Internet Searches for Suicide Following the Release of <i>13 Reasons Why</i>

Ayers, John W.; Althouse, Benjamin M.; Leas, Eric C.; Dredze, Mark; Allem, Jon-Patrick

doi:10.1001/jamainternmed.2017.3333

Cited by 138 publications

(126 citation statements)

References 5 publications

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“…These data are also one of the few sources of behavioral health data available in near real-time (Ayers et al, 2014). Several studies have demonstrated the ability of these high-resolution data to monitor and quickly detect trends in mental distress and suicidal ideation (Sueki, 2011;Yang et al, 2011;Ayers et al, 2013;Gunn and Lester, 2013;Jashinsky et al, 2014;Ayers et al, 2016).…”

Section: Help-seeking Via New Mediamentioning

confidence: 99%

Adolescents in crisis: A geographic exploration of help-seeking behavior using data from Crisis Text Line

Thompson

Sugg

Runkle

2018

Social Science & Medicine

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Prior research has demonstrated that a variety of demographic, socioeconomic, and environmental factors can influence the prevalence and severity of mental distress and whether an individual is likely to receive treatment. Behavioral health research has been limited to self-reported survey data, but advances in technology have provided increased opportunities to continuously capture and store data, and to learn about the help-seeking habits of its contributors. In response to the growing prevalence of technologically mediated crisis counseling services, this county-level ecological study evaluated whether these same disparities exist for help-seeking via Crisis Text Line, a free, ubiquitous, technology-based crisis counseling service. Because most suicide attempts are impulsive acts, crisis hotlines are often the only resource available to suicidal or at-risk individuals. It is critical that researchers and practitioners are aware of any population-level disparities limiting the use of these invaluable resources. To date, this is the first study to examine text-based help-seeking behavior among adolescents at a national scale. Results identify several factors associated with increased or reduced help-seeking behavior among adolescents in the U.S. Increased v rates of CTL usage occur in counties with higher mean household incomes, higher divorce rates, and lower residential stability. Rurality was the strongest predictor for low rates of help-seeking, and this finding is particularly concerning in light of elevated rates of suicide among rural counties. Low rates of help-seeking compound ongoing rural-urban disparities in traditional mental health services, and this finding suggests that increased suicide risk in rural areas cannot be explained by mental health professional shortages alone. Rural communities, particularly those with low support-seeking behavior and comparatively high suicide rates, should be the target of future research and outreach.vi

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Section: Help-seeking Via New Mediamentioning

confidence: 99%

Adolescents in crisis: A geographic exploration of help-seeking behavior using data from Crisis Text Line

Thompson

Sugg

Runkle

2018

Social Science & Medicine

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“…To quantify the aggregate level of suicidal ideation, we extract from Baidu (the largest online search engine in China) the local volumes of online search queries indicating suicidal thoughts manifested by the presence of plans to commit suicide. In fact, online searches indicating suicidal thoughts are used to quantify suicidal ideation in a recent study published in JAMA [46]. Besides, the closely related suicide-related internet search and suicide rates lend further support to the method of using online searches to measure suicidal ideation [47][48][49][50].…”

Section: Introductionmentioning

confidence: 99%

The association between PM2.5 exposure and suicidal ideation: a prefectural panel study

Chen

et al. 2020

BMC Public Health

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Background: Suicidal ideation is subject to serious underestimation among existing public health studies. While numerous factors have been recognized in affecting suicidal thoughts and behaviors (STB), the associated environmental risks have been poorly understood. Foremost among the various environment risks were air pollution, in particular, the PM2.5. The present study attempted to examine the relationship between PM 2.5 level and local weekly index of suicidal ideation (ISI). Methods: Using Internet search query volumes in Baidu (2017), the largest internet search engine in China, we constructed a prefectural panel data (278 prefectures, 52 weeks) and employed dynamic panel GMM system estimation to analyze the relationship between weekly concentration of PM2.5 (Mean = 87 μg·m − 3 ) and the index of suicidal ideation (Mean = 49.9). Results:The results indicate that in the spring and winter, a 10 μg·m − 3 increase in the prior week's PM 2.5 in a Chinese city is significantly associated with 0.020 increase in ISI in spring and a 0.007 increase in ISI in winter, after taking account other co-pollutants and meteorological conditions. Conclusion:We innovatively proposed the measure of suicidal ideation and provided suggestive evidence of a positive association between suicidal ideation and PM 2.5 level.

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“…There was evidence of increased suicide awareness, but the searches also indicated an increase in suicidal ideation. It is unclear whether or not any of the searches preceded actual attempts (Ayers, Althouse, Leas, Dredze, & Allem, ). One small study in an urban teaching hospital in New Jersey found that there was a statistically significant increase in psychiatric presentations to their emergency department in the days following the release of the series; however, there was no change in the number of presentations related to suicidal ideation or attempts, and no significant increase in the number of psychiatric admissions (Salo et al, ).…”

Section: Reasons Whymentioning

confidence: 99%

Traditional and new media's influence on suicidal behavior and contagion

Ortiz

Khin

2018

Behavioral Sci & The Law

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The role of nonfictional and fictional media in suicide contagion has been well established, ostensibly beginning with the publication of Goethe's The Sorrows of Young Werther in 1774. In recent decades, the emergence of several new forms of media (e.g. websites, social media, blogs, smartphone applications) has revolutionized the communication and social interaction paradigms. This article reviews "the Werther effect" (or suicide contagion related to media), special populations who are more influential or susceptible, current media reporting guidelines and their effectiveness, and the latest research on new media and its effect on suicide and suicide contagion. The aim is to update recommendations on how to mitigate the potential negative effects of both traditional and new media on suicidal behavior and suicide contagion.

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Internet Searches for Suicide Following the Release of 13 Reasons Why

Cited by 138 publications

References 5 publications

Adolescents in crisis: A geographic exploration of help-seeking behavior using data from Crisis Text Line

Adolescents in crisis: A geographic exploration of help-seeking behavior using data from Crisis Text Line

The association between PM2.5 exposure and suicidal ideation: a prefectural panel study

Traditional and new media's influence on suicidal behavior and contagion

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