The narrative of the song is centred around someone calling the 1-800 number for Lifeline and then telling the counsellor that they don’t want to live anymore. On 28 April 2017, the American hip hop artist Logic released his song “1-80,” prominently featuring the number of the US National Suicide Prevention Lifeline (referred to as Lifeline). But a major dilemma for research in this area has been that stories of hope and recovery receive much less media coverage than stories of suicide death. Suicide prevention and education efforts must harness positive media to educate the general public and high risk groups about suicide prevention without doing harm to individuals at risk. 4 5 6 A noted limitation of these studies is that findings about suicidal thoughts do not necessarily generalise to suicidal behaviours and, most importantly, suicides. Consistent with the research evidence for the Papageno effect, some of these studies indicate that media narratives of hope and recovery from a suicidal crisis are associated with reduced suicidal thoughts, particularly in people with some risk factors for suicidal behaviour. These trials typically use suicidal thoughts rather than suicide death as the outcome. 3 In contrast with studies on the Werther effect, most studies on the Papageno effect have used experimental designs. 3 The possible protective effects of stories of hope and recovery from suicidal crises is referred to as the Papageno effect. Some other suicide related narratives might have preventive effects-media stories of people who managed to cope with suicidal crises without dying by suicide have been associated with reductions in subsequent suicides. 1 A recent meta-analysis found that news reporting on celebrity suicides-often highly repetitive over the following weeks 2-was associated with a 13% increase in suicides. Repetitive reporting on suicide deaths or potentially lethal actions has been shown to trigger further suicides, known as the Werther effect. Correspondence to: T Niederkrotenthaler .at.9Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.8National Suicide Prevention Lifeline, Vibrant Emotional Health, New York, NY, USA.7National Center for Injury Prevention and Control, Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA.6Department of Psychiatry, University of Toronto, Canada.5Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Canada.4New York State Psychiatric Institute, Columbia University, New York, NY, USA.3Department of Cognition, Emotion, and Methods in Psychology, School of Psychology, University of Vienna, Vienna, Austria.2Wiener Werkstaette for Suicide Research, Vienna, Austria.1Unit Suicide Research & Mental Health Promotion, Department of Social and Preventive Medicine, Center for Public Health, Medical University of Vienna, Vienna, Austria.

Matthew J Spittal, associate professor 9,.Frances Gonzalez, senior communications director 8,.Benedikt Till, associate professor 1 2,.Thomas Niederkrotenthaler, associate professor 1 2,.

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