Stigma,Support,and Ideation About Suicide in Indonesian Twitter: A Topic Modelling Study

Abstract

Stigma surrounding suicide is a massive problem in Indonesia. Thus, it is important to study how conversations about suicide take place. We take a machine learning approach and study tweets with suicide keywords to understand how people converse about suicide or express suicide ideation. Tweets with suicide-related keywords were extracted from May to June 2023. 20,057 tweets were subject to topic modelling with an 11-topic solution. While most topics contain negative messages, no purely stigmatizing topics emerge, despite prior research suggesting overwhelming stigma. Various kinds of existential, emotional, and social tweets about suicide take place among Indonesian users, indicating that Indonesian Twitter users utilize the platform to express their thoughts and emotions. Notably, religious-spiritual keywords are highly prevalent, suggesting that in a highly religious society, there is a need for policy makers and awareness campaigns to frame their positive messaging within the society’s religious context.

Keywords

Indonesia religion social media stigma suicide topic model twitter

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References

Lee

(2019). Suicide stigma in online social interactions: Impacts of social capital and suicide literacy. Health Communication, 34(11), 1340–1349. https://doi.org/10.1080/10410236.2018.1486691

Arafat

S. Y.

Menon

Bascarane

Kar

S. K.

Kabir

(2021). Variations in newspaper reporting of suicidal behavior in the WHO–South-East Asian region. Journal of Public Health, 43(4), 684–688. https://doi.org/10.1093/pubmed/fdaa139

Blank

(2017). The digital divide among Twitter users and its implications for social research. Social Science Computer Review, 35(6), 679–697. https://doi.org/10.1177/0894439316671698

Britton

P. C.

Duberstein

P. R.

Conner

K. R.

Heisel

M. J.

Hirsch

J. K.

Conwell

(2008). Reasons for living, hopelessness, and suicide ideation among depressed adults 50 years or older. American Journal of Geriatric Psychiatry, 16(9), 736–741. https://doi.org/10.1097/JGP.0b013e31817b609a

Carpiniello

Pinna

(2017). The reciprocal relationship between suicidality and stigma. Frontiers in Psychiatry, 8(35). https://doi.org/10.3389/fpsyt.2017.00035.

Courtney

E. P.

Felig

R. N.

Goldenberg

J. L.

(2022). Together we can slow the spread of COVID-19: The interactive effects of priming collectivism and mortality salience on virus-related health behaviour intentions. British Journal of Social Psychology, 61(1), 410–431. https://doi.org/10.1111/bjso.12487

Cui

Owsiany

M. T.

Turiano

Fiske

(2023). Association between anger and suicidal ideation. Current Psychology, 42(16), 13798–13801. https://doi.org/10.1007/s12144-021-02577-8

Daniel

S. S.

Goldston

D. B.

Erkanli

Franklin

J. C.

Mayfield

A. M.

(2009). Trait anger, anger expression, and suicide attempts among adolescents and young adults: A prospective study. Journal of Clinical Child and Adolescent Psychology, 38(5), 661–671. https://doi.org/10.1080/15374410903103494

De Choudhury

(2014). Mental health discourse on reddit: Self-disclosure, social support, and anonymity. Proceedings of the International AAAI Conference on Web and Social Media, 8(1), 71–80. https://doi.org/10.1609/icwsm.v8i1.14526

10.

De Choudhury

Sharma

S. S.

Logar

Eekhout

Nielsen

(2017). Gender and cross-cultural differences in social media disclosures of mental illness. Proceedings of the 2017 ACM Conference on Computer Supported Cooperative Work and Social Computing, 353–369. https://doi.org/10.1145/2998181.2998220

11.

Dillon

K. H.

Van Voorhees

E. E.

Elbogen

E. B.

(2020). Associations between anger and suicidal ideation and attempts: A prospective study using the national epidemiologic survey on alcohol and related conditions. Journal of Psychiatric Research, 122, 17–21. https://doi.org/10.1016/j.jpsychires.2019.12.011

12.

Dimmick

A. A.

Trusty

W. T.

Swift

J. K.

(2022). Client preferences for religious/spiritual integration and matching in psychotherapy. Spirituality in Clinical Practice, 9(3), 202. https://psycnet.apa.org/doi/10.1037/scp0000269

13.

Eskin

Baydar

El-Nayal

Asad

Noor

I. M.

Rezaeian

Abdel-Khalek

A. M.

Al Buhairan

Harlak

Hamdan

Meelhi

Isayeva

Khader

Khan

Sayyari

A. A.

Khader

Behzadi

Öztürk

C. Ş.

Agha

Khan

M. M.

(2020). Associations of religiosity, attitudes towards suicide and religious coping with suicidal ideation and suicide attempts in 11 muslim countries. Social Science & Medicine, 265, 113390. https://doi.org/10.1016/j.socscimed.2020.113390

14.

Evans

Abrahamson

(2020). The influence of stigma on suicide bereavement: A systematic review. Journal of Psychosocial Nursing and Mental Health Services, 58(4), 21–27. https://doi.org/10.3928/02793695-20200127-02

15.

Frey

L. M.

Hans

J. D.

Cerel

(2017). An interpretive phenomenological inquiry of family and friend reactions to suicide disclosure. Journal of Marital and Family Therapy, 43(1), 159–172. https://doi.org/10.1111/jmft.12180

16.

Fulginiti

Frey

L. M.

(2019). Exploring suicide-related disclosure motivation and the impact on mechanisms linked to suicide. Death Studies, 43(9), 562–569. https://doi.org/10.1080/07481187.2018.1504349

17.

Ganzini

Denneson

L. M.

Press

Bair

M. J.

Helmer

D. A.

Poat

Dobscha

S. K.

(2013). Trust is the basis for effective suicide risk screening and assessment in veterans. Journal of General Internal Medicine, 28, 1215–1221. https://doi.org/10.1007/s11606-013-2412-6

18.

Giegling

Olgiati

Hartmann

A. M.

Calati

Möller

H. J.

Rujescu

Serretti

(2009). Personality and attempted suicide. Analysis of anger, aggression and impulsivity. Journal of Psychiatric Research, 43(16), 1262–1271. https://doi.org/10.1016/j.jpsychires.2009.04.013

19.

Hawkins

K. A.

Hames

J. L.

Ribeiro

J. D.

Silva

Joiner

T. E.

Cougle

J. R.

(2014). An examination of the relationship between anger and suicide risk through the lens of the interpersonal theory of suicide. Journal of Psychiatric Research, 50, 59–65. https://doi.org/10.1016/j.jpsychires.2013.12.005

20.

K. H.

G. J.

Sohn

K. C.

(2011). Qualitative content analysis of suicidal ideation in Korean college students. Collegian, 18(2), 87–92. https://doi.org/10.1016/j.colegn.2010.11.001

21.

Kleiman

E. M.

Turner

B. J.

Chapman

A. L.

Nock

M. K.

(2018). Fatigue moderates the relationship between perceived stress and suicidal ideation: Evidence from two high-resolution studies. Journal of Clinical Child and Adolescent Psychology, 47(1), 116–130. https://doi.org/10.1080/15374416.2017.1342543

22.

Koenig

H. G.

Peteet

J. R.

van der Weele

T. J.

(2020). Religion and psychiatry: Clinical applications. BJPsych Advances, 26(5), 273–281. https://doi.org/10.1192/bja.2020.11

23.

Kopacz

M. S.

Silver

Bossarte

R. M.

(2014). A position article for applying spirituality to suicide prevention. Journal of Spirituality in Mental Health, 16(2), 133–146. https://doi.org/10.1080/19349637.2014.896856

24.

Krämer

N. C.

Schäwel

(2020). Mastering the challenge of balancing self-disclosure and privacy in social media. Current Opinion in Psychology, 31, 67–71. https://doi.org/10.1016/j.copsyc.2019.08.003

25.

Lawrence

R. E.

Oquendo

M. A.

Stanley

(2016). Religion and suicide risk: A systematic review. Archives of Suicide Research, 20(1), 1–21. https://doi.org/10.1080/13811118.2015.1004494

26.

Lee

S. H.

Tsai

Y. F.

Chen

C. Y.

Huang

L. B.

(2014). Triggers of suicide ideation and protective factors of actually executing suicide among first onset cases in older psychiatric outpatients: A qualitative study. BMC Psychiatry, 14(1), 1–8. https://doi.org/10.1186/s12888-014-0269-9

27.

Huang

Jiao

O'Dea

Zhu

Christensen

(2018). An analysis of stigma and suicide literacy in responses to suicides broadcast on social media. Asia-Pacific Psychiatry, 10(1), Article 12314. https://doi.org/10.1111/appy.12314

28.

Luo

Tao

Zhang

(2018). Exploring temporal patterns of suicidal behavior on Twitter. 2018 IEEE International Conference on Healthcare Informatics Workshop (ICHI-W), 55–56. https://doi.org/10.1109/ICHI-W.2018.00017

29.

Luo

Hancock

J. T.

(2020). Self-disclosure and social media: Motivations, mechanisms and psychological well-being. Current Opinion in Psychology, 31, 110–115. https://doi.org/10.1016/j.copsyc.2019.08.019

30.

Luxton

D. D.

June

J. D.

Fairall

J. M.

(2012). Social media and suicide: A public health perspective. American Journal of Public Health, 102(2), 195–200. https://doi.org/10.2105/AJPH.2011.300608

31.

Hancock

Naaman

(2016). Anonymity, intimacy and self-disclosure in social media. Proceedings of the 2016 CHI Conference on Human Factors in Computing Systems, 3857–3869. https://doi.org/10.1145/2858036.2858414

32.

Miyagi

Nawa

Surkan

P. J.

Fujiawara

(2022). Social media monitoring of suicidal content and change in trends of Japanese twitter content around the Zama suicide pact slayings. Psychiatry Research, 311, 114490. https://doi.org/10.1016/j.psychres.2022.114490

33.

Park

H. S.

(2023). COVID-19 and public masking compliance in Korea: We-ness and individualism-collectivism at the individual level. Health Communication, 38(6), 1111–1119. https://doi.org/10.1080/10410236.2021.1993532

34.

Nisa

Arifin

Nur

M. F.

Adella

Marthoenis

(2020). Indonesian online newspaper reporting of suicidal behavior: Compliance with World Health Organization media guidelines. International Journal of Social Psychiatry, 66(3), 259–262. https://doi.org/10.1177/0020764020903334

35.

Nurdiyanto

F. A.

Subandi

(2023). Etiology and perception of suicide: Cultural explanation of suicide from Javanese perspective. Jurnal Psikologi, 50(2), 190–209. https://doi.org/10.22146/jpsi.84055

36.

O’Brien

K. H. M.

Nicolopoulos

Almeida

Aguinaldo

L. D.

Rosen

R. K.

(2021). Why adolescents attempt suicide: A qualitative study of the transition from ideation to action. Archives of Suicide Research, 25(2), 269–286. https://doi.org/10.1080/13811118.2019.1675561

37.

O’dea

Achilles

M. R.

Larsen

M. E.

Batterham

P. J.

Calear

A. L.

Christensen

(2018). The rate of reply and nature of responses to suicide-related posts on Twitter. Internet Interventions, 13, 105–107. https://doi.org/10.1016/j.invent.2018.07.004

38.

Onie

Soemarsono

Setyawan

M. A.

Fuad

Taufik

Vina

Nilam

J. F.

Hudson

J. L.

(2023). A unified religious stance on mental health and suicide at the G20: The lombok declaration. The Lancet Psychiatry, 10(8), 580–582. https://doi.org/10.1016/S2215-0366(23)00177-3

39.

Onie

Usman

Widyastuti

Lusiana

Angkasawati

T. J.

Musadad

D. A.

Nilam

Vina

Kamsurya

Batterham

Arya

Pirkis

Larsen

(2024). Indonesia’s first suicide statistics profile: An analysis of suicide and attempt rates, underreporting, geographic distribution, gender, method, and rurality. The Lancet Regional Health - Southeast Asia, 22, 100368. https://doi.org/10.1016/j.lansea.2024.100368

40.

Onie

Vina

Taufik

Abraham

Setiyawati

Colucci

Nilam

J. F.

Onie

Hunt

Saputra

A. F.

Hidayati

N. E.

Harsono

Bestari

Muhdi

Wolter

Liem

Rochmawati

Ardian

Prasojo

R. E.

Setiawan

Y. A. H.

Heny

Purnawan

Gamayanti

I. L.

Senosoenoto

H. A.

Jenarut

Prawira

Trianggoro

Warbung

Mudjianto

C. L. N.

Ariani

A. S.

Irmansyah

Mulia

Badudu

Kumolohadi

Zein

R. A.

Mahadi

Wongkaren

Josifovski

Larsen

M. E.

(2023). Indonesian first national suicide prevention strategy: Key findings from the qualitative situational analysis. The Lancet Regional Health - Southeast Asia, 16, 100245. https://doi.org/10.1016/j.lansea.2023.100245

41.

Prawira

Sukmaningrum

(2020). Suicide stigma as a predictor of help-seeking intention among undergraduate students in Jakarta. Makara Human Behavior Studies in Asia, 24(1), 24–36. https://doi.org/10.7454/hubs.asia.1200120

42.

Rice

Robinson

Bendall

Hetrick

Cox

Bailey

Gleeson

Alvarez-Jimenez

(2016). Online and social media suicide prevention interventions for young people: A focus on implementation and moderation. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 25(2), 80.

43.

Rogers

M. L.

Gallyer

A. J.

Joiner

T. E.

(2021). The relationship between suicide-specific rumination and suicidal intent above and beyond suicidal ideation and other suicide risk factors: A multilevel modeling approach. Journal of Psychiatric Research, 137, 506–513. https://doi.org/10.1016/j.jpsychires.2021.03.031

44.

Rogers

M. L.

Joiner

T. E.

(2017). Rumination, suicidal ideation, and suicide attempts: A meta-analytic review. Review of General Psychology, 21(2), 132–142. https://doi.org/10.1037/gpr0000101

45.

Rüsch

Zlati

Black

Thornicroft

(2014). Does the stigma of mental illness contribute to suicidality? The British Journal of Psychiatry, 205(4), 257–259. https://doi.org/10.1192/bjp.bp.114.145755

46.

Safitri

Ayunita

(2022). Suicide framing on online media in Indonesia. Jurnal Komunikasi: Malaysian Journal of Communication, 38(1), 256–269. https://doi.org/10.17576/JKMJC-2022-3801-14

47.

Saiz

Ayllón-Alonso

Sánchez-Iglesias

Chopra

Mills

P. J.

(2021). Religiosity and suicide: A large-scale international and individual analysis considering the effects of different religious beliefs. Journal of Religion and Health, 60, 2503–2526. https://doi.org/10.1007/s10943-020-01137-x

48.

Scocco

Castriotta

Toffol

Preti

(2012). Stigma of suicide attempt (STOSA) scale and stigma of suicide and suicide survivor (STOSASS) scale: Two new assessment tools. Psychiatry Research, 200(2-3), 872–878. https://doi.org/10.1016/j.psychres.2012.06.033

49.

Sheehan

Oexle

Armas

S. A.

Wan

H. T.

Bushman

Glover

Lewy

S. A.

(2019). Benefits and risks of suicide disclosure. Social Science & Medicine, 223, 16–23. https://doi.org/10.1016/j.socscimed.2019.01.023

50.

Sik

Rakovics

Buda

Németh

(2023). The impact of depression forums on illness narratives: A comprehensive NLP analysis of socialization in e-mental health communities. Journal of Computational Social Science, 6, 781–802. https://doi.org/10.1007/s42001-023-00212-z

51.

Sohal

Singh

Dhillon

B. S.

Gill

H. S.

(2022). Efficacy of journaling in the management of mental illness: A systematic review and meta-analysis. Family Medicine and Community Health, 10(1), 1154. https://doi.org/10.1136%2Ffmch-2021-001154

52.

Talib

M. A.

Abdollahi

(2017). Spirituality moderates hopelessness, depression, and suicidal behavior among Malaysian adolescents. Journal of Religion and Health, 56, 784–795. https://doi.org/10.1007/s10943-015-0133-3

53.

Thimmaiah

Poreddi

Ramu

Selvi

Math

S. B.

(2016). Influence of Religion on Attitude Towards Suicide: An Indian Perspective. Journal of Religion and Health, 55, 2039–2052. https://doi.org/10.1007/s10943-016-0213-z

54.

Ullrich

P. M.

Lutgendorf

S. K.

(2002). Journaling about stressful events: Effects of cognitive processing and emotional expression. Annals of Behavioral Medicine, 24(3), 244–250. https://doi.org/10.1207/S15324796ABM2403_10

55.

Valentina

T. D.

Nurcahyo

F. A.

(2023). Stigma and suicide from the perspective of Balinese adults. OMEGA-Journal of Death and Dying, 0(0), 1–18. https://doi.org/10.1177/00302228231170675

56.

Wisdana

K. F.

Maramis

M. M.

Djuari

M. L.

(2022). Perception, knowledge, and attitudes of young people about suicide behavior. Proceedings of the 1st International Conference on Social, Science, and Technology, ICSST 2021, Tangerang, Indonesia, 25 November 2021. European Alliance of Innovation. https://doi.org/10.4108/eai.25-11-2021.2318833

57.

World Health Organization . (2014). Preventing suicide: A global imperative.

58.

World Health Organization . (2022). Addressing mental health in Indonesia.

59.

Zadravec

Grad

Sočan

(2006). Expert and lay explanations of suicidal behaviour: Comparison of the general population’s, suicide attempters’, general practitioners’ and psychiatrists’ views. International Journal of Social Psychiatry, 52(6), 535–551. https://doi.org/10.1177/00207640060668408

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