An enhanced social networking intervention for young people with active suicidal ideation: safety, feasibility and acceptability outcomes
Open accessAbstract
Online social networking interventions have potential to support young people who experience suicidal thoughts by specifically addressing interpersonal risk factors for suicide, but may also pose a risk of harm. This uncontrolled, single-group pilot study aimed to evaluate the safety, feasibility, and acceptability of an enhanced online social networking intervention (“Affinity”) among a sample of young people who experienced active suicidal ideation, and to explore potential changes in clinical outcomes and the therapeutic targets of the intervention. Twenty young people with current or recent suicidal ideation who were receiving treatment for depression at a tertiary-level mental health service were given access to Affinity for two months. Participants were assessed at baseline and 8-week follow-up; 90 percent reported clinical suicidal ideation at baseline. A priori criteria related to feasibility, safety and acceptability were satisfied. In terms of potential clinical effects, significant and reliable pre-post improvements were found on self-report outcomes including suicidal ideation. This study provides initial world-first evidence to support the use of an online intervention incorporating social networking as an adjunct to treatment for young people who experience suicidal ideation. The effectiveness of Affinity needs to be evaluated in a randomised controlled trial.
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Social media platforms have potential to deliver mental health interventions in low-resource and middle-resource settings, and have been safely used in high-resource settings with appropriate risk management strategies among young people experiencing active suicidal ideation.
“Social media platforms have similar potential to deliver mental health interventions in low-resource and middleresource settings, 376 and have been safely used in highresource settings with appropriate risk management strategies among young people experiencing active suicidal ideation.”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [377]
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Preventing LGBTQ+ Youth Suicide: A Queer Critical and Human Rights Approach
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- Authors
- Bailey, E., Alvarez-Jimenez, M., Robinson, J., D’Alfonso, S., Nedeljkovic, M., Davey, C. G., Bendall, S., Gilbertson, T., Phillips, J., Bloom, L., Nicholls, L., Garland, N., Cagliarini, D., Phelan, M., McKechnie, B., Mitchell, J., Cooke, M., & Rice, S. M.
- Affiliations
- The University of Melbourne (AU)
- Orygen, Parkville, Victoria 3052, Australia
- Swinburne University of Technology (AU)
- Orygen (AU)
- Corresponding author
- Rice, Simon M.
- ORCID
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2020-04-03
- Volume
- 17
- Issue
- 7
- Pages
- 2435
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC7177782
- OpenAlex
- W3014916758
- Cited by
- 58
- References
- 51
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 9 · 2023: 12 · 2022: 10 · 2021: 9 · 2020: 4
- FWCI
- 3.50
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- Funders
- Royal Melbourne Hospital (MEW-01-2017)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- suicidal ideation, youth, affinity, depression, suicide prevention, interpersonal risk factors, intervention safety, feasibility, acceptability, adjunctive therapy
- MeSH terms
- Suicide Prevention, Adolescent, Feasibility Studies, Female, Humans, Male, Pilot Projects, Suicidal Ideation, Social Networking
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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