Screened Realities: Exploring the Intensity and Portrayal of Youth Suicide in Films.

Introduction Suicide remains one of the leading causes of death among youth aged 15-29 years, and how it is portrayed in the media can influence public perception. Methods This study aimed to evaluate the intensity of youth suicide portrayals in movies, focusing on whether these portrayals reflect real-life risk factors and offer responsible messaging. We analyzed 11 films using a mixed-method approach: the Movies and Video: Identification and Emotions in reaction to Suicide (MoVIES) scale was used to assess the intensity of scenes depicting suicide, and the Substance Abuse and Mental Health Services Administration (SAMHSA) Suicide Assessment Five-step Evaluation and Triage (SAFE-T) tool helped identify risk and protective factors that were shown in the movies. We also conducted content analysis to explore emerging themes. Results The results showed that while most movies included realistic stressors, none portrayed a family history of suicide, psychiatric hospitalization, or preventive interventions. A few films stood out with higher MoVIES scores and lacked content warnings, which could pose a risk for vulnerable audiences. Conclusions While not every portrayal leads to harm, it is clear that the intensity of suicide depiction without guidance or support can do more damage than good. We believe there is a need for more collaboration between filmmakers and mental health professionals to ensure that sensitive topics like suicide are portrayed in a way that can open a dialogue and enhance awareness.