Suicide conversations on Instagram™: contagion or caring?

Carlyle, Kellie E.; Guidry, Jeanine P.D.; Williams, Kofoworola D A; Tabaac, Ariella R.; Perrin, Paul B.

doi:10.1080/17538068.2018.1436500

Cited by 59 publications

(81 citation statements)

References 39 publications

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“…The current guidelines also provide young people with advice on how to respond to someone who has indicated suicide risk. Previous studies have shown that young people are more likely to engage in social media content that depicts suicidal behaviour [ 35 ] and endorse taking action to assist those who share suicidal content online [ 36 ]. Nevertheless, concerns have previously been expressed about the safety of talking about suicide on social media for the reasons cited above.…”

Section: Discussionmentioning

confidence: 99%

The #chatsafe project. Developing guidelines to help young people communicate safely about suicide on social media: A Delphi study

et al. 2018

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IntroductionMany countries have developed guidelines advocating for responsible reporting of suicidal behaviour in traditional media. However, the increasing popularity of social media, particularly among young people, means that complementary guidelines designed to facilitate safe peer-peer communication are required. The aim of this study was to develop a set of evidence informed guidelines to assist young people to communicate about suicide via social media with the input of young people as active participants of the study.MethodsSystematic searches of the peer-reviewed and grey literature were conducted resulting in a 284-item questionnaire identifying strategies for safe communication about suicide online. The questionnaire was delivered over two rounds to two panels consisting of Australian youth advocates; and international suicide prevention researchers and media and communications specialists. Items were rerated if they were endorsed by 70–79.5% of both panels, or if 80% or more of one panel rated the item as essential or important. All items that were endorsed as essential or important by at least 80% of both panels were included in the final guidelines.ResultsA total of 173 items were included in the final guidelines. These items were organised into the following five sections: 1) Before you post anything online about suicide; 2) Sharing your own thoughts, feelings, or experience with suicidal behaviour online; 3) Communicating about someone you know who is affected by suicidal thoughts, feelings or behaviours; 4) Responding to someone who may be suicidal; 5) Memorial websites, pages and closed groups to honour the deceased.DiscussionThis is the first study to develop a set of evidence-informed guidelines to support young people to talk safely about suicide on social media. It is hoped that they will be a useful resource for young people and those who support them (e.g., parents, teachers, community workers and health professionals).

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Section: Discussionmentioning

confidence: 99%

The #chatsafe project. Developing guidelines to help young people communicate safely about suicide on social media: A Delphi study

et al. 2018

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“…Despite the potential of internet-based social networking interventions for supporting youth at risk of suicide, there is concern about possible risks such as normalising suicidal behaviours and reinforcing them [15,23]. Additionally, just as clustering and contagion of suicidal behaviour have been demonstrated to occur in offline social networks [24,25], there may be a risk of such phenomena occurring in online settings, perhaps to an even greater degree [26,27]. Therefore, although online interventions incorporating theory-driven therapeutic content and peer-to-peer support may have great potential to target risk factors related to suicide in a format that is engaging and accessible to youth, they must incorporate considered safety procedures, including moderation and regular monitoring of user-generated content.…”

Section: Introductionmentioning

confidence: 99%

An Enhanced Social Networking Intervention for Young People with Active Suicidal Ideation: Safety, Feasibility and Acceptability Outcomes

Bailey

Álvarez‐Jiménez

Robinson

et al. 2020

IJERPH

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Online social networking interventions have potential to support young people who experience suicidal thoughts by specifically addressing interpersonal risk factors for suicide, but may also pose a risk of harm. This uncontrolled, single-group pilot study aimed to evaluate the safety, feasibility, and acceptability of an enhanced online social networking intervention (“Affinity”) among a sample of young people who experienced active suicidal ideation, and to explore potential changes in clinical outcomes and the therapeutic targets of the intervention. Twenty young people with current or recent suicidal ideation who were receiving treatment for depression at a tertiary-level mental health service were given access to Affinity for two months. Participants were assessed at baseline and 8-week follow-up; 90 percent reported clinical suicidal ideation at baseline. A priori criteria related to feasibility, safety and acceptability were satisfied. In terms of potential clinical effects, significant and reliable pre-post improvements were found on self-report outcomes including suicidal ideation. This study provides initial world-first evidence to support the use of an online intervention incorporating social networking as an adjunct to treatment for young people who experience suicidal ideation. The effectiveness of Affinity needs to be evaluated in a randomised controlled trial.

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“…Based on their findings, the authors argue that Pinterest has the potential to be an effective pathway to disseminate bystander interventions, connect IPV victims with resources, and foster a supportive environment for victims. Though these results are promising, we know from other studies that how issues are portrayed on social media vary across platforms and that other violence-related topics were portrayed in problematic ways on Instagram (Carlyle, Guidry, Williams, Tabaac, & Perrin, 2018). For example, in their study of suicide on Instagram, Carlyle, Guidry, Williams, et al (2018) found that most posts did not adhere to World Health Organization recommendations for preventing suicide contagion-for example, portraying self-harm far too often-and that the voices of public health professionals were largely absent from suicide conversations.…”

Section: The Influence Of Media On Public Understandings Of Ipvmentioning

confidence: 81%

Intimate Partner Violence on Instagram: Visualizing a Public Health Approach to Prevention

et al. 2019

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Social media platforms like Instagram are often used as venues for discussing relationships, making them ideal channels for promoting healthy relationships and preventing intimate partner violence (IPV). This is particularly relevant for IPV, which has been historically understood as a personal issue and lacked support for consideration as a significant public health issue. To explore a potential platform for IPV prevention, this study examines the ways in which IPV messages on Instagram reflect public health understandings of, and approaches to, prevention and how Instagram users engage with these posts. We analyzed 700 Instagram posts about IPV using the social ecological model as the theoretical framework for conceptualizing framing devices. Posts that mentioned individual causal attribution and individual solution responsibility were both present in the majority of posts and elicited more engagement than posts that did not. Encouragingly, the Instagram sample was more reflective of a range of different types of IPV experiences than previous analyses of traditional media content, possibly indicating that a public health approach to this issue is gaining traction.

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Suicide conversations on Instagram™: contagion or caring?

Cited by 59 publications

References 39 publications

The #chatsafe project. Developing guidelines to help young people communicate safely about suicide on social media: A Delphi study

The #chatsafe project. Developing guidelines to help young people communicate safely about suicide on social media: A Delphi study

An Enhanced Social Networking Intervention for Young People with Active Suicidal Ideation: Safety, Feasibility and Acceptability Outcomes

Intimate Partner Violence on Instagram: Visualizing a Public Health Approach to Prevention

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