@article{ref1,
title="Suicide prevention through online gatekeeping using search advertising techniques",
journal="Crisis",
year="2015",
author="Sueki, Hajime and Ito, Jiro",
volume="36",
number="4",
pages="267-273",
abstract="BACKGROUND: Nurturing gatekeepers is an effective suicide prevention strategy. Internet-based methods to screen those at high risk of suicide have been developed in recent years but have not been used for online gatekeeping. AIMS: A preliminary study was conducted to examine the feasibility and effects of online gatekeeping. <br><br>METHOD: Advertisements to promote e-mail psychological consultation service use among Internet users were placed on web pages identified by searches using suicide-related keywords. We replied to all emails received between July and December 2013 and analyzed their contents. <br><br>RESULTS: A total of 139 consultation service users were analyzed. The mean age was 23.8 years (SD = 9.7), and female users accounted for 80% of the sample. Suicidal ideation was present in 74.1%, and 12.2% had a history of suicide attempts. After consultation, positive changes in mood were observed in 10.8%, 16.5% showed intentions to seek help from new supporters, and 10.1% of all 139 users actually took help-seeking actions. <br><br>CONCLUSION: Online gatekeeping to prevent suicide by placing advertisements on web search pages to promote consultation service use among Internet users with suicidal ideation may be feasible.<p /> <p>Language: en</p>",
language="en",
issn="0227-5910",
doi="10.1027/0227-5910/a000322",
url="http://dx.doi.org/10.1027/0227-5910/a000322"
}