{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T12:00:47Z","timestamp":1790596847730,"version":"4.1.0"},"reference-count":37,"publisher":"Royal College of Psychiatrists","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Br J Psychiatry"],"abstract":"<jats:sec id=\"S0007125026107995_as1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Responsible media reporting of suicide is a population-level suicide prevention intervention, yet there is no experimental evidence from low-income settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125026107995_as2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>We assessed the effects of exposure to educative suicide prevention content and stories of surviving a suicide crisis in the print media on reducing suicidality in India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125026107995_as3\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A three-arm randomised controlled trial (Clinical Trials Registry of India, ref: CTRI\/2022\/09\/045439) was conducted in Chennai, India, between August 2023 and March 2024. Participants were young adults (18\u201329 years), recruited through social media advertisements, randomised 1:1:1 to a control group and two intervention groups. Data were analysed during June\u2013September 2024. All three groups were exposed to three 600-word purpose-designed Tamil-language print media articles on digital tablets. Intervention group 1 was exposed to three print media articles containing educative suicide prevention content. The same articles given to intervention group 2 were modified to contain brief accounts of young adults who had coped with experiences of suicidal ideation. The control group was exposed to three print media articles on diabetes. Suicidal ideation was measured using the 23-item Survival and Coping Beliefs subscale of the Reasons for Living Scale at baseline, post-test and 14-day follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125026107995_as4\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 375 participants, randomisation resulted in 125 being assigned to the control group and 124 and 126 to intervention groups 1 and 2, respectively; 16 were lost to follow-up. At post-test, participants randomised to intervention group 1 demonstrated small improvements in suicidal ideation at post-test (standardised mean difference (SMD) = 0.15,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.019) and follow-up (SMD = 0.17,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.038). Larger effects were observed among participants with greater vulnerability (post-test, SMD = 0.25,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.039; follow-up, SMD = 0.32,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.023). There were no improvements in suicidal ideation in intervention group 2 at post-test, yet a marginal (SMD = 0.16,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.053) effect was observed at follow-up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125026107995_as5\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Exposure to educative print media articles can result in small improvements in suicidal ideation that would represent a substantial population-level impact.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjp.2026.10799","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T11:28:14Z","timestamp":1790594894000},"page":"1-8","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Reducing suicidal ideation through protective media content in India: randomised controlled trial"],"prefix":"10.1192","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8073-9213","authenticated-orcid":false,"given":"Gregory","family":"Armstrong","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01ej9dk98","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Melbourne"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rani","family":"Mohanraj","sequence":"additional","affiliation":[{"name":"Samarth"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuba","family":"Kumar","sequence":"additional","affiliation":[{"name":"Samarth"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tilahun","family":"Haregu","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01ej9dk98","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Melbourne"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2841-1536","authenticated-orcid":false,"given":"Matthew J.","family":"Spittal","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01ej9dk98","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Melbourne"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9550-628X","authenticated-orcid":false,"given":"Thomas","family":"Niederkrotenthaler","sequence":"additional","affiliation":[{"name":"Medical University of Vienna"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Pirkis","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01ej9dk98","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Melbourne"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Babu","family":"Nisha","sequence":"additional","affiliation":[{"name":"Samarth"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dinesh","family":"Selvan","sequence":"additional","affiliation":[{"name":"Samarth"},{"name":"All India Institute of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2471-9004","authenticated-orcid":false,"given":"Lakshmi","family":"Vijayakumar","sequence":"additional","affiliation":[{"name":"The Voluntary Health Services"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"S0007125026107995_ref12","volume-title":"Why India\u2019s Newspaper Business is Booming","year":"2016"},{"key":"S0007125026107995_ref34","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2025-113009"},{"key":"S0007125026107995_ref25","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.17m11975"},{"key":"S0007125026107995_ref21","doi-asserted-by":"publisher","DOI":"10.1002\/hpja.316"},{"key":"S0007125026107995_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(18)30138-5"},{"key":"S0007125026107995_ref29","doi-asserted-by":"publisher","DOI":"10.1037\/sah0000657"},{"key":"S0007125026107995_ref35","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2021-067726"},{"key":"S0007125026107995_ref4","volume-title":"International Association for Suicide Prevention. 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Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}