Reports of Adolescent Psychiatric Outpatients on the Impact of the TV Series “13 Reasons Why”: A Qualitative Study

Till, Benedikt; Veselý, C; Mairhofer, Dunja; Braun, Marlies; Niederkrotenthaler, Thomas

doi:10.1016/j.jadohealth.2018.11.021

Cited by 8 publications

(9 citation statements)

References 7 publications

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“…The TV show 13 Reasons Why has been found to increase both suicidal ideation and self-injurious behaviors in adolescents with underlying mental health disorders. 19,20 Although the purpose of the show was to raise awareness about suicide, it has been associated with an increase in suicidal ideation. 36 Positive themes that may affect children and adolescents dealing with suicidal ideations, depression, or hopelessness include “encouragement and support,” “mentorship,” “inclusion of social outcasts,” “accepting of all races,” “accepting of all sexual orientations,” “sex equality,” “defending someone being bullied or excluded,” “asking for help,” and “having hope/thinking positively.” The TV show Skins discusses substance abuse, eating disorders, teenage pregnancy, and unsafe sexual practices.…”

Section: Discussionmentioning

confidence: 99%

“…The TV show was found to temporally coincide with an increase in suicidal ideation admissions at 1 children’s hospital and also found to have a negative impact on vulnerable adolescents with post-traumatic stress disorder and major depressive disorder at a second children’s hospital, increasing both suicidal ideation and self-injurious behaviors. 19,20…”

Section: Introductionmentioning

confidence: 99%

“…The TV show was found to temporally coincide with an increase in suicidal ideation admissions at 1 children's hospital and also found to have a negative impact on vulnerable adolescents with post-traumatic stress disorder and major depressive disorder at a second children's hospital, increasing both suicidal ideation and self-injurious behaviors. 19,20 With the advent of online streaming platforms such as Netflix and Hulu on portable electronic devices, children and adolescents may be exposed to media content in TV shows unbeknownst to their parents or guardians. Although there have been several studies examining the positive and negative themes depicted in popular rated-G/PG/PG-13 films 21 and rated-R films, 22 there is a paucity of studies specifically examining the content of TV shows targeted toward children and adolescents.…”

Section: Introductionmentioning

confidence: 99%

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Positive and Negative Themes Depicted in Television Shows Targeted Toward Adolescents

Seeberger

Lucas

Brawley

et al. 2022

Clin Pediatr (Phila)

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The American Academy of Pediatrics has previously expressed concerns about the thematic content of television (TV) and the amount of time children spend viewing TV. The objective of this study was to determine the positive and negative themes depicted in a select number of TV shows targeted toward adolescents. We analyzed the thematic content depicted in the first season of 26 Netflix TV shows. The mean occurrences/h for positive and negative themes were 39.53 and 47.20, respectively. The most common positive themes were “encouragement from a friend/peer,” “demonstrating honesty,” and “staying true to oneself” (5.98, 5.38, and 3.72 mean occurrences/h, respectively). The most common negative themes were “dishonesty,” “cursing,” and “selfishness,” (5.30, 4.96, and 4.85 mean occurrences/h, respectively). We suggest that health care providers become aware of TV thematic content and promote media education, and we encourage co-viewing and active mediation by parents/guardians with their children.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Positive and Negative Themes Depicted in Television Shows Targeted Toward Adolescents

Seeberger

Lucas

Brawley

et al. 2022

Clin Pediatr (Phila)

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“…The documentary method was deemed appropriate for analyzing the discussions because it specifically allows one to explore collective beliefs of individuals with shared experiences (Bohnsack, 1999). The documentary method has been specifically developed for analyzing conversations between adolescents (Bohnsack 1989) and was used in previous studies on suicide (Till, Vesely, Mairhofer, Braun, & Niederkrotenthaler, 2019).…”

Section: Methodsmentioning

confidence: 99%

Suicide Prevention Videos Developed by and for Adolescents

Braun

Till

Pirkis

et al. 2021

Crisis

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Abstract. Background: One strategy to prevent youth suicide is awareness-raising video campaigns. To date, little is known about how best to include adolescents in the production process, and how they experience their involvement. Aims: This study used a participatory qualitative research approach to explore the experiences of adolescents producing suicide prevention videos targeting other adolescents in a school setting. Method: The project was conducted in Vienna, Austria, from 09/2018 to 01/2019. Eighteen high school students aged 15-19 produced suicide prevention videos. Focus group discussions with 17 of these students captured qualitative information on their experiences related to the process. Focus group content was analyzed following the documentary method. Results: Students produced seven suicide prevention videos in groups of two to three individuals. The production process was found to be positive, and numerous benefits and learning effects were noted. Limitations: No conclusions can be made about video effects on adolescents not involved in the process. Conclusion: Including adolescents in the process of developing suicide prevention videos has multiple benefits. The process researched here can inform similar campaigns with adolescents.

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“…However, caution is needed as these studies are limited in their ability to draw causal conclusions. Cross-sectional surveys and individual interviews have found some adolescents report worsening mood after watching the show, particularly those already experiencing poor mental health (da Rosa et al, 2019; Till, Vesely, Mairhofer, Braun, & Niederkrotenthaler, 2019). Another survey by Lauricella, Cingel, and Wartella (2018) found, in a seeming contradiction, that adolescent respondents reported beneficial effects of watching 13RW, including increased discussions with parents and better understanding of depression and suicide.…”

mentioning

confidence: 99%

Young People's Perspectives and Understanding of the Suicide Story in13 Reasons Why

McKenzie

Jenkin

Steers

et al. 2021

Crisis

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Abstract. Background: The Netflix drama 13 Reasons Why (13RW) focusing on the suicide of an adolescent girl became a global phenomenon. It was accompanied by intense public debate about the risks of exposing youth to fictional portrayals of adolescent suicide. Aims: To explore adolescents' subjective perspectives and understanding of 13RW focusing on the portrayal of adolescent suicide. Method: We applied a thematic analysis to qualitative data from interviews with 25 New Zealand adolescents eliciting views on the show's portrayal of adolescent suicide. Results: Four themes were developed from the analysis: entertaining but not realistic; the unexpected shock factor; jumbled messages; and superficial conversations. Conclusion: This study contributes a youth perspective which has been missing from the debate on 13RW. This research highlights the way that youth, when given the opportunity, articulated a nuanced understanding of the representation of adolescent suicide in 13RW, viewing it as entertainment rather than a realistic depiction that added little in terms of suicide awareness and generated minimal opportunities for in-depth discussion.

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Reports of Adolescent Psychiatric Outpatients on the Impact of the TV Series “13 Reasons Why”: A Qualitative Study

Cited by 8 publications

References 7 publications

Positive and Negative Themes Depicted in Television Shows Targeted Toward Adolescents

Positive and Negative Themes Depicted in Television Shows Targeted Toward Adolescents

Suicide Prevention Videos Developed by and for Adolescents

Young People's Perspectives and Understanding of the Suicide Story in13 Reasons Why

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