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Published in: International Journal of Mental Health Systems 1/2018

Open Access 01-12-2018 | Research

Crafting safe and effective suicide prevention media messages: outcomes from a workshop in Australia

Authors: Maria Ftanou, Jaelea Skehan, Karolina Krysinska, Marc Bryant, Matthew J. Spittal, Jane Pirkis

Published in: International Journal of Mental Health Systems | Issue 1/2018

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Abstract

Background

Suicide and suicide-related behaviours are major public health concerns in Australia and worldwide. One universal intervention that has received an increased focus as a means of preventing suicide is the use of media campaigns. There is, however, a lack of understanding of the kinds of campaign messages that are safe and effective. The current paper aims to expand on this knowledge. The study objectives were to: (1) explore what suicide prevention experts consider to be essential characteristics of effective and safe suicide media campaigns; (2) develop suicide prevention media messages; and (3) explore the impact that these messages might have on different audiences.

Methods

We conducted a workshop in July 2015 which was attended by 21 experts (professionals with knowledge about suicide prevention and/or media campaigns, and people with a lived experience of suicide). The experts were split into three groups, and each group developed a suicide prevention message for one of the following target audiences: people at risk of suicide; family and peers of people at risk of suicide; and people bereaved by suicide.

Results

The three groups generally agreed that these messages had to include two key characteristics: (1) validate or reflect the target group’s issues and needs; and (2) promote help-seeking behaviours. They noted, however, that messages that might have a positive impact for one target audience might inadvertently have a negative impact for other target audiences. In particular, they were concerned that messages designed for family and peers about being supportive and looking for warning signs might leave those who had been bereaved by suicide feeling isolated, guilty or traumatised. Workshop participants highlighted that gaps exist in relation to the use of appropriate language, were unsure of how to create destigmatising messages without normalising or sensationalising suicide and commented on the lack of evaluative evidence for the efficacy of media campaigns.

Conclusions

Developing suicide prevention messages is complex and target and non-target audiences may interpret these messages differently to the way they were intended and the impact of such messaging may be detrimental. Caution needs to be applied when developing suicide prevention messages.
Literature
1.
go back to reference World Health Organization. Preventing suicide: a global imperative. Geneva: World Health Organization; 2014. World Health Organization. Preventing suicide: a global imperative. Geneva: World Health Organization; 2014.
2.
go back to reference Australian Bureau of Statistics. Causes of death, Australia 2016. Canberra: Australian Bureau of Statistics; 2017. Australian Bureau of Statistics. Causes of death, Australia 2016. Canberra: Australian Bureau of Statistics; 2017.
3.
go back to reference Slade T, Johnston A, Teesson M, Whiteford H, Burgess P, Pirkis J, et al. The mental health of Australians 2: report on the 2007 National Survey of Mental Health and Wellbeing. Canberra: Department of Health and Ageing; 2009. Slade T, Johnston A, Teesson M, Whiteford H, Burgess P, Pirkis J, et al. The mental health of Australians 2: report on the 2007 National Survey of Mental Health and Wellbeing. Canberra: Department of Health and Ageing; 2009.
4.
go back to reference Johnston A, Pirkis J, Burgess P. Suicidal thoughts and behaviours among Australian adults: findings from the 2007 National Survey of Mental Health and Wellbeing. Aust N Z J Psychiatry. 2009;43(7):635–43.CrossRefPubMed Johnston A, Pirkis J, Burgess P. Suicidal thoughts and behaviours among Australian adults: findings from the 2007 National Survey of Mental Health and Wellbeing. Aust N Z J Psychiatry. 2009;43(7):635–43.CrossRefPubMed
7.
go back to reference Luoma J, Martin C, Pearson J. Contact with mental health and primary care providers before suicide: a review of the evidence. Am J Psychiatry. 2002;159(6):909–16.CrossRefPubMedPubMedCentral Luoma J, Martin C, Pearson J. Contact with mental health and primary care providers before suicide: a review of the evidence. Am J Psychiatry. 2002;159(6):909–16.CrossRefPubMedPubMedCentral
9.
go back to reference Cerel J, Roberts T, Nilsen W, Cerel J, Roberts TA, Nilsen WJ. Peer suicidal behavior and adolescent risk behavior. J Nerv Ment Dis. 2005;193(4):237–43.CrossRefPubMed Cerel J, Roberts T, Nilsen W, Cerel J, Roberts TA, Nilsen WJ. Peer suicidal behavior and adolescent risk behavior. J Nerv Ment Dis. 2005;193(4):237–43.CrossRefPubMed
10.
go back to reference Mann J, Apter A, Bertolote J, Beautrais A, Currier D, Haas A, et al. Suicide prevention strategies: a systematic review. J Am Med Assoc. 2005;294(16):2064–74.CrossRef Mann J, Apter A, Bertolote J, Beautrais A, Currier D, Haas A, et al. Suicide prevention strategies: a systematic review. J Am Med Assoc. 2005;294(16):2064–74.CrossRef
11.
go back to reference National Mental Health Commission. The national review of mental health programmes and services. Sydney: NMHC; 2014. National Mental Health Commission. The national review of mental health programmes and services. Sydney: NMHC; 2014.
12.
go back to reference Mrazek P, Haggerty R. Reducing risks for mental disorders: frontiers for preventive intervention research. Washington: National Academy Press; 1994. Mrazek P, Haggerty R. Reducing risks for mental disorders: frontiers for preventive intervention research. Washington: National Academy Press; 1994.
13.
go back to reference Australian Government Department of Health and Ageing. Living is for everyone (LIFE) framework. Canberra: Australian Government Department of Health and Ageing; 2007. Australian Government Department of Health and Ageing. Living is for everyone (LIFE) framework. Canberra: Australian Government Department of Health and Ageing; 2007.
14.
go back to reference Beautrais A, Fergusson D, Coggan C, Collings C, Doughty C, Ellis P, et al. Effective strategies for suicide prevention in New Zealand: a review of the evidence. N Z Med J. 2007;120(1251):U2459.PubMed Beautrais A, Fergusson D, Coggan C, Collings C, Doughty C, Ellis P, et al. Effective strategies for suicide prevention in New Zealand: a review of the evidence. N Z Med J. 2007;120(1251):U2459.PubMed
15.
go back to reference Pirkis J, Blood W. Suicide and the media: part II. Portrayal in fictional media. Crisis J Crisis Intervent Suicide Prev. 2001;22(4):155–62.CrossRef Pirkis J, Blood W. Suicide and the media: part II. Portrayal in fictional media. Crisis J Crisis Intervent Suicide Prev. 2001;22(4):155–62.CrossRef
16.
go back to reference Pirkis J, Blood W. Suicide and the media: part I. Reportage in nonfictional media. Crisis. 2001;22(4):146–54.CrossRefPubMed Pirkis J, Blood W. Suicide and the media: part I. Reportage in nonfictional media. Crisis. 2001;22(4):146–54.CrossRefPubMed
17.
go back to reference Pirkis J, Blood W. Suicide and the news and information media: a critical review. Canberra: Australian Government Department of Health and Ageing; 2010. Pirkis J, Blood W. Suicide and the news and information media: a critical review. Canberra: Australian Government Department of Health and Ageing; 2010.
18.
go back to reference Niederkrotenthaler T, Fu K-W, Yip P, Fong D, Stack S, Cheng Q, et al. Changes in suicide rates following media reports on celebrity suicides: a meta-analysis. J Epidemiol Community Health. 2012;66(11):1037–42.CrossRefPubMed Niederkrotenthaler T, Fu K-W, Yip P, Fong D, Stack S, Cheng Q, et al. Changes in suicide rates following media reports on celebrity suicides: a meta-analysis. J Epidemiol Community Health. 2012;66(11):1037–42.CrossRefPubMed
19.
go back to reference Pirkis J, Burgess PM, Francis C, Blood RW, Jolley DJ. The relationship between media reporting of suicide and actual suicide in Australia. Soc Sci Med. 2006;62(11):2874–86.CrossRefPubMed Pirkis J, Burgess PM, Francis C, Blood RW, Jolley DJ. The relationship between media reporting of suicide and actual suicide in Australia. Soc Sci Med. 2006;62(11):2874–86.CrossRefPubMed
20.
go back to reference Niederkrotenthaler T, Till B, Voracek M, Dervic K, Kapusta N, Sonneck G. Copycat effects after media reports on suicide: a population-based ecologic study. Soc Sci Med. 2009;69(7):1085–90.CrossRefPubMed Niederkrotenthaler T, Till B, Voracek M, Dervic K, Kapusta N, Sonneck G. Copycat effects after media reports on suicide: a population-based ecologic study. Soc Sci Med. 2009;69(7):1085–90.CrossRefPubMed
21.
go back to reference Niederkrotenthaler T, Voracek M, Herberth A, Till B, Strauss M, Etzersdorfer E, et al. Role of media reports in completed and prevented suicide: Werther V. Papageno effects. The British Journal of Psychiatry. 2010;197(3):234–43.CrossRefPubMed Niederkrotenthaler T, Voracek M, Herberth A, Till B, Strauss M, Etzersdorfer E, et al. Role of media reports in completed and prevented suicide: Werther V. Papageno effects. The British Journal of Psychiatry. 2010;197(3):234–43.CrossRefPubMed
22.
go back to reference Oliver RJ, Spilsbury JC, Osiecki S, Denihan W, Zureick J, Friedman S. Brief report: preliminary results of a suicide awareness mass media campaign in Cuyahoga County, Ohio. Suicide Life Threat Behav. 2008;38(2):245–9.CrossRefPubMed Oliver RJ, Spilsbury JC, Osiecki S, Denihan W, Zureick J, Friedman S. Brief report: preliminary results of a suicide awareness mass media campaign in Cuyahoga County, Ohio. Suicide Life Threat Behav. 2008;38(2):245–9.CrossRefPubMed
23.
go back to reference Jenner E, Jenner L, Matthews-Sterling M, Butts JK, Williams TE. Awareness effects of a youth suicide prevention media campaign in Louisiana. Suicide Life Threat Behav. 2010;40(4):394–406.CrossRefPubMed Jenner E, Jenner L, Matthews-Sterling M, Butts JK, Williams TE. Awareness effects of a youth suicide prevention media campaign in Louisiana. Suicide Life Threat Behav. 2010;40(4):394–406.CrossRefPubMed
24.
go back to reference Matsubayashi T, Ueda M, Sawada Y. The effect of public awareness campaigns on suicides: evidence from Nagoya, Japan. J Affect Disord. 2014;152–154:526–9.CrossRefPubMed Matsubayashi T, Ueda M, Sawada Y. The effect of public awareness campaigns on suicides: evidence from Nagoya, Japan. J Affect Disord. 2014;152–154:526–9.CrossRefPubMed
25.
go back to reference Klimes-Dougan B, Lee CH. Suicide prevention public service announcements: perceptions of young adults. Crisis. 2010;31(5):247–54.CrossRefPubMed Klimes-Dougan B, Lee CH. Suicide prevention public service announcements: perceptions of young adults. Crisis. 2010;31(5):247–54.CrossRefPubMed
26.
go back to reference Klimes-Dougan B, Yuan C, Lee S, Houri A. Suicide prevention with adolescents: considering potential benefits and untoward effects of public service announcements. Crisis. 2009;30(3):128–35.CrossRefPubMed Klimes-Dougan B, Yuan C, Lee S, Houri A. Suicide prevention with adolescents: considering potential benefits and untoward effects of public service announcements. Crisis. 2009;30(3):128–35.CrossRefPubMed
27.
go back to reference Chambers DA, Pearson JL, Lubell K, Brandon S, O’Brien K, Zinn J. The science of public messages for suicide prevention: a workshop summary. Suicide Life Threat Behav. 2005;35(2):134–45.CrossRefPubMed Chambers DA, Pearson JL, Lubell K, Brandon S, O’Brien K, Zinn J. The science of public messages for suicide prevention: a workshop summary. Suicide Life Threat Behav. 2005;35(2):134–45.CrossRefPubMed
28.
go back to reference Ftanou M, Cox G, Nicholas A, Spittal M, Machlin A, Robinson J, et al. Suicide prevention public service announcements (PSAs): examples from around the world. Health Commun. 2016;16:1–19. Ftanou M, Cox G, Nicholas A, Spittal M, Machlin A, Robinson J, et al. Suicide prevention public service announcements (PSAs): examples from around the world. Health Commun. 2016;16:1–19.
29.
go back to reference Till B, Sonneck G, Baldauf G, Steiner E, Niederkrotenthaler T. Reasons to love life: effects of a suicide-awareness campaign on the utilization of a telephone emergency line in austria. Crisis. 2013;6:382.CrossRef Till B, Sonneck G, Baldauf G, Steiner E, Niederkrotenthaler T. Reasons to love life: effects of a suicide-awareness campaign on the utilization of a telephone emergency line in austria. Crisis. 2013;6:382.CrossRef
30.
go back to reference US Department of Health and Human Services. Making health communication programs work. Washington: Department of Health and Human Services; 2014. US Department of Health and Human Services. Making health communication programs work. Washington: Department of Health and Human Services; 2014.
31.
go back to reference Nicholas A, Pirkis P, Rossetto A, Jorm A, Robinson J, Reavley N. Suicide prevention research and campaign: integrated findings and recommendations. Melbourne: University of Melbourne; 2017. Nicholas A, Pirkis P, Rossetto A, Jorm A, Robinson J, Reavley N. Suicide prevention research and campaign: integrated findings and recommendations. Melbourne: University of Melbourne; 2017.
32.
go back to reference Hunter Institute of Mental Health. Reporting suicide and mental illness: a mindframe resource for media professionals. Newcastle: Hunter Institute of Mental Health; 2014. Hunter Institute of Mental Health. Reporting suicide and mental illness: a mindframe resource for media professionals. Newcastle: Hunter Institute of Mental Health; 2014.
33.
go back to reference John C, Cleveland W, Kleiner B, Tukey P. Graphical methods for data analysis. Pacific Grove: Wadsworth; 1983. p. 158–62. John C, Cleveland W, Kleiner B, Tukey P. Graphical methods for data analysis. Pacific Grove: Wadsworth; 1983. p. 158–62.
Metadata
Title
Crafting safe and effective suicide prevention media messages: outcomes from a workshop in Australia
Authors
Maria Ftanou
Jaelea Skehan
Karolina Krysinska
Marc Bryant
Matthew J. Spittal
Jane Pirkis
Publication date
01-12-2018
Publisher
BioMed Central
Published in
International Journal of Mental Health Systems / Issue 1/2018
Electronic ISSN: 1752-4458
DOI
https://doi.org/10.1186/s13033-018-0203-5

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