The reliability and quality of YouTube videos about isotretinoin treatment and suicide

Abstract

Abstract Background Seeking health information online has drastically increased. Isotretinoin is one of the agents used to treat acne. Objectives In this study, we aimed to investigate the reliability and quality of YouTube videos related to acne treatment. There is a misconception that use of isotretinoin increases risk of suicide. Methods We used the terms ‘isotretinoin suicide’ and ‘acne treatment suicide’ to search YouTube videos. Videos that were not in English, were irrelevant, or were devoid of audio were not included. The information in the videos was primarily categorized as ‘reliable’ or ‘unreliable’ based on its scientific validation. DISCERN and the Global Quality Score were used to evaluate the videos’ overall quality. Results In total, 200 videos were examined and 112 videos were included in the study. Of these, 39 videos (34.8%) were found to be reliable, and 73 videos (65.2%) were found to be unreliable. The DISCERN values of videos uploaded by physicians or professional organizations, and health information websites were found to be significantly higher. There were statistically significant negative correlations between DISCERN score and both video length and the length of time the video was on YouTube, while a positive correlation was observed between DISCERN score and the number of subscribers. Conclusions Although videos created by dermatologists have become widespread in recent years, they are still insufficient. Patient experience videos mostly contain information that does not reflect reality, and they emphasize that isotretinoin increases the risk of suicide without evidence. As the number of dermatologists posting videos on YouTube increases, the chances of people accessing correct information will increase.