Suicide Prevention using Google AdWords: A Randomised Trial measuring Engagement (Preprint)

BACKGROUND Studies have shown that individuals may search for suicide-related terms on the internet prior to an attempt. OBJECTIVE Thus, across two studies, we investigated engagement with an advertisement campaign designed to reach individuals contemplating suicide. METHODS First, we designed the campaign to focus on crisis, running a campaign for 16 days in which crisis related keywords would trigger an ad and landing page to help individuals find the national suicide hotline number. Second, we expanded the campaign to also help individuals contemplating suicide, running the campaign for 19 days with a wider range of keywords with a co-designed website with a wider range of offerings e.g., lived experience stories. RESULTS In the first study, the ad was shown 16,505 times, and was clicked 664 times (4·02% click rate). There were 101 calls to the hotline. In the second study, the ad was shown 120,881 times, clicked 6,227 times (5·15% click rate), with 1,419 engagements with the site (22·79%), a significantly higher rate than industry average of 3%. Clicks on ad was high despite a suicidSearch advertisements are a quick, far-reaching, and cost-efficient way of reaching those contemplating suicide, and are needed despite suicide hotline banners being present.e hotline banner likely being present. CONCLUSIONS Search advertisements are a quick, far-reaching, and cost-efficient way of reaching those contemplating suicide, and are needed despite suicide hotline banners being present.