Self-Injury, Help-Seeking, and the Internet

Frost, Mareka; Casey, Leanne M.; Rando, Natalie

doi:10.1027/0227-5910/a000346

Cited by 33 publications

(33 citation statements)

References 30 publications

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“…These adolescents are at risk of developing mental health symptoms including engaging in NSSI. Berg et al, 2016;Frost et al, 2016;interRAI, 2016. …”

Section: Resultsmentioning

confidence: 99%

“…However, peer victimization serves as a significant source of stress (Rosen et al, 2012;Storch and Ledley, 2005), and consequently a risk factor for NSSI (Baetens et al, 2014;Gandhi et al, 2015;Hankin and Abela, 2011;Zetterqvist et al, 2014). Bullying victimization might also prevent victimized youth from reaching out for help or prevent them from developing appropriate social and coping skills Hunter and Borg, 2006;Leach and Rickwood, 2009), all of which are known to reduce the risk of engaging in NSSI (Frost et al, 2016;Long et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

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The mediating effect of depressive symptoms on the relationship between bullying victimization and non-suicidal self-injury among adolescents: Findings from community and inpatient mental health settings in Ontario, Canada

Baiden

Stewart

Fallon

2017

Psychiatry Research

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Although bullying victimization has been linked to a number of behavioral and emotional problems among adolescents, few studies have investigate the mechanism through which bullying victimization affect non-suicidal self-injury. The objectives of this study were to examine the effect of bullying victimization on non-suicidal self-injury and the mediating effect of depressive symptoms on the relationship between bullying victimization and non-suicidal self-injury among adolescents. Data for this study came from the interRAI Child and Youth Mental Health dataset. A total of 1650 adolescents aged 12-18 years (M =14.56; SD =1.79; 54.2% males) were analyzed. Binary logistic and Poisson regression models were conducted to identify the mediating effect of depressive symptoms on the relationship between bullying victimization and non-suicidal self-injury. Of the 1650 adolescents studied, 611 representing 37% engaged in non-suicidal self-injury and 26.7% were victims of bullying. The effect of bullying victimization on non-suicidal self-injury was partially mediated by depressive symptoms after adjusting for the effect of demographic characteristics, history of childhood abuse, social support, and mental health diagnoses. The contribution of bullying victimization and depression to non-suicidal self-injury adds to the case for the development of trauma-focused interventions in reducing the risk of non-suicidal self-injury among adolescents.

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“…These adolescents are at risk of developing mental health symptoms including engaging in NSSI. Berg et al, 2016;Frost et al, 2016;interRAI, 2016. …”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The mediating effect of depressive symptoms on the relationship between bullying victimization and non-suicidal self-injury among adolescents: Findings from community and inpatient mental health settings in Ontario, Canada

Baiden

Stewart

Fallon

2017

Psychiatry Research

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“…Prior to the survey going live, it was piloted with five young people from the ReachOut Ireland youth panel to hear their thoughts on the survey and its acceptability. This survey was developed iteratively and informed by research in the area [13,17,23,24], and along with input and previous research from ReachOut Ireland [25] and the commentary from the youth panel, it was made as accessible and nonthreatening to as many young people as possible. In adhering to this input from the youth panel, the final survey did not refer specifically to symptoms such as feeling anxious or having a low mood and instead asked young people about the personal concerns that were causing them the most stress or worry.…”

Section: Methodsmentioning

confidence: 99%

“…The survey consisted of both quantitative and qualitative questions to assess: (1) demographics; (2) young people’s technology use; (3) propensity to seek help from different sources as measured by the General Help-Seeking Questionnaire (GHSQ) [23]; (4) current personal and emotional concerns; (5) preferred online resources; (6) credibility of online resources; (7) facilitators and barriers to online help-seeking; and (8) wellbeing of participants measured by the Short Warwick–Edinburgh Mental Well-being Scale (SWEMWBS) [24]. This paper will discuss findings from (2), (4), (5), (6), and (7) in detail, and findings from (3) and (8) are included under the description of the survey participants.…”

Section: Methodsmentioning

confidence: 99%

Young People Seeking Help Online for Mental Health: Cross-Sectional Survey Study

Pretorius¹,

Chambers²,

Cowan³

et al. 2019

JMIR Ment Health

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Background Young people are particularly vulnerable to experiencing mental health difficulties, but very few seek treatment or help during this time. Online help-seeking may offer an additional domain where young people can seek aid for mental health difficulties, yet our current understanding of how young people seek help online is limited. Objective This was an exploratory study which aimed to investigate the online help-seeking behaviors and preferences of young people. Methods This study made use of an anonymous online survey. Young people aged 18-25, living in Ireland, were recruited through social media ads on Twitter and Facebook and participated in the survey. Results A total of 1308 respondents completed the survey. Many of the respondents (80.66%; 1055/1308) indicated that they would use their mobile phone to look online for help for a personal or emotional concern. When looking for help online, 82.57% (1080/1308) of participants made use of an Internet search, while 57.03% (746/1308) made use of a health website. When asked about their satisfaction with these resources, 36.94% (399/1080) indicated that they were satisfied or very satisfied with an Internet search while 49.33% (368/746) indicated that they were satisfied or very satisfied with a health website. When asked about credibility, health websites were found to be the most trustworthy, with 39.45% (516/1308) indicating that they found them to be trustworthy or very trustworthy. Most of the respondents (82.95%; 1085/1308) indicated that a health service logo was an important indicator of credibility, as was an endorsement by schools and colleges (54.97%; 719/1308). Important facilitators of online help-seeking included the anonymity and confidentiality offered by the Internet, with 80% (1046/1308) of the sample indicating that it influenced their decision a lot or quite a lot. A noted barrier was being uncertain whether information on an online resource was reliable, with 55.96% (732/1308) of the respondents indicating that this influenced their decision a lot or quite a lot. Conclusions Findings from this survey suggest that young people are engaging with web-based mental health resources to assist them with their mental health concerns. However, levels of satisfaction with the available resources vary. Young people are engaging in strategies to assign credibility to web-based resources, however, uncertainty around their reliability is a significant barrier to online help-seeking.

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“…apps), or examining online support groups, rather than seeking user evaluations of everyday online help pages. One small-scale survey [16] asked self-injuring adolescents (mostly female) about their preferences for online help. Data were limited to fixed-choice categories and one free-text question, and only a third of the sample had actually accessed online help.…”

Section: Discussionmentioning

confidence: 99%

Online help for people with suicidal thoughts provided by charities and healthcare organisations: a qualitative study of users’ perceptions

Biddle

Derges

Goldsmith³

et al. 2020

Soc Psychiatry Psychiatr Epidemiol

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Purpose Internet use is common among people with suicidal feelings and a considerable amount of suicide help material is available online. Despite attempts to promote formal help sites (e.g. governmental and charity sector) in internet search results, users' evaluation of these sites is lacking. This study, therefore, aimed to explore distressed users' perceptions of formal online help and their experiences of using this in times of crisis. Methods In-depth interview study of 53 adults reporting suicide-related internet use. Results While highly valued in relation to general mental health problems, formal sites were not perceived to meet the different needs of those experiencing suicidal thoughts, and did not engage individuals in crisis. Sites were criticised for being impersonal, dispassionate, too focused on information-giving, and lacking solutions that were novel or sensitive to reasons why an individual may choose to seek help online. Most participants criticised the tendency for sites to signpost to offline services as their primary response. Participants desired immediacy and responsive online help incorporating 'live chat', self-help tools, opportunities to interact with others and lived-experience content. Positive accounts of seeking online help described sites incorporating these features. Conclusions Formal online help services should be reappraised to ensure they meet users' needs for immediacy and responsive help to capitalise upon the opportunity available for suicide prevention.

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Self-Injury, Help-Seeking, and the Internet

Abstract: Young people expressed clear preferences regarding online services for self-injury, supporting the importance of consumer consultation in development of online services.

Cited by 33 publications

References 30 publications

The mediating effect of depressive symptoms on the relationship between bullying victimization and non-suicidal self-injury among adolescents: Findings from community and inpatient mental health settings in Ontario, Canada

The mediating effect of depressive symptoms on the relationship between bullying victimization and non-suicidal self-injury among adolescents: Findings from community and inpatient mental health settings in Ontario, Canada

Young People Seeking Help Online for Mental Health: Cross-Sectional Survey Study

Online help for people with suicidal thoughts provided by charities and healthcare organisations: a qualitative study of users’ perceptions

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