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Med."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This study explored the relationship between Google search volumes for suicide-related keywords and suicide, attempt, and self-harm hospitalisation rates across three investigations in Indonesia and Australia. While past research suggested a link between suicide-related searches and suicide rates, this study found no consistent association with suicide rates. However, search volumes were positively associated with suicide attempts in Indonesia and self-harm hospitalisations in Australia. Further analysis using the IMV-Model of Suicidal Behaviour showed that searches related to distress were not associated with outcomes, while ideation-related keywords were linked only to attempts. In contrast, searches related to specific suicide methods\u2014reflecting the volitional phase of the IMV-Model\u2014were associated with both attempts and suicides, particularly for high-lethality methods. Limitations include data quality on suicide outcomes, the representativeness of Google Trends, and a focus on only two countries. Overall, search behaviour may reflect attempt risk more than suicide risk, depending on keyword category.<\/jats:p>","DOI":"10.1038\/s41746-025-01916-4","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T11:50:05Z","timestamp":1756468205000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Rethinking suicide related searches and their association with suicide rates, attempts, and self harm hospitalisation"],"prefix":"10.1038","volume":"8","author":[{"given":"Sandersan","family":"Onie","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew J.","family":"Coleshill","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Torok","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Venkatesha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona","family":"Shand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark E.","family":"Larsen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,8,29]]},"reference":[{"key":"1916_CR1","doi-asserted-by":"publisher","DOI":"10.2196\/27918","volume":"23","author":"PA Are\u00e1n","year":"2021","unstructured":"Are\u00e1n, P. 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