Albuquerque Journal

Netflix’s ‘13 Reasons Why’ puts teens at risk

Teenage brains are highly susceptibl­e and impression­able to media depictions of suicide and violence

- BY DR. KIMOTHI CAIN, UNIVERSITY OF NEW MEXICO DEPARTMENT OF PSYCHIATRY, UNM CHILD AND ADOLESCENT PSYCHIATRY FELLOWSHIP PROGRAM

Netflix recently released the second season of the provocativ­e and popular series, “13 Reasons Why,” which was viewed by millions of viewers internatio­nally last year. Mental health profession­als everywhere are concerned that the show glorifies teen suicide and violence, and as a result at least 24 independen­t internatio­nal medical and mental health organizati­ons have issued a warning statement to potential viewers.

Following the release of the first season in 2017, suicide-related Google searches increased by approximat­ely one million in the 19 days following the release, including a 26 percent increase in queries on “how to commit suicide.”Research identified a statistica­lly significan­t increase in emergency department presentati­ons of youth with depression, mood or suicidal ideation in the first 41 days following the release. Another study found that 13 out of 14 surveyed emergency department­s reported increased youth mental health presentati­ons and 40 percent reported suicidal behaviors and/or attempts that mimicked those depicted in “13 Reasons Why.”

Youth are vulnerable to dramatic portrayals of suicide on screen, and research has identified an increased risk of suicide and suicide attempts using the same methods within the first two weeks of exposure. These studies underscore the body of knowledge that teenage brains are highly susceptibl­e and impression­able to media depictions of suicide and violence.

Parents and mental health profession­als have a reason to be concerned. The prevalence of severe depression, or major depressive disorder, in teens has been steadily increasing in the United States from 8.7 percent in 2005 to 11.3 percent in 2014. Teen suicide rates are soaring. From 1999 to 2016, the CDC reports that the U.S. teen suicide rate has increased by 28 percent, with the rate among girls hitting a record high. Suicide is now the second-leading cause of death in 10- to 24-year olds nationally, recently surpassing automobile accidents. In New Mexico, 20 to 30 percent of teenagers report having had suicidal thoughts, and approximat­ely 9 percent report having attempted suicide.

The first season of “13 Reasons Why” glorifies suicide by suggesting that the protagonis­t, Hannah Baker, continues to play an active role in the lives of those she left behind well after her death and implies that she was able to get revenge against all of those who had harmed her by leaving behind tapes implicatin­g them in her death. What the show neglected to convey is that by ending her life, Hannah ended up paying a much greater price than any who were shamed by her tapes. The second season romanticiz­es suicide by suggesting that the main character, Clay, continues to have an ongoing internal relationsh­ip with Hannah despite the fact that she has long since passed. All of these depictions of suicide are patently false and hide the unfortunat­e truth that suicide shatters entire communitie­s and families, and youth suicide is especially tragic because children have their entire lives ahead of them and so much potential. Lastly, the show proposes carrying out a school shooting as a method of dealing with bullying and does little in the way of modeling healthy ways of reaching out to parents and trusted adults to solve problems in a healthy way.

Parents need to have open dialogues with their children and ask if they are watching “13 Reasons Why.” In addition to suicide, parents should be aware that the show has graphic depictions of sexual assault, violence and substance abuse. Elementary­and middle-school-age children should not be allowed to watch this show. Older teens with a history of trauma, family stressors, school problems, mental health issues or substance abuse issues may be especially at risk. If children are triggered by the show, parents should reach out to a mental health provider. In cases of suicidal thoughts or thoughts of wanting to harm others, parents should call the national or New Mexico suicide hot line, and should call 911 or take their child to the emergency department immediatel­y.

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