Exploring Preference to Avoid or Seek Help in Person and Online Among College Students with Suicidal Ideation

Wilks, Chelsey R.; Ang, Sin Yee; Xi-yao, Wang; Arunagiri, Vinushini; Ward‐Ciesielski, Erin F.

doi:10.1521/jscp.2019.38.10.811

Cited by 9 publications

(4 citation statements)

References 69 publications

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“…Other online suicide prevention resources tailored for men have also shown promise, including one from Australia called Man Up , a well‐received and widely shared Facebook‐based health promotion campaign that engaged men in dialogue around masculinity and suicide (Schlichthorst et al, 2019). However, Wilks et al (2019) found that for some males at risk for suicide, they may not prefer online assistance as a method of support, at least as much as females do.…”

Section: Discussionmentioning

confidence: 99%

Help‐seeking and Man Therapy: The impact of an online suicide intervention

Gilgoff

Wagner

Frey

et al. 2022

Suicide & Life Threat Behav

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Introduction: Suicide is a leading cause of death for men in the United States.Men traditionally have been hesitant to seek help, based on masculine norms of stoicism and self-reliance, among other factors. Man Therapy (MT) is an online suicide prevention and mental health initiative that provides promise for facilitating male help-seeking.Methods: This study draws on data from a randomized controlled trial which examined effects of MT on a sample of men residing in Michigan aged 25-64.The current study utilized logistic regression to test MT's effect on nonprofessional and professional help-seeking, controlling for marital status, education, and sexual orientation.Results: A statistically significant positive association was found between MT and professional help-seeking (OR = 1.55, p = 0.049). A significant inverse association was also found with marital status, with partnered men less likely to seek professional help (OR = 0.53, p = 0.007). There was no significant association between MT and nonprofessional help-seeking. Conclusion:Man Therapy demonstrates the promise of web-based suicide prevention efforts to reach men who typically do not engage in help-seeking, providing a gateway to vital professional support. As technology continues to emerge, further suicide research is needed on use of this modality with working-age men from diverse backgrounds.

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Section: Discussionmentioning

confidence: 99%

Help‐seeking and Man Therapy: The impact of an online suicide intervention

Gilgoff

Wagner

Frey

et al. 2022

Suicide & Life Threat Behav

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“…For example, prevention programs often market themselves as programs to help individuals cope with "stress" or "better manage emotions," and shy away from the use of diagnostic labels or pathologizing language. Additionally, as many emerging adults show a preference for seeking help online (e.g., Wilks et al, 2019), digital prevention programs could represent a first step for emerging adults who are looking for help to manage their symptoms but are not ready to seek formal in-person treatment. This stepped-care approach could capitalize on emerging adults' help-seeking preferences and represent a way to engage individuals in one type of psychological support that could help address psychological symptoms (or target underlying mechanisms).…”

Section: Discussionmentioning

confidence: 99%

Preventing Anxiety and Depression in Emerging Adults: A Case for Targeting Help-Seeking Intentions and Behaviors

Nauphal

Ward‐Ciesielski

Eustis

2023

Journal of Prevention and Health Promotion

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Efforts to prevent anxiety and depressive disorders are considered a public health priority. However, emerging adults (ages 18–25) have traditionally been overlooked in the prevention literature. Recent suggestions to improve the design and evaluation of prevention programs propose a shift toward targeting and assessing changes in underlying mechanisms and protective factors that might buffer against the onset or worsening of symptoms and promote emotional well-being. In this conceptual paper, we aim to further this discussion on the optimal targets and goals of prevention programs and how best to tailor these programs to meet the needs of emerging adults. We first provide a brief overview of the prevention literature for depressive and anxiety symptoms among emerging adults. We then present an argument for expanding the focus of prevention programs to include an emphasis on factors affecting help-seeking intentions and behaviors as explicit targets. We argue this could improve the effectiveness and long-term impact of prevention efforts and provide a way to tailor programs to the unique developmental period of emerging adulthood. We propose that prevention programs should strive to target both mechanisms underlying depressive and anxious symptomatology, as well as those affecting help-seeking behaviors to arm emerging adults with the knowledge and tools necessary to effectively manage their mental health needs. To this end, we outline a number of processes to prioritize and target in order to promote help-seeking in the context of prevention.

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“…Unfortunately, treatment engagement among suicidal patients is low, particularly among those experiencing frequent and intense suicidal ideation [1][2][3]. Fortunately, although some high-risk suicidal individuals avoid face-to-face intervention, they may be inclined to anonymously seek out help through technology [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

User Engagement and Usability of Suicide Prevention Apps: Systematic Search in App Stores and Content Analysis

Wilks¹,

Chu²,

Sim³

et al. 2021

JMIR Form Res

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Background People with suicidal thoughts are more inclined to seek technology-delivered interventions than in-person forms of treatment, making mobile apps for suicide prevention an ideal platform for treatment delivery. This review examines apps designed for suicide prevention, with a specific focus on user engagement. Objective This study aims to update the literature and broadly evaluate the landscape of mobile health apps for suicide prevention; examine apps with key features and primary approaches to suicide prevention; and systematically evaluate the engagement, functionality, aesthetics, and information of the apps. Methods All apps related to suicidal thoughts and behaviors were identified in the Google Play and iOS app stores and were systematically reviewed for their content and quality. The mobile app rating scale (MARS) was used to evaluate app usability and engagement. Results Of the 66 apps identified, 42 (64%) were specifically designed for people with suicidal ideation, and 59 (89%) had at least one best practice feature for suicide risk reduction. The mean overall MARS score of all apps was 3.5 (range 2.1-4.5), with 83% (55/66) of apps having a minimum acceptability score of 3. The total MARS score was not associated with the user app rating (r=−0.001; P=.99) or the number of features (r=0.24; P=.09). Conclusions This study identified many usable and engaging apps in app stores designed for suicide prevention. However, there are only limited apps for clinicians. Thus, mobile apps for suicide prevention should be carefully developed and clinically evaluated.

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Exploring Preference to Avoid or Seek Help in Person and Online Among College Students with Suicidal Ideation

Cited by 9 publications

References 69 publications

Help‐seeking and Man Therapy: The impact of an online suicide intervention

Help‐seeking and Man Therapy: The impact of an online suicide intervention

Preventing Anxiety and Depression in Emerging Adults: A Case for Targeting Help-Seeking Intentions and Behaviors

User Engagement and Usability of Suicide Prevention Apps: Systematic Search in App Stores and Content Analysis

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