Department of Psychiatry, University of Michigan, Ann Arbor (Hong, Ewell Foster, Magness, McGuire, King); Michigan Department of Health and Human Services, Lansing (Smith).
Psychiatr Serv. 2019 Feb 1;70(2):107-114. doi: 10.1176/appi.ps.201800384. Epub 2018 Nov 20.
The streaming series 13 Reasons Why generated controversy because of its depiction of teen suicide and concerns about its impact on vulnerable youths. This study examined exposure to and patterns of engagement with the show and the show's perceived impact in a sample of youths presenting to a psychiatric emergency department (ED) with suicide-related concerns in the year after the series' premiere.
Participants were 87 parent-youth dyads (youths' mean±SD age=14.6±1.8; 71% of youths were female, 26% male, and 2% gender nonconforming) who completed a battery of questionnaires during their ED visit.
Half (49%) of the sample viewed at least one episode of 13 Reasons Why, season 1. Most youths (84%) viewed the show alone and were more likely to discuss their reactions with peers (80%) than with a parent (34%). Over half of youth viewers (51%) believed the series increased their suicide risk to a nonzero degree; having a stronger identification with the lead female character was significantly related to this belief (r=.63, df=41, p<0.001). Youths with more depressive symptoms and suicidal ideation were more likely to identify with the lead characters and report negative affect while viewing.
To date, this is the first published study examining viewing patterns and reactions to 13 Reasons Why in a high-risk sample. Although further research is needed, the findings suggest a particular vulnerability to the show's themes among youths at risk of suicide and the importance of prevention strategies to ameliorate risk among these viewers.
电视剧《13 个原因》因描述青少年自杀以及对其对弱势青少年影响的担忧而引发争议。本研究在电视剧首播后的一年中，调查了一个有自杀相关问题就诊于精神科急诊的青少年样本中，该样本对该剧的接触情况和参与模式及其感知影响。
研究对象为 87 对父母-青少年（青少年的平均年龄±标准差=14.6±1.8；71%的青少年为女性，26%为男性，2%为性别不一致），他们在急诊就诊期间完成了一系列问卷。
样本中有一半（49%）的人观看了《13 个原因》第一季的至少一集。大多数青少年（84%）独自观看该节目，更有可能与同龄人（80%）而不是父母（34%）讨论他们的反应。超过一半的青年观众（51%）认为该系列在某种程度上增加了他们的自杀风险；与主角有更强的认同感与这种信念显著相关（r=.63，df=41，p<0.001）。有更多抑郁症状和自杀意念的青少年更有可能认同主角，并在观看时报告负面情绪。
迄今为止，这是第一项在高危样本中研究观看《13 个原因》模式和反应的已发表研究。尽管需要进一步的研究，但研究结果表明，对于有自杀风险的青少年来说，该剧的主题特别容易引起共鸣，需要制定预防策略来减轻这些观众的风险。
