![]() Attempts to assess the extent of the Internet's influence on suicide behavior are difficult because of the indirect and complex association between Internet use and suicide. 7–9 Researchers are also interested in whether the Internet in general primarily helps or hinders suicide prevention. ![]() ![]() 6 The recent increase in highly publicized cases of suicide that involve social media has drawn national attention to this topic. 4,5 The role that the Internet, particularly social media, might have in suicide-related behavior is a topic of growing interest and debate. Suicide is a considerable public health problem more than 30 000 suicide deaths in the United States and nearly 1 million suicide deaths worldwide occur every year. Social media has become fundamental in the way many people and organizations communicate and share opinions, ideas, and information. 3 Facebook 2 has reported that an average of 30 billion pieces of content (e.g., Web links, news reports, photo albums, blog postings) are shared every month via the social media site. At the end of 2004, the popular social networking site Facebook had close to 1 million users 2 by June 2011, that number had risen to nearly 700 million users worldwide. 1 Social media platforms, such as chat rooms, blogging Web sites (e.g., Blogspot), video sites (e.g., YouTube), social networking sites (e.g., Facebook, MySpace, Twitter, Google+), and electronic bulletin boards or forums, as well as e-mail, text messaging, and video chat, have transformed traditional methods of communication by allowing the instantaneous and interactive sharing of information created and controlled by individuals, groups, organizations, and governments. Social media fuses technology with social interaction via Internet-based applications that allow the creation and exchange of user-generated content. Social media is a relatively new phenomenon that has swept the world during the past decade.
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