Digital Health Intervention Towards Suicidal Ideation Among Adolescents

Cherol Nelson Ering(1*), Shanti Wardaningsih(2)
(1) Universitas Muhammadiyah Yogyakarta
(2) Universitas Muhammadiyah Yogyakarta
(*) Corresponding Author
DOI : 10.30604/jika.v8i3.2003


Adolescents are a vulnerable group when it comes to mental health issues like suicidal ideation. Digital health, with its increasingly advanced and developing technology in industry 4.0 area, can be an alternative intervention to prevent or even reduce suicidal ideation among adolescents. This article is a literature review that aims to discuss the use of digital health interventions to reduce suicidal ideation among adolescents. The article search method uses a database from Pubmed, Google Scholar, Science Direct, and CrossRef. There were 12 articles that were reviewed. The findings indicated that a digital health intervention can reduce or eliminate suicidal ideation in adolescents. The internet, websites, mobile applications, and messenger are all examples of digital health. The influence of digital health interventions for suicidal ideation comes from benefits of digital health such as screening for suicidal ideation (both by health workers and independently), counseling, psychoeducation, and peer support. Digital health can be used effectively by millennials or teenagers who live in modern times.

Abstrak: Remaja merupakan populasi yang rentan mengalami kesehatan mental seperti ide bunuh diri. Digital Health menjadi intervensi pilihan alternatif untuk mencegah bahkan mengurangi ide bunuh diri pada remaja terutama di area industri 4.0 dengan pemanfaatan teknologi yang sudah semakin maju dan berkembang. Penelitian ini merupakan literature review yang bertujuan untuk membahas intervensi digital health terhadap ide bunuh diri pada remaja. Metode pencarian artikel menggunakan database Pubmed, Google Scholar, Science Direct, dan CrossRef. Artikel yang direview berjumlah 12 artikel. Hasil literature review menunjukkan intervensi digital health dapat mengurangi atau mengatasi ide bunuh diri pada remaja. Jenis digital health yang digunakan internet/webisite, mobile application, dan messenger. Adapun manfaat yang dapat diberikan digital health yaitu skrining ide bunuh (baik oleh tenaga kesehatan, dan skrining secara mandiri), konseling, psikoedukasi, dan dukungan teman sebaya. Intervensi Digital Health efektif dapat digunakan kepada kaum generasi milenial atau remaja yang hidup di zaman modern.


Adolescent; Digital Health; Suicidal; Suicidal ideation


Awad, A., Trenfield, S. J., Pollard, T. D., Ong, J. J., Elbadawi, M., McCoubrey, L. E., Goyanes, A., Gaisford, S., & Basit, A. W. (2021). Connected healthcare: Improving patient care using digital health technologies. Advanced Drug Delivery Reviews, 178, 113958.

Bailey, E., Alvarez-Jimenez, M., Robinson, J., & ... (2020). An enhanced social networking intervention for young people with active suicidal ideation: Safety, feasibility and acceptability outcomes. International Journal of …, Query date: 2023-01-09 12:51:07.

Bilsen, J. (2018). Suicide and Youth: Risk Factors. Frontiers in Psychiatry, 9, 540.

Biswas, T., Scott, J. G., Munir, K., Renzaho, A. M. N., Rawal, L. B., Baxter, J., & Mamun, A. A. (2020). Global variation in the prevalence of suicidal ideation, anxiety, and their correlates among adolescents: A population based study of 82 countries. EClinicalMedicine, 24.

Büscher, R., Torok, M., Terhorst, Y., & Sander, L. (2020). Internet-Based Cognitive Behavioral Therapy to Reduce Suicidal Ideation: A Systematic Review and Meta-analysis. JAMA Network Open, 3(4), e203933.

Central for Disease Control and Prevention. (2022, November 2). Disparities in Suicide | CDC.

Chan, Y. Y., Lim, K. H., Teh, C. H., Kee, C. C., Ghazali, S. M., Lim, K. K., Khoo, Y. Y., Tee, E. O., Ahmad, N. A., & Ibrahim, N. (2016). Prevalence and risk factors associated with suicidal ideation among adolescents in Malaysia. International Journal of Adolescent Medicine and Health, 30(3), /j/ijamh.2018.30.issue-3/ijamh-2016-0053/ijamh-2016-0053.xml.

De Jaegere, E., van Landschoot, R., van Heeringen, K., van Spijker, B. A. J., Kerkhof, A. J. F. M., Mokkenstorm, J. K., & Portzky, G. (2019). The online treatment of suicidal ideation: A randomised controlled trial of an unguided web-based intervention. Behaviour Research and Therapy, 119, 103406.

Dunlap, L. J., Orme, S., Zarkin, G. A., Arias, S. A., Miller, I. W., Camargo, C. A., Sullivan, A. F., Allen, M. H., Goldstein, A. B., Manton, A. P., Clark, R., & Boudreaux, E. D. (2019). Screening and Intervention for Suicide Prevention: A Cost-Effectiveness Analysis of the ED-SAFE Interventions. Psychiatric Services (Washington, D.C.), 70(12), 1082–1087.

Franklin, J., Fox, K., Franklin, C., & ... (2016). A brief mobile app reduces nonsuicidal and suicidal self-injury: Evidence from three randomized controlled trials. Journal of Consulting …, Query date: 2023-01-09 12:51:07.

Gentili, A., Failla, G., Melnyk, A., Puleo, V., Tanna, G. L. D., Ricciardi, W., & Cascini, F. (2022). The cost-effectiveness of digital health interventions: A systematic review of the literature. Frontiers in Public Health, 10, 787135.

Giotakos, O., & Papadomarkaki, E. (2016). [Online Counselling: The prospect of a therapeutic connection]. Psychiatric = Psychiatriki, 27(2), 127–135.

Gomes, M., Murray, E., & Raftery, J. (2022). Economic Evaluation of Digital Health Interventions: Methodological Issues and Recommendations for Practice. Pharmacoeconomics, 40(4), 367–378.

Han, J., Torok, M., Gale, N., Wong, Q. J., Werner-Seidler, A., Hetrick, S. E., & Christensen, H. (2019). Use of Web Conferencing Technology for Conducting Online Focus Groups Among Young People With Lived Experience of Suicidal Thoughts: Mixed Methods Research. JMIR Mental Health, 6(10), e14191.

Harmer, B., Lee, S., Duong, T. vi H., & Saadabadi, A. (2022). Suicidal Ideation. In StatPearls. StatPearls Publishing.

Hetrick, S., Yuen, H., Bailey, E., Cox, G., & ... (2017). Internet-based cognitive behavioural therapy for young people with suicide-related behaviour (Reframe-IT): A randomised controlled trial. … -Based Mental Health, Query date: 2023-01-09 12:51:07.

Iorfino, F., Davenport, T., Ospina-Pinillos, L., & ... (2017). Using new and emerging technologies to identify and respond to suicidality among help-seeking young people: A cross-sectional study. … of Medical Internet …, Query date: 2023-01-09 12:51:07.

Klonsky, E. D., May, A. M., & Saffer, B. Y. (2016). Suicide, Suicide Attempts, and Suicidal Ideation. Annual Review of Clinical Psychology, 12, 307–330.

Kohls, E., Guenthner, L., Baldofski, S., Eckert, M., Efe, Z., Kuehne, K., Saee, S., Thomas, J., Wundrack, R., & Rummel-Kluge, C. (2022). Suicidal Ideation Among Children and Young Adults in a 24/7 Messenger-Based Psychological Chat Counseling Service. Frontiers in Psychiatry, 13, 862298.

Mann, J. J., Michel, C. A., & Auerbach, R. P. (2021). Improving Suicide Prevention Through Evidence-Based Strategies: A Systematic Review. The American Journal of Psychiatry, 178(7), 611–624.

Mühlmann, C., Madsen, T., Hjorthøj, C., Forman, J. L., Kerkhof, A. J. F. M., Nordentoft, M., & Erlangsen, A. (2021). Effectiveness of an Internet-Based Self-help Therapy Program for Suicidal Ideation With Follow-up at 6 Months: Results of a Randomized Controlled Trial. The Journal of Clinical Psychiatry, 82(5), 20m13803.

O’Rourke, M. C., Jamil, R. T., & Siddiqui, W. (2022). Suicide Screening and Prevention. In StatPearls [Internet]. StatPearls Publishing.

Oulanova, O., Moodley, R., & Séguin, M. (2014). From suicide survivor to peer counselor: Breaking the silence of suicide bereavement. Omega, 69(2), 151–168.

Primananda, M., & Keliat, B. A. (2019). Risk and Protective Factors of Suicidal Ideation in Adolescents. Comprehensive Child and Adolescent Nursing, 42(sup1), 179–188.

Robinson, J., Hetrick, S., Cox, G., Bendall, S., & ... (2016). Can an I nternet?based intervention reduce suicidal ideation, depression and hopelessness among secondary school students: Results from a pilot study. Early Intervention in …, Query date: 2023-01-09 12:51:07.

Rodante, D. E., Kaplan, M. I., Olivera Fedi, R., Gagliesi, P., Pascali, A., José Quintero, P. S., Compte, E. J., Perez, A. I., Weinstein, M., Chiapella, L. C., & Daray, F. M. (2022). CALMA, a Mobile Health Application, as an Accessory to Therapy for Reduction of Suicidal and Non-Suicidal Self-Injured Behaviors: A Pilot Cluster Randomized Controlled Trial. Archives of Suicide Research: Official Journal of the International Academy for Suicide Research, 26(2), 801–818.

Ronquillo, Y., Meyers, A., & Korvek, S. J. (2022). Digital Health. In StatPearls [Internet]. StatPearls Publishing.

Sarkhel, S., Singh, O. P., & Arora, M. (2020). Clinical Practice Guidelines for Psychoeducation in Psychiatric Disorders General Principles of Psychoeducation. Indian Journal of Psychiatry, 62(Suppl 2), S319–S323.

Sawyer, S. M., Azzopardi, P. S., Wickremarathne, D., & Patton, G. C. (2018). The age of adolescence. The Lancet. Child & Adolescent Health, 2(3), 223–228.

Sindahl, T., Côte, L., Dargis, L., & ... (2019). Texting for help: Processes and impact of text counseling with children and youth with suicide ideation. Suicide and Life …, Query date: 2023-01-09 12:51:07.

Spijker, B. V., Majo, M., Smit, F., Straten, A. van, & ... (2012). Reducing suicidal ideation: Cost-effectiveness analysis of a randomized controlled trial of unguided web-based self-help. … of Medical Internet …, Query date: 2023-01-09 12:51:07.

Sueki, H., Yonemoto, N., Takeshima, T., & Inagaki, M. (2014). The impact of suicidality-related internet use: A prospective large cohort study with young and middle-aged internet users. PloS One, Query date: 2023-01-09 12:51:07.

Torok, M., Han, J., McGillivray, L., Wong, Q., Werner-Seidler, A., O’Dea, B., Calear, A., & Christensen, H. (2022). The effect of a therapeutic smartphone application on suicidal ideation in young adults: Findings from a randomized controlled trial in Australia. PLoS Medicine, 19(5), e1003978.

Wasserman, D., Carli, V., Iosue, M., Javed, A., & Herrman, H. (2021). Suicide prevention in childhood and adolescence: A narrative review of current knowledge on risk and protective factors and effectiveness of interventions. Asia-Pacific Psychiatry: Official Journal of the Pacific Rim College of Psychiatrists, 13(3), e12452.

Weiss, M., Hildebrand, A., Braun-Scharm, H., Weckwerth, K., Held, D., & Stemmler, M. (2020). [Are suicidal young people reached by online-counselling? Evaluation of the target group outreach of [U25] online suicide prevention]. Zeitschrift Fur Kinder- Und Jugendpsychiatrie Und Psychotherapie, 48(3), 204–214.

WHO. (2021a, June 17). Suicide.

WHO. (2021c, November 17). Adolescent mental health.

Zhao, S., Sampson, S., Xia, J., & Jayaram, M. B. (2015). Psychoeducation (brief) for people with serious mental illness. The Cochrane Database of Systematic Reviews, 4, CD010823.

Article Statistic

Abstract view : 290 times
PDF (Bahasa Indonesia) views : 149 times

Dimensions Metrics

How To Cite This :


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.