Suicide prevention using self-guided digital interventions: a systematic review and meta-analysis of randomised controlled trials

Background Digital interventions that deliver psychological self-help provide the opportunity to reach individuals at risk of suicide who do not access traditional health services. Our primary objective was to test whether direct (targeting suicidality) and indirect (targeting depression) digital interventions are effective in reducing suicidal ideation and behaviours, and our secondary analyses assessed whether direct interventions were […]

Solution focused brief therapy telemental health suicide intervention

One of the innumerable impacts of the coronavirus has been the change in how individuals provide services. For mental health providers, the pandemic required a sudden shift from in person to online service delivery. As therapists learn and embrace a new modality for providing therapy, crisis situations may present with some anxiety. With the pandemic […]

Navigating the ethics of internet-guided self-help interventions

Internet-guided self-help (IGSH) programs have proliferated recently to treat common mental health problems such as anxiety and depression. However, technology has outpaced the development of ethical guidelines for this mode of delivery. We examine ethical challenges in this new space, including defining the role “guides” play in treatment, crisis management, and user selection and screening. […]

E-mental health: Promising advancements in policy, research, and practice

The increasing need for mental health services in the population is posing significant challenges for the health system. It is therefore important to identify new approaches to delivering care that are sustainable and scalable in terms of reach and impact. E-mental health is one approach that shows promise in addressing the treatment gap in mental […]

Defining internet-supported therapeutic interventions

Background The field of Internet-supported therapeutic interventions has suffered from a lack of clarity and consistency. The absence of professional leadership and of accepted governing approaches, terminology, professional standards, and methodologies has caused this field to be diffused and unstructured. Numerous terms have been used to label and describe the activities conducted over the Internet […]

A behavior change model for internet interventions

Background The Internet has become a major component to health care and has important implications for the future of the health care system. One of the most notable aspects of the Web is its ability to provide efficient, interactive, and tailored content to the user. Given the wide reach and extensive capabilities of the Internet, […]

Instances of online suicide, the law and potential solutions

To understand the social and legal issues posed by suicide-related communications over the Internet (messages of threatened suicide and advocated suicide), this article examines a selection of cases involving different types of online baiting and harassment that illustrate different legal and technological issues. The anonymity afforded by computer-mediated communication allows bullies to harass vulnerable individuals […]

Analyzing suicide life stories on Wikipedia with Highway_ star and other textual visualization tools.

Being responsible for a death every 40s, suicide is a major public health concern (Brunier et al. 2019). Even if many of its risk factors are social (Van Orden et al. 2010), there are surprisingly few qualitative sociological studies about the phenomenon. This study aim is to provide a life-story sociological analysis of suicidal trajectories. […]

Efficacy of an internet-based cognitive-based cognitive-behavioural grief therapy for people bereaved by suicide: A randomized controlled trial.

Background: The loss of a loved one due to suicide can be a traumatic event associated with prolonged grief and psychological distress. Objective: This study examined the efficacy of an Internet-based cognitive-behavioural grief therapy (ICBGT) specifically for people bereaved by suicide. Methods: In a randomized controlled trial, 58 participants with prolonged grief disorder (PGD) symptoms […]

Googling for suicide-content and quality analysis of suicide-related website: Thematic analysis

Background: Suicide represents a public health concern, imposing a dramatic burden. Prosuicide websites are “virtual pathways” facilitating a rise in suicidal behaviors, especially among socially isolated, susceptible individuals. Objective: The aim of this study is to characterize suicide-related webpages in the Italian language. Methods: The first 5 most commonly used search engines in Italy (ie, […]

An integrative systematic review of online resources and interventions for people bereaved by suicide

Suicide bereavement is frequent in the general population and it can have deleterious consequences on the mental health and social functioning of the bereaved individuals. However, those bereaved can face substantial barriers to receive support, and online resources may improve the accessibility of support. This systematic review aimed at examining the use and benefits of online resources […]

A fatal case by a suicide kit containing sodium nitrite ordered on the internet

Fatal sodium nitrite poisonings are rare in the forensic context. The present work describes a first fatal case of sodium nitrite contained in a suicide kit that the victim acquired over the internet. The results of the autopsy showed general signs of asphyxia, such as intense cyanosis of the extremities, brown-gray-blue-red livor mortis, and some Tardieu […]

Effectiveness of an online suicide prevention program for college faculty and students

Suicide prevention programs help college staff and students identify students at-risk for suicide. Kognito is an online, simulation-based suicide prevention program. The purpose of the current study was to evaluate Kognito’s effectiveness in changing suicide prevention attitudes and behavior. Participants: 170 college students and 140 college staff completed the training module and three surveys. Methods: College staff and students from 24 public, private, […]

Effectiveness of digital psychological interventions for mental health problems in low-income and middle-income countries: A systematic review and meta-analysis

Background The effectiveness of digital psychological interventions in low-income and middle-income countries (LMICs) remains unclear. We aimed to systematically investigate the available evidence for digital psychological interventions in reducing mental health problems in LMICs. Methods In this systematic review and meta-analysis, we searched PubMed, PsycINFO, Embase, and Cochrane databases for articles published in English from […]

Ethical issues and practical barriers in internet-based suicide prevention research: A review and investigator survey

Background People who are at elevated risk of suicide stand to benefit from internet-based interventions; however, research in this area is likely impacted by a range of ethical and practical challenges. The aim of this study was to examine the ethical issues and practical barriers associated with clinical studies of internet-based interventions for suicide prevention. […]

Internet-based cognitive behavioral therapy to reduce suicidal ideation: A systematic review and meta-analysis

Abstract Importance  Suicidal ideation is a widespread phenomenon. However, many individuals at risk for suicide do not seek treatment, which might be addressed by providing low-threshold, internet-based self-help interventions. Objective  To investigate whether internet-based self-help interventions directly targeting suicidal ideation or behavior are associated with reductions in suicidal ideation. Data Sources  A systematic search of PsycINFO, MEDLINE, Cochrane […]

Perceived utility of the internet-based safety plan in a sample of internet users screening positive for suicidality

Abstract. Background: The Internet may offer resources for individuals who struggle with suicidality but have no access to other resources or fail to use them. Aims: To develop an automated, self-guided Internet-based safety plan (IBSP), and to evaluate its use and perceived utility among individuals who report suicidality online. Method: Participants (N = 150) were recruited from a depression/suicide screening website. Participants […]

Covariance in diurnal patterns of suicide-related expressions on Twitter and recorded suicide deaths

Social media data is increasingly used to gain insights into trends in mental health, but prior studies aimed at confirming a link between online expression of suicidal ideation on social media and actual suicide deaths have been inconclusive. Using comprehensive six-year data sets of Twitter posts and suicide deaths in Japan, we examine the diurnal […]

Online help for people with suicidal thoughts provided by charities and healthcare organisations: A qualitative study of users’ perceptions

Purpose Internet use is common among people with suicidal feelings and a considerable amount of suicide help material is available online. Despite attempts to promote formal help sites (e.g. governmental and charity sector) in internet search results, users’ evaluation of these sites is lacking. This study, therefore, aimed to explore distressed users’ perceptions of formal […]

Evaluation of the safety and design of community internet resources for veteran suicide prevention

Background: Recent data show many veterans who die by suicide are not currently engaged in mental health care. Veterans frequently use the Internet for health information and may look online for community resources when in distress. However, little is known about their design characteristics. Aim: To evaluate the design and content of community, veteran suicide prevention websites. Method: Community websites […]

Online memorialization and grief after suicide: An analysis of suicide memorials on the internet

Although several studies have looked at the phenomenon of online memorialization, online involvement of those bereaved by suicide (suicide survivors) remains an understudied area. The current study analyzed 250 memorials dedicated to those who died by suicide on two memorialization Web sites: Faces of Suicide and Gone too Soon. The majority of the memorials was […]

Suicide online: How to regulate the distribution of online content that encourages suicide and self-harm

This paper will discuss the proliferation of pro-self-harm and pro-suicide websites online, as well as the laws, or lack thereof, surrounding them. By looking at the types of communications found on these websites and whether they have any societal value, we will be able to see where this form of communication falls under the current […]

Comparing indicators of suicidality among users in different types of nonprofessional suicide message boards: A linguistic analysis

Background: Little is known about linguistic differences between nonprofessional suicide message boards that differ in regard to their predominant attitude to suicide. Aims: To compare linguistic indicators potentially related to suicidality between anti-suicide, neutral, and pro-suicide message boards, and between the types of posters (primary posters, who initiate the thread, and the respective respondents). Method: […]