@article{ref1,
title="Crisis text patterns in youth following the release of <i>13 Reasons Why</i> Season 2 and celebrity suicides: a case study of summer 2018",
journal="Preventive medicine reports",
year="2019",
author="Sugg, Margaret M. and Michael, Kurt D. and Stevens, Scott E. and Filbin, Robert and Weiser, Jaclyn and Runkle, Jennifer D.",
volume="16",
number="",
pages="e100999-e100999",
abstract="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 <i>13 Reasons Why.</i> This follow-up study examined the association between the release of <i>13 Reasons Why</i> Season 2 (<i>13RW2</i>), 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 <i>13RW2</i> 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<i>.</i> Crisis conversation volume was 42% higher after the release of <i>13RW2</i> 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 <i>13RW2</i> 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.<br><br>© 2019 The Authors.<p /> <p>Language: en</p>",
language="en",
issn="2211-3355",
doi="10.1016/j.pmedr.2019.100999",
url="http://dx.doi.org/10.1016/j.pmedr.2019.100999"
}