Every show with a suicide now has a disclaimer with a suicide hotline at the beginning. Is there any evidence that these warnings make a positive difference?

123 points

Suicides can be really easy to prevent.

Like, the hotline itself is incredibly effective, and reminding people it exists would naturally help.

People aren’t getting the number from the intro, but it reminds them it exists.

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38 points

It also helps normalize actually think about it or discussing the subject.

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21 points

Even though crisis hotlines are common, they have not been well studied for efficacy.

https://en.wikipedia.org/wiki/Crisis_hotline#:~:text=6 References-,Effectiveness,several weeks after their call.

Somewhat related, but I think suicide hotlines can be a big problem if they are understaffed. I feel like in my country they are just there to check a box. I’ve had two suicidal crises, both times I called the hotline, waited 20+ minutes and gave up. It made me feel even worse and more lost.

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6 points

That really sucks. I hope you’re doing better now.

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4 points

:( I’ve been in a similar situation, but I’ve never called; I have friends that I can talk to openly about this stuff, and not freak them out or have them be judgemental. I don’t know you, but I hope you are doing better, and can persevere. Life can be awful, brutal. Being alone in a time of need is… I can’t even think of a word with enough emphasis.

If you want, you can send me a message. Might not be helpful, but maybe it will. Just say hi, if you want. You aren’t alone. :)

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115 points

I struggle with suicidal ideation problems. They have been so severe in the past that I almost went through it. While not all suicidal scenes trigger me, there are a few. And I have found that having the warnings help me from shutting off the TV and running off in a crying fit. I know it’s coming and can prepare myself. And knowing that the hotline is there has been one of the most comforting things I know of. I may have never called, but it’s there for when I can’t deal on my own. So yes, the warnings make a positive difference for me.

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36 points

It’s amazing how effectively just hearing this from someone who has firsthand insight can put it in perspective.

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10 points

And yet this thread is full of comments both confidently and cynically proclaiming that it’s totally useless and only there for the lawyers yada yada

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24 points

I’m OK (now? currently? hopefully forever) but when I’m struggling I too appreciate the warning.

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14 points

The worst about ideation for me is that a few days/weeks/months later, I’m almost always thinking “I was willing to do that? Because of XYZ? That would’ve been so fucking stupid!”

But in the moment your brain can just be like “topping yourself is clearly the only logical solution” and make you actually believe that shit.

It’s wild.

Sorry, I realise this is a bit off topic.

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5 points

Funny the fictions we contrive for ourselves in our own heads.

There’s a real need to get ones world view/beliefs and the insecurities and inner critics in line in order to survive it seems.

That’s my latest conclusion, anyway. Distraction and drinking haven’t really helped. Shocking, I know…

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6 points

I’ve said this elsewhere in the thread, but I have had suicidal ideation… ‘events’ as well, never called though. If you want someone to talk to (anyone else, too! yes, that means you, hi!), reach out and message me. I know this shit all too well and I don’t mind in the slightest, talking to someone who needs - or just wants - to communicate with someone who ‘gets it’.

No pressure, I just want to help others like myself.

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3 points

It is well appreciated.

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81 points

Idk, but I bet they think it’s the least they can try. If it saves just one life, it has been worth.

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33 points

Yeah it’s like a 0 effort thing to try

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9 points

Except it’s not zero effort, zero cost.

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9 points
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Pretty much is in reality. But not literally zero, no.

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10 points

Businesses do not care about people, I can pretty much guarantee those were added in order to waive liability. Example: person commits suicide because they see it in a show, family sues show company because that is linked to the person’s suicide, arguing the show encouraged the person to do it.

Would that hold up in court? I don’t know, probably not, but the company doesn’t want to deal with that. So they add a warning instead so they can just point to that and it gets thrown out immediately.

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8 points
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But do we have evidence they’re effective?

It still takes effort/time/money to do this, and if it has no impact, then that effort/time/money could be used on things that are known to be effective.

I have no idea how much effect they have. It’s possible they have a negative effect.

Op’s question is do we have that information?

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8 points
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How much effort/time/money do you think they put into that white text on black background that’s on screen for like 5 seconds?

It’s negligible, I would be shocked if it wasn’t the same recycled card over and over again that they have some unpaid intern throw in at some point in the final editing stages

It would probably cost more effort/time/money to do a study on its effectiveness than the pre roll does many times over lmao

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4 points

It’s not about the production cost, its about the opportunity cost.

A quick google search tells me a national ad costs $200k-$1m for a 30s slot. That means 5 seconds of screen time costs $30k-$150k.

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1 point

That’s not it. It’s simply that if someone comes suicide after watching, no one can point the finger at the producers.

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Based on what I’ve heard about the US’s 988, it may rather be negative.

Oh, you’re thinking of killing yourself, let us reinforce that by being absolutely rude, or better yet, time to get taken away by cops into a psych ward.

Let’s see what’s out there with some example (Reddit)
Summary: Person called 988, police showed up 90 minutes later, got taken for mandatory psychological evaluation, forced to stay 2 days in ER, ended up getting billed $6,470.

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7 points

I think this kind of anecdotal horror story exists in every country, but of course it’s not the usual outcome.

There’s a whole chain of people involved in a process like this, and I have a hard time believing that everyone in that chain routinely locks up healthy people just to give themselves more work to do.

I think it’s far more likely that there are many people who genuinely should spend a few days in a psych ward but are unable to due to a lack of resources.

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9 points

The bill is a fairly unique U.S. thing.

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1 point

Yeah but that horror story is the same in Australia and there’s no bill.

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6 points

This isn’t anecdotal. It’s really quite a common response that only further traumatizes the victims and leaves them with a financial burden.

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1 point

This is really reductive and doesn’t really consider how complex these situations can be.

What should police or first responders do when someone is at risk of harming themselves or others?

Whatever your answer, consider that the person is already having a bad day, and there are no on the spot cures for what ails them.

Hospitals in general are not nice places to be, as a patient. If you’re there for a physical illness it’s still traumatic.

You don’t go there to have a nice time, you go there to avoid the worst outcomes, like death.

I am certain that there are very, very few instances where people end up in a psych ward when there’s better places for them.

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1 point
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Well that last part is a US specific issue and people have the right to refuse treatment

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19 points

Not if you’re “deemed at threat to yourself or others”

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10 points
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You lose the ability to refuse treatments in any scenario the emergency responders / doctors deem you unfit to make a decision in the best interest of your/someone else health. It’s why “baker acting” in Florida is so controversial. Taking someone against their will and locking them in a facility for a minimum time without any real need of evidence.

Someone calling and telling them you said you were going to kill yourself is often all the evidence they need to start the process, whether you really said that is up to the emergency responders. For my friend that was 9 cop cars in the middle of the night. They dragged him out of bed at 4am because his partner at the time said he hadn’t been responding to her texts and she told them he was depressed so he might kill himself.

Once he got out he told me about it all and I’m fairly certain he won’t ever sleep with his phone on silent/vibrate again. (He broke up with them immediately after, but that has nothing to do with consent)

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1 point

Wouldn’t that open the door to the bill being declared illegal since you didn’t consent to the services?

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3 points

not if you live in certain US states and you make a threat that your are going to harm yourself or someone else. depends on the state but they can hold you for a psych eval for a few days, maybe a week

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47 points

The national suicide prevention hotline is almost always too busy and callers often need to wait on hold. They’ve calibrated everything from the hold music, the script, and the recorded voice to keep callers on the line.

This factoid splits people pretty evenly between those who find it horrifying and those who find it hilarious.

I should say that according to the hotline, the changes made to the hold system has resulted in 100,000 fewer hang-ups per year.

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16 points
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Are you telling me they intentionally avoid playing Van Halen - Jump for anyone put on hold?

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6 points

No, you see the trick is to play Jump by Van Halen exactly once at the right time followed immediately by Killing in the name of by Rage Against the Machine.

This combo is super effective… As long as the stay listen until the end.

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8 points

The word hang up threw me off a little given the context

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3 points

This is interesting. Source?

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