Cited by 750Mental Health via WritingDigital Mental Health InterventionsImpact of Technology on Adolescents

The DOI matches its Crossref record; 108 of the 108 references it cites were found in a registry or an index; 62 of the 138 sources its claims cite were checked for support.

Social Media and Mental Health: Benefits, Risks, and Opportunities for Research and Practice

Open access
Naslund, John A., Bondre, Ameya, Torous, John, Aschbrenner, Kelly A.·2020·Journal of Technology in Behavioral Science

Abstract

Social media platforms are popular venues for sharing personal experiences, seeking information, and offering peer-to-peer support among individuals living with mental illness. With significant shortfalls in the availability, quality, and reach of evidence-based mental health services across the United States and globally, social media platforms may afford new opportunities to bridge this gap. However, caution is warranted, as numerous studies highlight risks of social media use for mental health. In this commentary, we consider the role of social media as a potentially viable intervention platform for offering support to persons with mental disorders, promoting engagement and retention in care, and enhancing existing mental health services. Specifically, we summarize current research on the use of social media among mental health service users, and early efforts using social media for the delivery of evidence-based programs. We also review the risks, potential harms, and necessary safety precautions with using social media for mental health. To conclude, we explore opportunities using data science and machine learning, for example by leveraging social media for detecting mental disorders and developing predictive models aimed at characterizing the aetiology and progression of mental disorders. These various efforts using social media, as summarized in this commentary, hold promise for improving the lives of individuals living with mental disorders.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This commentary reviews evidence that social media is widely used by people with mental illness and may support social interaction, peer support, and engagement in services, while also carrying risks for symptoms, hostile interactions, and daily life. It argues that benefits should not yet be viewed as outweighing harms and calls for safeguards, ethical attention, and further research, including digital phenotyping and machine learning.

Key findings

  • Social media use is common among psychiatric populations: about 70% among middle-aged/older individuals and those with serious mental illness, 72% among peer support agency respondents, 68% daily use among first-episode psychosis, over 97% among adolescents/young adults with psychotic or mood disorders, and 98% among adolescents recruited from community mental health centers; in 2020 there were an estimated 3.8 billion social media users worldwide, half the global population.
  • Potential benefits include facilitating social interaction, access to peer support networks, and promoting engagement/retention in services; in a HORYZONS pilot, 95% engaged with the peer-to-peer networking feature and there were significant reductions in depression, while PeerFIT’s private Facebook group appeared to increase engagement.
  • Risks include associations between heavy/prolonged social media use and anxiety/depressive symptoms; using 7–11 platforms versus 2 or fewer was associated with 3 times greater odds of high depressive symptoms and 3.2 times greater odds of high anxiety symptoms; cyberbullying is linked to depression/anxiety, with females twice as likely to be victims; youth with moderate-to-severe depressive symptoms were more likely to report hostile comments or being “trolled” (31% vs. 14%); over one third of social media users with serious mental illness expressed privacy concerns.
  • Emerging opportunities include using machine learning and digital phenotyping on Twitter/Instagram data to study depression, schizophrenia communication patterns, and illness onset/course, though ethical concerns about consent, identifiability, and stigma remain.

Methods

  • This is a commentary/narrative review, not a systematic review; the authors searched Medline and Google Scholar using terms “mental health” or “mental illness” and “social media,” and searched reference lists of recent reviews and relevant studies.
  • They did not perform a systematic search or apply specific inclusion criteria based on study design or type of mental disorder.
  • The main analysis is a narrative synthesis of benefits, risks, and future directions, without meta-analysis or new primary data.

Limitations

  • Stated: the review is not systematic or exhaustive; it only summarizes published studies, omitting private-sector or gray literature; it did not assess risk of bias; few intervention studies reported negative findings, suggesting possible publication bias; and most studies were from the United States or other high-income settings, with a dearth of research in low- and middle-income countries.
  • Evident and stated: many included studies are cross-sectional, making it difficult to draw conclusions about direction of causation.
  • Evident: as a commentary, it relies on secondary literature and does not present original empirical findings.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1007/s41347-020-00134-x

Cites

108 of 108 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

45 No full text of the sources · 31 Supported · 23 Own interpretation · 17 Partly supported · 12 Sources not found · 6 Supported so far · 5 Own method · 2 Couldn’t confirm · 2 Own result · 1 Not checked yet · accuracy not yet measured

Show all 100 claims

  • It may state two separate claims as one. 37
  • Probably not a substantial claim. 12
44 of 44
  • The paper relies on this without support.

    Social media platforms offer near continuous opportunities to connect and interact with others, regardless of time of day or geographic location.

    “Social media platforms offer near continuous opportunities to connect and interact with others, regardless of time of day or geographic location.”
  • The paper relies on this without support.

    Social media does not require the immediate responses necessary in face-to-face communication.

    “Because social media does not require the immediate responses necessary in face-to-face communication”
  • The paper relies on this without support.

    Social media is widely used among individuals living with mental illness.

    “With the widespread use of social media among individuals living with mental illness combined with the potential to facilitate social interaction and connect with supportive peers, as summarized above, it may be possible to leverage the popular features of social media to enhance existing mental health programs and services.”
  • The paper relies on this without support.

    The effects of social media on psychiatric symptoms for individuals living with more severe mental illnesses have received less attention.

    “For individuals living with more severe mental illnesses, the effects of social media on psychiatric symptoms have received less attention.”
  • The paper relies on this without support.

    Few studies have specifically explored the dangers of social media use from the perspectives of individuals living with mental illness.

    “While few studies have specifically explored the dangers of social media use from the perspectives of individuals living with mental illness”
  • The paper relies on this without support.

    Less is known about use of social media for seeking support for mental health concerns among gender minorities.

    “Less is known about use of social media for seeking support for mental health concerns among gender minorities”
  • The paper relies on this without support.

    The associations between social media use and mental health symptoms observed in the summarized studies reflect causal effects of social media use.

    “Studies reporting on the threats of social media for individuals with mental illness are mostly cross-sectional, making it difficult to draw conclusions about direction of causation.”
  • The paper relies on this without support.

    Social media use is near ubiquitous.

    “As we consider future research directions, the near ubiquitous social media use also yields new opportunities to study the onset and manifestation of mental health symptoms and illness severity earlier than traditional clinical assessments.”
  • The paper relies on this without support.

    There is a gap in clinical knowledge about the impact of social media on mental health.

    “Given the gap in clinical knowledge about the impact of social media on mental health, clinicians should be aware of the many potential risks so that they can inform their patients, while remaining open to the possibility that their patients may also experience benefits through use of these platforms.”
  • The paper relies on this without support.

    Patients increasingly show interest in accessing mental health information or services through social media.

    “As patients increasingly show interest in accessing mental health information or services through social media, it will be necessary for health systems to recognize social media as a potential avenue for reaching or offering support to patients.”
  • The paper relies on this without support.

    Social media platforms have global reach.

    “Despite the global reach of social media platforms, there is a dearth of research on the impact of these platforms on the mental health of individuals in diverse settings, as well as the ways in which social media could support mental health services in lower income countries where there is virtually no access to mental health providers.”
  • The paper relies on this without support.

    Lower income countries have virtually no access to mental health providers.

    “Despite the global reach of social media platforms, there is a dearth of research on the impact of these platforms on the mental health of individuals in diverse settings, as well as the ways in which social media could support mental health services in lower income countries where there is virtually no access to mental health providers.”
  • The paper relies on this without support.

    Mental illness is a socially stigmatizing health condition.

    “For instance, data is typically captured from social media platforms without the consent or awareness of users (Bidargaddi et al., 2017), which is especially crucial when the data relates to a socially stigmatizing health condition such as mental illness (Guntuku, Yaden, Kern, Ungar, & Eichstaedt, 2017).”
  • The paper relies on this without support.

    Many individuals may feel embarrassed or reluctant to talk to their clinicians about using social media to find mental health information out of concerns of being judged or dismissed.

    “Alternatively, many individuals may feel embarrassed or reluctant to talk to their clinicians about using social media to find mental health information out of concerns of being judged or dismissed.”
14 of 14

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

1 of 1

Citations

Cites

Show all 107 references

Cited by

Sorted by citations

See all 750

Metadata

Authors
Naslund, J. A., Bondre, A., Torous, J., & Aschbrenner, K. A.
Affiliations
  • Harvard University (US)
  • Beth Israel Deaconess Medical Center (US)
  • Dartmouth College (US)
Corresponding author
Naslund, John A.
Venue
Journal of Technology in Behavioral Science
Published
2020-04-20
Volume
5
Issue
3
Pages
245-257
ISSN
2366-5963 (ISSN-L)
OpenAlex
W3018892856
Cited by
746
References
107
Citations by year
2026: 166 · 2025: 201 · 2024: 149 · 2023: 109 · 2022: 71 · 2021: 43 · 2020: 6
FWCI
60.41
Type
journal article
Language
en
Open access
Locations
  • Journal of Technology in Behavioral Science (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (submittedVersion)
Funders
National Institute of Mental Health (U19MH113211, 1R01MH110965)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health via Writing
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
Keywords
social media, mental health, peer support, mental illness, digital mental health interventions, evidence-based programs, mental disorder detection, prediction model, machine learning, data science, access to mental health care

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

A language model drew the claims from the paper on 2026-10-20, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).

A second model labelled each claim on 2026-10-20 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).

Cited sources are checked with a language model’s help (gpt-6-sol).

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review