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International audience; Background: Online resources constitute a new and effective way to obtain support or information during bereavement processes. However, little is known about the needs, use and expectations of people bereaved by suicide regarding online resources. Method: The objective of our national cross-sectional online survey was to collect the use, needs and expectations of people bereaved by suicide regarding online resources. The data were collected from July to October 2021 through a 26-item online questionnaire hosted on the website LimeSurvey. Results: A total of 401 respondents fully completed the questionnaire. Their mean age was 45.7. The majority of participants were women bereaved by the suicide of their child or partner. Half of the participants were bereaved for less than 3 years and benefited from counselling during their bereavement process. Three-quarters of the participants used the Internet for their bereavement process, mainly to obtain information on suicide bereavement and suicide prevention and to access testimonies of other people bereaved by suicide. Three-quarters of the participants found that available online resources for people bereaved by suicide are insufficient and expected a dedicated web platform to be developed. Finding information on suicide bereavement and on suicide prevention, discussing with a mental health professional and accessing testimonies of other people bereaved by suicide were expected by a majority of the participants regarding the future platform. Receiving counselling and being bereaved by the death of a child were the most important factors in explaining patterns of use and expectations regarding online resources. Discussion: Our results offer precise insights into the needs, use and expectations of people bereaved by suicide regarding online resources. The development of web platforms offering access to reliable information on suicide bereavement and on suicide prevention to peers bereaved by suicide and help to seek counselling are urgently needed.

Introduction: Suicide bereavement is known to be highly distressing and is frequently associated with mental health problems. Despite high-level of need regarding mental and physical health, people bereaved by suicide display low level of help-seeking and perceived support in the aftermath of the loss. The lack of accessibility and reliability of face-to-face counseling resources is notably reported by suicide survivors. Online resources can enhance early access to help and support for people bereaved by suicide. The primary objective of the study is to design and implement an innovative and adaptive online resource for people bereaved by suicide according to their needs and expectation regarding online solutions dedicated to suicide bereavement.Methods: The ESPOIR2S study is a mixed-method user-centered study. ESPOIR2S seeks to build the resource from the perspectives and needs of both people bereaved by suicide and professionals or volunteers working in the field of postvention. The Information System Research (ISR) Framework is used to guide the design of the study through a 3-step research cycle. The structure of the ESPOIR2S study relies on a simultaneous collection of qualitative and quantitative data which will be collected and analyzed during (a) the Relevance cycle through an online questionnaire and focus groups; (b) the Design cycle through focus groups; and (c) and the Rigor cycle through an online questionnaire and semi-structured interviews. The user-centeredness will be ensured by the active participation of people bereaved by suicide, members of associations for bereaved people and professionals of postvention.Discussion: The mixed-method and user-centered design of the ESPOIR2S study will offer an in-depth collection of the needs and expectation of suicide survivors regarding online resources. Through the implementation of an adaptive online solution, we aim to enhance the access to help and support for suicide survivors which are highly correlated with well-being and recovery.

This study aimed to investigate the time course of attentional bias for negative information in healthy individuals and to assess the associated influence of trait anxiety. Thirty-eight healthy volunteers performed an emotional dot-probe task with pairs of negative and neutral scenes, presented for either 1 or 2 s and followed by a target placed at the previous location of either negative or neutral stimulus. Analyses included eye movements during the presentation of the scenes and response times associated with target localization. In a second step, analyses focused on the influence of trait anxiety. While there was no significant difference at the behavioral level, the eye-tracking data revealed that negative information held longer attention than neutral stimuli once fixated. This initial maintenance bias towards negative pictures then increased with increasing trait anxiety. However, at later processing stages, only individuals with the highest trait anxiety appeared to fixate longer on negative pictures than neutral pictures, individuals with low trait anxiety showing the opposite pattern. This study provides novel evidence that healthy individuals display an attentional maintenance bias towards negative stimuli, which is associated with trait anxiety.

It is widely acknowledged that adolescents and young adults are particularly vulnerable to suicidal behavior. However, the “service desert”—the persistent lack of access to care services—within this population remains a major obstacle to prevention. Although it has brought with it specific risks, the ubiquity of social media offers new ways of overcoming the traditional barriers to help-seeking, owing to the specific modes of interaction and communication that it involves. The Elios project (Équipe en ligne d’intervention et d’orientation pour la prévention du suicide/Online Intervention and Referral Team for Suicide Prevention) aims to harness the digital possibilities of social media to promote access to care for suicidal young people. It consists of a team of online clinicians who will provide suicidal young people with first-line assistance by intervening directly on social media platforms thanks to innovative and integrated technological solutions. Specifically, Elios will offer online counseling, motivational support, crisis intervention, and referral to mainstream care services. The system is due to be implemented as part of a randomized controlled trial. If proved effective, it could be used for other care situations within France’s conventional health care system., Bien que la vulnérabilité particulière des adolescents et des jeunes adultes aux conduites suicidaires soit largement établie, le défaut persistant d’accès aux soins dans cette population reste un obstacle majeur à la prévention. Sans être dénués de risques propres, les réseaux sociaux, dont l’utilisation s’est largement généralisée, offrent des modalités d’interaction et de communication qui pourraient permettre de dépasser les classiques obstacles à la recherche d’aide. Le projet d’Équipe en ligne d’intervention et d’orientation pour la prévention du suicide (Elios) vise à exploiter les potentialités du numérique pour favoriser l’accès aux soins chez les jeunes suicidaires. Il consiste en une équipe de web-cliniciens qui interviendront directement sur les réseaux sociaux, en utilisant des solutions technologiques innovantes et intégrées, pour apporter aux jeunes une première réponse, soutenir leur démarche de demande d’aide, les sécuriser lorsque nécessaire et les orienter vers des services de soins conventionnels. Actuellement mis en œuvre et évalué dans le cadre d’un essai contrôlé randomisé, le dispositif pourrait être généralisé comme une offre de soins de droit commun.