Internet pathways in suicidality: a review of the evidence.

Internet pathways in suicidality: a review of the evidence.
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DOI:
10.3390/ijerph8103938
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发表时间:
2011-10
影响因子:
--
通讯作者:
Carli V
Carli V
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Durkee T;Hadlaczky G;Westerlund M;Carli V

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本研究的总体目的是回顾有关互联网和自杀的科学文献,并检查通过互联网促进自杀风险和预防工作的不同途径。使用MEDLINE和谷歌Scholar数据库进行在线文献检索。调查的主题包括病态网络使用和自杀、支持自杀的网站、网络自杀协议和通过网络预防自杀。文章是根据报道感兴趣主题的标题和摘要进行筛选的。然后,根据研究的科学相关性选择文章,并纳入全文评估。结果表明,特定的互联网途径增加了自杀行为的风险,特别是在青少年和年轻人中。多项研究发现,病理性互联网使用与自杀意念和非自杀性自残之间存在显著相关性。支持自杀的网站和在线自杀协议被认为是促进自杀行为的高风险因素,特别是在孤立和易感个体中。相反,证据也表明,互联网可能是预防自杀的有效工具,特别是对社会孤立和脆弱的个人来说,他们可能无法联系到。正是这种矛盾突出了对这一领域进行进一步研究的必要性。
The general aim of this study was to review the scientific literature concerning the Internet and suicidality and to examine the different pathways by which suicidal risks and prevention efforts are facilitated through the Internet. An online literature search was conducted using the MEDLINE and Google Scholar databases. The main themes that were investigated included pathological Internet use and suicidality, pro-suicide websites, suicide pacts on the Internet, and suicide prevention via the Internet. Articles were screened based on the titles and abstracts reporting on the themes of interest. Thereafter, articles were selected based on scientific relevance of the study, and included for full text assessment. The results illustrated that specific Internet pathways increased the risk for suicidal behaviours, particularly in adolescents and young people. Several studies found significant correlations between pathological Internet use and suicidal ideation and non-suicidal self-injury. Pro-suicide websites and online suicide pacts were observed as high-risk factors for facilitating suicidal behaviours, particularly among isolated and susceptible individuals. Conversely, the evidence also showed that the Internet could be an effective tool for suicide prevention, especially for socially-isolated and vulnerable individuals, who might otherwise be unreachable. It is this paradox that accentuates the need for further research in this field.
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