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Earlier quoted context omitted.
Ah, so spelled differently in English, but still the same sound.
I read KoKo as ‘Koh Koh’, not ‘Koo Koo’. Still, in retrospect - definitely a bad naming choice for a service like this.
This looks great. My wife is training in sucide awareness and prevention (college level course) in the UK; how applicable is Koko outside the USA ? How are you validating how well you system works or has a positive effect,have you had input/review by qualified professionals ?
We regularly consult clinical advisors (listed here: https://www.kokocares.org/our-team)
I made some comments on outcome measures in another comment you can find here, but you can also see some of our papers here: https://www.kokocares.org/research
Good for you guys, this is a really uncomfortable space to build in, but with amazing social impact potential. What motivated you personally to be in this space?
Sounds better than Reddit's system of 'suicide alerts': > "Reddit has partnered with Crisis Text Line to provide redditors who may be considering suicide or seriously hurting themselves with support from trained Crisis Counselors. If you’re worried about someone, you can let us know by reporting the specific post or comment that worried you and selecting, Someone is considering suicide or serious self-harm. After you…
Haha, that's actually more of a warning. If you don't quit posting about suicide, they temporarily suspend your account, then if you do it again, they permanently ban your account, and if you do it yet again (say, you're a complete loser who can't get through with it, with zero help and the only thing you can do is, well, complain about it online) you get permabanned based on your IP and email info. Even in the few s…
Banning people who express suicidal intentions from online platforms, which often are the last community they belong to, is unbelievably harmful.
Advertising dollars be damned: companies don't get to put toxic materials in our foods, and social media companies don't get to clandestinely use "crisis support" buttons to figure out who to "clean up".
You may also wish to write a letter to your attorney general.
> But there are a few problems with this. The keyword lists always have glaring omissions. Millions of young adults can still easily find dangerous content, such as tips on how to self-harm or kill themselves. This is an incredibly condescending worldview. If a person's going to commit suicide, allowing them to find methods that aren't likely to fail or cause extreme amounts of pain is incredibly important. By interr…
Lives are saved by not having easy information on how to commit suicide. When you talk to suicidal teens, often the reason they seek help is because they don't have a workable plan. So putting these roadblocks in their way drives them to seek help instead of making and carrying out plans. This is basic safety, like locking away knives and medication - don't help them plan.
> We have published seven reviewed papers on these interventions and we have two more in prep now. In a randomized controlled trial with Harvard, our services increased the conversion rate to crisis lines by 23%.* Do you have any numbers for outcomes or harm reduction?
Thanks for the question. I’m going to interpret this broadly and try to go from there, but let me know if you had something more specific in mind. TL;DR At a high level, for people who complete our interventions, we see 71% feel more hopeful, 42% feel better about their bodies, and 67% feel less self-hatred. Completion rates range from 25-55%. Outcomes would most likely be lower for those who dropout prematurely. Mor…
> If they are experiencing self harm, in addition to crisis lines, we offer them a single-session online intervention on managing sh. For that, we see significant improvements pre vs post on measures like “self-hatred”, and “desire to stop selfharm”, with medium effect sizes (.4-.8 cohen’s d). Very hard to show enduring effects for this, however.
Are you measuring in such a way that you can realistically determine which effects are due to the online intervention and which are due to the SH itself? I ask because after SH, especially a few hours later, I consistently have increased "desire to stop selfharm", and lessened "self-hatred". SH has that effect on me, hence its unfortunate use as a coping mechanism.
Earlier quoted context omitted.
Thanks for the question. I’m going to interpret this broadly and try to go from there, but let me know if you had something more specific in mind. TL;DR At a high level, for people who complete our interventions, we see 71% feel more hopeful, 42% feel better about their bodies, and 67% feel less self-hatred. Completion rates range from 25-55%. Outcomes would most likely be lower for those who dropout prematurely. Mor…
> We follow-up 5hrs later and ask general questions about their experience with the life line. > If they are experiencing self harm, in addition to crisis lines, we offer them a single-session online intervention on managing sh. For that, we see significant improvements pre vs post on measures like “self-hatred”, and “desire to stop selfharm”, with medium effect sizes (.4-.8 cohen’s d). Very hard to show enduring eff…
Scroll to the bottom to try the "managing self-harm" mini course. It only takes 7-8min and there is a spot for feedback at the end.
Good luck.