Internet Search Activity of Young People With Mood Disorders Who Are Hospitalized for Suicidal Thoughts and Behaviors: Qualitative Study of Google Search Activity

BackgroundLittle is known about the internet search activity of people with suicidal thoughts and behaviors (STBs). This data source has the potential to inform both clinical and public health efforts, such as suicide risk assessment and prevention. ObjectiveWe ai...

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Main Authors: Khatiya C Moon, Anna R Van Meter, Michael A Kirschenbaum, Asra Ali, John M Kane, Michael L Birnbaum
Format: Article
Language:English
Published: JMIR Publications 2021-10-01
Series:JMIR Mental Health
Online Access:https://mental.jmir.org/2021/10/e28262
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author Khatiya C Moon
Anna R Van Meter
Michael A Kirschenbaum
Asra Ali
John M Kane
Michael L Birnbaum
author_facet Khatiya C Moon
Anna R Van Meter
Michael A Kirschenbaum
Asra Ali
John M Kane
Michael L Birnbaum
author_sort Khatiya C Moon
collection DOAJ
description BackgroundLittle is known about the internet search activity of people with suicidal thoughts and behaviors (STBs). This data source has the potential to inform both clinical and public health efforts, such as suicide risk assessment and prevention. ObjectiveWe aimed to evaluate the internet search activity of suicidal young people to find evidence of suicidal ideation and behavioral health–related content. MethodsIndividuals aged between 15 and 30 years (N=43) with mood disorders who were hospitalized for STBs provided access to their internet search history. Searches that were conducted in the 3-month period prior to hospitalization were extracted and manually evaluated for search themes related to suicide and behavioral health. ResultsA majority (27/43, 63%) of participants conducted suicide-related searches. Participants searched for information that exactly matched their planned or chosen method of attempting suicide in 21% (9/43) of cases. Suicide-related search queries also included unusual suicide methods and references to suicide in popular culture. A majority of participants (33/43, 77%) had queries related to help-seeking themes, including how to find inpatient and outpatient behavioral health care. Queries related to mood and anxiety symptoms were found among 44% (19/43) of participants and included references to panic disorder, the inability to focus, feelings of loneliness, and despair. Queries related to substance use were found among 44% (19/43) of participants. Queries related to traumatic experiences were present among 33% (14/43) of participants. Few participants conducted searches for crisis hotlines (n=3). ConclusionsIndividuals search the internet for information related to suicide prior to hospitalization for STBs. The improved understanding of the search activity of suicidal people could inform outreach, assessment, and intervention strategies for people at risk. Access to search data may also benefit the ongoing care of suicidal patients.
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spelling doaj.art-550e738c2946429881b10c0b5ca608b12023-08-28T19:34:59ZengJMIR PublicationsJMIR Mental Health2368-79592021-10-01810e2826210.2196/28262Internet Search Activity of Young People With Mood Disorders Who Are Hospitalized for Suicidal Thoughts and Behaviors: Qualitative Study of Google Search ActivityKhatiya C Moonhttps://orcid.org/0000-0002-1496-4447Anna R Van Meterhttps://orcid.org/0000-0003-0012-206XMichael A Kirschenbaumhttps://orcid.org/0000-0002-5365-1822Asra Alihttps://orcid.org/0000-0001-8552-330XJohn M Kanehttps://orcid.org/0000-0002-2628-9442Michael L Birnbaumhttps://orcid.org/0000-0002-4285-7868 BackgroundLittle is known about the internet search activity of people with suicidal thoughts and behaviors (STBs). This data source has the potential to inform both clinical and public health efforts, such as suicide risk assessment and prevention. ObjectiveWe aimed to evaluate the internet search activity of suicidal young people to find evidence of suicidal ideation and behavioral health–related content. MethodsIndividuals aged between 15 and 30 years (N=43) with mood disorders who were hospitalized for STBs provided access to their internet search history. Searches that were conducted in the 3-month period prior to hospitalization were extracted and manually evaluated for search themes related to suicide and behavioral health. ResultsA majority (27/43, 63%) of participants conducted suicide-related searches. Participants searched for information that exactly matched their planned or chosen method of attempting suicide in 21% (9/43) of cases. Suicide-related search queries also included unusual suicide methods and references to suicide in popular culture. A majority of participants (33/43, 77%) had queries related to help-seeking themes, including how to find inpatient and outpatient behavioral health care. Queries related to mood and anxiety symptoms were found among 44% (19/43) of participants and included references to panic disorder, the inability to focus, feelings of loneliness, and despair. Queries related to substance use were found among 44% (19/43) of participants. Queries related to traumatic experiences were present among 33% (14/43) of participants. Few participants conducted searches for crisis hotlines (n=3). ConclusionsIndividuals search the internet for information related to suicide prior to hospitalization for STBs. The improved understanding of the search activity of suicidal people could inform outreach, assessment, and intervention strategies for people at risk. Access to search data may also benefit the ongoing care of suicidal patients.https://mental.jmir.org/2021/10/e28262
spellingShingle Khatiya C Moon
Anna R Van Meter
Michael A Kirschenbaum
Asra Ali
John M Kane
Michael L Birnbaum
Internet Search Activity of Young People With Mood Disorders Who Are Hospitalized for Suicidal Thoughts and Behaviors: Qualitative Study of Google Search Activity
JMIR Mental Health
title Internet Search Activity of Young People With Mood Disorders Who Are Hospitalized for Suicidal Thoughts and Behaviors: Qualitative Study of Google Search Activity
title_full Internet Search Activity of Young People With Mood Disorders Who Are Hospitalized for Suicidal Thoughts and Behaviors: Qualitative Study of Google Search Activity
title_fullStr Internet Search Activity of Young People With Mood Disorders Who Are Hospitalized for Suicidal Thoughts and Behaviors: Qualitative Study of Google Search Activity
title_full_unstemmed Internet Search Activity of Young People With Mood Disorders Who Are Hospitalized for Suicidal Thoughts and Behaviors: Qualitative Study of Google Search Activity
title_short Internet Search Activity of Young People With Mood Disorders Who Are Hospitalized for Suicidal Thoughts and Behaviors: Qualitative Study of Google Search Activity
title_sort internet search activity of young people with mood disorders who are hospitalized for suicidal thoughts and behaviors qualitative study of google search activity
url https://mental.jmir.org/2021/10/e28262
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