Abstract

Recent research suggests that search volumes of the most popular search engine worldwide, Google, provided via Google Trends, could be associated with national suicide rates in the USA, UK, and some Asian countries. However, search volumes have mostly been studied in an ad hoc fashion, without controls for spurious associations. This study evaluated the validity and utility of Google Trends search volumes for behavioral forecasting of suicide rates in the USA, Germany, Austria, and Switzerland. Suicide-related search terms were systematically collected and respective Google Trends search volumes evaluated for availability. Time spans covered 2004 to 2010 (USA, Switzerland) and 2004 to 2012 (Germany, Austria). Temporal associations of search volumes and suicide rates were investigated with time-series analyses that rigorously controlled for spurious associations. The number and reliability of analyzable search volume data increased with country size. Search volumes showed various temporal associations with suicide rates. However, associations differed both across and within countries and mostly followed no discernable patterns. The total number of significant associations roughly matched the number of expected Type I errors. These results suggest that the validity of Google Trends search volumes for behavioral forecasting of national suicide rates is low. The utility and validity of search volumes for the forecasting of suicide rates depend on two key assumptions (“the population that conducts searches consists mostly of individuals with suicidal ideation”, “suicide-related search behavior is strongly linked with suicidal behavior”). We discuss strands of evidence that these two assumptions are likely not met. Implications for future research with Google Trends in the context of suicide research are also discussed.

Highlights

  • More than one third of the world population is using the Internet [1]

  • We conclude that Google Trends does not appear to be a valid tool for behavioral forecasting of suicidal behavior and that the seemingly confirmative results of previous studies in this area [12,13,14,15,16,17,18,19,20] need to be interpreted with caution

  • We found that alternative terms for suicide, like Selbstmord in German, may be more relevant or salient search terms for languages other than English

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Summary

Introduction

More than one third of the world population is using the Internet [1]. A high percentage of internet users in the USA use the Internet for news reports and to gather information about. In the USA, 24% of users seek at least once per week information about health-related topics [2]. The prevalence rate of health-specific online searches is estimated at 4.5% of all online searches [3], but the true prevalence might be even higher. Google reported 1200 billion search requests worldwide in 2012 [4]. With a prevalence of 4.5% and 3.3 billion daily requests (in 2012), it can be estimated that approximately 148 million health-related search requests are made every day

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