The journey of engaging with web-based self-harm and suicide content: Longitudinal qualitative study

Background: Self-harm and suicide are major public health concerns worldwide, with attention focused on the web environment as a helpful or harmful influence. Longitudinal research on self-harm and suicide–related internet use is limited, highlighting a paucity of evidence on long-term patterns and effects of engaging with such content. Objective: This study explores the experiences of […]

The journey of engaging with web-based self-harm and suicide content: Longitudinal qualitative study

Background: Self-harm and suicide are major public health concerns worldwide, with attention focused on the web environment as a helpful or harmful influence. Longitudinal research on self-harm and suicide–related internet use is limited, highlighting a paucity of evidence on long-term patterns and effects of engaging with such content. Objective: This study explores the experiences of […]

Online racial discrimination, suicidal ideation, and traumatic stress in a national sample of black adolescents

Objective  To examine the direct and indirect associations between online racial discrimination and suicidal ideation through posttraumatic stress disorder symptoms among Black adolescents living in the US, with consideration of potential differential associations by gender and age. Design, Setting, and Participants  This cross-sectional study used data drawn from the first wave of the National Survey of Critical […]

Online with suicidal ideation: How individuals communicate in and perceive a peer-to-peer mediated social media group

Objective Individuals experiencing suicidal ideation increasingly use social media to communicate with peers. The literature shows mixed results of its impact and lack of in-depth explorations of closed social media groups. Aim was to explore how members of a closed peer-to-peer social media group for individuals experiencing suicidal ideation communicate and perceive of their membership. […]

Why social media could be dangerous? Suicide risk and mental health challenges in adolescents during COVID-19 pandemic. A narrative review of the literature

Background: Suicide is the second leading cause of death in children and adolescents between the ages of 10 and 19. The reason for high suicide rates among young people are complex, including exposure to harmful content online. Misuse of social media and the spread of online challenges have contributed to the increased suicide risk in […]

Online with suicidal ideation: How individuals communicate in and perceive a peer-to-peer mediated social media group

Objective Individuals experiencing suicidal ideation increasingly use social media to communicate with peers. The literature shows mixed results of its impact and lack of in-depth explorations of closed social media groups. Aim was to explore how members of a closed peer-to-peer social media group for individuals experiencing suicidal ideation communicate and perceive of their membership. […]

Online racial discrimination, suicidal ideation, and traumatic stress in a national sample of Black adolescents

Importance  Because of increased suicide rates among Black youth in the past 2 decades, there is a dire need for research on suicidal ideation and risk factors in this population. Objective  To examine the direct and indirect associations between online racial discrimination and suicidal ideation through posttraumatic stress disorder symptoms among Black adolescents living in the US, […]

#chatsafe 2.0. updated guidelines to support young people to communicate safely online about self-harm and suicide: A Delphi expert consensus study

Introduction Young people use social media to communicate about self-harm and suicide and this is associated with both potential risks and protective effects. The #chatsafe guidelines were originally developed in 2018 to equip young people to communicate safely online about suicide. They were shown to be safe, acceptable, and beneficial; however, they do not provide […]

Deep learning techniques for suicide and depression detection from online social media: A scoping review

Psychological health, i.e., citizens’ emotional and mental well-being, is one of the most neglected public health issues. Depression is the most common mental health issue and the leading cause of suicide and self-injurious behavior. Clinical diagnosis of these mental health issues is expensive and also ignored due to social stigma and lack of awareness. Nowadays, online social […]

Types of stressors on nonprofessional against-suicide and pro-suicide message boards: Content analysis

Background: Little is known about presenting problems of primary posters (i.e., posters opening the thread) and their responders in nonprofessional against-suicide and pro-suicide message boards. Aims: We aimed to compare problems described in suicide message boards between different types of users (primary posters and respondents) and between against-suicide, neutral, and pro-suicide message boards. Method: In all, 1,182 archival threads with […]

Suicide prevention via the Internet: A descriptive review

Background: While concerns abound regarding the impact of the Internet on suicidal behaviors, its role as a medium for suicide prevention remains underexplored. Aims: The study examines what is currently known about the operation and effectiveness of Internet programs for suicide and self-harm prevention that are run by professionals. Method: Systematic searches of scholarly databases and suicide-related academic […]

What do the bereaved by suicide communicate in online support groups? A content analysis

Background: Every year, more than six million people lose a loved one through suicide. These bereaved by suicide are at relatively high risk for mental illnesses including suicide. The social stigma attached to suicide often makes it difficult to talk about grief. Participating in online forums may be beneficial for the bereaved by suicide, but it […]

Suicide announcement on Facebook

Background: The media and the Internet may be having an influence on suicidal behavior. Online social networks such as Facebook represent a new facet of global information transfer. The impact of these online social networks on suicidal behavior has not yet been evaluated. Aims: To discuss potential effects of suicide notes on Facebook on suicide prevention and […]

Hyperlinked suicide: Assessing the prominence and accessibility of suicide websites

Background: The relationship between the Internet and suicide is a topic of growing concern among suicide researchers and the public, though to date few have actually attempted to investigate the accessibility and prominence of suicide-related information online, and there have been no comprehensive studies of site networking structure. Aims: To assess the visibility of various types of […]

Considerations for developing online bereavement support groups

The loss of a family member or friend can have profound psychological and physical implications, particularly for individuals without bereavement support services. Online support groups can be an effective means of extending services beyond the traditional modes of delivery. This is especially true for populations that include isolated individuals and those with limited support networks, […]

“I want to be stepping in more”: Professional online forum moderators’ experiences of supporting individuals in a suicide crisis

Introduction: Individuals experiencing suicidal crises increasingly turn to online mental health forums for support. Support can come from peers but also from online moderators, many of whom are trained health professionals. Much is known about users’ forum experiences; however, the experiences of professional moderators who work to keep users safe has been overlooked. The beneficial nature […]

I just want to matter: Examining the role of anti-mattering in online suicide support communities using natural language processing

Annually, tens of thousands of lives are affected by suicide, including those who die by suicide, attempt non-fatal suicidal behaviors, and suffer from suicidal thoughts and ideation as well as friends and family affected by the loss of loved ones. Although a number of predictors of suicidal thoughts and behaviors have been examined in the […]

Characteristics of online comments following high-profile celebrity suicide

Background: On the Internet, individuals can freely read about or talk to others about suicide. However, little is known about the nature of these online interactions and the potential impact on users. Aims: This study aimed to examine the characteristics of online comments following high-profile celebrity suicide, comparing top-rated comments with controversial comments. Method: Comments from a popular thread on […]

Exploring the changes of suicide probability during COVID-19 among Chinese Weibo users

Background: Coronavirus disease 2019 (COVID-19) threatens people’s physical and mental health, globally, and it may even trigger suicide ideation and suicidal behavior. Aims: We aimed to examine the impact of COVID-19 on suicide risk by sampling Chinese Weibo users and analyzing their social media messages. Method: We predicted the probability of suicide (including hopelessness, suicidal ideation, negative self-evaluation, and hostility) […]

Suicide risk and protective factors in online support forum posts: Annotation scheme development and validation study

Objective:his qualitative study aims to develop a valid and reliable annotation scheme for evaluating risk and protective factors for suicidal ideation in posts in suicide crisis forums. Methods: We designed a valid, reliable, and clinically grounded process for identifying risk and protective markers in social media data. This scheme draws on prior work on construct […]

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 […]

Considerations in designing digital peer support for mental health: Interview study among users of a digital support system (Buddy Project)

Background: Peer support is an approach to cope with mental illness, and technology provides a way to facilitate peer support. However, there are barriers to seeking support in offline and technology-mediated contexts. Objective: This study aims to uncover potential ways to design digital mental health peer support systems and to outline a set of principles […]

Association of online risk factors with subsequent youth suicide-related behaviors in the US

Objective  To evaluate the association between a variety of online risk factors and youth suicide-related behavior using real-world online activity data. Design, Setting, and Participants  A matched case-control study was conducted from July 27, 2019, to May 26, 2020, with the sample drawn from more than 2600 US schools participating in an online safety monitoring program via […]