“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 […]

Exploration of benefits and potential harmful effects of an online forum for visitors to the suicide prevention platform in The Netherlands

Background: Online forums that enable peer-to-peer interaction are widespread and readily available. Aim: This study aimed to identify the reach, benefits, and potential harmful effects for visitors to an online forum embedded in a suicide prevention platform in The Netherlands. Method: The study collected web-based questionnaires from online forum users and moderated posts. Descriptive quantitative and qualitative analyses were performed. Results: The […]

Analysing meso and macro conversation structures in an online suicide support forum

Platforms like Reddit and Twitter offer internet users an opportunity to talk about diverse issues, including those pertaining to physical and mental health. Some of these forums also function as a safe space for severely distressed mental health patients to get social support from peers. The online community platform Reddit’s SuicideWatch is one example of […]

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 […]

A content analysis of online suicide notes: Attempted suicide versus attempt resulting in suicide

Fifty suicide notes of those who died by suicide and 50 suicide notes of those who survived their suicide attempt were analyzed using Smallest Space Analysis. The core of all suicide notes was discovered to be constructed with the use of four variables: saying goodbye to their audience, feelings of loneliness, method used to attempt suicide, and negative self‐image. […]

Turning to online peer forums for suicide and self-harm support: “It does help having you guys”

There are no easy solutions to reaching and supporting people at serious risk of suicide or self-harm. Public health organisations have turned to a range of digital tools to address these risks and offer avenues for support. This report maps the activity and characteristics of individuals who engage with beyondblue’s Suicidal thoughts and self-harm forum, one […]

Thwarted belongingness in relation to face-to-face and online interactions

Suicide is ranked as the tenth leading cause of death for all ages in the United States (Centers for Disease Control and Prevention, 2012). Joiner’s (2005) interpersonal theory of suicide stated thwarted belongingness—the feeling of being alienated from others—and perceived burdensomeness—the feeling of being a liability to others—are the primary proximal factors leading to suicidal […]

The aftermath of a suicide cluster in the age of online social networking: A qualitative analysis of adolescent grief reactions.

Although suicide clusters have been identified in many populations, research exploring the role of online communication in the aftermath of a suicide cluster is extremely limited. This study used the Consensual Qualitative Research method to analyze interviews with ten high school students 1 year after a suicide cluster in a small suburban school district. Interviewee’s responses […]

Evaluation of the 113Online Suicide Prevention Crisis Chat Service: Outcomes, helper behaviors and comparison to telephone hotlines.

Recognizing the importance of digital communication, major suicide prevention helplines have started offering crisis intervention by chat. To date there is little evidence supporting the effectiveness of crisis chat services. To evaluate the reach and outcomes of the 113Online volunteer-operated crisis chat service, 526 crisis chat logs were studied, replicating the use of measures that […]

Expanding suicide crisis services to text and chat: Responders’ perspectives of the differences between communication modalities

Background: Crisis support services have historically been offered by phone-based suicide prevention hotlines, but are increasingly becoming available through alternative modalities, including Internet chat and text messaging. Aims: To better understand differences in the use of phone and chat/text services. Method: We conducted semistructured interviews with call responders at the Veterans Crisis Line who utilize multimodal methods to respond to […]

The effects of social media and social networking site usage on the mental health and wellbeing of adolescents.

Background: Many questions and contradictory beliefs exist in regards to the impact social media and social networking sites may have on the mental health and wellbeing of the adolescents who use them. Objective: To systematically review empirical studies conducted within the last 10 years on this topic in order to come to a consensus regarding […]

Online and social media suicide prevention interventions for young people: A focus on implementation and moderation.

Suicide remains a major global public health issue for young people. The reach and accessibility of online and social media-based interventions herald a unique opportunity for suicide prevention. To date, the large body of research into suicide prevention has been undertaken atheoretically. This paper provides a rationale and theoretical framework (based on the interpersonal theory […]

Who seeks help online for self-injury?

The objective of this study was to identify differences between young people who seek help online for self-injury and those who self-injure but do not seek help online, in order to improve online services for young people at high risk of suicide. Young people reporting a history of self-injury (N = 679) were identified as […]

The development of a randomised controlled trial testing the effects of an online intervention among school students at risk of suicide.

Suicide-related behaviour among young people is of significant concern, yet little is known regarding the effectiveness of interventions designed to reduce risk among this population. Of those interventions that have been tested, cognitive-behavioural therapy appears to show some promise among young people with suicidal ideation. Internet-based interventions are becoming increasingly popular and have shown some […]

SIAM(Suicide intervention assisted by messages): The development of a post-acute crisis text messaging outreach for suicide prevention.

Suicidal behaviour and deliberate self-harm are common among adults. Research indicates that maintaining contact either via letter or postcard with at-risk adults following discharge from care services can reduce reattempt risk. Feasibility trials demonstrated that intervention through text message was also effective in preventing suicide repetition amongst suicide attempters. The aim of the current study […]