ADOLESCENT SUICIDE STATEMENTS ON MYSPACE

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CYBERPSYCHOLOGY, BEHAVIOR, AND SOCIAL NETWORKING
Volume 16, Number 3, 2013
ª Mary Ann Liebert, Inc.
DOI: 10.1089/cyber.2012.0098

                  Adolescent Suicide Statements on MySpace

                         Scottye J. Cash, PhD,1 Michael Thelwall, PhD,2 Sydney N. Peck, MS,3
                                  Jared Z. Ferrell, MA,4 and Jeffrey A. Bridge, PhD 5

Abstract

The use of social networking sites (SNSs) has proliferated throughout the last several years for all populations,
but especially adolescents. Media reports have also identified several instances in which adolescents broadcast
their suicidal behaviors via the Internet and/or SNSs. Despite the increase in the usage of SNSs, there has been
little research conducted on how adolescents use SNSs to communicate these behaviors. The objective of this
study was to explore the ways in which adolescents use MySpace to comment on their suicidal thoughts and
intentions. Content analysis was used to identify suicidal statements from public profiles on MySpace. The
original sample consisted of 1,038 comments, made by young people ages 13–24 years old. The final sample
resulted in 64 comments, where Potential Suicidality was identified. Through content analysis, the following
subthemes (within the Potential Suicidality theme) were found: Relationships, Mental Health, Substance Use/Abuse,
Method of Suicide, and Statements without Context. Examples and discussion for each subtheme are identified. The
comments referenced a significant amount of hopelessness, despair, and desperation. This study provides
support that adolescents use public Web sites to display comments about their suicidal thoughts, behaviors, and
possible intentions. Future research is warranted to explore the relationship between at-risk behaviors and
suicidality as expressed on SNSs.

Introduction                                                          nicate with friends, and write blogs. Lenhart and Madden7
                                                                      found that 55 percent of adolescents who are online use a

R    ecent media reports have highlighted cases in which
     the Internet, including social networking sites (SNSs), has
contributed to individual suicidal behavior,1,2 suicide pacts in
                                                                      SNS, with girls using these sites primarily to reinforce exist-
                                                                      ing friendships and boys using the sites mostly to make new
                                                                      friends and flirt.
Japan,3 and a suicide epidemic among young subscribers to a              While SNSs may provide ways to stay connected with a
popular SNS in Wales.4 While there has seen a recent increase         network of friends, they may also provide individuals a place to
in research on how adolescents use the Internet, SNSs, and            present ideas, feelings, and moods that are uncomfortable to
other forms of technology for communication,5–8 only one              share in-person, including self-harm or suicidal thoughts.11–13
study to date,9 has examined the use of SNSs in relation to
expressions of suicidal thoughts or behavior.                         SNSs and at-risk behaviors
                                                                         Adolescents use SNSs to display at-risk behaviors, in-
Adolescents and social networking
                                                                      cluding sexual behavior, violence, and substance use. Moreno
   Boyd and Ellison10 define a SNS as ‘‘web-based services            et al.14 examined the display of at-risk behaviors on adoles-
that allow individuals to (a) construct a public or semi-public       cent’s MySpace profile pages. They found that of a total of 500
profile within a bounded system, (b) articulate a list of other       publicly available MySpace profiles for 18-year olds, 54 per-
users with whom they share a connection, and (c) view and             cent contained at least one high-risk behavior, with 24 percent
traverse their list of connections and those made by others           referencing sexual behaviors, 41 percent referencing sub-
within the system.’’ SNSs allow users to create and post              stance use, and 14 percent referencing violence. In their 2010
profiles, upload pictures and videos, network and commu-              study, Moreno et al.15 used content analysis to identify

  1
    College of Social Work, The Ohio State University, Columbus, Ohio.
  2
    Statistical Cybermetrics Research Group, School of Technology, University of Wolverhampton, West Midlands, United Kingdom.
  3
    Nursing Department, Elmira College, Elmira, New York.
  4
    Department of Psychology, University of Akron, Akron, Ohio.
  5
    Department of Pediatrics, The Ohio State University, Center for Innovation in Pediatric Practice, The Research Institute at Nationwide
Children’s Hospital, Columbus, Ohio.

                                                                  166
ADOLESCENT SUICIDE STATEMENTS ON MYSPACE                                                                                       167

references to alcohol use. They found that 56 percent (out of      data were more available and less restricted by privacy pro-
400 profiles of 17–20-year olds living in one Washington           tection algorithms, such as access and antispidering con-
county) had references to alcohol use, more frequently made        trols.14,15,18,20–23 Thelwall et al.23 demonstrated that emotions
by males (54 percent) who were white (70 percent). Moreno          could be mined from data extracted from MySpace, which
et al.16 conducted focus groups to explore reasons why ado-        made MySpace an appropriate source to collect data for the
lescents use SNSs to display alcohol references, finding that      current study.
adolescents posted these references to look cool, therefore            To find the subjects, MySpace profile owners were selected
providing some level of social gain among their peers.             if they:
   The research on adolescents’ use of SNSs to display at-risk       (a) gave the US as their location
behaviors is increasing; however, we know very little about          (b) had a public profile
their display of suicidal thoughts or intentions on these sites.     (c) were not self-identified as musicians, comedians, or
The purpose of this study is to explore the content of suicidal          movie makers
statements available on MySpace public profiles of adoles-           (d) had 2-1000 friends and, hence, were probably active
cents aged 13–24 years old. The findings from this study can             normal members.
be used to inform health and mental health professionals
                                                                      After the MySpace profile owner’s profile pages were
about how adolescents have used SNSs to communicate their
                                                                   identified, all publicly available comments on their MySpace
suicidal thoughts and intentions and possibly develop inter-
                                                                   profile page were downloaded. The data were then parsed
ventions that use this type of technology.
                                                                   based on a set of comments that had suicidal language (see
                                                                   Fig. 1).
Methodology
Setting
   MySpace (www.myspace.com) was the SNS chosen to
provide the data for this study. MySpace met the SNS defi-
nition provided by Boyd and Ellison10 and allowed for
downloading of information from public profiles.

Institutional review board
   The Institutional Review Board (IRB) at the Ohio State
University was consulted on the project and whether or not
the project met the exemption guidelines. Moreno et al.,17
discussion of research ethics and their application to research
on SNSs was also used as a guide for conducting this re-
search. The study met the criteria for exemption for the fol-
lowing reasons: (a) all data were collected from publicly
available profiles on MySpace; (b) data were downloaded
using an algorithm and no specific identifying data were
collected (e.g., name, address, and contact information); (c)
the study was observational and no participants were ever
contacted; (d) no identifying data were included in the da-
taset; (e) any names included in the sample quotes were
changed; and (f) the specific quotes were altered slightly to
ensure that the commenter could not be identified using a
search engine.

Data
   Data were collected from publicly available profiles and
their respective comments on MySpace (www.myspace.com).
MySpace was launched in 2003 and gained popularity
throughout the next several years as a place for teenagers to
post profiles and create online community.18,19 Data from the
Pew Research Project in 20066 demonstrated that 55 percent
of Internet users, ages 12–17, had a profile on a SNS. Data
collected from comScore19 on the unique visitor count to
MySpace and Facebook showed from August 2005 to May
2009, MySpace had more unique visitors than Facebook.
After May 2009, however, Facebook clearly dominated the
social networking world and has continued to increase its
presence, while MySpace’s presence has decreased. Even
though MySpace’s popularity on the Internet has waned,
MySpace has been the SNS primarily used by researchers as                       FIG. 1.   Sample selection process.
168                                                                                                                    CASH ET AL.

Search algorithm                                                        Table 1. Suicide Phrasesa Used for Parsing Data
   The downloading of profiles was undertaken automati-              Never wake up                             Suicide
cally using purpose-built software and the downloading of            Suicidal                                  Can’t go on
comments was achieved semiautomatically using purpose-               Life not worth living                     Kill myself
built software. Data set 1 originated with a list of 40,000          Suicide pact                              Suicide plans
public MySpace profile IDs from about 51,000 in steps of             Ready to jump                             Go to sleep forever
5,193 representing a systematic sample of members with               Suicide plan                              Want to die
various joining dates up to July 3, 2006. Data from the profile      Be dead                                   Better off without me
                                                                     Better off dead                           Tired of living
page of each member was downloaded during March 3–4,
                                                                     Rock bottom                               Don’t want to be here
2008, and the declared country of origin extracted as well as        End my life                               Die alone
the number of friends of each member.                                Go to sleep forever
                                                                      a
                                                                        Suicide Phrases are based on key phrases identified from
Waves of data                                                        www.suicideforum.net
   The selected subset was downloaded again in December
2008 and a further subset of comments was selected of those
who had received p4,000 comments and still had a public              collecting the phrases on the site did not violate the forum’s
profile. For this subset, all comments received by each indi-        policies on site usage. Specifically, the site, at that time, pos-
vidual were extracted. For each MySpace profile downloaded           ted their policies stating that forum could not be used as a
as above, one commenter was selected at random, if any ex-           mechanism to solicit information from the individual users
isted, that is, one person who commented to the member. All          for research and/or educational projects. This allowed the
comments made to this commenting friend were then ex-                researcher the opportunity to collect only information on
tracted as long as they                                              suicidal language without ever having to contact the indi-
                                                                     viduals directly or collect identifying information. Finally, the
  (a) had a public profile                                           suicideforum.net has moderators who monitor the forums to
  (b) did not self identify as a musicians, comedians, or            help identify individuals who are posting statements specif-
      movie makers                                                   ically related to potential suicide intentions. Generating a
  (c) had received p4,000 comments.                                  suicide-specific list of phrases was necessary to create a sys-
   Commenters failing this test were rejected and another            tematic way to identify publicly available comments that in-
commenter selected instead until a valid commenter was               cluded a reference to potential suicidal behavior.
found or all commenters had been checked. Musicians, co-                Once the list of phrases was generated, the list was then
medians, and or movie makers were excluded from the                  used to parse the dataset for comments matching one of the
sample as their profile pages did not necessarily represent one      phrases (see Table 1); these comments were selected for in-
person commenting to another person. In addition, the                clusion in the study.
comments on their pages may have discussed suicide in terms             Other data extracted included the age of the commenter and
of media (e.g., songs, movies, etc.) rather than actual com-         the commentee, based on the age identified in the person’s
ments about suicidal behavior. A person also had to have             profile. These data were adjusted to reflect their age at the time
fewer than 4,000 comments, as we found that the profiles             that the comment was made, instead of the age at the time of the
where there were more than 4,000 comments often re-
presented a professional user of MySpace rather than an in-
dividual making comments to other individuals. The final
                                                                     Table 2. Percentage of Comments by Matching Texta
raw data set used was a collection of all comments extracted
                                                                                      for Total Sample
by the above process.
                                                                     Matching text                     Percent total sample (n = 1,038)
   List generation process. A list of phrases that included
some reference to potential suicidal behaviors was collected         Be dead                                        16.6%
from public posts on the Suicide Forum Web site (www                 Better off dead                                 0.2%
.suicideforum.net). The first author is a social work researcher     Better off without me                           0.2%
and has experience working with individuals who have at-             Can’t go on                                     2.4%
                                                                     Die alone                                       1.0%
tempted suicide. She read public comments that were posted
                                                                     Don’t want to be here                           0.8%
in the Peer-to-Peer Support group page for the General Sui-          End my life                                     2.2%
cide Forum that was also designated as a place to post com-          Go to sleep forever                             0.1%
ments regarding ‘‘if you are suffering from suicidal feelings.’’     Kill myself                                    24.4%
During September and October 2009, the first author read             Never wake up                                   3.2%
postings in the forum to identify key phrases that individuals       Ready to jump                                   1.0%
were using to identify potential suicidal behaviors.                 Rock bottom                                     2.5%
   The suicideforum.net Web site was chosen as a source to           Suicidal                                        5.6%
identify common phrases used to indicate potential suicid-           Suicide                                        29.4%
ality for several reasons. First, the forum is open to the public.   Tired of living                                 0.4%
                                                                     Want to die                                    10.2%
Second, since the forum was designed for people who are
seeking information or help about suicide, the forum seemed            a
                                                                         Matching text is based on suicide phrases from www.suicideforum
like a logical choice and met the needs of the project. Third,       .net
ADOLESCENT SUICIDE STATEMENTS ON MYSPACE                                                                                          169

     Table 3. Age of Sender of Comment Total Sample               selected for analysis (see Tables 1 and 2). Table 2 provides
                                                                  support that the list of suicide-related phrases were useful in
Age at comment                 Percent total sample (n = 1,038)   parsing the data as there was at least some representation of
13                                          2.2%                  all of the individual phrases in the total sample. Not surpris-
14                                          6.2%                  ing, the phrases that had the highest frequency were ‘‘suicide’’
15                                         13.9%                  (29.4 percent), ‘‘kill myself’’ (24.4 percent), and ‘‘be dead’’ (16.6
16                                         14.9%                  percent). The phrases with the lowest frequency ( < 0.1 per-
17                                         15.9%                  cent) were ‘‘go to sleep forever,’’ ‘‘better off dead,’’ ‘‘better off
18                                         11.7%                  without me,’’ ‘‘tired of living,’’ and ‘‘don’t want to be here.’’
19                                         12.4%                     The data structure and methodology used to extract the
20                                          7.0%                  data from MySpace limited the ability to group comments by
21                                          6.4%                  sender. For the majority of the comments, the age of the
22                                          2.8%
                                                                  person making the comment (commenter) and the self-
23                                          3.3%
24                                          3.4%                  declared age of the person receiving the comment (com-
                                                                  mentee) were automatically extracted from MySpace. The
                                                                  initial dataset included 1,762 comments with ages of the
data download. The ages are based on the self-reported age        commenter and/or commentee ranging from 13–35. After
recorded in the profile and are estimates since dates of birth    applying the criterion for the commenters age (13–24-year
were not available. Data on the commenters gender was also        olds), the sample size was reduced to 1,038 comments. Table
extracted when the profile included this information.             3 provides a description of the ages for the total sample.
   In total, over two million comments were extracted from
MySpace to be searched for suicide-related comments. The             Sample reduction process using themes. The sample
use of four different data sets controlled for differences be-    was reduced in four phases, using an initial coding scheme.
tween MySpace members joining at different times.                 All 1,038 comments were coded using the themes and cor-
                                                                  responding operational definitions (Table 4). (Note: see the
Sample                                                            Coding section for more details about coding procedures).
  The unit of analysis for this study is the individual com-         After Phase 1 coding, the sample was reduced to 490
ment level. Comments with one of the suicide phrases were         comments, removing comments unrelated to suicidal

                          Table 4. Themes and Definitions for Coding All Comment Data

Theme                                                                               Definition

Dealing with repercussions of suicide         Comment referenced another person’s suicide and the difficulties the
                                                commenter was facing.
Denying suicidality                           Comment denied that previous statements or actions were indicating suicidal
                                                thoughts
Duplicate post                                Exact same comment was referenced elsewhere in the database
Fiction                                       Comment was found to be quoting prose selection or movie lines
Foreign language                              Comment was not in English and could not be fully analyzed
Friend’s response to suicidal language        Comment referenced earlier comment by friend, expressing concern.
Needs context                                 Comment had no context with which to evaluate the language
Not relevant to suicide                       Comment used key words in a way that did not indicate suicidal discourse
Past suicidal actions                         Comment referenced personal previous suicide attempts, but no current
                                                suicidal ideation
Poetry                                        Comment was found to be quoting poetry selection
Potential suicidality                         Comment indicated potential serious nature of suicide threat based on context
                                                provided
Referring to someone else’s                   Comment referred to another person’s suicidal actions, but not a successful
  suicidal behavior                             suicide attempt
Hyperbole about suicide                       Comment made suicidal threat, but context indicated threat was not of a
                                                serious nature, such as the use of emoticons or LOL (laugh out loud)
                                                following threat
Seems to be military                          Comment referenced military use of suicidal language
Slang                                         Suicidal language used as slang, such as referencing the suicide of an inanimate
                                                object
Song lyrics                                   Comment quoting song lyrics, which included a key word
Spam                                          Comment indicating a chain mail or computer generated comment specifically
                                                requiring the receiver to forward comment to a specified number of people
Sports                                        Comment using a key word in a sports related manner, such as running suicide
                                                drills
Suicide bombing                               Comment specifically discussing suicide bombing events
Talking about suicide                         Comment discussing suicide, but in a distanced, academic manner, such as
                                                discussing a school presentation about suicide
170                                                                                                                     CASH ET AL.

                         Table 5. Subthemes and Quotes Within Potential Suicidality Theme

Theme                     Subtheme                      Example quote                                    Example quote

Relationships         Unknown             ‘‘I’m writing to tell you I want to die.       ‘‘Hey baby omg I’m so pissed and I hate
                                              The feelings are back & I think it is         life I want to f**king kill myself.. i am
                                              time to say goodbye. I’ll miss you            not saying this to get any attention .’’
                                              and I am sorry if I cause you Any
                                              Pain.’’
Relationships         Break-ups           ‘‘No more bf.no more anything.time             ‘‘Hey. You are probly mad at me now. Or
                                              to take me outside n shoot my                 you may hate me. But im gonna tell you
                                              f**king brains out.I can’t get my             how I feel right now and what it is I
                                              shit together because it will fall apart      want. I want you. Thats the only thing I
                                              again.I’m gonna die alone because             want. I feel miserable now. Ive hurt you
                                              no one will love me the way I love            and everything. I’m just so upset with
                                              them .’’                                      myself right now. I want to kill myself
                                                                                            so u wont get hurt by me
                                                                                            anymore.. now u won’t want me any
                                                                                            more. Never. And im really depressed.
                                                                                            And so I feel suicidal and not sure about
                                                                                            my life.’’
                      Family              ‘‘Im depressed mainly cause of my              ‘‘Omg. that so horrible, good luck and
                        Problems             parents. I wish I could kill myself.’’         everything, thats just really tough, im
                                                                                            not feeling so well either. i feel like
                                                                                            everyones mad at me again, and theres
                                                                                            even more family problems than
                                                                                            ever.what else is new. ive felt like this
                                                                                            hundreds of times before. i hate it.
                                                                                            everything will soon turn to crap and ill
                                                                                            feel again like i want to kill myself. i just
                                                                                            cant take it anymore.’’
                      Friends             ‘‘I am writing to let you know that I          ‘‘hey yeah well right know at this seconde
                                              want to die. The bad feeling is back          I want to die. Just want to not be here
                                              and I think it’s now time to say good-        any more. I have tried to call you but
                                              bye. I will miss you a lot and I am           you dont pick up the phone anymore.’’
                                              very sorry if I cause you pain’’
Mental Health/                            ‘‘Lol yeah. Wellfor the most part. I’m         ‘‘Spending most of my time in a drunken
 Substance use                                not doing good.I just now got out             haze. I was doing ok, but the past few
                                              of the mental hospital. I was cutting         days i’ve been really sad. I dont see a
                                              myself and thinking of suicide again.         way to get back to anywhere close to
                                              So now I’m on antidepressants but             what i had with him. So . . year.feelin
                                              they won’t kick in for another four           pretty suicidal right now.’’
                                              weeks .’’
Method of Suicide     Shoot Self/Gun      ‘‘Time to take me outside and shoot my         ‘‘Hey I have a gun I should kill myself’’
                                              f**king brains out’’
                      Knife               ‘‘Fine im gunna go take Gina’s knife           ‘‘I just want to walk in the kitchen grab a
                                              and kill myself’’                              knife and cut my effin throat.’’
                      Hit by a Car        ‘‘I wanna die more than anything right
                                              now I could just jump into the
                                              middle of the street and wait for a car
                                              to come and I would get down on
                                              my knees to tell god how sorry I am
                                              and wish everything was different
                                              and that I could get you to
                                              understand, then just die.’’
Statements                                ‘‘I am going to kill my self right             ‘‘I told myself lots of times I want to die
  without                                     now...’’                                       that I cant even count them,’’
  Context

  Minor changes have been made to the quotes so that the commenters cannot easily be identified through search engines.

behaviors (e.g., a song lyrics, running suicides; see Table 5).     as hyperbole, the comment included words that are associ-
During Phase 2 coding, the sample was reduced to 105                ated with suicidal behaviors, and/or the comment did not
comments by removing comments that did not reflect                  have enough context to rule out that it was not serious. Phase
serious/potential suicidal behaviors. The criteria for includ-      3 coding removed comments that still included potential/
ing a comment that reflected a serious/potential suicidal           serious suicidal behaviors; however, these comments referred
behavior included: the comment could not be characterized           to someone else’s suicidal behaviors, not the commenters.
ADOLESCENT SUICIDE STATEMENTS ON MYSPACE                                                                                         171

Table 6. Percentage of Comments of Matching Texta                     for those included Potential Suicidality subsample. Approxi-
        for Potential Suicidality Subsample                           mately, half of the Potential Suicidality sample (46.9 percent)
                                                                      was between the ages of 13 and 17.
Matching text                          Percent subsample (n = 64)

Be dead                                           0.0%                Analyses
Better off dead                                   1.6%                   Content analysis was the analytical method used to gen-
Better off without me                             0.0%                erate themes. Content analysis allows for constant compari-
Can’t go on                                       0.0%
                                                                      sons between different data points with the overall goal of
Die alone                                         1.6%
Don’t want to be here                             1.6%                developing themes (to saturation) to understand meaning
End my life                                       0.0%                from text.24–26 Content analysis also provided a mechanism
Go to sleep forever                               0.0%                for providing counts and frequencies on the themes.
Kill myself                                      51.6%
Never wake up                                     1.6%                Coder training
Ready to jump                                     0.0%
Rock bottom                                       1.6%                   Two researchers conducted the data coding process.
Suicidal                                          9.4%                Themes were generated until there was saturation. As new
Suicide                                          14.1%                themes were identified, we created an operational definition
Tired of living                                   0.0%                to assist with consistency throughout the process (see Table 4
Want to die                                      15.6%                for themes and corresponding operational definition). Inter-
  a
                                                                      rater reliability was assessed by having the two coders indi-
    Matching text is based on suicide phrases from www.suicideforum
.net
                                                                      vidually code the first 50 comments, and then the coders
                                                                      discussed the assigned code for each comment. The inter-
                                                                      rater reliability on the first fifty comments resulted in a 95
After Phase 4 coding, the sample included only serious                percent theme agreement. Disagreements on assigning the
comments about the commenter’s Potential Suicidality (n = 64).        theme to a particular comment were discussed before a theme
   Table 6 provides the percentages for matching suicide              was assigned to the comment. Throughout the coding pro-
phrases for only the Potential Suicidality sample. The per-           cess, when either researcher was unsure about how to code a
centages of matching suicide phrases were somewhat differ-            specific comment, the researchers discussed the comment and
ent for this subsample as compared to the total sample. For           arrived at a mutually agreed upon theme. Some of the com-
example, the phrase ‘‘kill myself’’ was present in 51.6 percent       ments had aspects of several of the subthemes; when this
of the matched phrases for the Potential Suicidality sample,          occurred, the coders discussed the comment and decided on
whereas it was only present in 24.4 percent of matched                the primary theme in the comment. Once the initial coding
phrases in the total sample. The phrase ‘‘want to die’’ was           was completed, one of the researchers reviewed each code to
identified for 15.6 percent of the Potential Suicidality sample       ensure the consistent coding throughout the analysis.
as compared to 10.2 percent of the total sample. The phrase
‘‘suicide’’ was used more in the total sample (29.4 percent) as       Results
compared to the sample of Potential Suicidality comments                Within Potential Suicidality, comments were coded to
(14.1 percent).                                                       identify more specific themes that provide additional infor-
                                                                      mation on the types of comments made by users who are
   Sample characteristics. Limited demographic data were              expressing serious and potential suicidal behaviors. All re-
available for the sample characteristics of the Potential Sui-        sults are presented only for the Potential Suicidality sample.
cidality sample. Forty percent of the samples were female, 37.5       Samples of comments for the themes with Potential Suicidality
percent were male, and 21.9 percent gender were unknown.              are presented in Table 5. The presentation of these sample
Table 7 provides a distribution of the age of the commenter           comments is based on a content analysis framework

     Table 7. Age of Sender of Comment for Potential                     Table 8. Subthemes Within Potential Suicidality
                   Suicidality Subsample                                                     (n = 64)

Age at comment                         Percent subsample (n = 64)     Theme                                       Percentage (n = 64)

13                                                3.1%                Unknown context                                   51.6%
14                                                6.3%                Relationship
15                                                7.8%                  Unknown context                                 20.3%
16                                               15.6%                  Family                                           4.7%
17                                               14.1%                  Break-up                                        15.6%
18                                               10.9%                  Friends                                          1.6%
19                                               21.9%                  Mental health/substance use                      6.3%
20                                                4.7%                Identified a method
21                                                6.3%                  Knife                                            1.6%
22                                                3.1%                  Hit by a car and knife                           1.6%
23                                                3.1%                  Gun                                              3.0%
24                                                3.1%                  No method identified                            93.8%
172                                                                                                                      CASH ET AL.

                             Table 9. Comparison of Potential Suicidality Subtheme by Age

Age      No context    Relationship unknown    Relationship family     Relationship break-up   Relationship friendship    Mental health

13–18      51.4%              24.3%                    0.0%                   16.2%                    2.7%                   5.4%
19–24      51.9%              14.8%                   11.1%                   14.8%                    0.0%                   7.4%

previously used,15 in a study,14 to examine statements made           Multiple themes
on profiles from MySpace.
                                                                         One comment included two themes: mental health and a
  Table 8 provides the frequencies of each subtheme within
                                                                      relationship break-up. This person wrote that he/she was
Potential Suicidality.
                                                                      recently released from a mental hospital for cutting and sui-
                                                                      cidal thoughts and they were also going through a break-up.
Unknown context
                                                                      Bivariate analyses
  A little over half of the comments (33/64; 51.6 percent) did
not include any specific reference to the context in which the           Additional analyses explored the relationship between age
persons were writing about. Within this theme, the com-               and theme and gender and theme. Table 9 presents the
menter only indicated a desire to die or kill themselves. A few       findings from a crosstab using a Fisher’s Exact Test compar-
comments reflected a previous attempt and/or previous                 ing age (13–18 vs. 19–24) on the type of theme. The percentage
thoughts of suicide.                                                  of themes without context was similar for both groups (13–18,
                                                                      51.4 percent; 19–24, 51.9 percent). There were differences,
Relationships                                                         within the relationship theme; however, these were not sta-
                                                                      tistically significant. The 13- to 18-year olds had higher fre-
   The Relationships subtheme had the most prevalent rep-
                                                                      quencies of comments regarding relationships with unknown
resentation (n = 27; 42.2 percent) in the data. In 20 percent of
                                                                      context (24.3 percent) as compared with 19–24-year olds (14.8
the sample, the type of relationship the young person was
                                                                      percent). The 19–24-year olds identified family relationship
referring to in the comment could not be determined. When
                                                                      problems in 11.1 percent of comments compared to 0 percent
the type of relationship was identified, young people were
                                                                      for 13–18-year olds.
most affected by break-ups (15.6 percent). The relationship
                                                                         Table 10 provides a comparison of males and females on
comments, in general, reflected desperation stating that they
                                                                      the Potential Suicidality subthemes. A crosstab with a Fisher’s
cannot live without the person or within the situation. Some
                                                                      Exact Test was used to test for differences. Comments made
comments also reflected the commenter’s sense of not feeling
                                                                      by males, on the whole, had no context (62.5 percent). The
loved.
                                                                      highest percent of comments made by females were 38.5
                                                                      percent no context and 30.8 percent were coded as relation-
Mental health and substance use
                                                                      ship, but unknown. The differences between the two groups
   Four comments (6.3 percent) were coded as a mental                 were not statistically significant.
health/substance use. The comments were revealing in terms
of the commenters’ acknowledgement of having a mental                 Discussion
illness (e.g., depression, anxiety, etc.) and/or a mental health
                                                                         The results of this preliminary study document the exis-
treatment facility hospitalization. One commenter also men-
                                                                      tence of serious suicidal comments on MySpace pages. The
tioned being in a drunken haze. The comments within this
                                                                      majority of comments had no context. Forty two percent of
theme reflected a sense of worthlessness, hopelessness, and
                                                                      comments, however, had content that was related to a rela-
that life did not matter.
                                                                      tionship. The suicidal statements regarding relationship
                                                                      problems were most prevalent for break-ups, followed by
Method of suicide
                                                                      family relationship, and a few related to friendships. Inter-
   Within some comments, the person indicated that he/she             personal conflict or loss and family discord are common
was thinking about suicide and they identified a particular           precipitants of suicidal behavior and suicide in young
method to commit suicide. Some comments were specific in              people.27–29 The present results suggest that adolescents may
identifying an actual plan. The three methods identified in-          use SNSs to reach out for help and support. However, our
cluded shooting oneself with a gun (n = 2) using a knife (n = 1),     data cannot disentangle whether comments posted on My-
or stepping out in front of a car and using a knife (n = 1). The      Space received a response, and if so, the nature or content of
majority of comments did not identify a method.                       those responses.

                       Table 10. Comparison of Potential Suicidality Subtheme by Gender (n = 50)

Gender    No context    Relationship unknown    Relationship family    Relationship break-up   Relationship friendship    Mental health

Male        62.5%              20.8%                   4.2%                     8.3%                    0.0%                  4.2%
Female      38.5%              30.8%                   3.8%                    19.2%                    0.0%                  7.7%
ADOLESCENT SUICIDE STATEMENTS ON MYSPACE                                                                                       173

   Approximately, 6.3 percent of suicide statements on My-         sites and researchers. Alternatively, with the proliferation of
Space involved references to mental health problems (mostly        Facebook, researchers and practitioners could employ crea-
depression) with one comment that included a brief mention of      tive approaches for reaching out to adolescents. One research
substance use. Mood disorders and alcohol/substance are risk       option would be to recruit participants directly from the ad-
factors for suicide and attempted suicide in adolescents.30 The    vertising section of Facebook, asking adolescents to partici-
relatively small percentage of comments that included mental       pate in studies on mental health31,32. Another option is for
health references was not all that surprising, since we are not    practitioners to design advertisements that inform individu-
sure if the individuals making the comments were aware of          als of options for mental health or substance use assistance.32
their mental health status and/or if this is something that they   Moreno et al.32 argue that ‘‘given the frequency and conse-
are willing to disclose. Moreno et al., however, have found that   quences of depression as well as the inadequacy of current
SNSs, like MySpace and Facebook, provide a venue for ado-          help-seeking among college students, innovative methods to
lescents to talk about sensitive or stigmatizing behaviors.31,32   identify those at risk and provide them appropriate services
   A relatively small percentage (6.2 percent) of suicide          are warranted.’’
statements on MySpace pages described specific methods of             Facebook and Google have both created a mechanism to
suicide within the context of other themes. Specifically, the      provide information on suicide support options (e.g., inter-
comment included references to using a knife when a rela-          national hotline numbers). For example, if a person types
tionship theme was also identified. One person indicated that      suicide into Facebook’s help field, then a list of suicide pre-
he/she would step into the road to be hit by a car or would        vention hotlines are provided to the user. Google has a
use a knife to cut their throat. A gun was mentioned as a          slightly different approach, where if a person searches on
method of suicide within the context of a relationship break-      keywords related to suicide, the search results page lists as its
up. Finally, one comment referenced using a gun as a method,       first item a red telephone, with a phone number to the
but there was no additional context provided.                      National Suicide Prevention Lifeline.
                                                                      Foundations, organizations, and support groups are also
Limitations                                                        trying to harness the power of SNSs to connect with people
                                                                   who need support. For example, Inspire Foundation USA and
   This study has several potential limitations. First, data
                                                                   their counterpart, ReachOut.com have a social networking
were collected from only one SNS, MySpace. MySpace at this
                                                                   page and a Web site targeted to individuals (13–24) to use to
time is struggling to regain its presence on the Internet. Sec-
                                                                   help that person or one of their friends get through a tough
ond, the nature of the comment and whether or not it was
                                                                   time. The ReachOut.com webpage includes fact sheets on
considered serious is based on a determination made by the
                                                                   mental health issues (e.g., anxiety, depression, eating disor-
two coders rather than an objective measure. The number of
                                                                   der, and self-harm), drug, alcohol, and tobacco use, family
comments that were coded as serious suicide comments was
                                                                   problems, and suicide). The site also includes multimedia and
significantly large, which made it necessary to only focus on
                                                                   interactive approaches to provide different mechanisms to
one subset of the theme, Potential Suicidality despite the fact
                                                                   reach out to people who respond to different types of help.
that many other themes were represented. Finally, the lack of
                                                                   One of the unique features of ReachOut.com is their use of a
complete demographic data makes it difficult to accurately
                                                                   youth advisory board, who vet all of the materials that are
describe the sample and generalize the findings, and it also
                                                                   provided on the site so that the materials are youth-focused
limits the ability to look at associations between demographic
                                                                   and relevant.
variables and suicide-related comments.
                                                                      Other suggestions include using online groups to help in-
                                                                   crease positive social support systems, while reducing the
Implications
                                                                   impact of negative social interactions34 and to explore com-
   These limitations notwithstanding, the findings in the          mon risk factors for suicidal behaviors, substance use, sexual
present study and media reports suggest that adolescents do        displays, and violence to better target individuals and inter-
use SNSs to discuss suicidal thoughts and intentions. The          ventions.33,35 It is vital that we continue to try to understand
blending of computer science with social science may provide       youth and the multitude of ways in which they convey their
a unique opportunity to develop ways of identifying at-risk        feelings and make cries for help. As we learn more, we will be
adolescents using computer algorithms to identify the com-         able to utilize this information to reach out to them and help
ments and social scientists to provide context. However, as        them in ways that make sense to them.
Boyd et al.33 argue, simply using algorithms to identify self-
harm or other risk behaviors is not enough; it is necessary to     Acknowledgments
identify both positive and negative instances of behaviors as         The authors would like to thank Dr. Megan Moreno for her
online communities may serve as its own risk factor or as          comments and feedback on an earlier version of this manu-
prosocial support. Boyd et al.33 write ‘‘in moving forward         script.
to address problematic self-harm content—and youth-
generated problematic content more generally—we must               Author Disclosure Statement
begin embracing visibility, both as a source of information
from which we can learn and as a potential channel through           No competing financial interests exist.
which we can engage.’’
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