Malaysia: Social Media ordered suicide of a teen girl. Know the sad story and dark side

Never ignore any post of social media, which suggests suicidal ideation. It is a medical emergency. Never take it lightly.

Not just on social media, if someone calls you that I am feeling like committing suicide do not take it lightly.

Most patients who commit suicide successfully will talk to someone minutes before they commit suicide. The commonest precipitating factor is that they are not been loved or cared by the society.

A 16 year-old girl has reportedly killed herself in Malaysia, after posting a poll on her Instagram account asking followers if she should die or not, and 69% of responders voting that she should.

The girl, who has not been named, posted the poll on the photo sharing app with the message: “Really Important, Help Me Choose D/L”.

After most responders voted for “death”, she killed herself. Her death prompted a lawyer to suggest that those who voted for her to die could be guilty of abetting suicide.

In February, Instagram announced that it will launch “sensitivity screens” to block images of self-harm. The move followed the death of British teenager Molly Russell, whose parents believe that she saw images of suicide and self-harm on the app before she took her own life in 2017 at the age of 14.

Suicidal Ideation

  • Intentional self-injurious thoughts and behavior may be suicidal or non-suicidal
  • Suicide is the 14th leading cause of death worldwide with the global suicide rate being 12 per 100,000 individuals.
  • In the US, suicide is the 10th leading cause of death with the suicide rate more than 15 per 100,000 individuals.
  • Major risk factors for suicide are psychiatric disorders, hopelessness and previous suicide attempts or threats. Impulsive aggressive behavior is also a risk factor for suicide.
  • Suicide is influenced by a combination of feelings we have about ourselves and our future (internal affect) and feelings we have about others and the world around us (external affect) including recent life experiences.
  • High impulsive behavior or alcohol/substance abuse increase the risk that suicidal impulses will be carried out.
  • Patients suspected to be at risk for suicide should be asked about suicidal ideation and intent, and, if present should be treated as an emergency
  • WHO: 12-month prevalence of suicidal ideation (thoughts) was around 2% and that the lifetime prevalence was 9%.
  • The probability of ever making a plan to commit suicide is 33% among individuals with a lifetime history of suicidal ideation; the likelihood of ever making a suicide attempt is approximately 30% in such individuals.
  • Among individuals with a lifetime history of suicidal ideation and a plan, the probability of attempting suicide was about 55%; among ideators without a plan, the probability of attempting suicide was only 15%.
  • About 60% of the transitions from suicidal ideation to suicide plan, and from plan to suicide attempt, occurred in the first year after onset of suicidal ideation.
  • More than half of individuals with suicidal thoughts do not receive mental health services.

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