It’s become common to see an academic dropping off Twitter to escape abuse.

It starts with a tweet or media appearance commenting on evidence from their field of study. Someone takes exception to their message, outrage spreads. Their timeline becomes a torrent of hostility.
This is hardly unique to researchers. Twitter is a bear pit.

Public engagement is part of the academic job. Funders expect it. A #publichealth crisis demands it. Yet we have calls for Covid scientists to #resign. One expert’s bio says simply: I block.
How did it come to this?
I should mention my own brush with the Twitter pile-on, though it was comparatively minor. In November my research group released the first pandemic suicide figs for England. Against expectations, we found no rise. The findings were later published here: thelancet.com/journals/lanep…
Over the next week I received hundreds of angry tweets: insults, abuse, a few implied threats. Colleagues emailed: what is going on?

Suicide had become a political issue in the pandemic. Claims of a huge rise were everywhere, blamed on lockdown. Our findings were inconvenient.
Attacks came from Covid-deniers, libertarians, anti-vaxxers. We were wrong, they said, and what’s more, we knew we were wrong. We were up to something.

Some alleged flaws in the study. Note to academics: “This is explained in the paper” is the most pointless of comebacks.
It’s tempting to shrug & move on. But to treat abuse lightly is to normalise it. And harassment of researchers on whose independence we rely in a crisis should never be normal.

And if researchers give up on public dialogue, the stage is clear for charlatans. We all lose.
Equally, seeing it simply as the product of ignorance - the pitchfork mob at midnight - is simplistic & will get us nowhere.

Public outrage at scientists is a social phenomenon powerful enough to have shaped the course of a pandemic. It needs to be understood.
It starts from the dominant political force of our time, a sense of being excluded, a belief that decisions affecting us all are the preserve of people who know nothing of real lives.

Hostility to “the elite” isn’t new. It has been a tool of populist leaders for centuries.
Add to that something more recent, the cynical denigration of experts, a word that now carries a pejorative sense: out of touch. Or worse: hiding the truth, in the pay of the powerful.
Twitter brings in a new element: an egalitarian format that creates equivalence, real or not.

I’m entitled to my opinion, say the keyboard warriors. And so they are.

My opinion is based on 30 yrs of study, says the expert.

Exactly what you’d expect from the elite.
Twitter also brings a level of aggression to every debate, stoked by anonymity, like road rage.

Resign, sack, arrest, imprison - these words reverberate across social media. No disagreement is too trivial to end with insults & accusations.
theguardian.com/science/2018/m…
And Twitter runs on confirmation bias. People follow, like, retweet. Sure of what they believe. It’s unsettling if an expert says otherwise.

But aren’t experts in a bubble of their own? Do I know what the public believe on suicide? I look at who I follow, they are all like me.
Underlying this is the cultural rise of subjective truth. People talk of “my truth” when they mean “my experience”. On Twitter, they may see a new treatment successfully trialled & say: it didn’t help me. And who can blame them for putting their experience first?
There was in fact another group who criticised our suicide data, without political motive. They were people whose mental health had suffered during the pandemic. They saw in our findings a denial of their experience.
In health research, subjective experience has gone from dismissal as “anecdote” to vital evidence, a crucial driver of “personalised” care. In my own field, the narratives of bereaved families, so tragic & compelling, are why #suicideprevention has gained its high public profile.
Individual experience sits alongside population data, enriching large-scale studies. They are not in opposition. Both are needed. Both come with uncertainty. Experience can vary. Data can change.

Uncertainty is the stuff of academic life. No research is perfect.
On Twitter, academic uncertainty meets subjective truth. We become defensive.

Can Twitter ever be mature enough to discuss uncertainty? To see the difference between belief, opinion & evidence? Between subjective experience & subjective truth?

Not yet.
What can academics do to improve dialogue with the public on social media? Zero tolerance of abuse is essential. So too is engaging with the public on their terms, valuing their experience. Reassure them of our independence, esp from commercial funders. Explain uncertainty.
We must also convince the public that when we speak about a research field we have the expertise to do so, we are not using academic titles as a smokescreen for private opinion no more valuable than anyone else’s. We’ve seen this in the pandemic, it diminishes us all.
The public too have a responsibility to make this dialogue work. Challenging commonly held beliefs, their own & other people’s, is what academics do, it’s how knowledge advances, for public benefit. It should be encouraged, not cancelled.
And in an age when information is power, is it too much to expect that interpreting evidence should be something everyone can do, as important as numeracy or grammar? Sampling, small numbers, bias. Taught in school, skills for life.
Ends/

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More from @ProfLAppleby

4 Jan
In 2021 #suicideprevention will remain vital to the #Covid response, so this is a good time to sum up what we know re the impact on suicide. Simple answer is that several countries have now reported no rise. But the picture is more complex, as always with suicide stats. /thread
First, it’s important to stress that graphs & data represent real lives tragically lost. No suicide rate, whether high or low, rising or falling, is acceptable. Even before Covid there were over 6000 deaths by suicide per year in the UK.
From the start of the pandemic there was concern that suicide rates would rise. In April we set out a prevention plan covering groups at risk, #mentalhealth care & economic protections (lead author David Gunnell @SASHBristol):

thelancet.com/journals/lanps…
Read 14 tweets
14 Nov 20
Suicide in several countries, inc England, didn’t rise after lockdown - see @bmj_latest this wk. Yet many studies have shown poorer mental health. How do we square these findings? Answer matters to #SuicidePrevention in next phase of the pandemic. /Thread

bmj.com/content/371/bm…
I should stress it’s not unusual for rates of mental ill-health & suicide to diverge. Most surveys of anxiety or depression find higher rates in women but suicide is 3x more common in men.
It’s not hard to see why the 1st, stricter lockdown impacted on mental health: fear of catching virus, isolation, loss of usual supports, disruption to services, domestic violence, alcohol, trauma & bereavement. An @ONS study found loneliness to be main driver of anxiety.
Read 13 tweets
9 Nov 20
Today we have released suicide data for 2020 covering several parts of England, total population 9 million. The month by month figures are reassuring: they show no rise in suicide following lockdown.

Today’s tweets & a few more as a thread. @NCISH_UK
documents.manchester.ac.uk/display.aspx?D
As always when we present graphs & data, we want to stress that these numbers represent real people, real lives lost, real families devastated. We work a lot with bereaved families & never forget the individual tragedies that lie behind our statistics. @NCISH_UK
Our report combines “real time” suicide numbers for several areas of England for 2020 to give a national picture. Monthly figs vary, with no pattern & no change at lockdown: average pre-lockdown 84.0, post-lockdown 85.4.
Read 11 tweets
5 Jul 20
There are frequent claims in the press & on social media about rising suicide rates. Which means a regular need to clarify: we don’t yet know the impact of Covid-19 & lockdown on the national suicide rate.

Why is this difficult? And what can we say so far?

/thread
Important to stress that if suicide rate goes up - or if it doesn’t - it’s in public interest for press to raise it & for public to know. But there’s also risk of causing distress to vulnerable people & a need to report responsibly.

And then there is the issue of evidence. /2
Not hard to see where risk may come from: anxiety, isolation, disruption to care, domestic violence. But support from family, services & community can help.

Even mental health impact of an economic downturn can be mitigated if we support people losing jobs or on benefits. /3
Read 8 tweets
17 Feb 20
No shortage of social media comment about suicide over the weekend but few researchers joined in & those who did called for caution from everyone else.

And with good reason. Research evidence warns that media coverage can put others at risk. jech.bmj.com/content/57/4/2…

Thread/1
Main concern is imitative suicide, when one death leads to another in similar circumstances. Imitative suicide happens when the second person identifies with the first. It is more likely in young people and after the deaths of celebrities. /2
This isn’t to say that just by hearing of a suicide we can become suicidal ourselves. It means that a distressed person may feel a connection with someone who has taken their own life & that perceived bond can even extend to how they died. /3
Read 15 tweets
3 Sep 19
What to conclude from today’s suicide figs? Tragic that rates rose in UK in 2018, really from late 2017, reversing fall of prev 4yrs. Although highest rates are in people in their 40s/50s, main rise is in young people.
In fact, rise in suicide in young people is not new. Teenage suicide rates have been rising since around 2010, continuing despite falling rates in other age groups. Non-fatal self-harm in young people has also been rising.
Part of today’s rise can be attributed to a lowering of the standard of proof for suicide required at inquest. But the rise began before that, so other factors are having an effect. We don’t know for certain what those factors are but...
Read 8 tweets

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