Evidence map›Paper›PMID 31434503›Full record

ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2019

Suicides in Young People in Ontario Following the Release of "13 Reasons Why".

Mark Sinyor, Marissa Williams, Ulrich S Tran, Ayal Schaffer, Paul Kurdyak, Jane Pirkis, Thomas Niederkrotenthaler

Abstract read
In one paragraph

Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Towards the Influence of Media on Suicidality: A Systematic Review of Netflix's 'Thirteen Reasons Why'.International journal of environmental research and public health · 2023
    Pooled it
  2. Quantitative Methods to Detect Suicide and Self-Harm Clusters: A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. How Search Engines Handle Suicide Queries.Journal of online trust & safety · 2021
    Article
  9. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mark SinyorDepartment of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-7756-2584
Marissa WilliamsDepartment of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Ulrich S TranDepartment of Basic Psychological Research and Research Methods, School of Psychology, University of Vienna, Vienna, Austria.
Ayal SchafferDepartment of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Paul KurdyakDepartment of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Jane PirkisCentre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.
Thomas NiederkrotenthalerUnit Suicide Research & Mental Health Promotion, Department of Social and Preventive Medicine, Center for Public Health, Medical University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objective"13 Reasons Why," a Netflix series, included a controversial depiction of suicide that has raised fears about possible contagion. Studies of youth suicide in the United States found an increase on the order of 10% following release of the show, but this has not been replicated in other countries. This study aims to begin to address that gap by examining the relationship between the show's release and youth suicide in Canada's most populous province.

methodsSuicides in young people (under the age of 30) in the province of Ontario following the show's release on March 31, 2017, were the outcome of interest. Time-series analyses were performed using data from January 2013 to March 2017 to predict expected deaths from April to December 2017 with a simple seasonal model (stationary

resultsModeling predicted 224 suicides; however, 264 were observed corresponding to 40 more deaths or an 18% increase. In the primary analysis, monthly suicides exceeded the 95% confidence limit for 3 of the 9 months (May, July, and October).

conclusionThe statistical strength of the findings here is limited by small numbers; however, the results are in line with what has been observed in the United States and what would be expected if contagion were occurring. Further research in other locations is needed to increase confidence that the associations found here are causal.

Indexed as

Motion PicturesAdolescentAdultChildFemaleHumansMaleOntarioSuicideYoung Adult13 Reasons WhycontagionsuicideWerther effectyouth

Identifiers

PMID31434503
PMCPMC6882071

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.