Suicide Prevention and New Technologies: Towards Evidence Based Practice

Throughout most of human history people with personal problems would need to seek out another person to obtain help or emotional support. The alternative was to deal with the problem oneself, pray for divine intervention or have some solace from religious beliefs. In more recent times, for those few with the ability and culture to do so, one could also seek information, guidance or support from printed books. The second half of the 20th century was a period when the use of face- to-face professional help expanded throughout the world. During this same period, books became a source of a “do-it-yourself” psychological treatment, with an exponential growth in self-help books for almost any human affliction. In the mid-20th century, a new technology, the telephone, expanded the options for help seeking. Telephone support for suicidal people expanded rapidly since the start of the Samaritan movement in the United Kingdom, founded by Reverend Chad Varah in 1953 (Mishara, 2012). Today, telephone helplines provide crisis inter- vention, emotional support and suicide prevention services throughout the world. For examples, Befrienders Worldwide has affiliate helplines in more than 40 countries that provide telephone help based upon the Samaritan approach.

[1]  T. Quandt,et al.  Problematic computer game use among adolescents, younger and older adults. , 2013, Addiction.

[2]  A. M. Turing,et al.  Computing Machinery and Intelligence , 1950, The Philosophy of Artificial Intelligence.

[3]  Justin W. Patchin,et al.  Bullying, Cyberbullying, and Suicide , 2010, Archives of suicide research : official journal of the International Academy for Suicide Research.

[4]  Barbara Mullan,et al.  Consequences of Play: A Systematic Review of the Effects of Online Gaming , 2012, International Journal of Mental Health and Addiction.

[5]  G. Andrews,et al.  A clinical audit of changes in suicide ideas with internet treatment for depression , 2012, BMJ Open.

[6]  P. Valkenburg,et al.  Online communication among adolescents: an integrated model of its attraction, opportunities, and risks. , 2011, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[7]  J. Pennebaker,et al.  Confronting a traumatic event: toward an understanding of inhibition and disease. , 1986, Journal of abnormal psychology.

[8]  B. Mishara,et al.  Comparing models of helper behavior to actual practice in telephone crisis intervention: a Silent Monitoring Study of Calls to the U.S. 1-800-SUICIDE Network. , 2007, Suicide & life-threatening behavior.

[9]  Keith J. Petrie,et al.  Responses of parasuicides to a computerized interview , 1994 .

[10]  S. R. Hiltz Online communities , 1983 .

[11]  Thomas E Joiner,et al.  Warning signs for suicide on the Internet: a descriptive study. , 2006, Suicide & life-threatening behavior.

[12]  A. Barak,et al.  Does activity level in online support groups for distressed adolescents determine emotional relief , 2006 .

[13]  D. Gunnell,et al.  The use of the Internet by people who die by suicide in England: a cross sectional study. , 2012, Journal of affective disorders.

[14]  Chikako Ozawa-de Silva Shared death: self, sociality and internet group suicide in Japan. , 2010 .

[15]  S. Rafaeli,et al.  Why Communication Researchers Should Study the Internet: A Dialogue , 1996, J. Comput. Mediat. Commun..

[16]  Aaron Ben-Ze'ev,et al.  Privacy, emotional closeness, and openness in cyberspace , 2003, Comput. Hum. Behav..

[17]  M. Bambling,et al.  In-session processes in online counselling with young people : an exploratory approach , 2009 .

[18]  A. Joinson Self‐disclosure in computer‐mediated communication: The role of self‐awareness and visual anonymity , 2001 .

[19]  J. Suler The Psychology of Text Relationships , 2011 .

[20]  B. Mishara,et al.  Resolving ethical dilemmas in suicide prevention: the case of telephone helpline rescue policies. , 2010, Suicide & life-threatening behavior.

[21]  Michele L. Ybarra,et al.  Online behavior of youth who engage in self-harm provides clues for preventive intervention. , 2007, Preventive medicine.

[22]  Christiane Eichenberg,et al.  Internet Message Boards for Suicidal People: A Typology of Users , 2008, Cyberpsychology Behav. Soc. Netw..

[23]  B. Mishara,et al.  Which helper behaviors and intervention styles are related to better short-term outcomes in telephone crisis intervention? Results from a Silent Monitoring Study of Calls to the U.S. 1-800-SUICIDE Network. , 2007, Suicide & life-threatening behavior.

[24]  James W. Pennebaker,et al.  Theories, Therapies, and Taxpayers: On the Complexities of the Expressive Writing Paradigm , 2006 .

[25]  M. Bambling,et al.  Online counselling: The experience of counsellors providing synchronous single-session counselling to young people , 2008 .

[26]  J. Pennebaker,et al.  Psychological aspects of natural language. use: our words, our selves. , 2003, Annual review of psychology.

[27]  B. Mishara,et al.  Ethical, legal, and practical issues in the control and regulation of suicide promotion and assistance over the Internet. , 2007, Suicide & life-threatening behavior.

[28]  Joseph B. Walther,et al.  Selective self-presentation in computer-mediated communication: Hyperpersonal dimensions of technology, language, and cognition , 2007, Comput. Hum. Behav..

[29]  Gustavo S. Mesch,et al.  Internet Affordances and Teens' Social Communication: From Diversification to Bonding , 2010 .

[30]  Ruben Fukkink,et al.  Peer Counseling in an Online Chat Service: A Content Analysis of Social Support , 2011, Cyberpsychology Behav. Soc. Netw..

[31]  M. Timm Crisis counselling online : building rapport with suicidal youth , 2011 .

[32]  A. Leenaars,et al.  Suicide Note Classification Using Natural Language Processing: A Content Analysis , 2010, Biomedical informatics insights.

[33]  Golan Shahar,et al.  Offering Support to Suicidal Individuals in an Online Support Group , 2011, Archives of suicide research : official journal of the International Academy for Suicide Research.

[34]  Elaine Greidanus,et al.  Helper therapy in an online suicide prevention community , 2010 .

[35]  Melanie Nguyen,et al.  Comparing Online and Offline Self-Disclosure: A Systematic Review , 2012, Cyberpsychology Behav. Soc. Netw..

[36]  B. Mishara,et al.  Ethical and legal issues in suicide research. , 2005, International journal of law and psychiatry.

[37]  A. M. Turing,et al.  Computing Machinery and Intelligence , 1950, The Philosophy of Artificial Intelligence.

[38]  Ana-Maria Marhan,et al.  Searching Internet: a report on accessibility, nature, and quality of suicide-related information , 2012 .

[39]  R. King,et al.  Counseling activity in single-session online counseling with adolescents: An adherence study , 2011, Psychotherapy research : journal of the Society for Psychotherapy Research.

[40]  A. Barak,et al.  Writing characteristics of suicidal people on the Internet: a psychological investigation of emerging social environments. , 2005, Suicide & life-threatening behavior.

[41]  K. Wilhelm,et al.  Emotional and physical health benefits of expressive writing , 2005 .

[42]  A. Clement,et al.  Situating Privacy Online , 2004 .

[43]  Carol Friedman,et al.  Methods for Identifying Suicide or Suicidal Ideation in EHRs , 2012, AMIA.

[44]  Y. Auxéméry,et al.  Impact d’Internet sur la suicidalité. À propos d’une « googling study » sur la rétro-information médiatique d’un pacte suicidaire échafaudé sur le Web , 2010 .

[45]  Dale Peeples,et al.  Sadness, suicide, and their association with video game and internet overuse among teens: results from the youth risk behavior survey 2007 and 2009. , 2011, Suicide & life-threatening behavior.

[46]  J. Smyth,et al.  Written emotional expression: effect sizes, outcome types, and moderating variables. , 1998, Journal of consulting and clinical psychology.

[47]  Jeffrey T. Hancock,et al.  Identity Shift in Computer-Mediated Environments , 2008 .

[48]  R. Muñoz,et al.  ARE CONSUMERS OF INTERNET HEALTH INFORMATION “CYBERCHONDRIACS”? CHARACTERISTICS OF 24,965 USERS OF A DEPRESSION SCREENING SITE , 2012, Depression and anxiety.

[49]  Keith M. Harris,et al.  Examining Suicide-Risk Individuals Who Go Online for Suicide-Related Purposes , 2009, Archives of suicide research : official journal of the International Academy for Suicide Research.

[50]  I. Bakken,et al.  Excessive Computer Game Playing among Norwegian Adults: Self-Reported Consequences of Playing and Association with Mental Health Problems , 2009, Psychological reports.

[51]  L. Tidwell,et al.  Computer-Mediated Communication Effects on Disclosure, Impressions, and Interpersonal Evaluations: Getting to Know One Another a Bit at a Time , 2002 .

[52]  John Pestian,et al.  Using Natural Language Processing to Classify Suicide Notes , 2008, BioNLP.

[53]  S. C. Shea The Practical Art of Suicide Assessment: A Guide for Mental Health Professionals and Substance Abuse Counselors , 2011 .