title: The association of trends in charcoal-burning suicide with Google search and newspaper reporting in Taiwan: a time series analysis.
abstract: OBJECTIVE
  Some East/Southeast Asian countries have experienced a rapid increase in suicide by charcoal burning over the past decade. Media reporting and Internet use were thought to contribute to the epidemic. We investigated the association between method-specific suicide incidence and both Internet search volume and newspaper reporting in Taiwan.
  
  
  METHODS
  Weekly data for suicide, suicide-related Google search volume, and the number of articles reporting suicide in four major newspapers in Taiwan during 2008-2011 were obtained. Poisson autoregressive regression models were used to examine the associations between these variables.
  
  
  RESULTS
  In the fully adjusted models, every 10 % increase in Google searches was associated with a 4.3 % [95 % confidence interval (CI) 1.1-7.6 %] increase in charcoal-burning suicide incidence in the same week, and a 3.8 % (95 % CI 0.4-7.2 %) increase in the following week. A one-article increase in the United Daily was associated with a 3.6 % (95 % CI 1.5-5.8 %) increase in charcoal-burning suicide in the same week. By contrast, non-charcoal-burning suicide was not associated with Google search volume, but was associated with the Apple Daily's reporting in the preceding week.
  
  
  CONCLUSIONS
  We found that increased Internet searches for charcoal-burning suicide appeared to be associated with a subsequent increase in suicide by this method. The prevention of suicide using emerging methods may include monitoring and regulating online information that provides details of these methods as well as encouraging Internet service providers to provide help-seeking information.
authors: Institute of Health Policy and Management, and Department of Public Health, College of Public Health, National Taiwan University, Taipei, Taiwan.|Hong Kong Jockey Club Centre for Suicide Research and Prevention, The University of Hong Kong, Hong Kong, Hong Kong.|Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, Hong Kong.
authors: Shu-Sen
authors: SS
authors: Chang
authors: School of Economics, The University of Sydney, Sydney, Australia.
authors: Simon Sai Man
authors: SS
authors: Kwok
authors: Hong Kong Jockey Club Centre for Suicide Research and Prevention, The University of Hong Kong, Hong Kong, Hong Kong.
authors: Qijin
authors: Q
authors: Cheng
authors: Hong Kong Jockey Club Centre for Suicide Research and Prevention, The University of Hong Kong, Hong Kong, Hong Kong.|Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, Hong Kong.
authors: Paul S F
authors: PS
authors: Yip
authors: Taipei City Psychiatric Center, Taipei City Hospital, Taipei, Taiwan. ychen@tpech.gov.tw.|Department of Public Health, Institute of Public Health, National Yang-Ming University, Taipei, Taiwan. ychen@tpech.gov.tw.|Taipei City Psychiatric Center, 309 Songde Road, XinYi District, Taipei, Taiwan. ychen@tpech.gov.tw.
authors: Ying-Yeh
authors: YY
authors: Chen
mesh_terms: D000328:Adult; D002249:Carbon Monoxide Poisoning / Q000401:mortality*; D002606:Charcoal; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D009524:Newspapers as Topic / Q000706:statistics & numerical data*; D057386:Search Engine / Q000706:statistics & numerical data*; D013405:Suicide / Q000639:trends*; D013624:Taiwan / Q000453:epidemiology; D013997:Time Factors
chemical_list: D002606:Charcoal
keywords: Charcoal burning; Google search; Internet; Media; Newspaper; Suicide; Taiwan