Teen Suicide Information on the Internet: A Systematic Analysis of Quality

Szumilas, Magdalena; Kutcher, Stan

doi:10.1177/070674370905400904

Cited by 22 publications

(20 citation statements)

References 21 publications

(34 reference statements)

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“…For primary research papers, there were two randomized controlled trials (RCTs) [34,35], but one of the RCTs produced two papers [34,36] that evaluated the efficacy and cost-effectiveness of unguided online cognitive behavioral therapy (CBT)-based self-help to reduce suicidal thoughts. Other primary research papers were one pre- and posttreatment case series [37], two cohort studies [38,39], two cross-sectional studies [40,41], one qualitative study [42], and four descriptive reports [23,43-45]. Based on the quality assessment and ratings of the 13 primary research papers, five papers were rated as high quality, five rated as medium quality, and three rated as low quality (Multimedia Appendix 1).…”

Section: Resultsmentioning

confidence: 99%

Caught in the Web: A Review of Web-Based Suicide Prevention

Lai¹,

Maniam²,

Chan³

et al. 2014

J Med Internet Res

100

102

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BackgroundSuicide is a serious and increasing problem worldwide. The emergence of the digital world has had a tremendous impact on people’s lives, both negative and positive, including an impact on suicidal behaviors.ObjectiveOur aim was to perform a review of the published literature on Web-based suicide prevention strategies, focusing on their efficacy, benefits, and challenges.MethodsThe EBSCOhost (Medline, PsycINFO, CINAHL), OvidSP, the Cochrane Library, and ScienceDirect databases were searched for literature regarding Web-based suicide prevention strategies from 1997 to 2013 according to the modified PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. The selected articles were subjected to quality rating and data extraction.ResultsGood quality literature was surprisingly sparse, with only 15 fulfilling criteria for inclusion in the review, and most were rated as being medium to low quality. Internet-based cognitive behavior therapy (iCBT) reduced suicidal ideation in the general population in two randomized controlled trial (effect sizes, d=0.04-0.45) and in a clinical audit of depressed primary care patients. Descriptive studies reported improved accessibility and reduced barriers to treatment with Internet among students. Besides automated iCBT, preventive strategies were mainly interactive (email communication, online individual or supervised group support) or information-based (website postings). The benefits and potential challenges of accessibility, anonymity, and text-based communication as key components for Web-based suicide prevention strategies were emphasized.ConclusionsThere is preliminary evidence that suggests the probable benefit of Web-based strategies in suicide prevention. Future larger systematic research is needed to confirm the effectiveness and risk benefit ratio of such strategies.

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Section: Resultsmentioning

confidence: 99%

Caught in the Web: A Review of Web-Based Suicide Prevention

Lai¹,

Maniam²,

Chan³

et al. 2014

J Med Internet Res

100

102

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“…Although there is strong evidence indicating that suicide contagion is a significant phenomenon [14], [15], direct associations with internet use are unclear. Previous research has focused on how the internet is used by suicidal people and what information is available [6], [7], [16]. Studies are, however, often rapidly outdated, and may be speculative and not systematic, or reliant on evidence from single case studies.…”

Section: Introductionmentioning

confidence: 99%

The Power of the Web: A Systematic Review of Studies of the Influence of the Internet on Self-Harm and Suicide in Young People

et al. 2013

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BackgroundThere is concern that the internet is playing an increasing role in self-harm and suicide. In this study we systematically review and analyse research literature to determine whether there is evidence that the internet influences the risk of self-harm or suicide in young people.MethodsAn electronic literature search was conducted using the PsycINFO, MEDLINE, EMBASE, Scopus, and CINAHL databases. Articles of interest were those that included empirical data on the internet, self-harm or suicide, and young people. The articles were initially screened based on titles and abstracts, then by review of the full publications, after which those included in the review were subjected to data extraction, thematic analysis and quality rating.ResultsYouth who self-harm or are suicidal often make use of the internet. It is most commonly used for constructive reasons such as seeking support and coping strategies, but may exert a negative influence, normalising self-harm and potentially discouraging disclosure or professional help-seeking. The internet has created channels of communication that can be misused to ‘cyber-bully’ peers; both cyber-bullying and general internet use have been found to correlate with increased risk of self-harm, suicidal ideation, and depression. Correlations have also been found between internet exposure and violent methods of self-harm.ConclusionsInternet use may exert both positive and negative effects on young people at risk of self-harm or suicide. Careful high quality research is needed to better understand how internet media may exert negative influences and should also focus on how the internet might be utilised to intervene with vulnerable young people.

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“…Research shows that adolescents who are susceptible to social exclusion, bully victimization and substance abuse may utilize the Internet as a coping mechanism in an attempt to relieve stress [24]. It is under such conditions that adolescents become the most vulnerable for incipient online risks, including cyber-bullying, pathological Internet use, pro-suicide websites, facilitation of suicide pacts, and expedition of suicidal methods [25,26]. As global Internet user rates are rising, the reliance on the Internet and ensuing online risks are increasing as well.…”

Section: Introductionmentioning

confidence: 99%

Internet Pathways in Suicidality: A Review of the Evidence

Durkee

Hadlaczky

Westerlund

et al. 2011

IJERPH

110

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The general aim of this study was to review the scientific literature concerning the Internet and suicidality and to examine the different pathways by which suicidal risks and prevention efforts are facilitated through the Internet. An online literature search was conducted using the MEDLINE and Google Scholar databases. The main themes that were investigated included pathological Internet use and suicidality, pro-suicide websites, suicide pacts on the Internet, and suicide prevention via the Internet. Articles were screened based on the titles and abstracts reporting on the themes of interest. Thereafter, articles were selected based on scientific relevance of the study, and included for full text assessment. The results illustrated that specific Internet pathways increased the risk for suicidal behaviours, particularly in adolescents and young people. Several studies found significant correlations between pathological Internet use and suicidal ideation and non-suicidal self-injury. Pro-suicide websites and online suicide pacts were observed as high-risk factors for facilitating suicidal behaviours, particularly among isolated and susceptible individuals. Conversely, the evidence also showed that the Internet could be an effective tool for suicide prevention, especially for socially-isolated and vulnerable individuals, who might otherwise be unreachable. It is this paradox that accentuates the need for further research in this field.

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Teen Suicide Information on the Internet: A Systematic Analysis of Quality

Cited by 22 publications

References 21 publications

Caught in the Web: A Review of Web-Based Suicide Prevention

Caught in the Web: A Review of Web-Based Suicide Prevention

The Power of the Web: A Systematic Review of Studies of the Influence of the Internet on Self-Harm and Suicide in Young People

Internet Pathways in Suicidality: A Review of the Evidence

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