There is concern that the internet is playing an increasing role in self-harm and suicide. In this study we systematically review and analyse research literature to determine whether there is evidence that the internet influences the risk of self-harm or suicide in young people.
An electronic literature search was conducted using the PsycINFO, MEDLINE, EMBASE, Scopus, and CINAHL databases. Articles of interest were those that included empirical data on the internet, self-harm or suicide, and young people. The articles were initially screened based on titles and abstracts, then by review of the full publications, after which those included in the review were subjected to data extraction, thematic analysis and quality rating.
我们使用电子文献搜索引擎搜索了PsycINFO, MEDLINE, EMBASE, Scopus, and CINAHL 等数据库，那些包含来自网络的经验数据，有关自杀或自残行为内容，和有关青少年内容的文章吸引了我们的目光。我们先对这类文章按标题和摘要进行了初步筛选，然后对留下的文章根据出版的完整内容再次进行审查，在这之后还要进行一系列有关数据提取，专题分析和质量评估的工作。
Youth who self-harm or are suicidal often make use of the internet. It is most commonly used for constructive reasons such as seeking support and coping strategies, but may exert a negative influence, normalizing self-harm and potentially discouraging disclosure or professional help-seeking. The internet has created channels of communication that can be misused to ‘cyber-bully’ peers; both cyber-bullying and general internet use have been found to correlate with increased risk of self-harm, suicidal ideation, and depression. Correlations have also been found between internet exposure and violent methods of self-harm.
Internet use may exert both positive and negative effects on young people at risk of self-harm or suicide. Careful high quality research is needed to better understand how internet media may exert negative influences and should also focus on how the internet might be utilized to intervene with vulnerable young people.