While connecting to people is becoming more easier nowadays due to the growing online platforms, one should be careful of who they are becoming friends with as a new study finds that despair and distress can spread through close social networks. The findings of the study are published in the journal The Lancet.
Depression and mental health problems are increasing - and suicide and drug overdose rates are rising dramatically in the USA.
In a hyperconnected world, traditional social networks - face-to-face contacts of daily life - are unraveling with the loss of social supports, Flinders University psychiatrists warn.
The experts say clinicians and others need to remember that depression and other mental health problems are known to spread through close social networks, up to "three degrees of separation" - or a friend of a friend of a friend.
"You could possibly say the rising suicide rate in the USA is related to 'contagion' of low mood and depression. Despair and distress can spread through social networks," says Professor Tarun Bastiampillai, from the Flinders University College of Medicine and Public Health in South Australia.
"The major implication is that instead of only resorting to medication or individual psychological treatment, clinicians should also look to immediate social networks and wider social context including the influences of friends and family and wellbeing at work. "The emotional experiences of this clustered social network of up to 150 people - the traditional size of a village in the past - means 'friends of friends of friends' can have a negative or positive effect on us," says clinical academic Professor Bastiampillai.
"More now than ever, we have ways to connect to other people online. Our diary can be full and our lives busy, but are we connecting in a meaningful or harmful way via these online and offline social networks?
"Clinicians may need to look beyond an individual's psychology and look at the individual's wider social network and the negative or positive impacts it has."
Doctors should consider 'social prescribing' - where patients who present with depression are helped to engage with positive activities within their networks. While Australia's suicide rate is relatively stable, America's total suicide rate has increased by 31 percent from 10.7 to 14 per 100,000 people in the past two decades. US suicide rates among males are almost four times higher (22.4 per 100,000 in 2017) than among females (6.1 per 100,000 in 2017).
Also, there has been a concerning increase in US deaths related to drug overdoses during this time, from 6.1 per 100,000 in 1999 to 21.7 per 100,000 in 2017.
Low socioeconomic status, diminishing job prospects, low income, drug, and alcohol abuse, family breakdown, divorce, and rural isolation are linked to the official figures.
Therapeutic interventions can include analyzing 'depression clusters' and developing more positive and healthy social networks - from relatives, friends, colleagues, and neighbors to joining a sporting club or hobby group to expand the social network.
have also warned against the overuse of antipsychotic drugs in young people, including for bipolar disorder and anorexia nervosa.
The letter, 'Social network theory and rising suicide rates in the USA' by Flinders University psychiatry researchers Professor Bastiampillai and colleague Dr. Stephen Allison, and Seth W Perry and Julio Licinio from SUNY Upstate Medical University, New York, was published this month in The Lancet (Elsevier) correspondence.