On the Creative Edge

Seko, Yukari; Kidd, Sean A.; Wiljer, David; McKenzie, Kwame

doi:10.1177/1049732315570134

Cited by 41 publications

(68 citation statements)

References 55 publications

(82 reference statements)

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“…This is the first study to have interviewed adolescents with NSSI on their motivation for and their experiences with posting NSSI content on Instagram by using a semi-structured chat based interview. Regarding the motivation for posting pictures online, results of this study validate those from a smaller sample of participants posting NSSI content in a self-injury online community (19). Two main themes emerged, being social and self-oriented motivation.…”

Section: Discussionsupporting

confidence: 70%

“…One study used open-ended online questions (13), whereas in another one, motives were examined through analysis of what youth posted on a popular online forum (5). To date, only one qualitative interview study with N=17 participants (19) investigated motivations for creating NSSI content online. Participants had posted NSSI content in an online community focusing on NSSI ("Self-Injury.net").…”

Section: Introductionmentioning

confidence: 99%

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“I just finally wanted to belong somewhere”—Qualitative Analysis of Experiences With Posting Pictures of Self-Injury on Instagram

Brown

Fischer²,

Goldwich³

et al. 2020

Front. Psychiatry

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Non-suicidal self-injury (NSSI) is a common phenomenon among adolescents, but is often not disclosed due to fear of stigmatization. Social media is frequently used to publish photos of NSSI and share experiences with NSSI. Objectives of this study were to find out more about the motivation for publishing NSSI content and to investigate the effect that sharing this content on social media has on young people. In the current study, we interviewed N=59 participants (mean age = 16.7 years [SD = 1.2 years]; 72.9% female), who had all posted NSSI content within the past month on the social media platform Instagram. Semi-structured interviews were conducted via the Instagram messaging app. Interviews were analyzed qualitatively, assisted by the Software Atlas.ti 7. Participants were asked about their motivation for and their experiences with posting NSSI content online. Motivations for posting pictures online were mainly social (connecting, disclosure, communicating), while self-focused reasons like documenting NSSI or recovery were also mentioned. All participants reported having received positive reactions (being offered help, connecting, receiving empathy), as well as negative comments (harassment, being misunderstood) to their own NSSI content by other Instagram users. Participants' reactions to other users' NSSI content on Instagram was often identification with the content or being triggered, but also wanting to offer help or sometimes even being deterred from NSSI. None of the participants mentioned successful referral to professional help through their online NSSI activity. One target for future interventions could therefore be social media, or other online platforms, where adolescents might be more easily reached. Mental health practitioners should be aware of their clients' online activity and encourage reflection upon positive and negative effects of viewing or sharing NSSI content online.

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Section: Discussionsupporting

confidence: 70%

Section: Introductionmentioning

confidence: 99%

“I just finally wanted to belong somewhere”—Qualitative Analysis of Experiences With Posting Pictures of Self-Injury on Instagram

Brown

Fischer²,

Goldwich³

et al. 2020

Front. Psychiatry

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“…For teens engaged in NSSI, hashtags may allow one to access and feel connected to an NSSI-related community, or serve as a trigger for NSSI behaviors [12]. For adolescents curious about NSSI, the visual nature of Instagram may provide easy access to instruction in how to engage in NSSI or normalize these behaviors as available emotional outlets.…”

Section: Discussionmentioning

confidence: 99%

“…A previous study described online NSSI content as a trigger for offline NSSI behaviors [12]. Conversations with patients exploring how they feel when viewing or creating NSSI content may prove useful for identifying triggers and supports for each individual.…”

Section: Discussionmentioning

confidence: 99%

“…Social contagion can occur both offline and online; previous studies have illustrated NSSI content in online forums and on social media such as YouTube [2,10,11]. In one study, online NSSI content was a trigger for offline NSSI behaviors [12]. NSSI on social media is of particular interest given that social media content is typically peer generated and thus combines the influence of peers and media [13].…”

mentioning

confidence: 99%

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Secret Society 123: Understanding the Language of Self-Harm on Instagram

Moreno

Ton²,

Selkie

et al. 2016

Journal of Adolescent Health

129

154

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Purpose Nonsuicidal self-injury (NSSI) content is present on social media and may influence adolescents. Instagram is a popular site among adolescents in which NSSI-related terms are user-generated as hashtags (words preceded by a #). These hashtags may be ambiguous and thus challenging for those outside the NSSI community to understand. The purpose of this study was to evaluate the meaning, popularity, and content advisory warnings related to ambiguous NSSI hashtags on Instagram. Methods This study used the search term “#selfharmmm” to identify public Instagram posts. Hashtag terms co-listed with #selfharmmm on each post were evaluated for inclusion criteria; selected hashtags were then assessed using a structured evaluation for meaning and consistency. We also investigated the total number of Instagram search hits for each hashtag at two time points and determined whether the hashtag prompted a Content Advisory warning. Results Our sample of 201 Instagram posts led to identification of 10 ambiguous NSSI hashtags. NSSI terms included #blithe, #cat, and #selfinjuryy. We discovered a popular image that described the broader community of NSSI and mental illness, called “#MySecretFamily.” The term #MySe-cretFamily had approximately 900,000 search results at Time 1 and >1.5 million at Time 2. Only one-third of the relevant hashtags generated Content Advisory warnings. Conclusions NSSI content is popular on Instagram and often veiled by ambiguous hashtags. Content Advisory warnings were not reliable; thus, parents and providers remain the cornerstone of prompting discussions about NSSI content on social media and providing resources for teens.

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