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Development and Evaluation of a Web-Based Resource for Suicidal Thoughts: NowMattersNow.org
Ursula Whiteside1,2, Julie Richards3,4, David Huh2,5
1NowMattersNow.org, Seattle, WA, United States.
Journal of Medical Internet Research
|May 3, 2019
Summary
The NowMattersNow.org website effectively reduces suicidal thoughts and intense emotions for users, including those with severe ideation and middle-aged men, offering a valuable online resource for immediate support.
Area of Science:
- Digital Health
- Mental Health Interventions
- Suicidology
Background:
- Nearly half of individuals who die by suicide interact with healthcare providers monthly prior to death.
- New care guidelines may increase the detection of suicidal patients.
- Healthcare providers require accessible, suicide-specific resources for immediate interventions.
Purpose of the Study:
- To detail the development of NowMattersNow.org, an online resource for individuals experiencing suicidal thoughts.
- To evaluate the website's utility through user experience surveys.
Main Methods:
- NowMattersNow.org is a free, online, video-based resource offering evidence-based skills for managing suicidal thoughts and intense emotions, largely based on dialectical behavior therapy.
- User experience surveys were administered from March 2015 to December 2017, measuring self-reported changes in suicidal ideation and negative emotions.
- Longitudinal regression analyses evaluated the significance of user-reported changes, with secondary analyses focusing on specific subgroups like middle-aged men and healthcare providers.
Main Results:
- Over 138,000 unique visitors accessed the website, with 3,670 survey responses analyzed.
- Significant reductions were observed in self-reported suicidal thoughts (–0.21, P<.001) and negative emotions (–0.32, P<.001).
- These reductions were evident even in users reporting 'completely overwhelming' suicidal thoughts and negative emotions, and specifically among middle-aged men.
Conclusions:
- User survey respondents reported significant decreases in the intensity of suicidal thoughts and negative emotions.
- The website demonstrated potential effectiveness in the short-term management of suicidal thoughts and intense emotions.
- Preliminary findings support NowMattersNow.org as a valuable tool for individuals in acute distress, though results should be interpreted with caution due to the survey methodology.
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