Social Media Markers of Adolescents' Suicide Hazard

Study Overview
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Brief Summary
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Suicide is the 2nd leading cause of death for teenage youth in Canada, and every year tens of thousands of young people engage in suicidal behaviors. Many young people manifest red-flag behaviors in the digital realm before these incidents occur. The faceless nature of online communication often emboldens youth to reveal details about their mental state: leaving tell-tale signs or bread crumbs of their suicidal intentions or behaviors. This research will examine the content of adolescents social media entries to find red flags and detect patterns in social media interactions of adolescents that could be predictive of subsequent suicide risk. The study participants will be patients admitted to Child and Adolescent Psychiatry Emergency unit at BCCH, subdivided into two groups: those admitted due to suicidal behaviors, and those admitted for non-suicidal behaviors. The text of social media activity for the month prior to emergency admission of the two groups will be collected, anonymized, and analyzed using text-analytic algorithms. The objective of the study is to find patterns and indicators of social media entries, prior to admission, that would have been predictive of suicidality. The implications of successful outcome of this project for mental health care of children and adolescents reaches well beyond the scope of this study. An objective method to predict risk of suicidal behaviors in youth has application in almost all pediatric clinical settings. The outcomes of this project will also serve as the foundation for further utilization of social sensing technology to identify, predict, and prevent many other mental health crises in children and adolescents.

Official Title
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Social Media Markers of Adolescents' Suicide Hazard

Conditions
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Adolescent Suicidality

Intervention / Treatment
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* Behavioral: Social Media Monitoring


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: use social media patient of BCCH Exclusion Criteria: no use of social media

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Suicidal Behaviour<br> | Behavioral: Social Media Monitoring<br>* Retrospective analyses of social media activity prior to crisis.<br>|
| Suicidal Ideation<br> | Behavioral: Social Media Monitoring<br>* Retrospective analyses of social media activity prior to crisis.<br>|
| Other Mental Health<br> | Behavioral: Social Media Monitoring<br>* Retrospective analyses of social media activity prior to crisis.<br>|
| Other Health<br> | Behavioral: Social Media Monitoring<br>* Retrospective analyses of social media activity prior to crisis.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Algorithm development to predict suicidal crisis. |  | 10 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Potential Predictors of crisis. |  | 10 months |