ArticleJournal of the American Academy of Child and Adolescent Psychiatry2020
Association Between the Release of Netflix's 13 Reasons Why and Suicide Rates in the United States: An Interrupted Time Series Analysis.
Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 5 of them syntheses that pooled it.
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Who cites it
55 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- The arts for disease prevention and health promotion: a systematic review.Nature medicine · 2025Pooled it
- Systematic Review and Meta-analysis: International Prevalence of Suicidal Ideation and Attempt in Youth.Journal of the American Academy of Child and Adolescent Psychiatry · 2023Pooled it
- Towards the Influence of Media on Suicidality: A Systematic Review of Netflix's 'Thirteen Reasons Why'.International journal of environmental research and public health · 2023Pooled it
- Quantitative Methods to Detect Suicide and Self-Harm Clusters: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Impact of Web-Based Sharing and Viewing of Self-Harm-Related Videos and Photographs on Young People: Systematic Review.Journal of medical Internet research · 2021Pooled it
- Trends and Disparities in Suicidal Thoughts and Behaviors Among an Ethno-Racially Diverse Group of Adolescents: 2013-2022.Journal of racial and ethnic health disparities · 2026Article
- Characterizing Online Activities Contributing to Suicide Mortality among Youth.Proceedings of the ... International AAAI Conference on Weblogs and Social Media. International AAAI Conference on Weblogs and Social Media · 2026Article
- Changes in pediatric service utilization for depression and anxiety during the COVID-19 pandemic.BMC health services research · 2026Article
- Why Luhmann? Social systems theory for a sociology of suicide in the platform age.Frontiers in sociology · 2026Article
- Exposure to Suicidal Behavior by Sexual and Gender Minority Status Among Adolescents in the Southeastern United States.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025Article
- Article
- The romanticisation of mental health problems in adolescents and its implications: a narrative review.European child & adolescent psychiatry · 2025Review
- Article
- Mental Health Professionals' Views on the Influence of Media on Self-Harm in Young People: A Critical Discourse Analysis.Healthcare (Basel, Switzerland) · 2025Article
- Evidence-Based Youth Suicide Prevention and Intervention in Pediatric Primary Care Settings.Pediatric clinics of North America · 2024Review
- Challenges in the evaluation of suicide prevention measures and quality of suicide data in Germany, Austria, and Switzerland: findings from qualitative expert interviews.BMC public health · 2024Article
- Online Search Interest in Gynecologists After the Release of the Film Barbie.JAMA network open · 2024Article
- Leveraging Digital Media to Promote Youth Mental Health: Flipping the Script on Social Media-Related Risk.Current treatment options in psychiatry · 2024Article
- Should Physician-Assisted Suicide or Euthanasia be Legalized in the United States? A Medically Informed Perspective.Journal of religion and health · 2024Review
- Collateral effects of COVID-19 countermeasures on hepatitis E incidence pattern: a case study of china based on time series models.BMC infectious diseases · 2024Article
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Authors and funding
9 authors.
Funding
Abstract
objectiveTo estimate the association between the release of the Netflix series 13 Reasons Why and suicide rates in the United States.
methodUsing segmented quasi-Poisson regression and Holt-Winters forecasting models, we assessed monthly rates of suicide among individuals aged 10 to 64 years grouped into 3 age categories (10-17, 18-29, and 30-64 years) between January 1, 2013, and December 31, 2017, before and after the release of 13 Reasons Why on March 31, 2017. We also assessed the impact of the show's release on a control outcome, homicide deaths.
resultsAfter accounting for seasonal effects and an underlying increasing trend in monthly suicide rates, the overall suicide rate among 10- to 17-year-olds increased significantly in the month immediately following the release of 13 Reasons Why (incidence rate ratio [IRR], 1.29; 95% CI, 1.09-1.53); Holt-Winters forecasting revealed elevated observed suicide rates in the month after release and in two subsequent months, relative to corresponding forecasted rates. Contrary to expectations, these associations were restricted to boys. Among 18- to 29-year-olds and 30- to 64-year-olds, we found no significant change in level or trend of suicide after the show's release, both overall and by sex. The show's release had no apparent impact in the control analyses of homicide deaths within any age group.
conclusionThe release of 13 Reasons Why was associated with a significant increase in monthly suicide rates among US youth aged 10 to 17 years. Caution regarding the exposure of children and adolescents to the series is warranted.
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