Offering Support to Suicidal Individuals in an Online Support Group

The objective of this study was to reveal response strategies to suicidal messages and to examine the relationships between the messages and types of responses in an online support group moderated by volunteers within an interpersonal perspective of the Action Theory. This theory posits that individuals actively impact their social environment, which in turn shapes their development and mental health. In the study, 120 interactions were analyzed to identify characteristics of the message and strategies of response. The analysis yielded 8 strategies employed by the volunteers in response to the suicidal messages. Hypothesized relationships between those strategies and characteristics of suicidal messages were found. The results suggest that online support groups enable suicidal individuals to generate an environment that provides emotional support, and offer alternatives to the suicidal view.

[1]  G. Shahar.  Transference-Countertransference: Where the (Political) Action Is. , 2004 .

[2]  G. Shahar,et al.  Suicide Prevention by Online Support Groups: An Action Theory-Based Model of Emotional First Aid , 2009, Archives of suicide research : official journal of the International Academy for Suicide Research.

[3]  G. Shahar,et al.  Emotional First Aid for a Suicide Crisis: Comparison between Telephonic Hotline and Internet , 2007, Psychiatry.

[4]  Thomas E. Joiner,et al.  Perceived Burdensomeness And Suicidality: Two Studies On The Suicide Notes Of Those Attempting And Those Completing Suicide , 2002 .

[5]  T. Joiner,et al.  Responding to and treating negative interpersonal processes in suicidal depression. , 2006, Journal of clinical psychology.

[6]  T. Joiner.  The price of soliciting and receiving negative feedback: self-verification theory as a vulnerability to depression theory. , 1995, Journal of abnormal psychology.

[7]  G. Shahar.  Personality, Shame, and the Breakdown of Social Bonds: The Voice of Quantitative Depression Research , 2001, Psychiatry.

[8]  D. Zuroff,et al.  PERFECTIONISM IMPEDES SOCIAL RELATIONS AND RESPONSE TO BRIEF TREATMENT FOR DEPRESSION , 2004 .

[9]  J. Fawcett,et al.  Review of empirical risk factors for evaluation of the suicidal patient. , 1992 .

[10]  D. Lester.  The Use of the Internet for Counseling the Suicidal Individual: Possibilities and Drawbacks , 2009, Omega.

[11]  Yishai Tobin,et al.  The semiotics of fortune-telling , 1989 .

[12]  Azy Barak,et al.  Emotional support and suicide prevention through the Internet: A field project report , 2007, Comput. Hum. Behav..

[13]  B. Bongar,et al.  Suicide: Guidelines for assessment, management, and treatment. , 1992 .

[14]  L. Rotter,et al.  [Psychology of suicide]. , 1972, Orvosi hetilap.

[15]  J. Lönnqvist,et al.  Suicide in major depression in different treatment settings. , 1994, The Journal of clinical psychiatry.

[16]  Robert C. Hsiung,et al.  A Suicide in an Online Mental Health Support Group: Reactions of the Group Members, Administrative Responses, and Recommendations , 2007, Cyberpsychology Behav. Soc. Netw..

[17]  K. Gergen,et al.  Life on the line: the therapeutic potentials of computer-mediated conversation. , 1998, Journal of marital and family therapy.

[18]  A. Leenaars.  Suicide: a multidimensional malaise. , 1996, Suicide & life-threatening behavior.

[19]  T. Joiner,et al.  Establishing standards for the assessment of suicide risk among callers to the national suicide prevention lifeline. , 2007, Suicide & life-threatening behavior.

[20]  N. Weinberg,et al.  Therapeutic Factors: Their Presence in a Computer-Mediated Support Group , 1995 .

[21]  M. Garvey.  The Suicidal Mind , 1998 .

[22]  H Omer,et al.  What would you say to the person on the roof? A suicide prevention text. , 2001, Suicide & life-threatening behavior.

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

[24]  L. Hankoff.  Why People Die by Suicide , 2006 .

[25]  J. Pennebaker.  Writing About Emotional Experiences as a Therapeutic Process , 1997 .

[26]  B. Mishara,et al.  Intervention styles with suicidal callers at two suicide prevention centers. , 1995, Suicide & life-threatening behavior.

[27]  G. Shahar.  Clinical action: introduction to the special section on the action perspective in clinical psychology. , 2006, Journal of clinical psychology.

[28]  E. Caine,et al.  Risk of suicide and related adverse outcomes after exposure to a suicide prevention programme in the US Air Force: cohort study , 2003, BMJ : British Medical Journal.

[29]  Yishai Tobin,et al.  Semiotics and Linguistics , 1990 .

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

[31]  Yishai Tobin.  Invariance, Markedness and Distinctive Feature Analysis: A contrastive study of sign systems in English and Hebrew , 1994 .

[32]  D. Buss.  Selection, evocation, and manipulation. , 1987, Journal of personality and social psychology.

[33]  T. Lobel,et al.  Characteristics of Calls to Israeli Hotlines During the Gulf War , 1998, American journal of community psychology.

[34]  L. Bickman,et al.  Telephone counselling for adolescent suicide prevention: changes in suicidality and mental state from beginning to end of a counselling session. , 2003, Suicide & life-threatening behavior.

[35]  Edna Aphek,et al.  Word systems in modern Hebrew : implications and applications , 1988 .

[36]  Gregory M. Fosco,et al.  Application of an Interpersonal-Psychological Model of Suicidal Behavior to Physicians and Medical Trainees , 2009, Archives of suicide research : official journal of the International Academy for Suicide Research.

[37]  E. Gilboa-Schechtman,et al.  Mental pain: a multidimensional operationalization and definition. , 2003, Suicide & life-threatening behavior.

[38]  W. Datel.  Voices of Death , 1981 .