CoChat
Sign Up
Cited by 464Suicide and Self-Harm StudiesImpact of Technology on AdolescentsMental Health via Writing

The DOI matches its Crossref record; 73 of the 74 references it cites were found in a registry or an index.

A systematic review of the relationship between internet use, self-harm and suicidal behaviour in young people: The good, the bad and the unknown

Open access
Marchant, Amanda, Hawton, Keith, Stewart, Ann, Montgomery, Paul, Singaravelu, Vinod, Lloyd, Keith, Purdy, Nicola, Daine, Kate, John, Ann·2017·PLoS ONE
DOI 10.1371/journal.pone.0181722PMC PMC5558917
Open this paper in CoChat — free accountOpen PDF

Abstract

BACKGROUND: Research exploring internet use and self-harm is rapidly expanding amidst concerns regarding influences of on-line activities on self-harm and suicide, especially in young people. We aimed to systematically review evidence regarding the potential influence of the internet on self-harm/suicidal behaviour in young people. METHODS: We conducted a systematic review based on an electronic search for articles published between 01/01/2011 and 26/01/2015 across databases including Medline, Cochrane and PsychInfo. Articles were included if: the study examined internet use by individuals who engaged in self-harm/ suicidal behaviour, or internet use clearly related to self-harm content; reported primary empirical data; participants were aged under 25 years. New studies were combined with those identified in a previous review and subject to data extraction, quality rating and narrative synthesis. RESULTS: Forty-six independent studies (51 articles) of varying quality were included. Perceived influences were: positive for 11 studies (38191 participants); negative for 18 studies (119524 participants); and mixed for 17 studies (35235 participants). In contrast to previous reviews on this topic studies focused on a wide range of internet mediums: general internet use; internet addiction; online intervention/treatment; social media; dedicated self-harm websites; forums; video/image sharing and blogs. A relationship between internet use and self-harm/suicidal behaviour was particularly associated with internet addiction, high levels of internet use, and websites with self-harm or suicide content. While there are negative aspects of internet use the potential for isolation reduction, outreach and as a source of help and therapy were also identified. CONCLUSIONS: There is significant potential for harm from online behaviour (normalisation, triggering, competition, contagion) but also the potential to exploit its benefits (crisis support, reduction of social isolation, delivery of therapy, outreach). Young people appear to be increasingly using social media to communicate distress, particularly to peers. The focus should now be on how specific mediums' (social media, video/image sharing) might be used in therapy and recovery. Clinicians working with young people who self-harm or have mental health issues should engage in discussion about internet use. This should be a standard item during assessment. A protocol for this review was registered with the PROSPERO systematic review protocol registry: (http://www.crd.york.ac.uk/prospero/display_record.asp?ID=CRD42015019518).

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1371/journal.pone.0181722

Cites

73 of 73 references verified0 citation errors · 0 not checkable

Statistics

Figures

Fig 1 Flow of information through the evidence review.
Fig 1 Flow of information through the evidence review.CC BY · PubMed Central

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

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.

The self-check needs the paper’s full text.

Citations

Cites

Show all 74 references

Cited by

Sorted by citations

Items 301–400 of 462

Related

See all

Metadata

Authors
Marchant, A., Hawton, K., Stewart, A., Montgomery, P., Singaravelu, V., Lloyd, K., Purdy, N., Daine, K., & John, A.
Affiliations
  • Swansea University (GB)
  • University of Oxford (GB)
  • Oxford Health NHS Foundation Trust (GB)
Corresponding author
John, Ann
ORCID
Venue
PLoS ONE
Publisher
Public Library of Science (PLoS)
Published
2017-08-16
Volume
12
Issue
8
Pages
e0181722
ISSN
1932-6203 (ISSN-L)
DOI
10.1371/journal.pone.0181722
PMC
PMC5558917
OpenAlex
W2748736658
Cited by
464
References
74
Citations by year
2026: 45 · 2025: 62 · 2024: 63 · 2023: 51 · 2022: 61 · 2021: 56 · 2020: 65 · 2019: 37 · 2018: 20 · 2017: 3
FWCI
5.25
Type
journal article
Language
en
Update notices
correction (2018-03-01)
Open access
Licence
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Figshare (submittedVersion, cc-by)
  • University of Birmingham Research Portal (University of Birmingham) (submittedVersion, cc-by)
Funders
Health and Care Research Wales (SC-14-11)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
  • Social Sciences › Psychology › Social Psychology › Mental Health via Writing
Keywords
self-harm, suicidal behavior, internet use, youth, internet addiction, social media, online forums, blogs, online intervention, social isolation, suicide contagion, peer support, crisis support, online therapy, mental health assessment, online help-seeking, self-harm prevention
MeSH terms
Adolescent, Adult, Age Factors, Female, Humans, Male, Population Surveillance, Registries, Suicide, Self-Injurious Behavior, Behavior, Addictive, Internet, Young Adult, Social Media

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.

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