Harmful or helpful? The role of the internet in self-harming and suicidal behaviour in young people

2014 ◽  
Vol 19 (1) ◽  
pp. 61-71 ◽  
Author(s):  
Jo Bell
Keyword(s):  
Young People ◽  
Support Groups ◽  
Suicidal Behaviour ◽  
Internet Use ◽  
Information Access ◽  
Evidence Base ◽  
Future Research ◽  
The Internet ◽  
Content Type ◽  
Self Harm

Purpose – The internet plays an important role in the lives of self-harming and suicidal young people yet little is known about how internet use influences this behaviour. The purpose of this paper is to examine the evidence base with a view to determining directions for future research and practice. Design/methodology/approach – Literature relating to self-harming and suicidal behaviour, young people, and the internet is reviewed with a focus on content and methodology. Findings – The internet provides access to: “how-to” descriptions of suicide; unregulated/illegal online pharmacies; forums to spread this information; access to others seeking to end their own lives. Such sites are believed to elevate risk amongst vulnerable individuals. Conversely, the internet provides access to intervention and prevention activity, online support groups, advice, and personal chat. These can be a key resource in helping young people. There is a lack of consensus on what constitutes harmful and helpful online exchange, often evidenced in disparity between the perceptions of professionals and users. Research limitations/implications – Research is needed to map out a more accurate picture of suicide and self-harm resources on the internet and to establish a consensus about what constitutes harmful and helpful exchange. This needs to be based on: a comprehensive and informed range of search terms; a clear distinction between types of resource; a clear and consistent rationale for distinguishing and categorizing sites; a systematic replicable methodology for plotting the scope, content, accessibility, and popularity of web resources at a given point in time; the views of young people who use these sites, as well as practitioners and professionals. Practical implications – Practitioners need to: regularly assess the quantity, quality, and nature of self-harm/suicide focused internet use amongst service users; be aware of which sites are most appropriate for particular individuals; promote sites directed at young people that enhance effective coping. Professional mental health organizations need to find ways of ensuring that: they are consistently well represented amongst search results online; sites are readily accessible; more practitioners are trained in text-based communications. Originality/value – This paper offers a framework and rationale for future research and for those involved in service provision, policy, and practice.

scholarly journals Images on the internet: A systematic review of studies on the impact of on-line sharing and viewing of self-harm related videos and photographs in young people. (Preprint)

2020 ◽  
Author(s):  
Amanda Marchant ◽  
Keith Hawton ◽  
Lauren Burns ◽  
Anne Stewart ◽  
Ann John
Keyword(s):  
Young People ◽  
Internet Use ◽  
Data Extraction ◽  
Future Research ◽  
The Internet ◽  
On Line ◽  
Self Harm ◽  
User Perspectives ◽  
The Impact ◽  
Positive Impacts

BACKGROUND Given recent moves to remove or blur self-harm imagery or content posted online, it is important to understand the impact on young people of posting, viewing and reposting self-harm images. OBJECTIVE The aim of this study was to systematically review research related to the emotional and behavioural impact on children and young people of viewing or sharing self-harm related videos or images online. METHODS We searched databases (including EMBASE, Psychinfo and MEDLINE) from January 1991 to February 2019. Search terms were categorised into: internet use; images non-specific and specific to the internet; self-harm and suicide. Stepwise screening against specified criteria and data extraction were completed by two independent reviewers. Eligible articles were quality assessed and a narrative synthesis conducted. RESULTS 19 independent studies (20 articles) were included. Four studies focused on images, ten (11 articles) on videos and five on both. There were four quantitative, nine qualitative and seven mixed methods articles. Eleven articles were rated as high quality. There has been an increase in graphic self-harm imagery over time. Potentially harmful content congregated on platforms with little moderation, anonymity and easy searches for images. A range of reactions and intentions were reported in relation to posting or viewing images of self-harm: from empathy, a sense of solidarity and the use of images to give or receive help; to potentially harmful ones suggesting new methods, normalisation and exacerbation of self-harm. Viewing images as an alternative to self-harm or a creative outlet were regarded in two studies to be positive impacts. Reactions of anger, hostility and ambivalence were reported. There was some evidence of a role of imitation and reinforcement, driven in part, by numbers of comments and wound severity but this was not supported by time series analyses. CONCLUSIONS While the results of this review support concerns related to safety and exacerbation of self-harm through viewing images of self-harm, the potential for positive impacts should not be underestimated. Future research should evaluate the effectiveness and any potential harms of current posting restrictions, incorporate user perspectives and develop recovery-oriented content. Clinicians assessing distressed young people should ask about internet use, including access to self-harm images, as part of their assessment.

scholarly journals A systematic review of the relationship between internet use, self-harm and suicidal behaviour in young people: The good, the bad and the unknown

PLoS ONE ◽  
2017 ◽  
Vol 12 (8) ◽  
pp. e0181722 ◽  
Author(s):  
Amanda Marchant ◽  
Keith Hawton ◽  
Ann Stewart ◽  
Paul Montgomery ◽  
Vinod Singaravelu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Young People ◽  
Suicidal Behaviour ◽  
Internet Use ◽  
Self Harm ◽  
The Relationship

Internet use among young people with and without mental health difficulties

2016 ◽  
Vol 35 (1) ◽  
pp. 11-21 ◽  
Author(s):  
G. Mullen ◽  
C. Dowling ◽  
G. O’Reilly
Keyword(s):  
Mental Health ◽  
Young People ◽  
Internet Use ◽  
Online Survey ◽  
Evidence Base ◽  
The Internet ◽  
Outpatient Services ◽  
Community Group ◽  
Clinical Support ◽  
Mental Health Difficulties

ObjectivesResearch regarding adolescent internet use and mental health is sparse. However, awareness of a young person’s internet use is becoming increasingly recognised as an important element of clinical assessment and intervention, and requires the development of an evidence base. The aim of the present study was to better understand the internet use of young people experiencing mental health difficulties and to contrast it with those who currently report no concerns.MethodIn total, 299 young people aged 12–19 years, across a continuum of mental health difficulties, completed an online survey measuring internet use and related experiences. Young people were assigned to four groups: (a) attending inpatient services; (b) attending outpatient services; (c) a community group with mental health concerns and no clinical support; and (d) a regular community group.ResultsThose in the inpatient and outpatient groups visited more potentially harmful websites. Young people attending inpatient and outpatient services showed aspects of both more risky and less risky use. The community group reporting no mental health difficulties showed least risky use. The group experiencing difficulties but not receiving support showed consistently high risky use, suggesting this is a particularly vulnerable group.ConclusionsDespite methodological limitations, findings suggest that those with mental health difficulties may experience more of the risks and fewer of the benefits offered by the internet. Though further research is needed to clarify these findings, clinicians should consider routine assessment of Internet use when planning interventions for young people experiencing mental health difficulties.

scholarly journals Correction: A systematic review of the relationship between internet use, self-harm and suicidal behaviour in young people: The good, the bad and the unknown

PLoS ONE ◽  
2018 ◽  
Vol 13 (3) ◽  
pp. e0193937 ◽  
Author(s):  
Amanda Marchant ◽  
Keith Hawton ◽  
Ann Stewart ◽  
Paul Montgomery ◽  
Vinod Singaravelu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Young People ◽  
Suicidal Behaviour ◽  
Internet Use ◽  
Self Harm ◽  
The Relationship

scholarly journals Internet Use and Suicidal Ideation among Young People: A Narrative Review

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Tan Zong Yan ◽  
Norhayati Ibrahim ◽  
Normah bte Che Din ◽  
Kok Jin Kuan
Keyword(s):  
Suicidal Ideation ◽  
Young People ◽  
Internet Use ◽  
Suicide Attempts ◽  
Public Health Issue ◽  
Future Research ◽  
The Internet ◽  
Record Keeping ◽  
Internet Suicide ◽  
Use Of The Internet

The Internet is being widely used by many, and it has greatly affected the medical field, especially in terms of the learning and practice of psychiatry. Record-keeping and the transmission of information are facilitated and made available to many through accessibility to the Internet. However, there are some shortcomings following the advancement of the Internet. Suicide, which is regarded as a serious public health issue, has been related to the use of the Internet. Therefore, the aim of this review is to summarize and assess the existing work on the influence of internet usage over suicidal ideation and suicide attempts among young people. The appropriate studies were identified through four databases, namely Ebscohost, Ovid, PsyArticle and SAGE Publications. The key terms employed in the search were “problematic Internet use”, “Internet use”, “suicidal*” and “adolescent*”, and the publications were limited to the years 2005 to 2015. A total of fourteen studies were included in this review. The results suggested an association between search trends with the suicide-related terms and the suicide rate. In addition, young people also tend to portray their suicidal ideation through the Internet. Besides, the websites that were accessed using the suicide-related terms tended to be both pro- and anti-suicide. Therefore, it is suggested that future research should be aimed at developing websites which can provide assistance to the group at risk.

Information-Seeking on the Internet

Crisis ◽  
2015 ◽  
Vol 36 (3) ◽  
pp. 211-219 ◽  
Author(s):  
Vinod Singaravelu ◽  
Anne Stewart ◽  
Joanna Adams ◽  
Sue Simkin ◽  
Keith Hawton
Keyword(s):  
At Risk ◽  
Young People ◽  
Information Seeking ◽  
Significant Proportion ◽  
The Internet ◽  
Search Terms ◽  
Specific Advice ◽  
Restriction Sites ◽  
Self Harm ◽  
Negative Tone

Abstract. Background: The Internet is used by young people at risk of self-harm to communicate, find information, and obtain support. Aims: We aimed to identify and analyze websites potentially accessed by these young people. Method: Six search terms, relating to self-harm/suicide and depression, were input into four search engines. Websites were analyzed for access, content/purpose, and tone. Results: In all, 314 websites were included in the analysis. Most could be accessed without restriction. Sites accessed by self-harm/suicide search terms were mostly positive or preventive in tone, whereas sites accessed by the term ways to kill yourself tended to have a negative tone. Information about self-harm methods was common with specific advice on how to self-harm in 15.8% of sites, encouragement of self-harm in 7.0%, and evocative images of self-harm/suicide in 20.7%. Advice on how to get help was given in 56.1% of sites. Conclusion: Websites relating to suicide or self-harm are easily accessed. Many sites are potentially helpful. However, a significant proportion of sites are potentially harmful through normalizing or encouraging self-harm. Enquiry regarding Internet use should be routinely included while assessing young people at risk.

Behavior change techniques in mobile apps targeting self-harm in young people: a systematic review

2021 ◽  
Author(s):  
Elena Panagiotopoulou ◽  
Celeste Peiris ◽  
Daniel Hayes
Keyword(s):  
Young People ◽  
Behavior Change ◽  
Dialectical Behavior Therapy ◽  
Mobile Apps ◽  
Mental Healthcare ◽  
Future Research ◽  
Active Components ◽  
Behavior Change Techniques ◽  
Other Information ◽  
Self Harm

Abstract Despite the high prevalence of self-harm among young people, as well as their extensive use of mobile apps for seeking support with their mental healthcare, it is unclear whether the design of mobile apps aimed at targeting self-harm is underpinned by behavior change techniques (BCTs). To systematically analyze and identify (a) what BCTs and (b) what theories are present in self-harm apps for young people in an attempt to understand their active components. Systematic searches in Apple store, followed by thorough screening, were conducted to identify free mobile apps targeting self-harm in young people. Five apps met the inclusion criteria and were used by trained researchers, who coded identified features against the BCT Taxonomy V1. Despite the majority of apps being underpinned by principles of Dialectical Behavior Therapy (DBT), no other information is available about specific theories underpinning these apps. Nineteen of the 93 BCTs were identified across the five apps. The most frequently used BCT was “Distraction” (54.2%), offering ideas for activities to distract users from self-harming. Other techniques that were used often were “Social Support (unspecified)” (27.0%) and “Behavior Substitution” (10.6%). This study provides the first analysis of BCTs present in mental health apps which are designed to target the reduction of self-harm in young people. Future research is needed to evaluate the effectiveness of the apps, as well as assess the effectiveness of the BCTs present.

Perceptions of time at work

2016 ◽  
Vol 45 (1) ◽  
pp. 29-50 ◽  
Author(s):  
Aristides Isidoro Ferreira ◽  
Joana Diniz Esteves
Keyword(s):  
Gender Differences ◽  
Design Methodology ◽  
Internet Use ◽  
The Internet ◽  
Content Type ◽  
Future Studies ◽  
Work Related ◽  
Phone Calls ◽  
Working Day ◽  
The Relationship

Purpose – Activities such as making personal phone calls, surfing on the internet, booking personal appointments or chatting with colleagues may or may not deviate attentions from work. With this in mind, the purpose of this paper is to examine gender differences and motivations behind personal activities employees do at work, as well as individuals’ perception of the time they spend doing these activities. Design/methodology/approach – Data were obtained from 35 individuals (M age=37.06 years; SD=7.80) from a Portuguese information technology company through an ethnographic method including a five-day non-participant direct observation (n=175 observations) and a questionnaire with open-ended questions. Findings – Results revealed that during a five-working-day period of eight hours per day, individuals spent around 58 minutes doing personal activities. During this time, individuals engaged mainly in socializing through conversation, internet use, smoking and taking coffee breaks. Results revealed that employees did not perceive the time they spent on non-work realted activities accurately, as the values of these perceptions were lower than the actual time. Moreover, through HLM, the findings showed that the time spent on conversation and internet use was moderated by the relationship between gender and the leisure vs home-related motivations associated with each personal activity developed at work. Originality/value – This study contributes to the literature on human resource management because it reveals how employees often perceive the time they spend on non-work related activities performed at work inaccurately. This study highlights the importance of including individual motivations when studying gender differences and personal activities performed at work. The current research discusses implications for practitioners and outlines suggestions for future studies.

Opportunities for academic smart libraries in the Caribbean

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Adrian St. Patrick Duncan
Keyword(s):  
Information And Communication Technologies ◽  
Academic Libraries ◽  
Information Access ◽  
The Body ◽  
Caribbean Region ◽  
Future Research ◽  
Technological Advancement ◽  
Content Type ◽  
Services Delivery ◽  
The Caribbean

Purpose The purpose of this paper hinged on the concept of smart libraries and their development for the furtherance of information access, dissemination and information resources and services delivery in Caribbean libraries. Design/methodology/approach To conduct this research, the literature of smart libraries and technologically driven and their application in libraries were reviewed by examining existing literature on information and communication technologies and technology in libraries. Findings The literature highlighted that this technological advancement is not yet fully on stream in academic libraries of the Caribbean owing to the lack of financial, technological and organizational resources. It further outlined that certain aspects of library automation are fostered through the inclusion of technology. Research limitations/implications The limitation of this study is that only academic libraries of the Caribbean region were assessed. Other regions should be explored in future research. Originality/value The concept of smart libraries is an emerging issue with limited scope for scrutiny; a systematic and extensive review of recent research on smart in libraries is unavailable. This paper presents an overview of smart libraries or technologically driven libraries, its findings for potential research opportunities and development for academic libraries. In addition, it will build on the body of knowledge that is presently non-existent on smart libraries in the Caribbean.

No Harm Done – dispelling myths, giving hope and practical help for young people, parents and professionals affected by self-harm

2016 ◽  
Vol 15 (3) ◽  
pp. 134-135 ◽  
Author(s):  
Marc Bush
Keyword(s):  
Young People ◽  
Design Methodology ◽  
Parent Engagement ◽  
Life Experiences ◽  
Real Life ◽  
Content Type ◽  
Practical Advice ◽  
Short Films ◽  
Self Harm ◽  
The Way

Purpose The No Harm Done films provide hope and give support to those affected by self-harm. The accompanying digital packs dispel myths, answer frequently asked questions, provide practical advice and signpost to further help and support. The paper aims to discuss these issues. Design/methodology/approach YoungMinds employed its sector-leading expertise in youth and parent engagement. Both the films and digital packs were co-created with young people, parents and professionals, reflecting their real-life experiences of self-harm. Findings The project responded to young people who self-harm telling us they feel isolated, alone, in need of hope and help to counteract the negative and frightening messages widely available online. Parents confided they also feel isolated and that it is their fault their child is harming themselves. Teachers told us they see the signs but cannot bring themselves to say anything, and even if they want to, they cannot find the words to reach out to young people. Originality/value Quote from a professional “I personally found the No Harm Done short films to be incredibly valuable resources for my practice with young people. The way the films have been produced will make it a lot harder for young people that I work with to judge the action of self-harm given that there are no graphic harming words/stories and the films themselves do not come across as triggering. I feel enthusiastic that these films will encourage understanding and empathy from peers and spark conversation enabling those who have no knowledge around self-harm to be more accepting, open and supportive of those who have issues with self-harm.”

Sign in / Sign up

Export Citation Format

Share Document