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Helping Give Away Psychological Science/What We Wish They Knew: 13 Reasons Why

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Wikipedia has more about this subject: 13 Reasons Why
Subject classification: this is a psychology resource.

13 Reasons Why (stylized onscreen as Th1rteen R3asons Why) is an American drama-mystery web television series based on the 2007 novel Thirteen Reasons Why by Jay Asher and adapted by Brian Yorkey for Netflix. The series revolves around a high school student, Clay Jensen, and his friend Hannah Baker, a girl who died by suicide after suffering a series of demoralizing circumstances brought on by select individuals at her school. A box of cassette tapes recorded by Hannah before her suicide details thirteen reasons why she ended her life.

Katherine Langford portrays the character Hannah Baker in the Netflix series

While the TV series indeed serves as a "conversation starter" concerning mental illness and suicide, there is concern for whether it lays the groundwork for a productive conversation. There are many troubling elements of the TV series, including its failure to demonstrate the availability of adequate, evidence-based mental healthcare and counseling. According to the NIMH, suicide is the second leading cause of death for 15-34 year-olds and the third leading cause of death for people aged 10-14.[1] The NIMH also estimates that 20% of children will develop a mental health disorder in their lifetime, affecting 17.1 million children. Suicide and mental health disorders are significant risks to adolescents, many of whom have watched the 13 Reasons Why series. Thus, it is critical that resources be provided in order to better educate audiences about the themes in this series and address the negatively framed depiction of mental health treatment in the series.

For more information about Hannah Baker from a clinician's point of view including her diagnosis, treatment, what to look for, resources for individual's struggling with depression, suicidal ideation, self-harm, or family/friends of loved ones struggling, how to help someone like Hannah, and evidence-based assessment for someone like Hannah Baker please visit:

Hannah Baker's Evidence-Based Assessment Vignette

Themes Key Resources
Suicide
Sexual assault National Sexual Assault Hotline

National Teen Dating Abuse Online Helpline

  • Call 1-866-331-9474 or Text loveis to 22522 or Online Chat
Bullying

If you click on one of the themes in the table above, you can find a list of resources related to the topic. An in-depth look at the themes in each episode in the sections that follow.

How to Access Mental Health Care and Treatment

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Find a CBT specialist

APA Therapist locator

How to get help now

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National Hopeline 1-800-442-4673

National Suicide Prevention Lifeline 1-800-273-8255

Ted talk link: https://www.ted.com/talks/kevin_breel_confessions_of_a_depressed_comic


How to Help Someone Like Hannah

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When someone is struggling with suicidal thoughts, depression, or mental illness it is important to approach the situation a certain way, not like Mr. Porter did with Hannah Baker. Below are some resources to help you get a friend, family member, colleague, acquaintance or partner to a stable point or out of dangers way before getting them connected to professional help.

  • Here is an infographic describing 5 mental health first aid steps on how to assess for risks, listen non-judgmentally, encourage professional help and self-help: Helping Someone At Risk[2][3]
  • Here is an infographic describing common warning signs for people experiencing suicidal ideation: Warning Signs for Suicidal Ideation

Season 1

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Episode 1: Tape 1, Side A

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Coping with loss from suicide
Cyberbullying

Episode 2: Tape 1, Side B

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Depression 
Bullying 


Social Relationships/ Domestic Violence?
  • National Domestic Violence Hotline 1-800-799-7233
  • Domestic Violence Resource Center 503-469-8620
  • The Gateway Center for Domestic Violence Services 503-988-6400
  • National Dating Abuse Helpline 1-866-331-9474


Substance Misuse

Episode 3: Tape 2, Side A

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Bullying
  • see above
Physical Violence
Substance Misuse
  • see above
Grief
Sexual Violence

Episode 4: Tape 2, Side B

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Stalking Concerns
Suicidal Thoughts
Bullying
  • see above
Substance Misuse
  • see above

Episode 5: Tape 3, Side A:

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LGBTQ Concerns 


Bullying
  • see above
Substance Misuse
  • see above

Episode 6: Tape 3, Side B

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Sexual Violence
  • see above
Physical Violence
  • see above
Child/Parent Relationships

Episode 7: Tape 4, Side A

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Suicidal Thoughts
  • see above
Bullying
  • see above
Depression
  • see above
How Adults can Help Teenagers struggling with Mental Illness

Episode 8: Tape 4, Side B

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School Pressures

Episode 9: Tape 5, Side A

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Substance Misuse
  • see above
Sexual Violence
  • see above
Trauma


Child/Parent Relationships
  • see above
Trauma from Sexual Violence 
Parental Fighting 

Episode 10: Tape 5, Side B

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Suicidal Thoughts
  • see above
Trauma
  • see above
Sexual Violence
  • see above
Grief
  • see above
Substance Misuse
  • see above
Bullying
  • see above

Episode 11: Tape 6, Side A

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Suicidal Thoughts
  • see above
Sexual Violence
  • see above
Guilt
Grief
  • see above
Adolescent Relationships
Emotional Parental Abuse

Episode 12: Tape 6, Side B

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Sexual Violence
  • see above
Physical Violence
  • see above
Substance Misuse
  • see above
Depression
  • see above
Gun Violence
Parental Abuse

Episode 13: Tape 7, Side A

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Suicidal Thoughts
  • see above
Substance Misuse
  • see above
School Violence
Self-Injurious Behavior
Finding a good therapist
Grief
  • see above

Season 2

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Episode 1: The First Polaroid

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Suicidal Thoughts
  • National Suicide Prevention Hotline: 1-800-273-8255
  • Crisis Text Line: Text TALK to 741741 to text with a trained crisis counselor for free, 24/7.
  • see above for further resources
Self-Injurious Behavior
  • see above
Bullying
  • see above
Grief
  • see above
Sexual Violence
  • see above

Episode 2: Two Girls Kissing

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Bullying
  • see above
Grief
  • see above
Sexual Violence
  • see above
Guilt 
  • see above
Relationship Difficulties

Episode 3: The Drunk Slut

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Self-Injurious Behavior
  • see above
Grief
  • see above
Sexual Violence
  • see above
Depression
  • see above
LGBTQ Concerns
  • see above

Episode 4: The Second Polaroid

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Sexual Violence
  • see above
Depression
  • see above
Substance Misuse
  • see above

Episode 5: The Chalk Machine

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Bullying
  • see above
Grief
  • see above
Depression
  • see above
Trauma
  • see above

Episode 6: The Smile at the End of the Dock

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Sexual Violence
  • see above

Episode 7: The Third Polaroid

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Bullying
  • see above
Grief
  • see above
Sexual Violence
  • see above
Depression
  • see above
Substance Misuse
  • see above
Divorce


Episode 8: The Little Girl

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Bullying
  • see above
Substance Misuse
  • see above

Episode 9: The Missing Page

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Suicidal Thoughts
  • see above
Bullying
  • see above
Sexual Violence
  • see above
Gun Violence
  • see above

Episode 10: Smile, Bitches!

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Bullying
  • see above
Sexual Violence
  • see above
LGBTQ Concerns
  • see above
Substance Misuse
  • see above
Gun Violence
  • see above
Domestic Violence
  • see above

Episode 11: Bryce and Chloe

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Grief
  • see above
Sexual Violence
  • see above
Gun Violence
  • see above
Physical Violence
  • see above

Episode 12: The Box of Polaroids

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Grief
  • see above
Sexual Violence
  • see above
Gun Violence
  • see above
Domestic Violence
  • see above

Episode 13: Bye

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Sexual Violence
  • see above
Substance Misuse
  • see above
Gun Violence
  • see above
Teen Pregnancy

Season 3

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Episode 1: Yeah. I'm the New Girl

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Bullying
  • see above
Interpersonal Violence
  • see above
Romantic Relationships/Domestic Violence
  • see above
School Violence
  • see above
Family Violence
  • see above
Panic/Anxiety
Trauma
  • see above

Episode 2: If You're Breathing, You're a Liar

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Suicidal Thoughts
  • see above
Bullying
  • see above
Substance Misuse
  • see above
Interpersonal Violence
  • see above
Depression
  • see above
Sexual Violence
  • see above
Trauma
  • see above
Physical Violence
  • see above
Teen Pregnancy
  • see above

Episode 3: The Good Person is Indistinguishable From the Bad

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Trauma from Sexual Violence
  • see above
Homicidal Thoughts
Domestic Violence
  • see above

Episode 4: Angry, Young and Man

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Self-Injurious Behavior
  • see above
Suicidal Thoughts
  • see above
Trauma from Sexual Violence
  • see above
Substance Misuse
  • see above
Gun Violence
  • see above

Episode 5: Nobody's Clean

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Sexual Violence
  • see above
Body Image Concerns 
  • National Eating Disorders Association Hotline 1-800-931-2237


Opioid Misuse
LGBTQ Concerns
  • see above
Substance Misuse
  • see above

Episode 6: You Can tell the Heart of a Man by How He Grieves

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Immigration Concerns

Episode 7: There Are a Number of Problems With Clay Jensen

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Gun Violence
  • see above
Anger Management
Opioid Misuse
  • see above

Episode 8: In High School, Even on a Good Day, It's Hard to Tell Who's on Your Side

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Verbal and Physical Violence
  • see above
Sexual Violence
  • see above

Episode 9: Always Waiting for the Next Bad News

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Opioid Misuse
  • see above
Body Image Concerns
  • see above
Gun Violence
  • see above

Episode 10: The World Closing In

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Police Mistrust
Insomnia 
Stress Management
Immigration Concerns
  • see above
Sexual Violence
  • see above
Suicidal Thoughts
  • see above

Episode 11: There Are a Few Things I Haven't Told You

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CyberBullying
  • see above
Suicidal Thoughts 
  • see above
Trauma
  • see above

Episode 12: And Then the Hurricane Hit

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Sexual Violence 
  • see above
School-based Mental Health Support
Police Mistrust
  • see above
Women's Rights 
Sexual Violence
  • see above

Episode 13: Let the Dead Bury the Dead

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LGBTQ Concerns 
  • see above
Self-Injurious Behavior 
  • see above
Gun Violence 
  • see above
Sexual Violence 
  • see above
Immigration Concerns 
  • see above
Opioid Misuse 
  • see above
Suicidal Thoughts 
  • see above
Substance Misuse
  • see above
  1. "NIMH » Suicide". www.nimh.nih.gov. Retrieved 2017-11-02.
  2. "Mental Health First Aid: Helping Those Experiencing a Mental Health Crisis | Hartford HealthCare Medical Group". hartfordhealthcaremedicalgroup.org. Retrieved 2019-02-08.
  3. Kim, Hannah; Choplin, Emma; Commodore, Ellison; Vincent, Caroline (2019-02-07). Mental Health First Aid (in en). doi:10.17605/OSF.IO/2NCZ3. https://osf.io/2ncz3/. 
  4. Schimelpfening, Nancy. "What to Say When Someone Is Depressed". Verywell Mind. Retrieved 2019-02-28.
  5. "ScienceDirect". www.sciencedirect.com. doi:10.1016/j.ijnurstu.2005.09.001. Retrieved 2019-02-28.
  6. read, Psych Central Staff Last updated: 8 Oct 2018~ 3 min (2016-05-17). "Worst Things to Say to Someone Who's Depressed". Psych Central. Retrieved 2019-02-28.
  7. Ironside, V. (1999, Feb 04). Dilemmas: Can I help my depressed friend? The Independent Retrieved from http://libproxy.lib.unc.edu/login?url=https://search.proquest.com/docview/312811431?accountid=14244
  8. "ScienceDirect". www.sciencedirect.com. doi:10.1016/j.dhjo.2013.11.001. Retrieved 2019-02-28.
  9. "SAGE Journals: Your gateway to world-class journal research". SAGE Journals. doi:10.1177/1049732312450367. Retrieved 2019-02-28.