171619c670d49f8e016b25140e755e52 pmc_10094075.pdf b39d916229142dd7e9ed418c55eaa17fd063fbcb pmc_10094075.pdf 187a5aa48807e5ad8786483a9a02db78e67631f4d4dd44fbff9451f5bf372f48 pmc_10094075.pdf Title: Towards the Influence of Media on Suicidality: A Systematic Review of Netflix’s ‘Thirteen Reasons Why’ Subject: Online streaming series ‘Thirteen Reasons Why’ (13RW), released in March 2017, was criticized for its sensationalist portrayal of the main character’s suicide, leading some people to voice fears of a global contagion of self-harm behaviors. The current investigation provides a systematic review of original studies analyzing the role of 13RW as an influencing factor for suicide. Articles were identified through a systematic search of Medline, Web of Science, Scopus, PsycInfo, and a manual search of reference lists from inception until the 16 January 2023. Twenty-seven published articles were identified from an initial search of 496 studies. The positive effects of watching 13RW included a reduction in suicide stigma and a greater likelihood to discuss mental health concerns and seek for help. However, several studies reported negative outcomes, including significant increases in the rate of deaths by suicide in adolescents, the number of admissions for suicidal reasons, and the prevalence and severity of suicidal ideation and self-harm behaviors in vulnerable viewers. Still, due to methodological limitations, no causal relationship could be established. Preventive measures are required to alert of the risk and should be particularly addressed to susceptible subjects. Psychoeducational programs should be focused on this kind of phenomena in vulnerable populations. Keywords: ‘Thirteen reasons why’; Werther effect; suicide; media; self-harm Author: Martí Guinovart, Jesús Cobo, Alexandre González-Rodríguez, Isabel Parra-Uribe and Diego Palao Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Mon Mar 27 10:29:17 2023 CEST ModDate: Mon Mar 27 10:47:35 2023 CEST Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 25 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 1574147 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- JGBJTI+VnURWPalladioL-Bold Type 1 Custom yes yes no 10 0 NBMIUS+VnURWPalladioL Type 1 Custom yes yes no 15 0 TCQUFE+URWPalladioL-Bold Type 1 Custom yes yes no 19 0 NTYSQL+URWPalladioL-Roma Type 1 Custom yes yes no 24 0 TEMRAV+URWPalladioL-Ital Type 1 Custom yes yes no 28 0 GFAWRG+CMSY10 Type 1 Builtin yes yes no 32 0 LWQXII+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 50 0 IRWHZX+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 53 0 FHLWWC+URWPalladioL-BoldItal Type 1 Custom yes yes no 123 0 Jhove (Rel. 1.22.1, 2019-04-17) Date: 2023-08-15 02:26:01 CEST RepresentationInformation: pmc_10094075.pdf ReportingModule: PDF-hul, Rel. 1.12.1 (2019-04-17) LastModified: 2023-07-28 02:23:38 CEST Size: 1574147 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 539 FreeObjects: 3 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@44c8afef Item: Title: Methods Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@7b69c6ba Children: Item: Title: Inclusion and Exclusion Criteria Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@46daef40 Item: Title: Search Strategy Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@12f41634 Item: Title: Risk of Bias and Quality Assessment from Included Studies Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@13c27452 Item: Title: Data Extraction and Data Synthesis from Included Studies Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@262b2c86 Item: Title: Results Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@371a67ec Children: Item: Title: Outcomes in Association with 13RW Based on Objective Measures (See Table 2) Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@5ed828d Item: Title: Outcomes in Association with 13RW Based on Subjective Measures (See Table 3) Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@50d0686 Item: Title: Risk of Bias and Quality Assessment (See tabref:ijerph-2216455-t004,tabref:ijerph-2216455-t005) Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@7a3d45bd Item: Title: Discussion Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@1e7c7811 Item: Title: Conclusions Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@77ec78b9 Item: Title: References Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@1a3869f4 Info: Title: Towards the Influence of Media on Suicidality: A Systematic Review of Netflix’s ‘Thirteen Reasons Why’ Author: Martí Guinovart, Jesús Cobo, Alexandre González-Rodríguez, Isabel Parra-Uribe and Diego Palao Subject: Online streaming series ‘Thirteen Reasons Why’ (13RW), released in March 2017, was criticized for its sensationalist portrayal of the main character’s suicide, leading some people to voice fears of a global contagion of self-harm behaviors. The current investigation provides a systematic review of original studies analyzing the role of 13RW as an influencing factor for suicide. Articles were identified through a systematic search of Medline, Web of Science, Scopus, PsycInfo, and a manual search of reference lists from inception until the 16 January 2023. Twenty-seven published articles were identified from an initial search of 496 studies. The positive effects of watching 13RW included a reduction in suicide stigma and a greater likelihood to discuss mental health concerns and seek for help. However, several studies reported negative outcomes, including significant increases in the rate of deaths by suicide in adolescents, the number of admissions for suicidal reasons, and the prevalence and severity of suicidal ideation and self-harm behaviors in vulnerable viewers. Still, due to methodological limitations, no causal relationship could be established. Preventive measures are required to alert of the risk and should be particularly addressed to susceptible subjects. Psychoeducational programs should be focused on this kind of phenomena in vulnerable populations. 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