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A Systematic Review of Social Media Use to Discuss and View Deliberate Self-Harm Acts

OBJECTIVE: To conduct a systematic review of studies of social media platforms used by young people to discuss and view deliberate self-harm. STUDY DESIGN: 11 electronic databases were searched from January 2000 to January 2012 for primary research; in June 2014 an updated search of Medline was cond...

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Autores principales: Dyson, Michele P., Hartling, Lisa, Shulhan, Jocelyn, Chisholm, Annabritt, Milne, Andrea, Sundar, Purnima, Scott, Shannon D., Newton, Amanda S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4871432/
https://www.ncbi.nlm.nih.gov/pubmed/27191728
http://dx.doi.org/10.1371/journal.pone.0155813
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author Dyson, Michele P.
Hartling, Lisa
Shulhan, Jocelyn
Chisholm, Annabritt
Milne, Andrea
Sundar, Purnima
Scott, Shannon D.
Newton, Amanda S.
author_facet Dyson, Michele P.
Hartling, Lisa
Shulhan, Jocelyn
Chisholm, Annabritt
Milne, Andrea
Sundar, Purnima
Scott, Shannon D.
Newton, Amanda S.
author_sort Dyson, Michele P.
collection PubMed
description OBJECTIVE: To conduct a systematic review of studies of social media platforms used by young people to discuss and view deliberate self-harm. STUDY DESIGN: 11 electronic databases were searched from January 2000 to January 2012 for primary research; in June 2014 an updated search of Medline was conducted. Grey literature sources were also searched. Search results were screened by two reviewers. Data were extracted by one reviewer and verified by another. Methodological quality was assessed using the Mixed Methods Appraisal Tool. RESULTS: Due to heterogeneity in study objectives and outcomes, results were not pooled; a narrative analysis is presented. 26 studies were included. Most were conducted in Canada or the UK (30.8% each), used qualitative designs (42.3%), and evaluated discussion forums (73.1%). Participants were most often aged 19–21 years (69.2%), female (mean 68.6%), and 19.2% had a documented history of depression. The social media platforms evaluated were commonly supportive and provided a sense of community among users. Support included suggestions for formal treatment, advice on stopping self-harming behavior, and encouragement. Harms included normalizing and accepting self-harming behavior; discussion of motivation or triggers, concealment, suicidal ideation or plans; and live depictions of self-harm acts. CONCLUSIONS: Although this evidence is limited by its descriptive nature, studies identify beneficial and detrimental effects for young people using social media to discuss and view deliberate self-harm. The connections users make online may be valuable to explore for therapeutic benefit. Prospective, longitudinal investigations are needed to identify short- and long-term potential harms associated with use.
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spelling pubmed-48714322016-05-31 A Systematic Review of Social Media Use to Discuss and View Deliberate Self-Harm Acts Dyson, Michele P. Hartling, Lisa Shulhan, Jocelyn Chisholm, Annabritt Milne, Andrea Sundar, Purnima Scott, Shannon D. Newton, Amanda S. PLoS One Research Article OBJECTIVE: To conduct a systematic review of studies of social media platforms used by young people to discuss and view deliberate self-harm. STUDY DESIGN: 11 electronic databases were searched from January 2000 to January 2012 for primary research; in June 2014 an updated search of Medline was conducted. Grey literature sources were also searched. Search results were screened by two reviewers. Data were extracted by one reviewer and verified by another. Methodological quality was assessed using the Mixed Methods Appraisal Tool. RESULTS: Due to heterogeneity in study objectives and outcomes, results were not pooled; a narrative analysis is presented. 26 studies were included. Most were conducted in Canada or the UK (30.8% each), used qualitative designs (42.3%), and evaluated discussion forums (73.1%). Participants were most often aged 19–21 years (69.2%), female (mean 68.6%), and 19.2% had a documented history of depression. The social media platforms evaluated were commonly supportive and provided a sense of community among users. Support included suggestions for formal treatment, advice on stopping self-harming behavior, and encouragement. Harms included normalizing and accepting self-harming behavior; discussion of motivation or triggers, concealment, suicidal ideation or plans; and live depictions of self-harm acts. CONCLUSIONS: Although this evidence is limited by its descriptive nature, studies identify beneficial and detrimental effects for young people using social media to discuss and view deliberate self-harm. The connections users make online may be valuable to explore for therapeutic benefit. Prospective, longitudinal investigations are needed to identify short- and long-term potential harms associated with use. Public Library of Science 2016-05-18 /pmc/articles/PMC4871432/ /pubmed/27191728 http://dx.doi.org/10.1371/journal.pone.0155813 Text en © 2016 Dyson et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Dyson, Michele P.
Hartling, Lisa
Shulhan, Jocelyn
Chisholm, Annabritt
Milne, Andrea
Sundar, Purnima
Scott, Shannon D.
Newton, Amanda S.
A Systematic Review of Social Media Use to Discuss and View Deliberate Self-Harm Acts
title A Systematic Review of Social Media Use to Discuss and View Deliberate Self-Harm Acts
title_full A Systematic Review of Social Media Use to Discuss and View Deliberate Self-Harm Acts
title_fullStr A Systematic Review of Social Media Use to Discuss and View Deliberate Self-Harm Acts
title_full_unstemmed A Systematic Review of Social Media Use to Discuss and View Deliberate Self-Harm Acts
title_short A Systematic Review of Social Media Use to Discuss and View Deliberate Self-Harm Acts
title_sort systematic review of social media use to discuss and view deliberate self-harm acts
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4871432/
https://www.ncbi.nlm.nih.gov/pubmed/27191728
http://dx.doi.org/10.1371/journal.pone.0155813
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