20 After a Suicide | A Toolkit for Physician Residency/Fellowship Programs Online Memorial Pages and Social Media Online memorial pages and message boards have become common practice in the aftermath of a death. At times training programs/institutions may choose (with the permission and support of the deceased resident’s family) to establish a memorial page on the program’s website or on a social networking site. As with all memorialization following a suicide death, such pages should take care not to glamorize the death in ways that may lead other at-risk residents to identify with the person who died. It is therefore vital that memorial pages utilize safe messaging, include resources, be monitored, and be time-limited. It is recommended that online memorial pages remain active for up to 30 to 60 days after the death, at which time they should be taken down and replaced with a statement acknowledging the caring and supportive messages that had been posted and encouraging residents who wish to further honor their friend to consider other approaches. If the deceased residents’ friends create a memorial page of their own, it is important that the Crisis Response Team communicate with the friends to ensure that the page includes safe messaging and accurate information.3 An example of recommended language for a friends and family memorial page could include: “The best way to honor your loved one is to seek help if you or someone you know is struggling.” When possible, memorial pages should also contain information about where a person in a suicidal crisis can get help (e.g., National Suicide Prevention Lifeline at 1-800-273-TALK (8255), or the Crisis Text Line at 741-741). Crisis Response Team members should also join any resident-initiated memorial pages so that they can monitor and respond as appropriate. Social media should be monitored for several weeks following the death. A member of the Crisis Response Team who is adept at social media can watch for distressed posts by other residents, and also for posts that get into graphic details about suicide, pictures of location of death, or memes that make suicide seem like a positive outcome, e.g., meme of picture from movie Aladdin: “Genie, you’re free” that unfortunately went viral after Robin Williams’ death. Media and the Press A member of the Crisis Response Team should be assigned to media relations. A media statement should be prepared (see Appendix F for example) and a designated media spokesperson identified. Identifying key messages for the media spokesperson can be helpful (see Appendix G for example). Typically only authorized staff or institutional communication personnel should speak with the media. It may be best to advise residents to avoid interviews with the media. The media can also be provided guidance on how best to report on suicide to minimize risk of suicide contagion (afsp.org/SafeReporting).