The video-sharing social media platform TikTok has experienced a rapid rise in use since its release in 2016. While its popularity is undeniable, at the first glance, it seems to offer features already available on previously existing and well-established platforms such as Instagram, YouTube, and Facebook. To understand processes of self-making on TikTok, we undertake two methods of data collection: a walkthrough of the app and its surrounding environment, and 14 semistructured participant interviews. A qualitative analysis of this data finds three distinct themes emerge: (1) awareness of the algorithm, (2) content without context, and (3) self-creation across platforms. These results show that TikTok departs from existing platforms in the model of self-making it engenders, which we term “the algorithmized self”—a complication of the pre-existing “networked self” framework.

Since its release in 2017, the video sharing app TikTok has been downloaded 1.5 billion times. While its popularity has been attributed to the abundance of celebrity users, its interactive features, and its short, palatable video length, it has been the subject of relatively few academic studies. This project employs the walkthrough method to examine TikTok within the context of identity negotiation and self-representation on social media. More specifically, it seeks to understand whether TikTok follows a precedent set by other Social Networking Sites which support users self-representing via sociability “to the network, via the network”; i.e. by interacting within the affordances of the platform, which may include sharing, liking, commenting, etc (Papacharissi, 2013). This model ostensibly offers users a stage where they may display their individuality and curate content that reflects their personal interests. By regularly using the app for a period of a month and collecting extensive field notes, screenshots, and video recordings, we found that TikTok’s version of sociality differs from that offered by other SNSs. While other sites purport to be a tool with which users may represent their identities, TikTok does away with this conceit by engendering a mode of sociality (through its design features and affordances) in which the crux of interaction is not between users and their social network, but between a user and what we call an “algorithmized” version of self. This finding has the potential to enrich and complicate the discourse surrounding online identity formation and sociality.

Background Nonsuicidal self-injury (NSSI) is a widespread behavior among adolescents and young adults. Although many individuals who self-injure do not seek treatment, there is evidence for web-based help-seeking through web-based communities and mobile peer support networks. However, few studies have rigorously tested the efficacy of such platforms on outcomes relevant for NSSI recovery. Objective The aim of this small-scale preregistered randomized controlled trial is to provide preliminary insight into the shorter- and longer-term efficacy of the use of a peer support app, TalkLife, in reducing NSSI frequency and urges and increasing readiness to change. In addition, we explore contact with informal support, interest in therapy, and attitudes toward professional help–seeking. Methods Individuals aged 16-25 years with current (within 3 months) and chronic (>6 episodes in the past year) NSSI history were eligible to participate in this study. After baseline assessments, the intervention group was instructed to use the app actively (eg, post or comment at least three times per week) and the control group received weekly psychoeducational materials through email, for 8 weeks. Follow-up was assessed at 1 month and 2 months. Linear mixed modeling was used to evaluate condition and time point effects for the primary outcomes of NSSI frequency and urges, readiness to change, contact with informal support, interest in therapy, and attitudes toward professional help–seeking. Results A total of 131 participants were included in the analysis. We evidenced a significant effect of condition on NSSI frequency such that the participants using the peer support app self-injured less over the course of the study (mean 1.30, SE 0.18) than those in the control condition (mean 1.62, SE 0.18; P=.02; η2=0.02). We also evidenced a significant condition effect of readiness to change such that the treatment participants reported greater confidence in their ability to change their NSSI behavior (mean 6.28, SE 0.41) than the control participants (mean 5.67, SE 0.41; P=.04; η2=0.02). No significant differences were observed for contact with informal support, interest in therapy, or attitudes toward professional help–seeking. Conclusions Use of the peer support app was related to reduced NSSI frequency and greater confidence in one’s ability to change NSSI behavior over the course of the study period, but no effects on NSSI urges, contact with informal support, interest in therapy, or attitudes toward professional help–seeking were observed. The findings provide preliminary support for considering the use of mobile peer support apps as a supplement to NSSI intervention and point to the need for larger-scale trials. Trial Registration Open Science Foundation; https://osf.io/3uay9

This study evaluates whether increasing information visibility around the identity of a moderator influences bystanders’ likelihood to flag subsequent unmoderated harassing comments. In a 2-day preregistered experiment conducted in a realistic social media simulation, participants encountered ambiguous or unambiguous harassment comments, which were ostensibly flagged by either other users, an automated system (AI), or an unidentified moderation source. The results reveal that visibility of a content moderation source inhibited participants’ flagging of a subsequent unmoderated harassment comment, presumably because their efforts were seen as dispensable, compared to when the moderation source was unknown. On the contrary, there was an indirect effect of other users versus AI as moderation source on subsequent flagging through changes in perceived social norms. Overall, this research shows that the effects of moderation transparency are complex, as increasing visibility of a content moderator may inadvertently inhibit bystander intervention.

ObjectivesTo examine health behaviours of refugees and asylum seekers, in relation to their knowledge of public benefits and legal rights.DesignQualitative study, utilising an open-ended, semi-structured interview guide to ensure information-rich data collection. Thematic content was analysed using qualitative research software.SettingParticipants were drawn from the Weill Cornell Center for Human Rights (WCCHR) in New York City, a single-center, human rights clinic with a globally representative patient population. All interviews were conducted at the Weill Cornell Medicine Clinical and Translational Science Center, a multidisciplinary space within an urban academic medical center.ParticipantsTwenty-four refugees and asylum seekers currently living in the greater New York City area. Eligible participants were 18 years of age or older and had previously sought services from the WCCHR. The recruitment rate was 55%.Primary and secondary outcome measuresThemes and concepts in participants’ health, knowledge, perceptions of and experiences with accessing healthcare and public benefits programmes.ResultsTwenty-four participants represented 18 countries of origin and 11 primary languages. Several impediments to accessing healthcare and public benefits were identified, including pragmatic barriers (such as prohibitive costs or lack of insurance), knowledge gaps and mistrust of healthcare systems.ConclusionsThere is low health engagement by refugees and asylum seekers, as a result of multiple, complex factors impeding the ability of refugee and asylum seekers to access healthcare and other public benefits for which they are eligible—with resultant detrimental health effects. However, there is an opportunity to utilise novel approaches, such as digital technologies, to communicate relevant information regarding legal rights and public benefits to advance the health of vulnerable individuals such as refugees and asylum seekers.