Social media ‘spiral’ found after sister’s death

• Social media activity may provide early warning signs of suicidal ideation in adolescents; clinicians should consider enquiring about online behaviour and concerning content when assessing young people at risk.
• Family members often observe concerning patterns on social media before professional intervention; GPs should encourage parents/guardians to report worrying digital activity and take such concerns seriously.
• Early recognition of a "spiral" in posting behaviour—potentially including increased negative content, withdrawal, or mood changes reflected online—could facilitate timely safeguarding referrals and mental health assessment in at-risk teenagers.

A woman whose 13-year-old sister took her own life says the "spiral that she was going through" was evident from her social media history.

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