scholarly journals Rapid e-mail response increases consultation continuation rates for suicide prevention: A case study of first-contact e-mails in Japan

2020 ◽  
Author(s):  
Asumi Takahashi ◽  
Hajime Sueki ◽  
Jiro Ito

Online gatekeeping is a psychological consultation service in which e-mails are sent to Internet users who are at risk of suicide. This research aimed to clarify the relation between the continuation rate of the service and the speed of response to the user’s first-contact e-mails. We analyzed 290 initial e-mails that arrived at [author’s institution], the study’s specified nonprofit corporation. The reply speed for e-mails arriving during the day was related to consultation continuation: responses sent within and more than 12 hours produced continuation rates of approximately 70% and 44%, respectively. Hence, systems that enable consultants to respond to first-contact e-mails within 12 hours are important for consultation to commence.

Crisis ◽  
2015 ◽  
Vol 36 (4) ◽  
pp. 267-273 ◽  
Author(s):  
Hajime Sueki ◽  
Jiro Ito

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. 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. 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. 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.


2021 ◽  
Author(s):  
Hajime Sueki ◽  
Asumi Takahashi ◽  
Jiro Ito

Background: Recently, the practice of “online gatekeeping” related to suicide prevention—placing online advertisements directed at users who search the web for suicide-related terms and leading them to email-based consultations—has been implemented. However, the effectiveness of this practice has not been examined. Aim: To quantitatively examine the effectiveness of suicide-related online gatekeeping. Methods: This was a non-randomized, single-arm study of online gatekeeping among Japanese Internet users. Outcomes were measured at the beginning of the use of the consultation service (T1) and approximately four weeks later (T2). The primary outcome measured was suicidal ideation. Results: In total, 167 participants completed two assessment surveys; approximately 80% were women, and 59.3% were young people (in their twenties or younger). Data analysis of 167 online gatekeeping service users showed that the mean suicidal ideation at T2 was statistically significantly lower than that at T1, and its effect size was small to medium (d = 0.38). Limitations: This study used a single-arm design with no control group. Additionally, the study did not include a second follow-up period. Conclusions: Online gatekeeping is a promising suicide-prevention tool, although further research is warranted to examine its effectiveness using a randomized controlled trial.


Crisis ◽  
2018 ◽  
Vol 39 (3) ◽  
pp. 197-204 ◽  
Author(s):  
Hajime Sueki ◽  
Jiro Ito

Abstract. Background: Gatekeeper training is an effective suicide prevention strategy. However, the appropriate targets of online gatekeeping have not yet been clarified. Aim: We examined the association between the outcomes of online gatekeeping using the Internet and the characteristics of consultation service users. Method: An advertisement to encourage the use of e-mail-based psychological consultation services among viewers was placed on web pages that showed the results of searches using suicide-related keywords. All e-mails received between October 2014 and December 2015 were replied to as part of gatekeeping, and the obtained data (responses to an online questionnaire and the content of the received e-mails) were analyzed. Results: A total of 154 consultation service users were analyzed, 35.7% of whom were male. The median age range was 20–29 years. Online gatekeeping was significantly more likely to be successful when such users faced financial/daily life or workplace problems, or revealed their names (including online names). By contrast, the activity was more likely to be unsuccessful when it was impossible to assess the problems faced by consultation service users. Conclusion: It may be possible to increase the success rate of online gatekeeping by targeting individuals facing financial/daily life or workplace problems with marked tendencies for self-disclosure.


2021 ◽  
pp. 204275302098892
Author(s):  
Liudmila Shafirova ◽  
Kristiina Kumpulainen

Online collaboration has become a regular practice for many Internet users, reflecting the emergence of new participatory cultures in the virtual world. However, little is yet known about the processes and conditions for online collaboration in informally formed writing spaces and how these create opportunities for participants’ identity work. This ethnographic case study explores how four young adults, fans of the show My Little Pony: Friendship is Magic (bronies), negotiated a dialogic space for their online collaboration on a fan translation project and how this created opportunities for their identity work. After a year of participant observation, we collected interviews, ethnographic diaries and participants’ chats, which were analysed with qualitative content and discourse analysis methods. The findings showed how the Etherpad online writing platform used by the participants facilitated the construction of dialogic space through the visualization of a shared artefact and adjustable features. It was in this dialogic space where the participants negotiated their expert identities which furthered their discussions about writing, translating and technological innovations. The study advances present-day knowledge about online collaboration in affinity groups, engendering the construction of a dialogic space for collaborative writing and participants’ identity work.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Kaori Nakada

Abstract Background Maternal employment has been described as a barrier to breastfeeding in many countries. In Japan, many mothers quit breastfeeding after returning to work because they do not know how to continue breastfeeding. The primary objective of this study was to investigate the effectiveness of a breastfeeding support program for mothers. The secondary objective was to explore the effectiveness of a pamphlet for mothers returning to work. Methods This was a quasi-experimental design study with a program group (n = 48), pamphlet group (n = 46) and comparison group (n = 47) that took place from February 2017 to August 2018. Participants in the program and pamphlet groups were women who planned to return to work within 4–12 months after giving birth, while the comparison group included women who had been back at work for at least 3 months. The program involved a 90-min breastfeeding class, a pamphlet, a newsletter, and email consultation. The pamphlet group was sent only the pamphlet, while the comparison group received no intervention. The outcome was breastfeeding continuation rate at 3 months after returning to work. Results The breastfeeding continuation rate 3 months after returning to work was significantly higher in the program group than in the comparison group (79.2% vs. 51.1%, p = 0.004). After adjusting for background factors, the program intervention had an effect on breastfeeding rates (adjusted odds ratio = 4.68, 95% confidence interval: 1.57, 13.96; p = 0.006). However, comparing the pamphlet and comparison groups revealed no significant differences in breastfeeding continuation rates at 3 months after returning to work (69.6% vs. 51.1%, p = 0.07). Conclusions Program intervention was associated with a significant increase in breastfeeding continuation rates 3 months after returning to work. Randomized controlled trials are needed to make this program applicable in practice. Pamphlet intervention resulted in no significant difference. Further study is necessary after examining the contents of the pamphlet.


2018 ◽  
Vol 4 (1) ◽  
pp. 145-163
Author(s):  
Jiachi Zhuang ◽  
Aiyu Liu ◽  
Chao Sun

By using the Propensity Score Matching model, this study proves the existence of an Internet premium effect. After other factors are controlled, it is found that the average wage income of Internet users is 1.38 times that of non-users. At the same time, there are significant gender differences in the premium effect of the Internet on wages: Women’s Internet wage premium is 90.6% that of men. Furthermore, it is found that the Internet premium effect on wages is highly related to users’ online behaviors. Compared with female users, male users are more inclined to use Internet resources to acquire knowledge and human capital; among female users, those with a greater conception of gender equality are more inclined to use the Internet for learning and accumulation of human capital. Using the framework of previous research on gender inequality in cyberspace, this study focuses on how gender perception influences Internet users’ preferences and ways of using the Internet, which is an important cause and mechanism of reproduction of gender inequality in cyberspace.


1971 ◽  
Vol 28 (3) ◽  
pp. 337-346 ◽  
Author(s):  
Howard Moody

Howard Moody is pastor of Judson Memorial Church in New York City and a Director of the New York Civil Liberties Union. In 1967, Moody brought together a small group of clergymen to help counsel women with “problem pregnancies.” Risking public censure and criminal prosecution, the Clergy Consultation Service on Abortion referred thousands of women for safe abortions. In addition, Moody and others formed a coalition to support the passage of a bill to legalize abortion. The New York Legislature passed such a bill in April, 1970, which permits abortions by licensed physicians within the first 24 weeks of pregnancy. On July 1, 1970, the New York Clergy Consultation Service, which had served as a model for other organizations in other states, was disbanded and reconstituted as Clergy and Lay Advocates for Hospital Abortion Performance. The new organization is designed to deal with local restrictions on abortions and the growth of high-priced “abortion brokers.” This article is reprinted from the March 8, 1971 issue of Christianity and Crisis, Copyright © 1971 by Christianity and Crisis, Inc. The article is used with permission and is reprinted not only as a commentary on a controversial issue but as a case-study of the problems involved when clergy and churches take on the role of social and cultural change-agents. It's definitely not easy, but apparently it can be done. Dr. Moody wishes to acknowledge the assistance of his associate, Arlene Carmen.


Author(s):  
Tamara Lukić ◽  
Bojan Đerčan ◽  
Rastislav Stojsavljević ◽  
Milka Bubalo Živković ◽  
Ivana Penjišević ◽  
...  

In this article are given the opinions by Pannonia countryside inhabitants that belong to the Republic of Serbia about some characteristics of everyday policy. The opinions are gathered by poll which was distributed by e-mail to different areas of the Province of Vojvodina. Namely, 122 participants who filled the poll correctly estimated ten stances. They were formed on the basis of the themes about which the farmers have most often discussed. Special attention was directed to differences concerning the opinion of participants of different gender and age structure, activity and political engagement. Descriptive statistics, T-test and one-factor analysis of ANOVA variance have been used for establishing the differences and were complemented by Post-hoc Tukey test. This paper could be used for improvement of connections and relationships among the politicians, policy and countryside.


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