Motivations and perceived harms and benefits of online communication about self-harm: An interview study with young people

Background Self-harm behaviour is prevalent among young people and online communication about self-harm is frequent. These online communications are associated with potential harms and potential benefits. To date, few studies have explored the motivations and mechanisms involved in youth online comm...

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Main Authors: Pinar Thorn, Louise La Sala, Sarah Hetrick, Simon Rice, Michelle Lamblin, Jo Robinson
Format: Article
Language:English
Published: SAGE Publishing 2023-05-01
Series:Digital Health
Online Access:https://doi.org/10.1177/20552076231176689
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author Pinar Thorn
Louise La Sala
Sarah Hetrick
Simon Rice
Michelle Lamblin
Jo Robinson
author_facet Pinar Thorn
Louise La Sala
Sarah Hetrick
Simon Rice
Michelle Lamblin
Jo Robinson
author_sort Pinar Thorn
collection DOAJ
description Background Self-harm behaviour is prevalent among young people and online communication about self-harm is frequent. These online communications are associated with potential harms and potential benefits. To date, few studies have explored the motivations and mechanisms involved in youth online communication about self-harm. Objective This study aimed to explore why young people communicate online about self-harm and the perceived benefits and harms of these communications. Methods Twenty young people aged between 18 and 25 years completed an online interview. Interviews were audio recorded and transcribed verbatim. Thematic analysis was used to identify themes. Results Four main themes are reported: (1) crossing from offline to online—the double-edged affordances of social media: young people engaged in online communication about self-harm because they were unable or unwilling to speak about their experiences in offline contexts. Online spaces afforded anonymity and peer support, which were associated with benefits and harms; (2) user-generated is not quite the same as user-resonated: perceptions were influenced by whether the young person created or viewed or responded to the content. Written and visual content had pros and cons; (3) it's not just you, it's mostly me—individual characteristics influence perceptions: age and mental state influenced perceptions and behavior; and (4) beyond individuals—parameters are protective: leadership and platform policies and procedures aided safety. Conclusions Online communication about self-harm is neither entirely helpful nor harmful. Perceptions are influenced by individual, social, and systematic factors. Evidence-based guidelines are needed to increase young people's online self-harm literacy and help them build effective communication skills to buffer psychological and potentially physical harm.
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spelling doaj.art-7c4b9a1d93c448629f9005cad4dd98fe2023-05-23T19:04:27ZengSAGE PublishingDigital Health2055-20762023-05-01910.1177/20552076231176689Motivations and perceived harms and benefits of online communication about self-harm: An interview study with young peoplePinar Thorn0Louise La Sala1Sarah Hetrick2Simon Rice3Michelle Lamblin4Jo Robinson5 Centre for Youth Mental Health, , Parkville, VIC, Australia Centre for Youth Mental Health, , Parkville, VIC, Australia , Auckland CBD, Auckland, New Zealand Centre for Youth Mental Health, , Parkville, VIC, Australia Centre for Youth Mental Health, , Parkville, VIC, Australia Centre for Youth Mental Health, , Parkville, VIC, AustraliaBackground Self-harm behaviour is prevalent among young people and online communication about self-harm is frequent. These online communications are associated with potential harms and potential benefits. To date, few studies have explored the motivations and mechanisms involved in youth online communication about self-harm. Objective This study aimed to explore why young people communicate online about self-harm and the perceived benefits and harms of these communications. Methods Twenty young people aged between 18 and 25 years completed an online interview. Interviews were audio recorded and transcribed verbatim. Thematic analysis was used to identify themes. Results Four main themes are reported: (1) crossing from offline to online—the double-edged affordances of social media: young people engaged in online communication about self-harm because they were unable or unwilling to speak about their experiences in offline contexts. Online spaces afforded anonymity and peer support, which were associated with benefits and harms; (2) user-generated is not quite the same as user-resonated: perceptions were influenced by whether the young person created or viewed or responded to the content. Written and visual content had pros and cons; (3) it's not just you, it's mostly me—individual characteristics influence perceptions: age and mental state influenced perceptions and behavior; and (4) beyond individuals—parameters are protective: leadership and platform policies and procedures aided safety. Conclusions Online communication about self-harm is neither entirely helpful nor harmful. Perceptions are influenced by individual, social, and systematic factors. Evidence-based guidelines are needed to increase young people's online self-harm literacy and help them build effective communication skills to buffer psychological and potentially physical harm.https://doi.org/10.1177/20552076231176689
spellingShingle Pinar Thorn
Louise La Sala
Sarah Hetrick
Simon Rice
Michelle Lamblin
Jo Robinson
Motivations and perceived harms and benefits of online communication about self-harm: An interview study with young people
Digital Health
title Motivations and perceived harms and benefits of online communication about self-harm: An interview study with young people
title_full Motivations and perceived harms and benefits of online communication about self-harm: An interview study with young people
title_fullStr Motivations and perceived harms and benefits of online communication about self-harm: An interview study with young people
title_full_unstemmed Motivations and perceived harms and benefits of online communication about self-harm: An interview study with young people
title_short Motivations and perceived harms and benefits of online communication about self-harm: An interview study with young people
title_sort motivations and perceived harms and benefits of online communication about self harm an interview study with young people
url https://doi.org/10.1177/20552076231176689
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