Youth Safety Research Articles

Teen Talk: The Good, the Bad, and the Neutral of Adolescent Social Media Use

The debate on whether social media has a net positive or negative effect on youth is ongoing. Therefore, we conducted a thematic analysis on 2,061 posts made by 1,038 adolescents aged 15-17 on an online peer-support platform to investigate the ways in which these teens discussed popular social media platforms in their posts and to identify differences in their experiences across platforms. Our findings revealed four main emergent themes for the ways in which social media was discussed: 1) Sharing negative experiences or outcomes of social media use (58%, n = 1,095), 2) Attempts to connect with others (45%, n = 922), 3) Highlighting the positive side of social media use (20%, n = 409), and 4) Seeking information (20%, n = 491). Overall, while sharing about negative experiences was more prominent, teens also discussed balanced perspectives of connection-seeking, positive experiences, and information support on social media that should not be discounted. Moreover, we found statistical significance for how these experiences differed across social media platforms. For instance, teens were most likely to seek romantic relationships on Snapchat and self-promote on YouTube. Meanwhile, Instagram was mentioned most frequently for body shaming, and Facebook was the most commonly discussed platform for privacy violations (mostly from parents). The key takeaway from our study is that the benefits and drawbacks of teens' social media usage can co-exist and net effects (positive or negative) can vary across different teens across various contexts. As such, we advocate for mitigating the negative experiences and outcomes of social media use as voiced by teens, to improve, rather than limit or restrict, their overall social media experience. We do this by taking an affordance perspective that aims to promote the digital well-being and online safety of youth "by design."

Mobile Apps for the Personal Safety of At-Risk Children and Youth: Scoping Review.

Personal safety is a widespread public health issue that affects people of all demographics. There is a growing interest in the use of mobile apps for enhancing personal safety, particularly for children and youth at risk, who are among the most vulnerable groups in society. This study aims to explore what is known about the use of mobile apps for personal safety among children and youth identified to be "at risk." A scoping review following published methodological guidelines was conducted. In total, 5 databases (Scopus, SocINDEX, PsycINFO, Compendex, and Inspec Archive) were searched for relevant scholarly articles published between January 2005 and October 2023. The gray literature was searched using Google and Google Scholar search engines. The results were reported using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. For summarizing the features and users' experiences of the apps, a published framework for evaluating the quality of mobile health apps for youth was used. A total of 1986 articles were identified, and 41 (2.1%) were included in the review. Nine personal safety apps were captured and categorized into 4 groups based on the goals of the apps, as follows: dating and sexual violence prevention (n=4, 44% of apps), bullying and school violence prevention (n=2, 22% of apps), self-harm and suicide prevention (n=2, 22% of apps), and homeless youth support (n=1, 11% of apps). Of the 41 articles, 25 (61%) provided data solely on app descriptions and features, while the remaining 16 (39%) articles provided data on app evaluations and descriptions. Outcomes focused on app engagement, users' experiences, and effectiveness. Four articles reported on app use, 3 (75%) of which reported relatively high app use. Data on users' experience were obtained from 13 studies. In general, participants found the app features to be easy to use and useful as educational resources and personal safety tools. Most of the views were positive. Negative perceptions included redundancy of app features and a lack of usefulness. Five apps were evaluated for effectiveness (n=2, 40% dating and sexual violence prevention; n=2, 40% self-harm and suicide prevention; and n=1, 20% bullying and school violence prevention) and were all associated with a statistically significant reduction (P=.001 to .048) in harm or risk to participants at the 95% CI. Although many personal safety apps are available, few studies have specifically evaluated those designed for youth. However, the evidence suggests that mobile safety apps generally appear to be beneficial for reducing harm to at-risk children and youth without any associated adverse events. Recommendations for future research have been made to strengthen the evidence and increase the availability of effective personal safety apps for children and youth.

Strategies to promote safety for sexual and gender minority youth in secondary schools: A longitudinal analysis.

In order to promote school safety for sexual and gender minority youth (SGMY), many schools implement strategies such as SGM-focused policies and gender-sexuality alliances (GSAs). Little is known about the effects such strategies have over time on feelings of safety at school for SGMY. Hierarchical Linear Models were conducted using longitudinal data from 417 SGMY attending secondary schools to examine trajectories of feelings of safety and the effects of SGM-focused policies, GSA presence, or GSA membership on feelings of safety. Findings indicate that SGM-focused policies and GSAs had direct benefits for safety at school SGMY, both independently and in combination; however, GSA membership was not. Schools should implement a combination of school strategies to promote safer environments for SGMY.

Reviewing and reconceptualising cyberbullying through a social and sustainable lens

ABSTRACT The turn of the century saw a rapid increase in the rate of cyberbullying and with it, the long-term damage it causes young people, their families, and communities. Cyberbullying is now considered a high priority policy around the world. With COVID-19 revealing and reinforcing the increasingly technosocial nature of contemporary society, there are calls of concern around the unintended consequences of the pandemic. For example, school closures or lockdowns have resulted in adolescents spending an increased amount of time online. This increase has exacerbated the problem, compounded negative outcomes, and put the safety, health and wellbeing of youth in the virtual space at further risk. Given the far-reaching mental and physical health impacts, this hidden epidemic needs our full attention. Yet, cyberbullying as a field is characterised by definitional inconsistencies and lack of theoretical foundations. Research to date has largely individualised and decontextualised cyberbullying from its social, cultural and political contexts. Therefore, this paper aims to review and reconceptualise cyberbullying using critical social theories and a sustainable development lens to demonstrate the wider and macrosocial drivers and impacts of this form of cyber-harm. This paper will present how discriminatory attitudes and behaviours, known as othering processes, are mediated through technology, alongside highlighting some broader implications of cyberbullying at a holistic and systemic level beyond individuals.

“Flights for Freedom With Her Words”: Black, Latinx, and Polynesian Girls Co-Conspiring Against Misogynoir Through Love

I examine how youth racialized and gendered as Black girls co-conspired to challenge misogynoir with their peers racialized and gendered as Latina/x and Polynesian girls. I investigate how they did so within an after-school space at a public charter high school that came to be known as the “Critical Feminisms Club.” Thinking about the space alongside the girls in the club, I reveal how they politically and pedagogically engaged love to (a) (re)author the stories of Black girls and (b) challenge the material and ideological misogynoir that circumscribed Black girls’ lives, possibilities, and futurities within their lives and schooling. They (re)narrated how they should be in relation with and responsible to each other as collective, co-relational, and interdependent beings, recognizing how Black womanness/girlness was a genre of being human that was specifically targeted for enclosure, exploitation, and elimination. Their love-politics engaged pedagogy to remake the world such that the safety and protection of Black girls and gender-nonconforming youth was a necessity and priority, which they saw in turn as bound to the safety and protection of the non-Black identified Latina/x and Polynesian girls who accepted this interdependence and mutual responsibility.

Improving cycling safety for children and youth.

Cycling remains a popular activity for children and youth around the world, combining the fun of moving at speed with numerous health and societal benefits. However, cycling is also associated with risk for serious injury and death. Over the past decade, research has increasingly shown that improving safety for cyclists depends, in large part, on the environment they are cycling in as well as on individual safety measures such as helmet use. The pandemic provided greater opportunity for many children and youth to engage in cycling, and refocused public attention on safer cycling infrastructure such as protected bike lanes. This statement reviews the evidence supporting safer cycling infrastructure for children and youth along with the physical and mental health benefits of cycling. The advantages of active transportation for young people, and how the built environment influences their cycling safety and uptake, are discussed. An overview of measures individuals can take to improve cycling safety is followed by recommendations for clinicians, the cycling community, parents, and policy-makers.

Medical materials as a therapeutic tool in art therapy

Using medical materials as an art therapy tool for hospitalized youth is a growing trend in paediatric care. This approach recognizes that young people’s hospital experiences can be overwhelming and anxiety-inducing. However, tools to help them regain control and engage in their care can positively affect their well-being. This article explores a brief (one-session) art therapy process aimed at helping restore a sense of control and safety for youth (3–18 years) in an in-hospital school setting. It describes symbolic art-making with medical materials during brief art therapy sessions using four techniques – self-portraits, therapeutic dolls, animal forms and ‘magic wands’ – and offers illustrative examples of the author’s art created in response to/mirroring of her young patients. Although more research is needed to prove its effectiveness, the described process appears therapeutic, providing positive coping strategies, decreasing anxiety and stress and enhancing the overall hospital experience for hospitalized young people.

Semaglutide for management of obesity in adolescents: efficacy, safety, and considerations for clinical practice.

The purpose of this review is to describe the existing limited data related to the use of semaglutide in adolescents with obesity, supplementing with findings from adult studies of semaglutide use. Semaglutide, as a once weekly subcutaneous injection for weight management, effectively reduces body mass index (BMI) while improving hyperglycemia, elevated alanine aminotransferase levels, hyperlipidemia, and quality of life in youth with obesity. As of this review, only one large randomized clinical trial of semaglutide in youth has been completed, with a follow-up duration of 68 weeks. Thus, long-term data on the safety in adolescents is limited, particularly regarding the risks of cholelithiasis, pancreatitis, suicidal ideation, and disordered eating. Due to the cost of semaglutide, particularly in the United States, limited cost effectiveness analyses have demonstrated unfavorable incremental cost-effectiveness ratios for semaglutide relative to phentermine-topiramate as an alternative antiobesity medication in adolescents. Semaglutide represents an important advance in the pediatric obesity management, with clear short-term reductions in BMI and improvement in metabolic parameters. However, its long-term safety and efficacy for youth with obesity remain to be demonstrated. Additional research is needed to assess trends in utilization and adherence to minimize the risk of worsening socioeconomic disparities in pediatric obesity.

Collaborative Safety Planning with Youth during a Suicide-Related Emergency: Developmental and Family Considerations

ABSTRACT Suicide is a leading cause of death among youth, yet many risk reduction interventions have been designed for and tested with adults. The Safety Planning Intervention (SPI) is widely used by child-serving clinicians; however, little formal guidance exists about how to conduct the SPI in a developmentally tailored or family centered manner. This study aimed to 1) describe the content of youth safety plans to elucidate the range of strategies that youth find helpful in managing suicide risk, 2) apply operational definitions of SPI fidelity (completeness, personalization, consistency) developed with adults to SPI fidelity measurement with youth, and 3) explore the extent to which quality SPI implementation, including collaboration with parents, was related to parents’ perceived readiness and behavioral engagement in supportive behaviors following a psychiatric emergency. A mixed methods approach was used to examine safety plans completed by 54 youth ages 12–17 (79.6% female; 88.9% White) during a psychiatric emergency department visit. Common preferred coping strategies included listening to music, spending time with supportive individuals, creating art/music, and exercise. Youth safety plans were of moderate quality (M = 3.09, SD = 1.34, range = 0–5), with 61% demonstrating evidence of personalization and 35% mostly personalized. Parent ratings of developmentally appropriate and family centered care were associated with both perceived readiness (β = .67, p < .001) and behavioral engagement (β = .51, p = .003) with safety plan recommendations in the days following ED discharge. Implications of these findings for clinical practice are discussed.

Towards a Social Ecological Approach to Supporting Caseworkers in Promoting the Online Safety of Youth in Foster Care

This research examines how caseworkers collaborate with foster families to address adolescent online safety. We interviewed 32 caseworkers who worked with teens (ages 13-17) in foster care within the past 5 years. Using thematic analysis, we found that case managers are most concerned about sexual-related risks that result in physical abuse (e.g., sex trafficking) or online interactions that facilitated offline risks (e.g., runaway, illegal drug activity), rather than risks that only manifested in virtual spaces. Yet, inadequate training and insufficient support left caseworkers at a loss for how to address these challenges on top of their already heavy caseloads, often making online safety an afterthought. We call on the foster care system to place a higher priority in providing collaborative and socio-technical ecological support for caseworkers, foster parents, and children, so that early risk prevention in online spaces can support the safety and well-being of foster youth offline.

A Qualitative Exploration of the Built Environment as a Key Mechanism of Safety and Social Cohesion for Youth in High-Violence Communities

The characteristics of a neighborhood’s built environment may influence health-promoting behaviors, interactions between neighbors, and perceptions of safety. Although some research has reported on how youth in high-violence communities navigate danger, less work has investigated how these youth perceive the built environment, their desires for these spaces, and how these desires relate to their conceptions of safety and perceptions of other residents. To fill this gap, this study used focus group data from 51 youth ages 13–24 living in New Orleans, Louisiana. Four themes were developed using reflexive thematic analysis: community violence is distressing and disruptive, youth use and want to enjoy their neighborhood, systemic failure contributes to negative outcomes, and resources and cooperation create safety. This analysis indicates that young people desire to interact with the built environment despite the threat of community violence. They further identified built environment assets that facilitate socialization and recreation, such as local parks, and social assets in the form of cooperation and neighbor-led civic engagement initiatives. In addition, the youth participants demonstrated awareness of structural inequities that influence neighborhood health and violence-related outcomes. This study contributes to efforts to understand how youth with high levels of community violence exposure understand and interact with the built and social environments.

Longitudinal associations between neighborhood safety and adolescent adjustment: The moderating role of affective neural sensitivity

Research on social determinants of health has highlighted the influence of neighborhood characteristics (e.g., neighborhood safety) on adolescents’ health. However, it is less clear how changes in neighborhood environments play a role in adolescent development, and who are more sensitive to such changes. Utilizing the first three waves of data from the Adolescent Brain Cognitive Development (ABCD) project (N = 7932, M (SD) age = 9.93 (.63) years at T1; 51% boys), the present study found that increases in neighborhood safety were associated with decreased adolescent externalizing symptoms, internalizing symptoms, but not sleep disturbance over time, controlling for baseline neighborhood safety. Further, adolescents’ insula and anterior cingulate cortex (ACC) reactivity to positive emotional stimuli moderated the association between changes in neighborhood safety and adolescent adjustment. Among youth who showed higher, but not lower, insula and ACC reactivity to positive emotion, increases in neighborhood safety were linked with better adjustment. The current study contributes to the differential susceptibility literature by identifying affective neural sensitivity as a marker of youth’s susceptibility to changes in neighborhood environment. The findings highlight the importance of neighborhood safety for youth during the transition to adolescence, particularly for those with heightened affective neural sensitivity.

The myth of Australia’s migrant youth gang: examining the perceived association between ethnicity and gangs

ABSTRACT In Australia, as with other countries around the world, migrant young people receive significant media and political attention as the alleged perpetrators of significant criminal activity. This has been a consistent feature over time, with ‘Asian gangs’ in the 1990s in the US, UK and Australia, ‘Middle-Eastern gangs’ around the time of 9/11, ‘Turkish gangs’ and ‘Albanian gangs’ in the UK and Europe, and ‘African gangs’ in Australia since the early 2000s. In this research, we investigate the risk factors associated with youth gang membership in Australia. Using data from the Australia Youth Safety Survey from 2,945 young people aged 14–25 years, we examine the importance of first- and second-generation migrant status on gang membership. After controlling for known risk factors, we find that migrant status was not a predictor of gang membership. Results offer important insights into the prominence of morality and self-control as protective factors against youth gang membership, and speak to the role of neighbourhood context in which the young person lives.

Gender and Autism Program: A novel clinical service model for gender-diverse/transgender autistic youth and young adults

Objective: Situated in Children’s National Hospital (CNH)’s Neuropsychology Division, the Gender and Autism Program (GAP) is the first clinical service dedicated to the needs of autistic gender-diverse/transgender youth. This study describes GAP clinical assessment profiles and presents a multi-perspective programmatic review of GAP evaluation services. Method: Seventy-five consecutive gender- and neuropsychologically-informed GAP evaluations were analyzed, including demographics, gender and autism characterization, and primary domains evaluated. Three program-based Delphi studies were conducted and identify: clinician priorities and challenges in providing care, program administrator lessons learned and ongoing barriers, and considerations adapting this model for a rural academic medical center. Results: Nearly two-thirds of referrals were transfeminine. Most youth had existing autism diagnoses; of those undiagnosed, three-quarters were found to be autistic. Five goals of evaluations were identified: Mental health was always assessed, and most evaluations also assessed gender-related needs in the context of autism neurodiversity. Neuropsychological characterization of strengths and challenges informed personalized accommodations to support youth gender-related self-advocacy. Clinicians emphasized frequent youth safety concerns. Administrators emphasized the need for specialized training for working with families. Components for adaptation of the GAP in a rural academic medical center were identified. Conclusions: Since its founding, the GAP has proven a sustainable neuropsychology-based service with consistent referral flow and insurance authorizations. Capturing staff perspectives through rigorous Delphi methods, and addressing the GAP’s feasibility and replicability, this study provides a road map for replicating this service. We also highlight GAP training of specialist clinicians, fundamental to addressing the desperate shortage of providers in this field.

Beyond Policing: Understanding Threats to School Safety and Who Can Really Help

ABSTRACT While ensuring the safety of youth in schools is of paramount importance, threats to school safety are not always clear thereby calling to question the most effective means for prevention and intervention. The current study is a content analysis of 7 years’ worth of district-wide school incident reports for one of the largest school districts in the country. The study examines the types of safety issues that occur over time to determine vital personnel for addressing threats to school safety. Results from a large urban, K-12 school district reveal a mismatch between the most highly funded safety intervention – school policing – and the most enduring and prominent threat to safety in schools – declining youth health. Findings highlight an immediate imperative to divest from school policing to prioritize clinical resources, health care, and administrative support as promising solutions toward school safety.

Towards Promoting Online Safety of Sexual and/or Gender Minority Youth

Towards Promoting Online Safety of Sexual and/or Gender Minority Youth

The Mediating Role of Feeling Safe and Belonging in the Effect of Homophobic Bullying on the Academic Life and Self of Young LGB Portuguese Students

Homophobic bullying in schools affects the sense of safety and belonging of LGBT youth in the school community, with several impacts. We know that homophobic bullying has consequences, but it is important to understand the mechanisms underlying these consequences, and how we can mitigate some of these consequences. We know that we cannot erase bullying, but there are ways to reduce and/or mitigate its effects. The goal of this research was then to understand what variables (eg,, a sense of security and a sense of belonging) could explain the impacts of bullying, and what variables in a school context we could intervene with. Thus, an online questionnaire was used and 562 participants from Portugal (15 to 21 years old) participated. The results showed that the sense of safety of LGBT youth mediates the relationship between homophobic bullying and absenteeism, as well as academic performance. It was also possible to conclude that the feeling of belonging mediates the relationship between bullying and the student's low self-esteem. The results and implications for education policy are discussed.

The validity of utilizing karate in youth safety education.

This article aims to present a new argument on the validity of utilizing karate in youth safety education. First, the important role of safety education and the need to seek new means of influencing young people is presented and the significant role of sport in this area. The field of Far Eastern combat sports was underlined here as being particularly important because they contain internal codes of moral conduct. Therefore, the new argument is to take the perspective of karate as a combat sport, martial art, and self defence system in one. Karate as a combat sport refers to fighting skills in the following directions: traditional, sport and Olympic; and in the following systems: semi contact, knockdown, full contact, mix fighting. Karate as a martial art has a health-promoting character and emphasises the psycho-physical development of practitioners and the recognition of ethical codes. And karate as a self defence system is concerned with proficiency in out-of-sport confrontations, but also in risk assessment. Karate has been found to be an effective means in educating young people to safety, but in order for it to be effective, it needs to be adopted in its entirety. Because the combat sport perspective activates youth in physical culture, the martial art perspective educates according to norms and rules; and the self defence system perspective teaches how to act in difficult situations.

Parents' and professionals' perspectives on school-based maltreatment prevention education for children with intellectual and developmental disabilities

BackgroundYouth with intellectual and developmental disabilities (IDD) are at a significantly increased risk of experiencing maltreatment and abuse. Child maltreatment prevention education programs are effective at improving safety of children and youth, generally. ObjectiveThe goal of this study was to understand challenges, benefits, and important considerations of developing an IDD-tailored prevention program. Participants and settingIn total, we recruited 21 professionals and parents who have experience with a child with IDD from New York, Indiana, and Florida. MethodsParticipants were segmented into three focus groups, which were conducted through web-based videoconferencing. Focus groups were moderated by experts in child maltreatment prevention and recorded for data collection. Recordings were transcribed and subsequently coded using a qualitative content analysis approach. ResultsThe analysis identified several challenges to implementing child maltreatment prevention to students with IDD and pedagogical strategies to overcome those, such as the use of visuals, standardized vocabulary, and relatable examples. Benefits of a prevention program were also mentioned, including feelings of empowerment that can be cultivated by providing opportunities where children with IDD practice being assertive. Considerations for program developers and staff were discussed to ensure that prevention programs are easily adaptable to suit the needs of students with IDD across the continuum. ConclusionsPrevious research has indicated an unmet need for child maltreatment programs among children with IDD. Implementation of an IDD-tailored program must be preceded by gaining invaluable insight from professionals and parents. Findings provide insight into implementation challenges and methods to inform prevention programs.

Online Safety for Children and Youth under the 4Cs Framework-A Focus on Digital Policies in Australia, Canada, and the UK.

This study analyzes the previous literature on the online safety of children and youth under "the 4Cs risk framework" concerning contact, content, conduct, and contract risks. It then conducts a comparative study of Australia, Canada, and the UK, comparing their institutions, governance, and government-led programs. Relevant research in Childhood Education Studies is insufficient both in quantity and quality. To minimize the four major online risks for children and youth in cyberspace, it is necessary to maintain a regulatory approach to the online exposure of children under the age of 13. Moreover, the global society should respond together to these online risks with "multi-level" policymaking under a "multi-stakeholder approach". At the international level, multilateral discussion within the OECD and under UN subsidiaries should continue to lead international cooperation. At the domestic level, a special agency in charge of online safety for children and youth should be established in each country, encompassing all relevant stakeholders, including educators and digital firms. At the school and family levels, both parents and teachers need to work together in facilitating digital literacy education, providing proper guidelines for the online activities of children and youth, and helping them to become more satisfied and productive users in the digital era.