Where do youth learn about suicides on the Internet, and what influence does this have on suicidal ideation?

Where do youth learn about suicides on the Internet, and what influence does this have on suicidal ideation?
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DOI:
10.1111/j.1469-7610.2011.02416.x
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发表时间:
2011-10-01
影响因子:
7.6
通讯作者:
Romer, Daniel
Romer, Daniel
中科院分区:
医学1区
文献类型:
--
作者:
Dunlop, Sally M.;More, Eian;Romer, Daniel

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背景:年轻人容易因了解他人的自杀行为而产生自杀行为。这项研究旨在确定在线新闻和社交网站等互联网网站是否会让年轻人接触可能增加自杀念头的自杀故事。方法:我们重新采访了719名14至24岁的年轻人,他们参加了先前的全国代表性调查。受访者报告了他们认识的自杀或企图自杀的人的知识,以及在这两种情况下绝望和自杀意念的个人经历。在一年后的第二次调查中,他们还报告了使用各种互联网平台的情况,以及他们在这些网站上以及从个人来源接触自杀故事的频率。意念的变化作为暴露于不同来源的自杀故事的功能进行了分析,保持不变的绝望和意念。结果如下:虽然传统的自杀信息来源最常被引用(79%来自朋友和家人或报纸),但在线来源也很常见(59%)。社交网站经常被引用为来源,但这些报告与意念的增加无关。然而,在线讨论论坛都被引用为来源,并与创意的增加有关。结论:互联网,尤其是社交网站是自杀故事的重要来源。然而,讨论论坛似乎与自杀意念的增加特别相关。应作出更大的努力,推广针对青年人的因特网网站,以加强有效应对绝望和自杀意念。
Background: Young people are susceptible to suicidal behavior as a result of learning about the suicidal behavior of others. This study was designed to determine whether Internet sites, such as online news and social networking websites, expose young people to suicide stories that might increase suicide ideation. Method: We reinterviewed 719 young people ages 14 to 24 who had participated in a prior nationally representative survey. Respondents reported knowledge of persons they knew who had committed or attempted suicide as well as personal experiences of hopelessness and suicidal ideation on both occasions. On the second occasion one year later, they also reported use of various Internet platforms and how often they had been exposed to suicide stories on those sites, as well as from personal sources. Changes in ideation as a function of exposure to different sources of suicide stories were analyzed holding constant prior hopelessness and ideation. Results: While traditional sources of information about suicide were most often cited (79% were from friends and family or newspapers), online sources were also quite common (59%). Social networking sites were frequently cited as sources, but these reports were not linked to increases in ideation. However, online discussion forums were both cited as sources and associated with increases in ideation. Conclusions: The Internet and especially social networking sites are important sources of suicide stories. However, discussion forums appear to be particularly associated with increases in suicidal ideation. Greater efforts should be undertaken to promote Internet sites directed to young people that enhance effective coping with hopelessness and suicidal ideation.