唧唧堂编辑二朵2013-12-11 10:59 PM

The Power of the Web: A Systematic Review of Studies of the Influence of the Internet on Self-Harm and Suicide in Young People 网络的力量:有关网络影响青少年自残和自杀的系统性研究综述

Abstract Background 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. 背景 有人担忧网络是造成人们自杀和自残的重要原因之一。在这项研究中我们系统性地综述分析了研究文献,从而来探究到底网络是否会且如何影响青少年的自杀和自残行为。 Methods 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. 方法 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。 Results 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. 结果 那些有自残和自杀倾向的青少年经常有上网行为。他们会通过网络寻求他人支持或模仿借鉴类似群体给出的对策,通常这些行为都是积极且具有建设性的,但有时网络对青少年们会产生负面影响,向他们灌输例如自残属于正常行为,潜意识中阻挠他们向公众倾诉自我状况或寻求专业的帮助。网络上出现的部分社交渠道变成了同龄间互相欺压倒戈的不良场所;研究发现,不管是这种欺压行为还是平常的网络使用都对增加青少年自残,自残意念及抑郁的风险起了推波助澜的作用。这种相关性也在青少年网络曝光及自残的暴力行为中觅见踪迹 Conclusions 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. 结论 网络对青少年可能身陷自杀和自残行为的风险发挥了即积极又消极的双刃作用。我们需要进行更细致缜密的研究,从而来更深入探索网络媒体如何对青少年起负面影响,且我们应该更聚焦专注于发掘网络的积极作用来干预帮助处于弱势的青少年群体。

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唧唧堂编辑二朵

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