The British Journal of Psychiatry (2000) 177: 568
© 2000 The Royal College of Psychiatrists
A virtual cry for help?
D. Ball
The Oaks Resource Centre, 843 London Road, Thornton Heath, Croydon CR7
6JH
EDITED BY MATTHEW HOTOPF
With the advent of the internet, and widespread publication of e-mail
addresses on web pages, it is increasingly easy to correspond with members of
the health professions. Such ease of access may be used to good effect, but is
also open to abuse. For example, there is a report describing an individual
who was saved after they published their intention of suicide on the internet.
Furthermore, the Samaritans can be accessed by e-mail. Recently I received an
e-mail purporting to be a suicide note. The mail apparently originated from an
identifiable individual and their e-mail address was supplied. The letter
expressed anger, with unambiguous suicidal intent, and contained some features
suggestive of contact with mental health and social services. Having received
the letter some 6 hours after it was sent I initially contacted the server who
indicated that they could identify the subscriber and would be able to release
this information to the police. I therefore contacted the local police and
this information was passed to Scotland Yard who arranged a visit to the
registered address. The police found the individual, whose signature was on
the letter, safe and well. Apparently, at interview the individual, with the
responsible adults at the address, denied sending the e-mail.
This e-mail could have been a genuine cry for help, which remains unmet, or
the situation may have resolved. Alternatively, it may represent a hoax
perpetrated by the individual concerned or another logging onto the server
with, or without, permission. While appropriate use of e-mail is to be
encouraged there is a great potential for abuse, with the concomitant waste of
clinical and police time. As such letters will become more frequent it is
essential that an appropriate response and procedure be established between
the caring professions, police and internet service providers.