Suicide and Self-Harm Related Internet Use.

Crisis
Prianka PadmanathanDavid Gunnell

Abstract

The rise in Internet use adds a new dimension to suicide prevention. We investigated suicide/self-harm (S/Sh)-related Internet use among patients presenting to hospital with self-harm. We asked 1,198 adult and 315 child and adolescent patients presenting to hospital following self-harm in a city in South West England about Internet use associated with their hospital presentation. Associations between Internet use and sociodemographic and clinical characteristics were investigated using multivariable logistic regression models. Focus groups with clinicians explored the acceptability and utility of asking about Internet use. The prevalence of S/Sh-related Internet use was 8.4% (95% CI: 6.8-10.1%) among adult hospital presentations and 26.0% (95% CI = 21.3-31.2%) among children's hospital presentations. In both samples, S/Sh-related Internet use was associated with higher levels of suicidal intent. Mostly, clinicians found it acceptable to ask about Internet use during psychosocial assessments and believed this could inform perceptions of risk and decision-making. It is unclear whether the findings in this study are applicable to the general self-harm patient population because only those who had psychosocial assessments were incl...Continue Reading

References

Feb 3, 2009·The British Journal of Psychiatry : the Journal of Mental Science·Gary M Cooney, Jane Morris
Jan 30, 2014·Journal of Medical Internet Research·Mee Huong LaiArun V Ravindran
Sep 19, 2014·Journal of Affective Disorders·Louise Mewton, Gavin Andrews
Feb 24, 2015·The Australian and New Zealand Journal of Psychiatry·Katherine MokJane Pirkis
May 28, 2016·Crisis·Katherine MokJane Pirkis
Jun 8, 2017·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Jo BellJane Pirkis
Sep 28, 2017·PloS One·Moctezuma García, Allyssa L Harris

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