A systematic review of the relationship between internet use, self-harm and suicidal behaviour in young people: The good, the bad and the unknown.
A systematic review of the relationship between internet use, self-harm and suicidal behaviour in young people: The good, the bad and the unknown.
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DOI：
10.1371/journal.pone.0181722
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发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
John A
中科院分区：
文献类型：
--
作者：
Marchant A;Hawton K;Stewart A;Montgomery P;Singaravelu V;Lloyd K;Purdy N;Daine K;John A
探索互联网使用和自我伤害的研究正在迅速扩大，因为人们担心在线活动对自我伤害和自杀的影响，特别是在年轻人中。我们的目的是系统地审查有关互联网对年轻人自我伤害/自杀行为的潜在影响的证据。我们基于在Medline、科克伦和PsychInfo等数据库中对2011年1月1日至2015年1月26日发表的文章进行的电子检索进行了系统性综述。如果符合以下条件，则纳入文献：这项研究审查了从事自我伤害/自杀行为的个人使用互联网的情况，或互联网使用明显与自我伤害内容有关的情况;报告了主要经验数据;参与者年龄在25岁以下。新的研究与以前的审查中确定的研究相结合，并进行数据提取，质量评级和叙述性合成。纳入了46项不同质量的独立研究（51篇文章）。感知到的影响是：11项研究（38191例受试者）为阳性; 18项研究（119524例受试者）为阴性; 17项研究（35235例受试者）为混合。与以前关于这一主题的审查不同，研究集中在广泛的互联网媒介上：一般互联网使用;网络成瘾;在线干预/治疗;社交媒体;专门的自我伤害网站;论坛;视频/图像共享和博客。互联网使用和自我伤害/自杀行为之间的关系与互联网成瘾，高水平的互联网使用以及含有自我伤害或自杀内容的网站特别相关。虽然使用互联网有负面影响，但也确定了减少孤立、外联以及作为帮助和治疗来源的潜力。在线行为（正常化、触发、竞争、传染）有很大的潜在危害，但也有可能利用其好处（危机支持、减少社会孤立、提供治疗、外展）。年轻人似乎越来越多地使用社交媒体来传达痛苦，特别是向同龄人。现在的重点应该是如何在治疗和康复中使用特定的媒介（社交媒体，视频/图像共享）。与自残或有心理健康问题的年轻人一起工作的临床医生应该参与关于互联网使用的讨论。这应该是考核时的一个标准项目。本综述的方案已在PROSPERO系统性综述方案注册中心注册：（http：//www.example.com ID = CRD42015019518）。
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. 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. 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. 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).
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影响因子：
1.5
作者：
Grzanka, Patrick R.;Mann, Emily S.
通讯作者：
Mann, Emily S.
影响因子：
3.3
作者：
Best, Paul;Manktelow, Roger;Taylor, Brian
通讯作者：
Taylor, Brian
影响因子：
1.9
作者：
Franzen, Anna Gradin;Gottzen, Lucas
通讯作者：
Gottzen, Lucas
DOI：
10.3390/ijerph8103938
发表时间：
2011-10
影响因子：
--
作者：
Durkee T;Hadlaczky G;Westerlund M;Carli V
通讯作者：
Carli V
DOI：
10.1027/0227-5910.29.3.118
发表时间：
2008-01-01
影响因子：
3
作者：
Baker, Darren;Fortune, Sarah
通讯作者：
Fortune, Sarah