A helping hand reaches out to an outstretched hand against a dark background.
Seeking help online: In a life crisis, digital support services can be crucial. © unsplash+

“If you google terms such as suicide or suicide helpline you get countless resource hits,” says Benedikt Till, a psychologist and suicide researcher from the Center for Public Health at the Medical University of Vienna. “But we know practically nothing about how these websites work and what content is sought after or shunned by those affected.” It is challenging to evaluate these websites, as they vary in both content and design. Should a suicide prevention website be designed to be encouraging and hopeful in order to stifle a negative mood, or is that counterproductive? “A cheerful design may lift the mood, but it may not appeal to those affected,” explains Till. “A gloomier design, on the other hand, can create additional stress.”

Facts, help, coping

In order to address this complexity, a team led by Till developed various websites in the context of the FWF-funded research project “Suicide prevention websites and their impact on users”. “We asked an agency to develop different types of websites in many different designs,” Till reports. The pilot models were then discussed with different target groups: the content and its impact were evaluated by those affected, relatives, experts in suicide prevention and communication (web designers, for instance). Based on this feedback, the research team narrowed the selection down to three website formats.

The three websites have been online since September 9, 2024 – one day before the WHO's World Suicide Prevention Day. Cookies are used to collect anonymized data on visitor behavior on the websites, such as mouse movements, click paths, dwell time, and scrolling behavior. Visitors also have the option of filling out an online questionnaire. “This provides us with two data sources: user behavior and self-reported information,” notes Till. “With the help of such data we want to find out which website has the greatest impact.”

Crisis management

Many people have suicidal thoughts at some point in their lives. Suicide is one of the most common causes of death among women and men up to the age of 50. An FWF-funded research project is focusing on suicide prevention on the internet. The project website offers help, support, and information on the topic.

Screenshot of a screen showing a website for suicide counseling
What is the most effective way to reach people in crisis in the vastness of the internet? In a study, users evaluate digital support services in order to develop best practices. © Screenshot/B. Till

A new look at media impact

The central question is what kind of content can instill hope in people at risk of suicide and thus potentially trigger a so-called Papageno Effect, which is the opposite of the well-known Werther Effect, named after the protagonist of Goethe's novel The Sorrows of Young Werther. “Back then, as today, it was observed that suicide rates rose after sensational reports of suicides,” says Till. The Werther effect is well documented scientifically and is one of the foundations for the media recommendations on suicide reporting that were first published in Austria in 1987. “Journalists handled this surprisingly well at the time,” notes Till. Since then, Austria has been considered a pioneer: the recommendations have been incorporated into the press code, and the cooperation between the media and prevention experts is regarded as a model internationally.

The Papageno Effect, on the other hand, denotes the positive influence of media content. “When a person publicly describes how they sought help and what helped them in their crisis, it acts like a protective shield,” explains Till. “Such stories can mitigate suicidal thoughts.” The term is derived from Mozart's Magic Flute: the despairing bird-catcher Papageno intends to take his own life but is prevented from doing so at the last moment.

AI in suicide prevention

Today, artificial intelligence also has a role to play in suicide prevention. “We explored AI in another project, but got mixed results,” reports Till. When users sought help, the AI responded in an exemplary manner. Things became more difficult when the users pretended to be journalists reporting on a suicide. “Suicide methods were described in far too much detail, for example, which runs counter to all recommendations.” Although there was hardly any way to correct the model by means of feeding it information, Till still sees potential: “AI can be problematic, but it can also help, for example in training for how to handle conversational situations. It depends on how you use it.”

The research activities of scientists such as Benedikt Till and his colleague Thomas Niederkrotenthaler at the Medical University of Vienna are preparing the ground for effective digital suicide prevention. While it is still early days, Austria has taken a leading role internationally, not only in media ethics but also in terms of research. Ultimately, the crux is how reliable websites are and in what form they can offer effective help for those in distress. “There is only empirical research to tell us whether a particular design or narrative or both give hope,” says Till. The team will continue collecting data about the clicking and surfing behavior of users until the end of the project in spring 2027. The scientific findings can bring suicide prevention measures into the digital world and, ideally, directly into the dark world of those affected.

Participating in the study

All German-speaking internet users are invited to visit the suicide prevention website of the current project at https://suizid-praevention.info in order to get an idea of the design and content of the website. The researchers expressly encourage interested parties from various target groups (people with suicidal thoughts; people who are concerned about someone with suicidal thoughts; people who have lost someone to suicide or those who are interested in suicide prevention for other reasons) to take part in the survey.

About the researcher

Benedikt Till is an associate professor in the Department of Social and Preventive Medicine, Center for Public Health, at the Medical University of Vienna. He acquired his doctorate in psychology at the University of Vienna and currently works in the fields of suicide research, public health, mental health, health communication, and media psychology. His research focuses on the role of mass media in suicide and suicide prevention. In addition, he is a founder member and secretary of the Wiener Werkstätte für Suizidforschung and, since 2024, national representative of the International Association for Suicide Prevention (IASP) in Austria.

Publications

Content analysis of suicide-related online portrayals: changes in contents retrieved with search engines in the United States and Austria from 2013 to 2018, in: Journal of Affective Disorders 2020

Effect of educative suicide prevention news articles featuring experts with vs without personal experience of suicidal ideation: A randomized controlled trial of the Papageno effect, in: Journal of Clinical Psychiatry 2018

Beneficial and harmful effects of educative suicide prevention websites: randomised controlled trial exploring Papageno v. Werther effects, in: British Journal of Psychiatry 2017