Research Article| January 01 2018 Sounding the Alarm on Digital Self-harm AAP Grand Rounds (2018) 39 (1): 5. https://doi.org/10.1542/gr.39-1-5 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Tools Icon Tools Get Permissions Cite Icon Cite Search Site Citation Sounding the Alarm on Digital Self-harm. AAP Grand Rounds January 2018; 39 (1): 5. https://doi.org/10.1542/gr.39-1-5 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search toolbar search search input Search input auto suggest filter your search All PublicationsAll JournalsAAP Grand RoundsPediatricsHospital PediatricsPediatrics In ReviewNeoReviewsAAP NewsAll AAP Sites Search Advanced Search Topics: self-injurious behavior, cyberbullying Source: Patchin JW, Hinduja S. Digital self-harm among adolescents. J Adolesc Health. 2017 Dec; 61(6): 761– 766; doi: https://doi.org/10.1016/j.jadohealth.2017.06.012Google Scholar Investigators from the University of Wisconsin-Eau Claire and Florida Atlantic University conducted a survey of US middle and high school students to quantify the proportion of students who engage in digital self-harm. Students were eligible if they were English-speaking and aged 12–17 years. Surveys were administered via email. Two survey questions were used to assess digital self-harm: (1) “in my lifetime, I have anonymously posted something online about myself that was mean,” and (2) “in my lifetime, I have anonymously cyberbullied myself online.” For those who answered affirmatively, the frequency of engaging in self-harm was assessed (once, a few times, many times) as were the motivations for doing so. Demographics and data on several covariates were also collected, such as sexual orientation, depressive symptoms, offline self-harm, drug use, and history of being a victim of school or cyberbullying. Investigators determined the number of respondents who engaged in digital self-harm and the frequency in which digital self-harm was used. Investigators used multivariable logistic regression to assess the independent association of digital self-harm with covariates after controlling for age, sex, and race. There were 5,593 students included in analysis, representing a 15% response rate. Most were white (66%), and half were female (49.9%). The proportion of respondents who “anonymously posted something online that was mean” about themselves or “anonymously cyberbullied” was 6.2% and 5.3%, respectively. Most respondents stated they engaged in this self-harm just once. Motivations for engaging in self-harm included self-hate, to be funny, looking for a reaction, and attention-seeking. Significantly more boys reported engaging in digital self-harm. In multivariable analyses, being non-heterosexual, a victim of school or cyberbullying, drug use, depressive symptoms, and engaging in offline self-harm were all significantly associated with engaging in digital self-harm. The investigators conclude that 1 in 20 middle and high school students engage in digital self-harm. Dr Wong has disclosed no financial relationship relevant to this commentary. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device. When providing preventive care to adolescent patients, the potential harms of social media and screening for self-harm are increasingly prevalent and important issues to discuss. The potential harms of social media tend to be focused on risks posed by others online. Teenagers using social media, for example, are at risk of cyberbullying, which has been linked to multiple mental health issues, including attempted suicide (see AAP Grand Rounds, September 2012;28[3]).1 Other harms include compromised privacy and confidentiality, exposure to online predators, and misinformation. Like the rise in social media use and risks, the rate of self-harm among adolescents (eg, cutting) has also been increasing. Recent estimates suggest that >10% of adolescents report ever having self-harmed.2 The current investigators describe a more recent form of self-harm called digital self-harm. They define digital self-harm as “anonymous online posting, sending, or... You do not currently have access to this content.
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