…This research examined the relationship between suicide rates in youth ages 10–17 years and the release of the show 13 Reasons Why , a TV show that graphically depicts death by suicide. According to findings by Bridge et al (2020), 13 Reasons Why was associated with a significant increase in suicide rates in the month following its release. Recognizing the impact of media on youth suicidal behavior is imperative when considering the elevated risk and vulnerability present for this age group.…”
Section: Elevated Risk Of Youth Suicidementioning
confidence: 99%
“…Research has continued to show that violent media exposure is positively correlated with aggression and risk‐taking behaviors in adolescents (Rydell, 2016). Bridge et al (2020) recently studied the impact of exposure to violence in the form of suicide. This research examined the relationship between suicide rates in youth ages 10–17 years and the release of the show 13 Reasons Why , a TV show that graphically depicts death by suicide.…”
Section: Elevated Risk Of Youth Suicidementioning
confidence: 99%
“…One promising approach is to combine universal suicide prevention that strengthens protective processes across the population, with targeted interventions for youths with identified suicide/self‐harm risk, and health and social policies that increase access to care (Ougrin et al, ) and reduce access to potentially deadly self‐harm methods and environmental exposures associated with increased suicide/self‐harm risk (e.g. contagion effects associated with media exposures, or exposure to suicides or suicidal behavior within community or inpatient settings, Gould et al., ; Bridge et al., ; Niederkrotenthaler et al., ).…”
mentioning
confidence: 99%