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Media Discourse, Influence, and Reflection: Content Analysis and Text-Mining Study of Suicides and Homicides in Long-Term Care

Media Discourse, Influence, and Reflection: Content Analysis and Text-Mining Study of Suicides and Homicides in Long-Term Care

Since media coverage influences public response to long-term care issues, this study believes that it is necessary to analyze reports of suicides and homicides in long-term care, which include 3 types: the caregiver kills the care receiver and dies by suicide, the caregiver kills the care receiver without perpetrating suicide, and caregiver dies by suicide without involving the care recipient.

Charlotte Wang, Hsiu-Ju Fang, Hsin-Yang Lu, Chen-Fen Chen

J Med Internet Res 2025;27:e59037

The Comprehensive Adaptive Multisite Prevention of University Student Suicide Trial: Protocol for a Randomized Controlled Trial

The Comprehensive Adaptive Multisite Prevention of University Student Suicide Trial: Protocol for a Randomized Controlled Trial

Among university students, suicide is the second leading cause of death [1]; 6% of university students report suicide attempts (SAs) in their lifetime, and 2.4% report attempting suicide in the last year alone [2,3]. Suicidal ideation (SI) is even more frequent. Approximately 1 in 4 students report a history of SI, including 14% in the last year [4,5]. These numbers are climbing among university students—paralleling an increase in suicide rates among individuals aged 10 to 24 years from 2007 to 2021 [6].

Kyla Blalock, Jacqueline Pistorello, Shireen L Rizvi, John R Seeley, Francesca Kassing, James Sinclair, Linda A Oshin, Robert J Gallop, Cassidy M Fry, Ted Snyderman, David A Jobes, Jennifer Crumlish, Hannah R Krall, Susan Stadelman, Filiz Gözenman-Sapin, Kate Davies, David Steele, David B Goldston, Scott N Compton

JMIR Res Protoc 2025;14:e68441

Search Volume of Insomnia and Suicide as Digital Footprints of Global Mental Health During the COVID-19 Pandemic: 3-Year Infodemiology Study

Search Volume of Insomnia and Suicide as Digital Footprints of Global Mental Health During the COVID-19 Pandemic: 3-Year Infodemiology Study

However, an apparent paradox was observed in suicide rates: despite the heightened prevalence of depression and anxiety, a large-scale multinational survey spanning the pandemic’s initial 9-15 months (up to June 2021) revealed that global suicide rates remained stable [6]. This stability persisted even when factors such as the COVID-19 pandemic mortality rates, public health response stringency, and economic support levels were examined.

Sheng-Hsuan Lin, Kuan-Pin Su, Hsiao-Hui Tsou, Pei-Hsuan Hsia, Yu-Hsuan Lin

J Med Internet Res 2025;27:e67646

Acoustic Features for Identifying Suicide Risk in Crisis Hotline Callers: Machine Learning Approach

Acoustic Features for Identifying Suicide Risk in Crisis Hotline Callers: Machine Learning Approach

Suicide is a global public health issue. According to the World Health Organization in 2019, approximately 703,000 people died by suicide each year worldwide [1]. Therefore, massive studies have been conducted to identify suicidal risks, which is crucial for preventing and reducing suicide [2-4]. However, most previous works relied on the language content, including clinical interview and assessment using self-report scales, when identifying suicidal risks [5-7].

Zhengyuan Su, Huadong Jiang, Ying Yang, Xiangqing Hou, Yanli Su, Li Yang

J Med Internet Res 2025;27:e67772

Competency of Large Language Models in Evaluating Appropriate Responses to Suicidal Ideation: Comparative Study

Competency of Large Language Models in Evaluating Appropriate Responses to Suicidal Ideation: Comparative Study

Suicide is one of the leading causes of death among individuals under the age of 50 in the United States, and it is the second leading cause of death among adolescents [1]. Rates of suicide have also grown sharply in recent years; 39,518 suicide deaths were reported in 2011, compared to 48,183 in 2021. Although this trajectory declined during the COVID-19 pandemic, more recent data indicate the upward trend has resumed [2].

Ryan K McBain, Jonathan H Cantor, Li Ang Zhang, Olesya Baker, Fang Zhang, Alyssa Halbisen, Aaron Kofner, Joshua Breslau, Bradley Stein, Ateev Mehrotra, Hao Yu

J Med Internet Res 2025;27:e67891

Formative Evaluation of Suicide Prevention Websites for Men: Qualitative Study with Men at Risk of Suicide and with Potential Gatekeepers

Formative Evaluation of Suicide Prevention Websites for Men: Qualitative Study with Men at Risk of Suicide and with Potential Gatekeepers

Preventive measures are hence needed that specifically address men and consider the particular needs of men at risk and their suicide-related communication [4]. One important measure in suicide prevention is digital communication interventions. Digital media such as websites are used as information sources on suicide methods but could also be used as easily accessible sources of suicide prevention support [5].

Doreen Reifegerste, Anna J M Wagner, Lisa Huber, Manuel Fastuca

JMIR Form Res 2025;9:e59829

Provider Perspectives on the Use of Mental Health Apps, and the BritePath App in Particular, With Adolescents at Risk for Suicidal Behavior: Qualitative Study

Provider Perspectives on the Use of Mental Health Apps, and the BritePath App in Particular, With Adolescents at Risk for Suicidal Behavior: Qualitative Study

Adolescent suicidal behavior, suicide ideation, and depression are major public health problems that have increased significantly over the past 20 years [1-3] and have been exacerbated by the COVID-19 pandemic and its sequelae [4-8]. For example, between 2019 and 2021, the number of female high school students reporting that they had seriously considered attempting suicide increased by 6% [3].

Frances Lynch, Julie Cavese, Lucy Fulton, Nancy Vuckovic, David Brent

JMIR Hum Factors 2025;12:e64867

Mental Health Changes in US Transgender Adults Beginning Hormone Therapy Via Telehealth: Longitudinal Cohort Study

Mental Health Changes in US Transgender Adults Beginning Hormone Therapy Via Telehealth: Longitudinal Cohort Study

Transgender and gender-diverse (TGD) individuals have poorer mental health outcomes than their cisgender peers, including depression, anxiety, and suicide ideation [1-3]. TGD individuals consistently face significant barriers to accessing gender-affirming medical and surgical treatments, leading many to delay or altogether forgo necessary care [3].

Jae Downing Corman, Jaclyn M W Hughto, Theresa I Shireman, Kellan Baker, Kate Steinle, Michelle Forcier

J Med Internet Res 2025;27:e64017

An Explainable Artificial Intelligence Text Classifier for Suicidality Prediction in Youth Crisis Text Line Users: Development and Validation Study

An Explainable Artificial Intelligence Text Classifier for Suicidality Prediction in Youth Crisis Text Line Users: Development and Validation Study

Suicide, the third leading cause of premature mortality among German adolescents [1], encompasses a spectrum from suicidal ideation (SI) to preparatory actions [2-5]. Adolescents’ vulnerability to suicidal phenomena stems from a complex interplay of biological, genetic, psychological, and social factors [6-9]. Alarmingly, less than 50% of adolescents who attempt suicide receive appropriate psychiatric intervention [10].

Julia Thomas, Antonia Lucht, Jacob Segler, Richard Wundrack, Marcel Miché, Roselind Lieb, Lars Kuchinke, Gunther Meinlschmidt

JMIR Public Health Surveill 2025;11:e63809