Helplines, Tele‐Web Support Services, and Suicide Prevention

Woodward, Alan; Wyllie, Clare

doi:10.1002/9781118903223.ch28

Cited by 11 publications

(9 citation statements)

References 22 publications

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“…International mental-health policy has highlighted the role of telephone crisis support in comprehensive suicide intervention systems as a necessary provider of immediate, anonymous, accessible, and cost-effective crisis intervention ( 1 – 4 ). This emphasis highlights the importance of establishing the efficacy and service outcomes of telephone crisis support in vulnerable communities.…”

Section: Introductionmentioning

confidence: 99%

Intervention among Suicidal Men: Future Directions for Telephone Crisis Support Research

Hunt

Wilson

Woodward³

et al. 2018

Front. Public Health

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Telephone crisis support is a confidential, accessible, and immediate service that is uniquely set up to reduce male suicide deaths through crisis intervention. However, research focusing on telephone crisis support with suicidal men is currently limited. To highlight the need to address service delivery for men experiencing suicidal crisis, this perspective article identifies key challenges facing current telephone crisis support research and proposes that understanding of the role of telephone crisis helplines in supporting suicidal men may be strengthened by careful examination of the context of telephone crisis support, together with the impact this has on help-provision for male suicidal callers. In particular, the impact of the time- and information-poor context of telephone crisis support on crisis-line staff’s identification of, and response to, male callers with thoughts of suicide is examined. Future directions for research in the provision of telephone crisis support for suicidal men are discussed.

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Section: Introductionmentioning

confidence: 99%

Intervention among Suicidal Men: Future Directions for Telephone Crisis Support Research

Hunt

Wilson

Woodward³

et al. 2018

Front. Public Health

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“…Emergent research suggests that the suicidal process is inherently dynamic with time-limited periods of acute intensity [ 4 , 5 , 6 ]. Crisis lines are one of the few intervention modalities that can respond to these short-term fluctuations by providing immediate support regardless of time of day or geographic location [ 7 ]. The individuals that staff telephone crisis lines, referred to as telephone crisis-line workers (TCWs), are usually trained personnel who provide crisis intervention remotely, on a once-off and time-limited basis [ 8 , 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Patterns of Signs That Telephone Crisis Support Workers Associate with Suicide Risk in Telephone Crisis Line Callers

Hunt

Wilson

Caputi

et al. 2018

IJERPH

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Signs of suicide are commonly used in suicide intervention training to assist the identification of those at imminent risk for suicide. Signs of suicide may be particularly important to telephone crisis-line workers (TCWs), who have little background information to identify the presence of suicidality if the caller is unable or unwilling to express suicidal intent. Although signs of suicide are argued to be only meaningful as a pattern, there is a paucity of research that has examined whether TCWs use patterns of signs to decide whether a caller might be suicidal, and whether these are influenced by caller characteristics such as gender. The current study explored both possibilities. Data were collected using an online self-report survey in a Australian sample of 137 TCWs. Exploratory factor analysis uncovered three patterns of suicide signs that TCWs may use to identify if a caller might be at risk for suicide (mood, hopelessness, and anger), which were qualitatively different for male and female callers. These findings suggest that TCWs may recognise specific patterns of signs to identify suicide risk, which appear to be influenced to some extent by the callers’ inferred gender. Implications for the training of telephone crisis workers and others including mental-health and medical professionals, as well as and future research in suicide prevention are discussed.

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“…Research that has been conducted in this area has worked to improve automatic suicide risk determinations of users posting as a way to triage resources (Althoff et al, 2016;Coppersmith et al, 2018;De Choudhury et al, 2016;DeMasi et al, 2019;Milne et al, 2016Milne et al, , 2019Morris, 2015;Shing et al, 2018) or have provided descriptive information on the elements of a user's posts that may elicit peer responses (De Choudhury and De, 2014;Huang and Bashir, 2016), rather than evaluating the quality (i.e., helpfulness) of the peer support actually received. This particular avenue of research is important given evidence that appropriate support can mitigate crisis states (Turner et al, 1983), and may even ultimately prevent the transition from suicidal crisis to suicide behavior (Woodward and Wyllie, 2016). As such, the current study had two primary aims.…”

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confidence: 99%

“…It is during this acute experience of suicide mode that an individual experiences elevated distress, and thus may seek external support (i.e., online peer support). Indeed, crisis resources, formal and informal, are centered around this idea of a dynamic suicide mode that can be intervened upon (Woodward and Wyllie, 2016).…”

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confidence: 99%

Phrase-level pairwise topic modeling to uncover helpful peer responses to online suicidal crises

Jiang

Ammerman

Zeng

et al. 2020

Humanit Soc Sci Commun

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Suicide is a serious public health problem; however, suicides are preventable with timely, evidence-based interventions. Social media platforms have been serving users who are experiencing real-time suicidal crises with hopes of receiving peer support. To better understand the helpfulness of peer support occurring online, this study characterizes the content of both a user's post and corresponding peer comments occurring on a social media platform and present an empirical example for comparison. It introduces an approach that uses pairwise topic models to transform large corpora of discussion into associated topics of user and peer posts. The key advantages of this approach include: (i) modeling both the generative process of each type of the corpora (i.e., user posts and peer comments) and the associations between them, and (ii) using phrases, which are more informative and less ambiguous than words, in addition to words, to represent social media posts and topics. The study evaluated the method using data from Reddit r/SuicideWatch. It examined how the topics of user and peer posts were associated and how this information influenced the peer perceived helpfulness of the peer support. Then, this study applied structural topic modeling to data collected from individuals with a history of suicidal crisis as a means to validate findings. The observations suggest that effective modeling of the association between the two lines of topics can uncover helpful peer responses to online suicidal crises, notably providing the suggestion of professional help. The proposed technology can be applied to "paired" corpora in many applications, such as technical support forums, question-answering sites, and online medical services.

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Helplines, Tele‐Web Support Services, and Suicide Prevention

Cited by 11 publications

References 22 publications

Intervention among Suicidal Men: Future Directions for Telephone Crisis Support Research

Intervention among Suicidal Men: Future Directions for Telephone Crisis Support Research

Patterns of Signs That Telephone Crisis Support Workers Associate with Suicide Risk in Telephone Crisis Line Callers

Phrase-level pairwise topic modeling to uncover helpful peer responses to online suicidal crises

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