Observational prospective study of social media, smartphone use and self-harm in a clinical sample of young people: study protocol.

Observational prospective study of social media, smartphone use and self-harm in a clinical sample of young people: study protocol.
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DOI:
10.1136/bmjopen-2022-069748
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发表时间:
2023-02-01
期刊:
影响因子:
2.9
通讯作者:
--
中科院分区:
医学3区
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--
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年轻人是社交媒体和智能手机的最频繁用户,人们越来越多地猜测使用社交媒体和智能手机对心理健康的潜在负面影响。与此同时,年轻人自残的程度急剧上升。迄今为止,研究这种潜在关联的研究主要是横断面的,并且依赖于自我报告数据,这使得无法客观分析一段时间内的行为。这项研究是首次尝试探索自我伤害之前真实世界使用的时间模式,以确定是否存在与风险增加相关的使用模式。为了研究社交媒体和智能手机使用在年轻人临床样本中支持自我伤害的机制,社交媒体,智能手机使用和年轻人自我伤害(3S-YP)研究采用了前瞻性,观察性研究设计。将从二级精神卫生服务机构招募多达600名13-25岁的年轻人,并对其进行长达6个月的随访。主要分析将比较参与者或临床医生记录的自我伤害事件前7天内的真实数据,以分类有问题的使用模式。二次分析将探讨焦虑,抑郁,睡眠障碍,孤独和欺凌的潜在中介作用。本研究得到了国家研究伦理服务中心(伦敦-滨江)以及精神病学、心理学和神经科学研究所联合研发办公室和南伦敦和Maudsley NHS基金会信托基金(SLaM)以及SLaM临床研究交互式搜索(CRIS)监督委员会的批准。这项研究的结果将通过同行评审的科学期刊、会议、网站、社交媒体和利益攸关方参与活动传播。 NCT 04601220。
Young people are the most frequent users of social media and smartphones and there has been an increasing speculation about the potential negative impacts of their use on mental health. This has coincided with a sharp increase in the levels of self-harm in young people. To date, studies researching this potential association are predominantly cross-sectional and reliant on self-report data, which precludes the ability to objectively analyse behaviour over time. This study is one of the first attempts to explore temporal patterns of real-world usage prior to self-harm, to identify whether there are usage patterns associated with an increased risk. To study the mechanisms by which social media and smartphone use underpin self-harm in a clinical sample of young people, the Social media, Smartphone use and Self-harm in Young People (3S-YP) study uses a prospective, observational study design. Up to 600 young people aged 13–25 years old from secondary mental health services will be recruited and followed for up to 6 months. Primary analysis will compare real-world data in the 7 days leading up to a participant or clinician recorded self-harm episode, to categorise patterns of problematic usage. Secondary analyses will explore potential mediating effects of anxiety, depression, sleep disturbance, loneliness and bullying. This study was approved by the National Research Ethics Service, London - Riverside, as well as by the Joint Research and Development Office of the Institute of Psychiatry, Psychology and Neuroscience and South London and Maudsley NHS Foundation Trust (SLaM), and the SLaM Clinical Research Interactive Search (CRIS) Oversight Committee. The findings from this study will be disseminated through peer-reviewed scientific journals, conferences, websites, social media and stakeholder engagement activities. NCT04601220.
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