Crisis text patterns in youth following the release of 13 Reasons Why Season 2 and celebrity suicides: A case study of summer 2018
Crisis text patterns in youth following the release of 13 Reasons Why Season 2 and celebrity suicides: A case study of summer 2018
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DOI：
10.1016/j.pmedr.2019.100999
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发表时间：
2019-12-01
影响因子：
2.8
通讯作者：
Runkle, Jennifer D.
中科院分区：
文献类型：
--
作者：
Sugg, Margaret M.;Michael, Kurt D.;Runkle, Jennifer D.
在公共领域和专业精神卫生界，围绕媒体在青少年接触以自杀为主题的媒体后增加自杀风险方面的作用存在相当大的争论。最近的一个例子涉及Netflix备受争议的热门青少年自杀剧《十三个原因》（13 Reasons Why）上映后引发的令人担忧的反应。这项后续研究调查了《十三个原因》第二季（13RW2）的播出与两名名人自杀事件之间的联系，以及与危机相关的短信对话的全国趋势。我们实施了中断时间序列设计，以检查在两个事件之后国家层面上汇总的每日危机文本数量的变化：(1)13RW2的发布和(2)安东尼·波登和凯特·斯佩德的名人自杀死亡。我们还对每次事件后与自杀相关的危机对话进行了子分析。在研究期间的18天中，有6天在13RW2发布后，危机对话量增加了42%，而在名人自杀事件公布后的18天中，有9天危机短信使用量增加了51%。在13RW2的发布和2018年夏天的名人自杀事件之后，青少年寻求危机帮助的人数出现了突然但短暂的上升。媒体机构应考虑将以自杀为主题的内容与危机支持服务结合起来，作为核心最佳做法，以减少民众对自杀描述或报道的不良反应。
There is considerable debate in the public arena and among the professional mental health community around the media's role in increasing suicide risk following exposure to suicide-themed media in youth. A recent example involves the concerning reaction to the release of Netflix's controversial hit teen-suicide drama 13 Reasons Why. This follow-up study examined the association between the release of 13 Reasons Why Season 2 (13RW2), which coincided with two celebrity suicides, and national trends in crisis-related text conversations. We implemented an interrupted time series design to examine changes in daily counts of crisis texts aggregated at the national level following two events: (1) the release of 13RW2 and (2) celebrity suicide deaths of Anthony Bourdain and Kate Spade. We also performed a sub-analysis of suicide-related crisis conversations following each event. Crisis conversation volume was 42% higher after the release of 13RW2 for 6 of the 18 days of the study period, while crisis text usage was 51% higher for 9 out of the 18 days after the publicized celebrity suicide deaths. Both the release of 13RW2 and the celebrity suicides in the summer of 2018 were followed by an abrupt, but transient rise in crisis help-seeking among adolescents. Media outlets should consider pairing suicide-themed content with crisis support services as a core best practice to reduce the risk of population-level adverse reactions to suicide portrayals or coverage.