Abstract
Abstract.Background: Online forums that enable peer-to-peer interaction are widespread and readily available. Aim: This study aimed to identify the reach, benefits, and potential harmful effects for visitors to an online forum embedded in a suicide prevention platform in The Netherlands. Method: The study collected web-based questionnaires from online forum users and moderated posts. Descriptive quantitative and qualitative analyses were performed. Results: The online forum had 330 members in 2017, of whom 130 were active users (posting at least one message). Respondents (n = 106) experienced from a high severity of suicidal ideation (78%). A minority (12%) visited the forum to find suicide methods and 3% to find a suicide partner. Among respondents who had visited the forum more than once (n = 49), 53% reported no changes in feelings directly after forum use, 35% felt better and 12% felt worse. Peer support and anonymity were the most mentioned benefits, whereas no personal contacts and few reactions to postings were perceived as limitations. Suicide threats and the search for methods were the main reasons for moderating posts. Limitations: Usage habits and user experiences were available from a relatively small group that visited the forum more than once. Conclusion: In its current form, the forum has a low reach with few benefits and a potential for harm for its users. With a questionable benefit-to-risk ratio, the added value of the online forum appears to be small.
References
2017, December 8). 113 Suicide Prevention. Retrieved from https://www.113.nl/english
. (2017, December 8). Your research: Is it subject to the WMO or not? Retrieved from http://www.ccmo.nl/en/your-research-does-it-fall-under-the-wmo
. (2013). The power of the web: A systematic review of studies of the influence of the internet on self-harm and suicide in young people. PloS One, 8(10), 1–6. 10.1371/journal.pone.0077555
(2008). Internet message boards for suicidal people: A typology of users. CyberPsychology & Behavior, 11(1), 107–113. 10.1089/cpb.2007.9924
(2008). The presentation of "pro-anorexia" in online group interactions. Qualitative Health Research, 18(3), 325–333. 10.1177/1049732307311640
(2012). The effectiveness of an online support group for members of the community with depression: A randomised controlled trial. PLoS ONE, 7(12). 10.1371/journal.pone.0053244
(2009). Examining suicide-risk individuals who go online for suicide-related purposes. Archives of Suicide Research, 13(3), 264–276. 10.1080/13811110903044419
(2012). Persuasive system design does matter: A systematic review of adherence to web-based interventions. Journal of Medical Internet Research, 14(6), e152. 10.2196/jmir.2104
(2014). Computers in human behavior online support groups for mental health: A space for challenging self-stigma or a means of social avoidance ? Computers in Human Behavior, 32, 152–161. 10.1016/j.chb.2013.11.015
(2015). Suicide-related Internet use : A review. Australian & New Zealand Journal of Psychiatry, 49(8), 697–705. 10.1177/0004867415569797
(2017). Evaluation of the 113Online suicide prevention crisis chat service: Outcomes, helper behaviors and comparison to telephone hotlines. Suicide and Life-Threatening Behavior, 47(3), 282–296. 10.1111/sltb.12286
(2013).
(Results and experiences of 113Online, a national Dutch suicide prevention platform. In B. MisharaA. KerkhofEds., Suicide prevention and new technologies: Evidence based practice (pp. 123–148). Basingstoke, UK: Palgrave Macmillan.2014). The psychology of suicidal behaviour. The Lancet Psychiatry, 1(1), 73–85. 10.1016/S2215-0366(14)70222-6
(2016). Social media and suicide prevention: A systematic review. Early Intervention in Psychiatry, 10(2), 103–121. 10.1111/eip.12229
(2015). The safety and acceptability of delivering an online intervention to secondary students at risk of suicide: Findings from a pilot study. Early Intervention in Psychiatry, 9(6), 498–506. 10.1111/eip.12136
(1985). Sick individuals and sick populations. International Journal of Epidemiology, 14(1), 32–38. 10.1093/ije/14.1.32
(2016). First do no harm: Cross-sectional and longitudinal evidence for the impact of individual suicidality on the use of online health forums and support groups. Computers in Human Behavior, 61, 80–88. 10.1016/j.chb.2016.03.009
(1981). Strategy of prevention: Lessons from cardiovascular disease. British Medical Journal (Clinical Research Ed.), 282(6282), 2136. 10.1136/bmj.282.6282.2136
(2016). Offline versus online suicide-related help seeking: Changing domains, changing paradigms. Journal of Clinical Psychology, 72(6), 606–620. 10.1002/jclp.22282
(2012). Suicide bulletin board systems comparison between Japan and Germany. Death Studies, 36(6), 565–580. 10.1080/07481187.2011.584012
(2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575–600. 10.1037/a0018697
(2014). The Suicidal Ideation Attributes Scale (SIDAS): Community-based validation study of a new scale for the measurement of suicidal ideation. Suicide and Life-Threatening Behavior, 44(4), 408–419. 10.1111/sltb.12084
(2016). Stepping back from crisis points. Qualitative Health Research, 26, 1240–1251. 10.1177/1049732316633130
(