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BACKGROUND Anxiety disorders are the most common mental disorders worldwide. In Hong Kong, 7% of adolescents are diagnosed with anxiety disorders, and 1 in every 4 secondary school students reports clinical-level anxiety symptoms. However, 65% of them do not access services. Long waitlists in public services, the high cost of private services, or the fear of being stigmatized can hinder service access. The high prevalence of anxiety and low intervention uptake indicate a pressing need to develop timely, scalable, and potent interventions suitable for adolescents. Single-session interventions (SSIs) have the potential to be scalable interventions for diagnosable or subclinical psychopathology in adolescents. Providing precise and context-adapted intervention is the key to achieving intervention efficacy. OBJECTIVE This study aims to compare the effectiveness of three SSIs: single-session intervention of growth mindset on negative emotions (SIGMA), SSI of growth mindset of personality (SSI-GP), and active control, in reducing adolescent anxiety. METHODS Adolescents (N=549, ages 12-16 years) from secondary schools will be randomized to 1 of 3 intervention conditions: the SIGMA, SSI-GP, or active control. The implementation of each intervention is approximately 45 minutes in length. Adolescent participants will report anxiety symptoms (primary outcome), perceived control, hopelessness, attitude toward help-seeking, and psychological well-being at preintervention, the 2-week follow-up, and the 8-week follow-up. A pilot test has confirmed the feasibility and acceptability of SIGMA among adolescents. We hypothesized that SIGMA and SSI-GP will result in a larger reduction in anxiety symptoms than the control intervention during the posttest and 8-week follow-up period. We also predict that SIGMA will have a more significant effect than SSI-GP. We will use the intention-to-treat principle and linear regression-based maximum likelihood multilevel models for data analysis. RESULTS This study will be conducted from December 2022 to December 2023, with results expected to be available in January 2024. CONCLUSIONS This protocol introduces the implementation content and strategies of growth mindset SSIs (consists of 2 forms: SIGMA and SSI-GP) among school students. The study will provide evidence on the efficacy of different growth mindset SSIs for adolescent anxiety. It will also establish implementation strategies for self-administrative SSIs among school students, which can serve as a pioneer implementation of a scalable and self-accessible brief intervention to improve the well-being of young people. CLINICALTRIAL ClinicalTrials.gov NCT05027880; https://clinicaltrials.gov/ct2/show/NCT05027880 INTERNATIONAL REGISTERED REPORT PRR1-10.2196/41758

Purpose Suicide in young adulthood is a vital public health concern. There have been few systematic studies that examined the prevalence and transition of suicidal ideation classes in young adults and the factors associated with the transition. Methods This two-wave survey recruited 1269 young adults (Mean age = 24.0 years, 70.1% males) in Hong Kong. The participants completed the Suicidal Ideation Attributes Scale, Chinese Health Questionnaire, and help-seeking behaviors in 2018 and 2019. Latent profile analysis was used to classify the participants into latent classes of suicidal ideation with substantive checking under the 3-step approach. Latent transition analysis with measurement invariance examined the transition among the latent classes from 2018 to 2019 and the associations with help-seeking behaviors and change in psychological distress. Results Three latent classes of suicidal ideation were identified and over two-thirds of the participants belonged to the Low-risk class with minimal suicidal ideation. The prevalence of the High-risk class dropped from 10.2 to 7.2%, while that of the Moderate-risk class remained stable from 2018 to 2019. Increases in psychological distress predicted higher probabilities to remain at or transit into more risky classes. Engagement in help-seeking behaviors showed differential transitions in suicidal ideation across time. Conclusion The findings suggest three latent classes of suicidal ideation with distinct profiles among the young adults. Deterioration in psychological distress showed a temporal effect on worsening of suicidal ideation over a 1-year period. Future studies should elucidate the comparative effectiveness of help-seeking behaviors via online and offline channels. Supplementary Information The online version contains supplementary material available at 10.1007/s00127-021-02203-9.

Abstract. Background: China accounts for 15% of the global suicide death toll, yet suicide research efforts in the country are not well known by international colleagues. Aims: We aimed to outline the development of suicide research in China, appraise research findings, and identify key contributors. Method: English and Chinese research publication databases were systematically searched and relevant papers were reviewed. Chinese and English publications were compared. Results: There are almost 10 times more Chinese publications than English ones. The research focuses of and key contributors to the Chinese and English literature exhibit more differences than commonalities. The field experienced rapid expansion in the new millennium with more and higher quality publications and more funding support. Psychosocial-oriented perspectives guided most of the papers. Poisoning by pesticide as a suicide method and youth as a subpopulation group received the most research attention. Limitations: The scoping review does not provide in-depth syntheses on specific topics and does not include more recent publications. Conclusion: Research on suicide in China has been actively carried out during the 30-year period we reviewed, which might have contributed to suicide prevention in China. Research gaps identified by the review should be addressed to sustain the achievements.

Background : Research consistently report an inverse relationship between suicide risk and help-seeking. The increasingly available internet-based support potentially offers an attractive alternative to traditional forms of assistance. The study compared the characteristics of suicidal youths in Hong Kong and their online and offline help-seeking behaviours. Methods : Participants (N = 1214, age-range = 15–24 years) responded to the anonymous 2018 Hong Kong Online Survey on Youth Mental Health and Internet Usage. Respondents with suicidal thoughts were classified into those who sought help online and offline, or online only (“online-help”); those who sought help offline only (“offline-help”); and those who never sought help (“no-help”). They responded to questions concerning mental health, perception towards online support, internet use, help sources, and demographic information. Results : The online-help group differed significantly from other groups, with greater suicidal ideation, distress, risk behaviours, and spent more time online for non-work-related purposes. Their perceived benefits of online support include anonymity, avoiding embarrassment, and social support. They are more likely to seek help from a combination of informal and formal sources. Limitations : No data on whether participants sought help online or offline first, and their current treatment status is available. Our study adopted conveniences sampling, and few respondents have sought help online exclusively. Conclusion : Online support offers an alternate way of engaging at-risk youths. Future clinical practice should consider online platforms as a complement, rather than a replacement, of offline platforms.

Supportive interactions on social media have great potential to benefit adolescents’ development. However, there is no instrument to measure online social support (OSS) in China. The study aimed to develop and validate a Chinese short version of the Online Social Support Scale (OSSS). The original scale was translated into Chinese through multiple forward and backward translation protocols. The calibration sample (N = 262) was used to select items and test the reliability, validity, and internal structure of the short form. The cross-validation sample (N = 267) was then used to assess measurement invariance by multigroup confirmatory factor analysis and examine criterion validity based on its relationships with life satisfaction, depression, and time on social media. The 20-item Chinese short version of OSSS (OSSS-CS) includes four factors: esteem/emotional support, social companionship, informational support, and instrumental support. Our results suggest that the OSSS-CS has high internal consistency, construct validity, and criterion validity. Furthermore, evidence of partial cross-validity demonstrated invariance of the variance–covariance matrices, factor structure, factor loadings, and factor variance across independent samples. The results also revealed that the original OSSS could be replicated across cultures. Finally, the short form developed in the study can be used as a reliable and valid measure of online social support among the Chinese adolescent population.

The study aimed to examine what types of social support a prominent online peer support group has provided to Filipino domestic workers (FDWs) in Hong Kong (HK), how impactful each type of support was, and to what extent the support could address group members’ expressed needs. Posts published from 1 September 2021 to 31 December 2021 in one of the largest online peer-support groups for FDWs in HK and their meta-data were extracted from Facebook. Thematic content analysis was performed to extract relevant information from the posts. Descriptive statistical analysis on the social media metrics was conducted to measure post impacts. A total of 599 posts published over the study period can be categorized to provide informational (76.67%), emotional (33.56%), and instrumental support (13.52%). Posts including emotional support were often more impactful. A total of 58 posts responded to requests explicitly expressed by individual FDWs, of which 13 required external resources. The online peer-support group acts as a new channel to raise FDWs’ awareness of important issues related to their well-being, to encourage and facilitate them to seek formal and informal help, and to keep them emotionally attended to. Formal support services should recognize and collaborate with them and support their long-term sustainability.

MoSe2 from monolayer to bulk phase can realize the transition from a direct bandgap semiconductor to an indirect bandgap semiconductor. Its bandgap varies between 1.1 and 1.55 eV, which matches the solar spectral range, so Si-based heterojunction solar cells with MoSe2 as an active layer have great significance in the development of low-cost, high-efficiency and high-flexibility photovoltaic devices. In this work, MoSe2 thin films were synthesized by chemical vapor deposition using MoO3 and Se powders as precursor sources. The effects of different process parameters (Se source temperature, Mo source temperature, growth time, carrier gas flow rate and hydrogen ratio) on the synthesis of MoSe2 thin films were systematically investigated. The optimized experimental parameters were determined as follows: the molybdenum source temperature of 800[Formula: see text], the selenium source 20 cm away from molybdenum source, the growth time of 10 min, the carrier gas flow rate of 60 sccm, the hydrogen ratio of 10%. Then MoSe2/Si heterojunction solar cells were constructed via wet chemical transfer. The open-circuit voltage, short-circuit current density, filling factor and photovoltaic conversion efficiency of the fabricated solar cells were 0.19 V, 5.71 mA/cm2, 30.47% and 0.33%, respectively. Main factors affecting the photovoltaic performance of the MoSe2/Si solar cells have also been discussed. This work is very helpful for the development of MoSe2 material and relevant application in the field of solar cells.

OBJECTIVE To introduce the research methods of computerized text mining and its possible applications in suicide research and to demonstrate the procedures of applying a specific text mining area, document classification, to a suicide-related study. METHOD A systematic search of academic papers that applied text mining methods to suicide research was conducted. Relevant papers were reviewed focusing on their research objectives and sources of data. Furthermore, a case of using natural language processing and document classification methods to analyze a large amount of suicide news was elaborated to showcase the methods. RESULTS Eighty-six papers using text mining methods for suicide research have been published since 2001. The most common research objective (72.1%) was to classify which documents exhibit suicide risk or were written by suicidal people. The most frequently used data source was online social media posts (45.3%), followed by e-healthcare records (25.6%). For the news classification case, the top three classifiers trained for classification tasks achieved 84% or higher accuracy. CONCLUSIONS Computerized text mining methods can help to scale up content analysis capacity and efficiency and uncover new insights and perspectives for suicide research.

In2O3 is a wide bandgap oxide semiconductor, which has the potential to be used as an active material for transparent flexible electronics and UV photodetectors. However, the high concentration of unintentional background electrons existing in In2O3 makes it hard to be modulated by the electric field or form p-n heterojunctions with a sufficient band-bending width at the interface. In this work, we report the reduction of the background electrons in In2O3 by Mg doping (Mg-In2O3) and thereby improve the device performance of p-n diodes based on the NiO/Mg-In2O3 heterojunction. In particular, Mg doping compensates the free electrons in In2O3 and reduces the electron concentration from 1.7 × 1019 cm-3 without doping to 1.8 × 1017 cm-3 with 5% Mg doping. Transparent p-n heterojunction diodes were fabricated based on p-type NiO and n-type Mg-In2O3. The device performance was considerably enhanced by Mg doping with a high rectification ratio of 3 × 104 and a remarkable high breakdown voltage of >20 V. High-resolution X-ray photoelectron spectroscopy was used to investigate the interfacial electronic structure between NiO and Mg-In2O3, revealing a type II band alignment with a valence band offset of 1.35 eV and a conduction band offset of 2.15 eV. A large built-in potential of 0.98 eV was found for the undoped In2O3 but decreased to 0.51 eV for 5% Mg doping of In2O3. The NiO/Mg-In2O3 diodes with an improved rectification ratio and wider depletion region provide the possibility of achieving photodetectors with rapid photoresponse.

DLC has been attractive as semiconductor materials for solar cell due to its biological friendliness, flexible microstructures, and especially its tunable band gap. In order to fabricate high-efficiency multiband gap solar cell, it is important to control the sp3/ sp2 bonds ratio of DLC film corresponding to optical band gap (Eg). There are many references reporting the relations among the fabrication conditions, Eg, sp3/sp2, and ID/IG. However, a more comprehensive database is needed for controllable fabrication. Especially, the quantitative relationship of sp3/sp2 ratio to Eg of DLC film by PECVD is unclear. In this paper, 36 sets of DLC films were fabricated by RF-PECVD. Characterization methods of XPS, Raman spectroscopy, and IR absorption have been used to determine the sp3/sp2 ratio of DLC films. UV/visible light absorption method has applied to evaluate Eg. The Eg obtained is in the range 1.45–3.0 eV. Our results agree well with the references. The XPS spectra gives a linear relationship as Eg = − 0.161 (± 0.136) + 26.095 (± 1.704) · {sp3(XPS)/sp2}, the Raman spectra shows a linear function that Eg = 1.327 (± 0.046) + 0.428 (± 0.036) · (ID/IG), as well as the FTIR analysis demonstrates that Eg = − 0.492 (± 0.093) + 0.464 (± 0.044) · {sp3(FTIR)/sp2}.

In this work, MoS2 thin films were successfully synthesized by chemical vapor deposition (CVD) using MoO3 and sulfur powders as precursor sources. The effect of the MoO3 dosage and heating temperature on the quality of the synthesized MoS2 films are investigated and a detailed reaction mechanism is proposed to interpret the obtained experimental result. Furthermore, we have studied the influence of different metal back electrodes (including Ag and Au) on the photovoltaic performance of the fabricated MoS2/Si heterojunction solar cell. It is shown that, in comparison with the solar cell using Au as a metal back electrode, the solar cell using Ag as a metal back electrode has poor photovoltaic performance with the appearance of the S-type shape in the measured current density-voltage curve. Finally, numerical simulation based on AFORS-HET software has been carried out to investigate the photovoltaic performance of the [Formula: see text]-MoS2/[Formula: see text]-Si heterojunction solar cell under different work functions of the metal back electrode. The result of numerical simulation is consistent with our experiential result in the trend. This work is highly relevant to the development of transition metal dichalcogenides in the application of solar cells.

[p.1]: Editorial on the Research Topic The Role of Media in Suicide and Self-Harm: Cross-Disciplinary Perspectives Suicide and self-harm are complex, multifaceted, and simultaneously personal and social phenomena. While what motivates a person to engage in these acts cannot be reduced to a single factor, the media's role as a shaper and conduit of meanings has attracted considerable scholarly and practitioner attention. Although the mass media has been, and will doubtlessly continue to play a key role in shaping public attitudes and behaviors toward suicide and self-harm, the user-generated media has dramatically diversified our opportunities to encounter and interact with media content featuring these behaviors.

Molybdenum disulfide (MoS2) is an emerging class of new materials with a wide range of potential practical applications. However, the uncontrollability of monolayer MoS2 synthesized by traditional chemical vapor deposition method and the low responsivity of MoS2 photodetectors limit its further development in the field of photoelectric detection. To achieve controlled growth of monolayer MoS2 and construct MoS2 photodetectors with a high responsivity, we propose a novel single crystal growth strategy of high-quality MoS2 by controlling the Mo to S vapor ratio near the substrate, and deposit a layer of hafnium oxide (HfO2) on the surface of MoS2 to enhance the performance of the pristine metal-semiconductor-metal structure photodetector. At a reverse bias of 8 V, the HfO2 passivated MoS2 photodetector features an extremely high responsivity of 1201 AW − 1 , a response time of around 0.5 s, and a detectivity of 7.7 × 10 11 Jones . Meanwhile, we deeply investigate the effect of the HfO2 layer on the performance of the fabricated MoS2 photodetector and propose a physical mechanism to interpret the obtained experiment results. These results might facilitate a better understanding on the performance modulation of the MoS2 photodetectors and accelerate the development of MoS2-based optoelectronic devices.

The potential benefits of supportive interactions on social networking sites on adolescents' mental health are promising; however, no systematic evaluation has been conducted on this topic. This review examined empirical research on the relationship between social support derived from social networking sites and adolescents' mental health both theoretically and empirically.Followed PRISMA guidelines, we conducted a systematic literature search on six English and three Chinese databases in February 2020. Four thousand one hundred and seventy-seven articles were screened first by title, then abstract, and lastly, full articles.Fourteen studies (five English and nine Chinese) were identified, with total sample of 11,616 adolescents (age: 10-19 years; females: 42.7%-56.3%). Meta-analysis showed that the correlation of online social support with self-esteem was moderate and significant (r = .29), but with depression was small and insignificant (r = -.09). Sensitivity analysis indicated that social support from acquaintances on the internet may not be as beneficial as from real-life acquaintances. Despite that there isn't enough research on other specific mental health outcomes to run a quantitative synthesis, individual studies suggest that online social support (OSS) may be associated with increased self-identity and life satisfaction, decreased loneliness and social anxiety, it also counteracts the negative effect of stress and cyberbullying on mental health.OSS might be beneficial for adolescents' mental health, especially self-esteem, although the causal relationship requires longitudinal studies to confirm, and the underlying mechanisms need further investigation.

We present the opportunities and challenges of Open Up, a free, 24/7 online text-based counselling service to support youth in Hong Kong. The number of youths served more than doubled within the first three years since its inception in 2018 in response to increasing youth suicidality and mental health needs. Good practice models are being developed in order to sustain and further scale up the service. We discuss the structure of the operation, usage pattern and its effectiveness, the use of AI to improve users experience, and the role of volunteer in the operation. We also present the challenges in further enhancing the operation, calling for more research, especially on the identification of the optimal number of users that can be concurrently served by a counsellor, the effective approach to respond to a small percentage of repeated users who has taken up a disproportional volume of service, and the way to optimize the use of big data analytics and AI technology to enhance the service. These advancements will benefit not only Open Up but also similar services across the globe.

For a thorough understanding of graphene/GaAs heterojunction solar cells, the effect of the graphene work function, absorption loss, density of interface states, as well as the incorporation of an AlxGa1−xAs ( 0 ≤ x ≤ 1 ) buffer layer on the performance of graphene/GaAs heterojunction solar cells was investigated via AFORS-HET simulation software. It is demonstrated that graphene with a work function of approximately 5 eV favors the efficiency improvement. The absorption loss is also an unnegligible factor for the optimization of the graphene work function. The density of interface states can significantly affect the carrier recombination at the heterojunction interface between graphene and GaAs and the corresponding photovoltaic performance. In addition, the work function of a back electrode should also be taken into account for selecting a back electrode material due to its significant influence on the carrier transportation and collection. Furthermore, when an AlxGa1−xAs (x = 0.2) buffer layer was introduced to this heterojunction interface, an enhanced photovoltaic conversion efficiency of 24.78% can be achieved. Finally, a comparison among simulation and experimental data for the graphene/GaAs heterojunction solar cells is presented. This study indicates the great potential of graphene/GaAs heterojunction for the application in high-efficiency solar cells.

The effectiveness of peer support in improving mental health and well-being has been well documented for vulnerable populations. However, how peer support is delivered to migrant domestic workers (MDWs) to support their mental health is still unknown. This scoping review aimed to synthesize evidence on existing peer support services for improving mental health among MDWs. We systematically searched eight electronic databases, as well as grey literature. Two reviewers independently performed title/abstract and full-text screening, and data extraction. Twelve articles were finally included. Two types of peer support were identified from the included studies, i.e., mutual aid and para-professional trained peer support. MDWs mainly seek support from peers through mutual aid for emotional comfort. The study’s findings suggest that the para-professional peer support training program was highly feasible and culturally appropriate for MDWs. However, several barriers were identified to affect the successful implementation of peer support, such as concerns about emotion contagion among peers, worries about disclosure of personal information, and lack of support from health professionals. Culture-specific peer support programs should be developed in the future to overcome these barriers to promote more effective mental health practices.

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Background As social media posts reflect users’ emotions, WeChat Moments, the most popular social media platform in China, may offer a glimpse into postpartum depression in the population. Objective This study aimed to investigate the features of the images that mothers posted on WeChat Moments after childbirth and to explore the correlation between these features and the mothers' risk of postpartum depression. Methods We collected the data of 419 mothers after delivery, including their demographics, factors associated with postpartum depression, and images posted on WeChat Moments. Postpartum depression was measured using the Edinburgh Postnatal Depression Scale. Descriptive analyses were performed to assess the following: content of the images, presence of people, the people’s facial expressions, and whether or not memes were posted on WeChat Moments. Logistic regression analyses were used to identify the image features associated with postpartum depression. Results Compared with pictures of other people, we found that pictures of their children comprised the majority (3909/6887, 56.8%) of the pictures posted by the mothers on WeChat Moments. Among the posts showing facial expressions or memes, more positive than negative emotions were expressed. Women who posted selfies during the postpartum period were more likely to have postpartum depression (P=.003; odds ratio 2.27, 95% CI 1.33-3.87). Conclusions The vast majority of mothers posted images conveying positive emotions during the postpartum period, but these images may have masked their depression. New mothers who have posted selfies may be at a higher risk of postpartum depression. Trial Registration International Clinical Trials Registry Platform ChiCTR-ROC-16009255; http://www.chictr.org.cn/showproj.aspx?proj=15699

BACKGROUND Increasing number of mobile applications (apps) have been released to the market to address mental health needs; however, their quality varies. Mental health professionals have been advocating to set up regulating policies or rating guidelines to facilitate users to make informed choice. OBJECTIVE The study aims to map out the landscape and ecosystem of existing regulating policies and rating guidelines concerning mental health apps, streamline core rating criteria, and identify what knowledge and policy gaps exist. METHODS A systematic review was conducted on both English and Chinese literature. Not only academic publication databases but also popular search engines were searched to identify relevant policies or guidelines. Eligible publications were analyzed to identify key stakeholders in the ecosystem of regulating and rating mental health apps, and common approaches and criteria of the regulating or rating. What limitations exist and what improvement should be achieved in order to make good use of mental health apps were then discussed. RESULTS 56 articles were found to meet our inclusion criteria, covering 31 sets of regulating policies, rating protocols, or specific recommendations. Key stakeholders include app developers, governments, app stores, mental health professionals, and individual users. Only very few countries have released specific regulation policies for mental health apps, whereas app stores were almost absent on this matter. Mental health professionals have been advocating to set up rating guidelines but they did not always engage app developers or ordinary users. Regulation approach is to extend existing regulations on medical devices to mental health apps that self-claim for medical use. Quality rating approach is using either a checklist or a scoring scheme to rate mental health apps’ compliance with some criteria. Specific criteria include privacy and data protection, protecting user safety and minimize risks, evidence-based, usability and front-end accessibility, system interoperability, technical stability, cost, and information timeliness. CONCLUSIONS Only very few jurisdictions and professional organizations in the world have released regulating policies or rating guidelines on mental health apps, which can serve as a basis for other policymakers and professional organizations to adapt. The current regulating policies are rather vague with their applicable scope, whereas the current rating guidelines have relatively high requirement with raters’ capability. Future development needs to address the two major limitations. CLINICALTRIAL Nil.

BACKGROUND As social media posts reflect users’ emotions, WeChat Moments, the most popular social media platform in China, may offer a glimpse into postpartum depression in the population. OBJECTIVE This study aimed to investigate the features of the images that mothers posted on WeChat Moments after childbirth and to explore the correlation between these features and the mothers' risk of postpartum depression. METHODS We collected the data of 419 mothers after delivery, including their demographics, factors associated with postpartum depression, and images posted on WeChat Moments. Postpartum depression was measured using the Edinburgh Postnatal Depression Scale. Descriptive analyses were performed to assess the following: content of the images, presence of people, the people’s facial expressions, and whether or not memes were posted on WeChat Moments. Logistic regression analyses were used to identify the image features associated with postpartum depression. RESULTS Compared with pictures of other people, we found that pictures of their children comprised the majority (3909/6887, 56.8%) of the pictures posted by the mothers on WeChat Moments. Among the posts showing facial expressions or memes, more positive than negative emotions were expressed. Women who posted selfies during the postpartum period were more likely to have postpartum depression (P=.003; odds ratio 2.27, 95% CI 1.33-3.87). CONCLUSIONS The vast majority of mothers posted images conveying positive emotions during the postpartum period, but these images may have masked their depression. New mothers who have posted selfies may be at a higher risk of postpartum depression. CLINICALTRIAL International Clinical Trials Registry Platform ChiCTR-ROC-16009255; http://www.chictr.org.cn/showproj.aspx?proj=15699

Vertically-oriented graphene nanowalls (VGNWs) have been successfully synthesized under different experimental conditions (such as flow rate of argon, growth temperature, plasma power as well as deposition time) on copper foils in the reactive methane and argon environment using a capacitively coupled plasma-enhanced horizontal tube furnace deposition system. It is shown that the morphology and structure of VGNWs can be effectively tailored by experimental conditions. Furthermore, the growth mechanism of VGNWs produced in the plasma-based approach has been investigated. The synthesized VGNWs are used as anode materials in Li-ion batteries and the batteries show outstanding cycle efficiency (~99%). The specific capacity of coin-type cells can be improved by adjusting the experimental parameters and reaches 400 mAh g−1 in the first charge-discharge cycle. This work is particularly important for the development of an advanced process for the synthesis and application of carbon-based nanomaterials.

ObjectiveTo examine the association between reporting on suicides, especially deaths of celebrities by suicide, and subsequent suicides in the general population.DesignSystematic review and meta-analysis.Data sourcesPubMed/Medline, PsychInfo, Scopus, Web of Science, Embase, and Google Scholar, searched up to September 2019.Review methodsStudies were included if they compared at least one time point before and one time point after media reports on suicide; follow-up was two months or less; the outcome was death by suicide; and the media reports were about non-fictional suicides. Data from studies adopting an interrupted time series design, or single or multiple arm before and after comparisons, were reviewed.Results31 studies were identified and analysed, and 20 studies at moderate risk of bias were included in the main analyses. The risk of suicide increased by 13% in the period after the media reported a death of a celebrity by suicide (rate ratio 1.13, 95% confidence interval 1.08 to 1.18; 14 studies; median follow-up 28 days, range 7-60 days). When the suicide method used by the celebrity was reported, there was an associated 30% increase in deaths by the same method (rate ratio 1.30, 95% confidence interval 1.18 to 1.44; 11 studies; median follow-up 28 days, range 14-60 days). For general reporting of suicide, the rate ratio was 1.002 (0.997 to 1.008; five studies; median follow-up 1 day, range 1-8 days) for a one article increase in the number of reports on suicide. Heterogeneity was large and partially explained by celebrity and methodological factors. Enhanced funnel plots suggested some publication bias in the literature.ConclusionsReporting of deaths of celebrities by suicide appears to have made a meaningful impact on total suicides in the general population. The effect was larger for increases by the same method as used by the celebrity. General reporting of suicide did not appear to be associated with suicide although associations for certain types of reporting cannot be excluded. The best available intervention at the population level to deal with the harmful effects of media reports is guidelines for responsible reporting. These guidelines should be more widely implemented and promoted, especially when reporting on deaths of celebrities by suicide.Systematic review registrationPROSPERO CRD42019086559.