# Estimating suicide occurrence statistics using Google Trends

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## Abstract

Data on the number of people who have committed suicide tends to be reported with a substantial time lag of around two years. We examine whether online activity measured by *Google* searches can help us improve estimates of the number of suicide occurrences in England before official figures are released. Specifically, we analyse how data on the number of *Google* searches for the terms ‘depression’ and ‘suicide’ relate to the number of suicides between 2004 and 2013. We find that estimates drawing on *Google* data are significantly better than estimates using previous suicide data alone. We show that a greater number of searches for the term ‘depression’ is related to fewer suicides, whereas a greater number of searches for the term ‘suicide’ is related to more suicides. Data on suicide related search behaviour can be used to improve current estimates of the number of suicide occurrences.

## Keywords

nowcasting search data Google Trends official statistics## 1 Introduction

The identification of causes of suicide attempts and suicide occurrences is a topic which has attracted the interest of a number of scientists in psychology and psychiatry [1, 2, 3, 4, 5, 6, 7, 8, 9] as well as in other social sciences such as demography, sociology and economics [10, 11, 12, 13, 14, 15, 16]. One of the challenges of analysing and modelling suicides from a macroscopic perspective is a long time lag in their reporting in official statistics. Identifying additional sources and data which would help estimate the number of suicide occurences before official data are available is thus of high importance and interest. In recent years, studies of the online activity of Internet users have proven fruitful in various fields ranging from medicine [17, 18], ecology [19, 20] and epidemiology [21, 22, 23, 24, 25] to linguistics [26], politics [27], sociology [28] and economics, finance and behavioural science [29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49]. For example, previous studies have provided evidence that online data may help us reduce delay and cost in measuring human behaviour [22, 40, 42, 43, 47], allow us to measure aspects of society and our environment that were previously difficult to measure [34, 41, 44, 45], and in some cases, even predict future actions [30, 35, 38, 39, 48, 49].

Here, we investigate whether data on searches relating to depression and suicide can help us address the problem of delayed data on suicides, and generate estimates of the number of suicide occurrences before official figures are released. A number of previous studies have attempted to investigate whether online search data might provide an avenue for creating quicker estimates of the number of suicide occurrences [50, 51, 52, 53, 54, 55]. However, these analyses were subject to a number of important restrictions. For example, McCarthy [50] examined the possible link between suicide occurrences and online activity in the USA. A strong negative correlation of -0.9 was reported between the yearly number of suicide occurrences and the yearly search activity for the term ‘suicide’. This finding was, however, based on a very limited data sample only (specifically, annual data between 2004 and 2007). Page *et al.* [51] studied monthly online search activity of suicide-related search terms in Australia between 2004 and 2011. They found no evidence for a significant link to suicide rates. However, their analysis was very restricted due to the availability of suicide data in Australia. Page *et al.* therefore limited themselves to analysing seasonal patterns in search activity and its relationship to changes in unemployment, which is frequently reported to be connected to suicides rates. No connection to suicide rates or suicide statistics was thus examined. Sueki [52] analysed a monthly suicide time series for Japan between 2004 and 2009 by calculating cross-correlation coefficients. Using the terms ‘suicide’, ‘depression’ and ‘suicide method’ translated into Japanese, Sueki found that increasing numbers of suicide occurrences coincide with increased online search activity for the ‘depression’ term only. At the same time, increasing search activity for the ‘depression’ term also appeared to be linked to a decrease in the actual suicide rates three months both earlier and later. The author thus suggests that the Internet could help prevent suicides by providing meaningful information to individuals who are depressed. The relevance of the results is, however, again weakened by a limited dataset (a monthly time series from 2004 to 2009). Yang *et al.* [53] investigated monthly suicide time series for Taipei in Taiwan, covering the time period from 2004 to 2009. The authors analysed 37 suicide-related search terms and reported that searches for a number of terms could be connected to the number of suicide occurrences for specific age groups, as well as specific types of suicide. However, we note that the authors did not control for possible non-stationarity of either suicide or online search data. Hagihara *et al.* [54] studied suicide rates in Japan between 2004 and 2010 for individuals with an age between 20 and 40. Utilizing the Box-Jenkins transfer function, the authors found several positive links between online search activity and suicidal behaviour. However, considering the number of observations (77), the number of analysed terms (20), the number of lags included in the transfer functions (12) and seasonal adjustments, it is difficult to exclude the possibility that the low number of statistically significant connections at specific lags may result from statistical error. In addition, Gun III and Lester [55] carried out a cross-sectional correlation analysis of state-level data from the USA in 2009. A positive correlation was found for all three search terms which they use - ‘commit suicide’, ‘how to suicide’ and ‘suicide prevention’. However, in this final study, the authors restrict themselves to a cross-sectional analysis and do not investigate the possibility of using search data to improve estimates across time.

Even though generalisations are difficult to make based on the reviewed studies, due to difficulties with data access and the potential methodological limitations described above, the search terms ‘suicide’ and ‘depression’ seem to be leading candidates for a model of suicidal behaviour which incorporates online search data. We therefore make use of these terms in our analysis. At the same time, we avoid the methodological pitfalls identified in the previous studies. Specifically, we study monthly time series of suicide occurrences in England between 2004 and 2013, which provides enough data for reliable estimation and statistical analysis. Further, we control for specific dynamic properties of the suicide and search query data - seasonality, non-stationarity and possible lagged dependence. The dataset analysed here also makes it possible to investigate the potential for using online searches to estimate suicide incidence numbers in practice, before the official data arrives. We refer to this as a ‘nowcasting’ analysis, in which we are ‘predicting the present’ [40].

## 2 Methods

### 2.1 Data

We study monthly suicide occurrence statistics in England between 2004 and 2013 provided by Office for National Statistics (ONS, www.ons.gov.uk).^{1} These data are made available with a pronounced lag of approximately 24 months. Suicide numbers are given for both males and females and different age brackets. Due to the coarseness of the data, we conduct our analysis on the overall occurrences, but do not investigate differences between gender and age groups.

Previous studies have suggested that searches for the terms ‘suicide’ and ‘depression’ may relate to real world suicide rates. We obtain data on the number of *Google* searches made for these terms from the website *Google Trends* (trends.google.com). Data are retrieved from *Google* at monthly granularity and relate to searches made in England only. The number of queries for a given term is rescaled to a value between 0 and 100. This holds for all search data retrieved from *Google Trends*, potentially weakening the value of *Google* data in modelling, as the actual number of searches is not provided. However, compared to other alternatives such as *Twitter* or *Wikipedia* data, *Google* search data provide much longer time series with easy geographical localisation. Both these characteristics are crucial for our analysis.

### 2.2 Models

*t*is the specific month

*m*, and zero otherwise.

*q*is set equal to 12 months. This allows us to control for annual seasonalities, and also enables us to investigate the relationship between

^{2}(\(p=2\)) as an approximation of possible dynamic relationship between the number of suicides and related

### 2.3 Model testing and performance

We apply a standard set of tests during the estimating procedure. First, we test whether the model would benefit from adding polynomial (usually squared and cubic) transformations of the dependent variables, using the Ramsey’s RESET test [57]. If we reject the null hypothesis of the test, the model should be re-specified with further variables. Second, we run tests to ensure that the variance of the error terms is not unevenly distributed, or heteroskedastic, as this makes statistical tests less efficient. We use the ARCH effect test [58] to test for heteroskedasticity. To deal with static heteroskedasticity, we employ heteroskedasticity and autocorrelation consistent standard errors [59]. Third, to seek further evidence that the model is well specified, we test for normality of residuals using the Jarque-Bera test [60]. This test is less essential as rejecting normality of residuals usually does not have any serious consequences for the estimated model. However, not rejecting normality is usually taken as a sign of a very well specified and functional model. Fourth, we investigate whether the parameters of our model change across time using the CUSUM test [61]. If the null hypothesis is not rejected, the estimated model is considered stable in time. We test for significance of separate regressors using a *t*-test, and joint significance using an *F*-test. In both cases, to avoid problems which could be caused by autocorrelation and heteroskedasticity, we use robust standard errors.

*N*is a number of observations in \(\mathbb{T}\).

### 2.4 Nowcasting performance

The relationship we are investigating here is of most interest due to potential practical exploitation, where *Google* search data could be used to estimate the number of suicide occurrences in the past month, before the official counts arrive. Such estimates are often referred to as ‘nowcasts’ [40], as the goal is not to forecast future values of a time series, but to estimate the value of the time series for the current period, drawing on past values of the time series and other relevant indicators. Estimates of these kinds are often constructed using standard forecasting methods.

We note that while finding a model that can describe the time series well is of value, good explanatory power does not necessarily imply that the model can be used to make estimates in practice. This is particularly true for models of non-stationary and seasonal time series, which can deliver very good fits but only poor forecasting performance. For this reason, we carry out a separate analysis to determine the nowcasting performance that can be achieved by including *Google* search data.

## 3 Results

### 3.1 Basic analysis

**Descriptive statistics of data on suicide occurrences**

| | | | | | | | |
---|---|---|---|---|---|---|---|---|

Suicides | 370.20 | 20.65 | 302 | 468 | 0.3797 | 0.3328 | 3.4377 | >0.1 |

**Autocorrelation and unit-root tests**

| | | | | | |
---|---|---|---|---|---|---|

Suicides | 41.9279 | <0.01 | −5.4869 | <0.01 | 0.4956 | 0.0451 |

| ||||||

- | 496.0180 | <0.01 | −2.3241 | >0.1 | 0.7141 | 0.0131 |

- | 410.2039 | <0.01 | −1.2876 | >0.1 | 1.2190 | <0.01 |

To investigate whether data from *Google* can help us to estimate the number of suicide occurrences in England before official figures are released, we follow the findings of the previous studies and analyse data on *Google* searches for terms ‘depression’ and ‘suicide’. Figure 1 depicts the search query time series. We find that both follow a very similar pattern in time (with a Pearson’s correlation of 0.6580, \(p < 0.01\)). Both series are strongly autocorrelated (*Q*-test: see Table 2), and are identified as non-stationary and unit root processes (KPSS and ADF tests: see Table 2). From a methodological point of view, the presence of unit roots does not rule out a standard regression procedure, as long as both explanatory variables - in our case the *Google* searches - are unit root processes, which holds in our case [65].

**Coefficients for correlations between data on** **Google****searches for ‘depression’ and ‘suicide’ and official data on suicide occurrences**

| | | | |
---|---|---|---|---|

Suicides | 0.2124 | 0.0198 | 0.1626 | 0.0760 |

Depression (Google) | 0.6580 | <0.01 |

### 3.2 Models

As a base model, we create a model which controls for reported seasonal patterns in suicide occurrences and takes into account the most recent suicide statistics at our disposal. We approximate the two year lag in the release of suicide statistics for England by assuming that at each point in time, the most recent data we have is for 24 months ago. Specifically, we use a simple autoregressive model with the seasonal dummy variables specified in Eq. (1). As we are working with data at monthly frequency, monthly seasonal dummies are utilised. For the autoregressive term, we use a time lag of 24 months, to reflect the delay in data release. The ‘*Google* model’ controls for the same factors as the base model but also incorporates data on *Google* searches for the terms ‘depression’ and ‘suicide’ (Eq. (2)). Data on both terms are included at various lags, from 0 to 12 months, to account for both instantaneous as well as lagged effects. This allows us to investigate whether data on *Google* searches at different lags may help us estimate suicide rates. Such a detailed analysis has not been performed for the suicide data in the literature yet.

**Model quality**

\(\boldsymbol{R^{2}}\) | \(\boldsymbol {\bar{R}^{2}}\) | | | | |
---|---|---|---|---|---|

Base model | 0.2263 | 0.1144 | 5.6401 | 0.1712 | >0.1 |

Control model | 0.2810 | 0.2326 | 5.8724 | 0.4308 | >0.1 |

| 0.4620 | 0.3362 | 4.9390 | 0.2473 | >0.1 |

| +0.2357 | +0.2218 | −0.7011 | - | - |

In contrast, the complete *Google* model (Eq. (3)), where data on online searches enrich the base model, provides a more notable improvement, leading to an \(R^{2}\) of 0.46. This provides initial evidence that data on searches for these terms may help us estimate suicide rates before official data are released. Model improvement is demonstrated not only by an increase in \(R^{2}\) (0.46 compared to 0.23) but also by increases in adjusted \(R^{2}\) (\(\bar{R}^{2}\)) which accounts for the number of independent variables in the regression (0.34 compared to 0.11). Furthermore, the mean absolute percentage error (MAPE) of the model decreases from 5.64% to 4.94%.

*F*-statistics and demonstrates that the data on

**Additional tests**

| | | | | | |
---|---|---|---|---|---|---|

Base model | 1.7621 | >0.1 | 17.6826 | >0.1 | 4.1902 | <0.01 |

Control model | 0.9725 | >0.1 | 11.3692 | >0.1 | 0.7985 | >0.1 |

| 0.2470 | >0.1 | 9.9840 | >0.1 | 0.2472 | >0.1 |

**Model improvement through inclusion of** **Google****data**

| | | | | |
---|---|---|---|---|---|

4.7620 | <0.01 | 7.9329 | <0.01 | 5.6225 | <0.01 |

^{3}Specifically, we re-estimate the

### 3.3 Nowcasting analysis

Our analysis is limited by the number of data points which overlap between the official records of the number of suicide occurrences and search data from *Google*. Data on suicides are available only at monthly granularity, with the most recent records stemming from 2013, whereas online search data are available from 2004 only. As a result, our analysis is limited to ten years of monthly data points, or 120 data points. Up to this point, the results we have reported are all drawn from ‘in-sample’ analyses, where models are fitted to the full data set. However, the question remains as to whether a relationship between online data and official statistics on suicides could be used in practice to estimate the number of suicide occurrences in the past month, before the official data are released with several months delay.

**Nowcasting performance**

| | |
---|---|---|

Mean absolute error | 29.559 | 15.059 |

Root mean squared error | 41.564 | 34.59 |

Mean absolute percentage error | 7.728 | 7.125 |

## 4 Discussion

Counts of the number of suicide occurrences in England are released with a delay of two years. Here, we investigate whether estimates of the number of suicide occurrences can be generated using data from *Google* searches. We find that using *Google* data, estimates of the number of suicides between 2004 and 2013 can be improved in comparison to estimates from previous suicide data alone.

Our findings are in line with the hypothesis that data on *Google* searches for ‘depression’ and ‘suicides’ may help improve estimates of the number of suicide occurrences in England before official figures are released. The results we report highlight the potential value of online communication data for creating new proxy measures of psychiatric illness across large populations.

## Footnotes

- 1.
Monthly suicide occurrences are available at https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/adhocs/005582numberofsuicidesbymonthofoccurrenceregionsofenglandandwales1981to2013. Occurrence counts are provided for regions of England, which we sum to get statistics for all of England. The complete dataset is attached as Additional file 1 - Dataset.

- 2.
In our analysis, we have evaluated polynomials up to \(p=4\). Selection of \(p=2\) provides the most stable results.

- 3.
Interested readers are referred to the Statistical Bulletins of ONS at http://www.ons.gov.uk for comparison of the reported delay and the actual data availability.

## Notes

### Acknowledgements

The authors acknowledge funding from the Research Councils UK via Grant EP/K039830/1 and the Czech Science Foundation via Grant 16-00027S.

## Supplementary material

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