J. Med. Internet Res. - The representation of suicide on the Internet: implications for clinicians.

Tópicos

{ inform(2794) health(2639) internet(1427) }
{ treatment(1704) effect(941) patient(846) }
{ howev(809) still(633) remain(590) }
{ monitor(1329) mobil(1314) devic(1160) }
{ research(1218) medic(880) student(794) }
{ use(976) code(926) identifi(902) }
{ studi(2440) review(1878) systemat(933) }
{ research(1085) discuss(1038) issu(1018) }
{ risk(3053) factor(974) diseas(938) }
{ can(774) often(719) complex(702) }
{ import(1318) role(1303) understand(862) }
{ signal(2180) analysi(812) frequenc(800) }
{ data(3008) multipl(1320) sourc(1022) }
{ search(2224) databas(1162) retriev(909) }
{ data(3963) clinic(1234) research(1004) }
{ compound(1573) activ(1297) structur(1058) }
{ medic(1828) order(1363) alert(1069) }
{ can(981) present(881) function(850) }
{ high(1669) rate(1365) level(1280) }
{ survey(1388) particip(1329) question(1065) }
{ system(1976) rule(880) can(841) }
{ network(2748) neural(1063) input(814) }
{ motion(1329) object(1292) video(1091) }
{ problem(2511) optim(1539) algorithm(950) }
{ chang(1828) time(1643) increas(1301) }
{ concept(1167) ontolog(924) domain(897) }
{ care(1570) inform(1187) nurs(1089) }
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{ perform(1367) use(1326) method(1137) }
{ record(1888) medic(1808) patient(1693) }
{ cost(1906) reduc(1198) effect(832) }
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{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
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{ assess(1506) score(1403) qualiti(1306) }
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{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
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{ method(1557) propos(1049) approach(1037) }
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{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
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{ studi(1410) differ(1259) use(1210) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ group(2977) signific(1463) compar(1072) }
{ gene(2352) biolog(1181) express(1162) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: Suicide is one of the major causes of death in the world, leading to approximately 1 million deaths per year. While much of what is said about suicide and its causes is still taboo in most contemporary societies and cultures, internet websites and discussion forums have become an important and controversial source of information on the subject. A great deal of ambivalence is discernible as to whether online communication about suicide primarily should be seen as an opportunity or a serious threat.OBJECTIVE: To investigate how the subject of suicide is represented on the Internet, based on hits generated by the search engine Google.METHODS: In an exploratory design, Google search results on the target word "suicide", for the years 2005, 2009, and 2012 respectively, were systematically analyzed and compared.RESULTS: The study shows that web pages of institutional origin on the subject predominate, that the content provided by these institutions concerns primarily research and prevention, and that the form of communication used by these senders is almost exclusively monological. However, besides these institutional pages there are a substantial number of private senders and pages, often anti-medical and against treatment of depression and other mental problems, characterized by dialogue, confessions and narratives, and to a higher degree, an alternative pro-suicide stance.CONCLUSIONS: To counteract the influence of anti-medical and pro-suicide information, the role of the Internet should be discussed with the patient in clinical practice. Dialogical and confessional communications provide an opportunity for the clinician to gain a deeper perspective into perceptions of patients, regarding both their afflictions and the role of medical treatment in their lives.

Resumo Limpo

ckground suicid one major caus death world lead approxim million death per year much said suicid caus still taboo contemporari societi cultur internet websit discuss forum becom import controversi sourc inform subject great deal ambival discern whether onlin communic suicid primarili seen opportun serious threatobject investig subject suicid repres internet base hit generat search engin googlemethod exploratori design googl search result target word suicid year respect systemat analyz comparedresult studi show web page institut origin subject predomin content provid institut concern primarili research prevent form communic use sender almost exclus monolog howev besid institut page substanti number privat sender page often antimed treatment depress mental problem character dialogu confess narrat higher degre altern prosuicid stanceconclus counteract influenc antimed prosuicid inform role internet discuss patient clinic practic dialog confession communic provid opportun clinician gain deeper perspect percept patient regard afflict role medic treatment live

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