Assessing the impact of Instagram use and deliberate self‐harm in adolescents: A scoping review
Open accessAbstract
The use of Instagram by adolescents to access deliberate self‐harm content is a growing concern among scholars, mental health professionals and families, with many adolescents (10–19‐year‐olds) imitating offline what they have seen online. This scoping review aims to investigate the extent to which Instagram use impacts the mental health of its adolescent users, identifying whether there is a relationship between time spent on Instagram and engagement in deliberate self‐harm. The databases, PubMed, Web of Science, Google scholar, APA PsycInfo, CINAHL and child development and adolescent studies were explored, and after applying the inclusion/exclusion criteria, 15 papers were included in this review. Thematic analysis indicated that there was a relationship between time spent on Instagram and deliberate self‐harm; desensitization of deliberate self‐harm resulting in normalization; social contagion and that Instagram provided a sense of belonging to its users who engaged in deliberate self‐harm. Implications of this research is that it is quickly outdated as new social media platforms are developed and that the reliance on self‐reports does not have high validity or reliability.
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Similar dynamics of SM modeling of peri-psychiatric symptoms in youth have consistently been reported with respect to dissociative identity disorder and self-harm.
“Similar dynamics of SM modeling of peri-psychiatric symptoms in youth have consistently been reported with respect to dissociative identity disorder [107, 108] and self-harm [109–111].”
From Scrolling through adolescence: a systematic review of the impact of TikTok on adolescent mental health (2025) · cites this paper as [111]
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Social Media Use and adolescents' mental health and well-being: An umbrella review
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“…future systematic reviews might include comprehensive search strategies that encompass gray literature and unpublished studies, ensuring a more balanced view of the evidence; however, it is evident that more rigorous research on this topic is needed to explore how user-specific psychopatho -…”
- Authors
- Moss, C., Wibberley, C., & Witham, G.
- Affiliations
- Tameside and Glossop Integrated Care NHS Foundation Trust (GB)
- Manchester Metropolitan University (GB)
- Venue
- International Journal of Mental Health Nursing
- Publisher
- Wiley
- Published
- 2022-08-22
- Volume
- 32
- Issue
- 1
- Pages
- 14-29
- ISSN
- 1445-8330 (ISSN-L)
- 1447-0349
- OpenAlex
- W4292714459
- Cited by
- 25
- References
- 77
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 9 · 2023: 2
- FWCI
- 0.80
- Type
- journal article
- Language
- en
- Open access
- green
- e-space.mmu.ac.uk
- Locations
- International Journal of Mental Health Nursing (publishedVersion)
- PubMed (publishedVersion)
- e-space (Manchester Metropolitan University) (submittedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Social Psychology › Mental Health via Writing
- Keywords
- Instagram, self-harm, adolescents, social media use, desensitization, social contagion, sense of belonging, mental health, screen time
- MeSH terms
- Adolescent, Adolescent Behavior, Child, Humans, Mental Health, Reproducibility of Results, Self-Injurious Behavior, Self Report
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