El efecto Papageno: una revisión de alcance

Autores/as

  • Lucía Santonja Ayuso

Resumen

Introducción: En España, el suicidio es la primera causa de muerte externa entre los adolescentes de 15 a 19 años y entre los adultos en general, produciéndose en el año 2020 un total de 4000 muertes no naturales y evitables. Si bien a lo largo del tiempo se ha objetivado cómo a través de los medios de comunicación se han potenciado los efectos imitadores de suicidio (efecto Werther), desde hace dos décadas se está investigando la posibilidad de que estos formen parte de los factores protectores contra las muertes por suicidio (efecto Papageno). Por ello, a través de una revisión de alcance y como objetivo general se pretende explorar la literatura existente sobre el efecto Werther y el efecto Papageno, y como objetivo específico, conocer qué intervenciones, basadas en la evidencia científica, han sido útiles y seguras para reforzar el efectoPapageno.

Metodología: Revisión de alcance a través de bases de datos (Medline, PsycInfo, Cochrane Library). Como criterios de inclusión, se aceptó cualquier artículo que tratase el efecto Papageno, excluyendo aquellos que no estuviesen publicados en inglés o castellano o formasen parte de la literatura gris.

Resultados: Se incluyeron un total de 13 artículos, publicados la mayoría de ellos en Austria. Se observó que la tendencia de los estudios descriptivos (n = 5) estuvo orientada al análisis y estudio del efectoWerther y que los estudios de diseño analítico-experimental (n = 7) estuvieron focalizados en el estudio del efecto Papageno sobre población general, específica, vulnerable y sobre los profesionales sanitarios. Solo hubo un estudio de carácter cualitativo. Las intervenciones que se encontraron fueron la exposición a lecturas, relatos, videos y páginas web.

Conclusiones: En la actualidad, se ha observado un cambio de perspectiva en el que las investigaciones se están focalizando en el efecto Papageno (protector) más que en el efecto Werther (de riesgo) para la prevención de las ideaciones y actos suicidas en población general, específica, vulnerable y sobre el personal sanitario. Las intervenciones que han sido útiles para potenciar el efecto Papageno han sido la exposición a lecturas, relatos, videos y páginas web siempre que aportasen información personal sobre estrategias de afrontamiento efectivas (a través de profesionales sanitarios con o sin experiencias personales propias) y recursos comunitarios sobre cómo y dónde pedir ayuda.

 

Citas

Braun, M., Till, B., Pirkis, J., & Niederkrotenthaler, T. (2021). Effects of suicide prevention videos developed by and targeting adolescents: a randomized controlled trial. European Child and Adolescent Psychiatry. https://doi.org/10.1007/s00787-021-01911-6

Cheng, Q., Chen, F., Lee, E., & Yip, P. (2018). The role of media in preventing student suicides: A Hong Kong experience. Journal of Affective Disorders, 227, 643–648.

https://doi.org/10.1016/j.jad.2017.11.007

Domaradzki, J. (2021). The werther effect, the papageno effect or no effect? A literature review. In International Journal of Environmental Research and Public Health (Vol. 18, Issue 5, pp. 1–21). MDPI AG. https://doi.org/10.3390/ijerph18052396

Glenn, C., Lanzillo, E., Esposito, E., Santee, A., Nock, M., & Auerbach, R. (2017). Examining the Course of Suicidal and Nonsuicidal Self-Injurious Thoughts and Behaviors in Outpatient and Inpatient Adolescents. Journal of Abnormal Child Psychology, 45(5), 971–983. https://doi.org/10.1007/s10802-016-0214-0

Gunn, J., Goldstein, S., & Lester, D. (2020). The Impact of Widely Publicized Suicides on Search Trends: Using Google Trends to Test the Werther and Papageno Effects. Archives of Suicide Research, 24(sup1), 142–155. https://doi.org/10.1080/13811118.2018.1522284

Hawton, K., Saunders, K. E. A., & O'Connor, R. (2012). Self-harm and suicide in adolescents. Lancet, 379(9834), 2373–2382. https://doi.org/10.1016/S0140-6736(12)60322-5

Leonard, E. (2001). Confidential death to prevent suicidal contagion: an accepted, but never implemented, nineteenth-century idea. Suicide & Life-Threatening Behavior, 31(4), 460–466. https://doi.org/10.1521/suli.31.4.460.22043

Luce, A. (2017). Preventing suicide: a resource for media professionals. https://www.who.int/publications/i/item/OMS-MSD-MER-17.5

Manchado, R., Tamames, S., López, M., Mohedano, L., & D´Agostino, M. (2009). Revisiones Sistemáticas Exploratorias. Medicina y Seguridad Del Trabajo, 55(216), 12–19. https://doi.org/10.4321/s0465-546x2009000300002

Mental, S. (2020). Depresión y Suicidio 2020. Documento estratégico

para la promoción de la Salud Mental. https://consaludmental.org/centro-documentacion/depresionsuicidio-2020/

Merino, E. (2022). El suicidio en la juventud española. Analizando la situación actual, factores de riesgo y programas de intervención. http://hdl.handle.net/10902/25063

Ministerio de Sanidad. (2020). Mortalidad por suicidio en España, 2020. 1–4.

https://www.mscbs.gob.es/ca/estadEstudios/estadisticas/estadisticas/estMinisterio/mortalidad/docs/Defunciones_Suicidio2020.pdf

Myhre, M., & Walby, F. (2021). The Impact of a Widely Publicized Celebrity Suicide on Suicide-Related Internet Search Activity. Archives of Suicide Research. https://doi.org/10.1080/13811118.2021.1875942

Ng, Y., Pheh, K., Panirselvam, R., Chan, W. L., Lim, J., Lim, J., Leong, K., Bartlett, S., Tay, K., & Chan, L. (2021). Malaysian Stakeholder Perspectives on Suicide-Related Reporting: Findings From Focus Group Discussions. Frontiers in Psychology, 12.

https://doi.org/10.3389/fpsyg.2021.673287

Niederkrotenthaler, T., Arendt, F., & Till, B. (2015). Predicting Intentions to Read Suicide Awareness Stories. Crisis, 36(6), 399–406. https://doi.org/10.1027/0227-5910/a000344

Niederkrotenthaler, T., Baumgartner, J., Kautzky, A., Fellinger, M., Jahn, R., Wippel, A., Koch, M., König-Castillo, D., Höflich, A., Slamanig, R., Topitz, A., Wancata, J., & Till, B. (2021). Effects of media stories featuring coping with suicidal crises on psychiatric

patients: Randomized controlled trial. European Psychiatry, 64(1). https://doi.org/10.1192/j.eurpsy.2021.2244

Niederkrotenthaler, T., Braun, M., Pirkis, J., Till, B., Stack, S., Tran, U. S., Voracek, M., Cheng, Q., Arendt, F., Scherr, S., Yip, P. S. F., & Spittal, M. J. (2020). Association between suicide reporting in the media and suicide: systematic review and metaanalysis. BMJ, 368, m575. https://doi.org/10.1136/bmj.m575

Niederkrotenthaler, T., Kirchner, S., Till, B., Sinyor, M., Tran, U. S., Pirkis, J., & Spittal, M. J. (2021). Systematic review and meta-analyses of suicidal outcomes following fictional portrayals of suicide and suicide attempt in entertainment media. EClinicalMedicine, 36, 100922. https://doi.org/10.1016/j.eclinm.2021.100922

Niederkrotenthaler, T., Reidenberg, D., Till, B., & Gould, M. (2014). Increasing help-seeking and referrals for individuals at risk for suicide by decreasing stigma: the role of mass media. American Journal of Preventive Medicine, 47(3), S235–S243.

Niederkrotenthaler, T., & Till, B. (2020a). Effects of awareness material featuring individuals with experience of depression and suicidal thoughts on an audience with depressive symptoms: Randomized controlled trial. Journal of Behavior Therapy and Experimental Psychiatry, 66.https://doi.org/10.1016/j.jbtep.2019.101515

Niederkrotenthaler, T., & Till, B. (2020b). Effects of suicide awareness materials on individuals with recent suicidal ideation or attempt: online randomised controlled trial. The British Journal of Psychiatry, 217(6), 693–700. https://doi.org/10.1192/bjp.2019.259

Niederkrotenthaler, T., Till, B., Kirchner, S., Sinyor, M., Braun, M., Pirkis, J., Tran, U. S., Voracek, M., Arendt, F., Ftanou, M., Kovacs, R., King, K., Schlichthorst, M., Stack, S., & Spittal, M. (2022). Effects of media stories of hope and recovery on suicidal ideation and help-seeking attitudes and intentions: systematic review and meta-analysis. The Lancet Public Health, 7(2), e156–e168.https://doi.org/10.1016/S2468-2667(21)00274-7

Niederkrotenthaler, T., Voracek, M., Herberth, A., Till, B., Strauss, M., Etzersdorfer, E., Eisenwort, B., & Sonneck, G. (2010). Role of media reports in completed and prevented suicide: Werther v. Papageno effects. The British Journal of Psychiatry, 197(3), 234–243. https://doi.org/10.1192/bjp.bp.109.074633

Peters, M., Godfrey, C., Khalil, H., McInerney, P., Parker, D., & Soares, C. (2015). Guidance for conducting systematic scoping reviews. International Journal of Evidence-Based Healthcare, 13(3), 141–146. https://doi.org/10.1097/XEB.0000000000000050

Pirkis, J., & Blood, R. W. (2001). Suicide and the media. Part I: Reportage in nonfictional media. Crisis, 22(4), 146–154. https://doi.org/10.1027//0227-5910.22.4.146

American Psychiatric Association Work Group On Suicidal Behaviors. Practice Guideline for the Assessment and Treatment of Patients With Suicidal Behaviors. (2003). In Practice Guidelines for the Treatment of Psychiatric Disorders: Comprehensive Guidelines and Guideline Watches (Vol. 160, Issue 11 Suppl, pp.

–60). https://doi.org/10.1176/appi.books.9780890423363.56008

Santamaría, R. (2017). Programa de Habilidades en Lectura Crítica Español (CASPe). NefroPlus, 9(1), 100–101. http://www.redcaspe.org/

Saulsberry, A., Marko-Holguin, M., Blomeke, K., Hinkle, C., Fogel, J., Gladstone, T., Bell, C., Reinecke, M., Corden, M., & Van Voorhees, B. W. (2013). Randomized Clinical Trial of a Primary Care Internet-based Intervention to Prevent Adolescent Depression: One-year Outcomes. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 22(2), 106–117. http://www.ncbi.nlm.nih.gov/pubmed/23667356

Schmidtke, A., & Häfner, H. (1988). The Werther effect after television films: new evidence for an old hypothesis. Psychological Medicine, 18(3), 665–676.

https://doi.org/10.1017/S0033291700008345

Sisask, M., & Värnik, A. (2012). Media roles in suicide prevention: A systematic review. International Journal of Environmental Research and Public Health, 9(1), 123–138.

https://doi.org/10.3390/ijerph9010123

Stack, S. (1992). The effect of the media on suicide: the Great Depression. Suicide & Life-Threatening Behavior, 22(2), 255–267. https://doi.org/10.1111/j.1943-278X.1992.tb00232.x

Thienel, R., Bryant, M., Hazel, G., Skehan, J., & Tynan, R. (2019). Do Australian media apply recommendations when covering a suicide prevention campaign? Journal of Public Mental Health, 18(2), 135–147. https://doi.org/10.1108/JPMH-10-2018-0071

Till, B., Arendt, F., Scherr, S., & Niederkrotenthaler, T. (2019). Effect of educative suicide prevention news articles featuring experts with vs without personal experience of suicidal ideation: A randomized controlled trial of the papageno effect. Journal of Clinical Psychiatry, 80(1), E1–E8. https://doi.org/10.4088/JCP.17m11975

Till, B., Strauss, M., Sonneck, G., & Niederkrotenthaler, T. (2015). Determining the effects of films with suicidal content: A laboratory experiment. British Journal of Psychiatry, 207(1), 72–78. https://doi.org/10.1192/bjp.bp.114.152827

Till, B., Tran, U. S., Voracek, M., & Niederkrotenthaler, T. (2017). Beneficial and harmful effects of educative suicide prevention websites: randomised controlled trial exploring Papageno v .Werther effects. British Journal of Psychiatry, 211(2), 109–115. https://doi.org/10.1192/bjp.bp.115.177394

Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., … Straus, S. E. (2018).

PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850

Walter, K., Wathelet, M., Valdenaire, S., Grandgenèvre, P., Pauwels, N., Vaiva, G., & Notredame, C. E. (2021). A Short Media Training Session Is Effective in Reinforcing Psychiatrists' Communication Skills About Suicide. Frontiers in Psychology, 12.

https://doi.org/10.3389/fpsyg.2021.733691

Webster, D. W., Whitehill, J. M., Vernick, J. S., & Curriero, F. C. (2013). Effects of Baltimore's Safe Streets Program on gun violence: a replication of Chicago's CeaseFire Program. Journal of Urban Health : Bulletin of the New York Academy of Medicine, 90(1), 27–40. https://doi.org/10.1007/s11524-012-9731-5

Whitehill, J. M., Webster, D. W., & Vernick, J. S. (2013). Street conflict mediation to prevent youth violence: conflict characteristics and outcomes. Injury Prevention% : Journal of the International Society for Child and Adolescent Injury Prevention, 19(3), 204–209. https://doi.org/10.1136/injuryprev-2012-040429

Whiteside, U., Richards, J., Bradley Steinfeld, G. S., Caka, S., Tachibana, C., Stuckey, S., & Ludman, E. (2014). Online Cognitive Behavioral Therapy for Depressed Primary Care Patients: A Pilot Feasibility Project. The Permanente Journal, 18(2), 21–27.

https://doi.org/10.7812/TPP/13-155

Whitlock, J., Muehlenkamp, J., Eckenrode, J., Purington, A., Baral Abrams, G., Barreira, P., & Kress, V. (2013). Nonsuicidal selfinjury as a gateway to suicide in young adults. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 52(4), 486–492. https://doi.org/10.1016/j.jadohealth.2012.09.010

WHO. (2021). LIVE LIFE. An implementation guide for suicide prevention in countries. https://apps.who.int/iris/bitstream/handle/10665/341726/978

-eng.pdf

Wolff, J. C., Thompson, E., Thomas, S. A., Nesi, J., Bettis, A. H., Ransford, B., Scopelliti, K., Frazier, E. A., & Liu, R. T. (2019). Emotion dysregulation and non-suicidal self-injury: A systematic review and meta-analysis. European Psychiatry : The Journal

of the Association of European Psychiatrists, 59, 25–36.

https://doi.org/10.1016/j.eurpsy.2019.03.004

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Publicado

02-01-2023