Exposure to, and searching for, information about suicide and self-harm on the Internet: Prevalence and predictors in a population based cohort of young adults.
Exposure to, and searching for, information about suicide and self-harm on the Internet: Prevalence and predictors in a population based cohort of young adults.
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DOI：
10.1016/j.jad.2015.06.001
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发表时间：
2015-10-01
影响因子：
6.6
通讯作者：
Gunnell D
中科院分区：
文献类型：
--
作者：
Mars B;Heron J;Biddle L;Donovan JL;Holley R;Piper M;Potokar J;Wyllie C;Gunnell D
人们担心互联网对自残和自杀行为，特别是年轻人的潜在影响。然而，人们对普通人群中自杀/自残相关互联网使用的流行程度和模式知之甚少。对雅芳父母和儿童纵向研究 (ALSPAC) 的 8525 名参与者中的 3946 名参与者进行了横断面研究，这些参与者收到了一份自我报告问卷，其中包括有关自杀/自残相关互联网使用和 21 岁时自残史的问题。 22.5% (886/3946) 的参与者报告与自杀/自残相关的互联网使用情况； 11.9% (470/3946) 曾浏览过讨论自残或自杀的网站/聊天室，8.2% (323/3946) 曾搜索过有关自残的信息，7.5% (296/3946) 曾搜索过有关自杀的信息，9.1% (357/3946) 曾使用互联网讨论自残或自杀的感受。自杀/自残相关的互联网使用在那些有自杀意图的人中尤其普遍（70%，174/248），并且与自杀想法、自杀计划和自残史密切相关。访问提供帮助、建议或支持的网站的受访者比例（8.2%，323/3946）高于提供如何伤害或自杀信息的网站（3.1%，123/3946）。大多数访问过这些潜在有害网站的人 (81%) 也访问过帮助网站。 (i) 问卷答复者和未答复者之间存在差异，这可能导致选择偏差；(ii) 数据是横截面的，我们不能得出结论认为关联是因果关系。自杀/自残相关的互联网使用在年轻人中很常见，特别是在那些有自杀想法和行为的人中。有害和有益的网站都被访问，这凸显了互联网带来潜在风险，但也为预防自杀提供了机会。我们研究了年轻人样本中与自杀/自残相关的互联网使用情况。 22.5% 的参与者报告了与自杀/自残相关的互联网使用情况。它与自残、自杀念头和自杀计划密切相关。访问过有用网站的比例高于访问过潜在有害网站的比例。互联网带来了潜在的风险，但也提供了预防的机会。
There is concern over the potential impact of the Internet on self-harm and suicidal behaviour, particularly in young people. However, little is known about the prevalence and patterns of suicide/self-harm related Internet use in the general population. Cross sectional study of 3946 of the 8525 participants in the Avon Longitudinal Study of Parents and Children (ALSPAC) who were sent a self-report questionnaire including questions on suicide/self-harm related Internet use and self-harm history at age 21 years. Suicide/self-harm related Internet use was reported by 22.5% (886/3946) of participants; 11.9% (470/3946) had come across sites/chatrooms discussing self-harm or suicide, 8.2% (323/3946) had searched for information about self-harm, 7.5% (296/3946) had searched for information about suicide and 9.1% (357/3946) had used the Internet to discuss self-harm or suicidal feelings. Suicide/self-harm related Internet use was particularly prevalent amongst those who had harmed with suicidal intent (70%, 174/248), and was strongly associated with the presence of suicidal thoughts, suicidal plans, and history of self-harm. Sites offering help, advice, or support were accessed by a larger proportion of the sample (8.2%, 323/3946) than sites offering information on how to hurt or kill yourself (3.1%, 123/3946). Most individuals (81%) who had accessed these potentially harmful sites had also accessed help sites. (i) There were differences between questionnaire responders and non-responders which could lead to selection bias and (ii) the data were cross-sectional, and we cannot conclude that associations are causal. Suicide/self-harm related Internet use is common amongst young adults, particularly amongst those with suicidal thoughts and behaviour. Both harmful and helpful sites were accessed, highlighting that the Internet presents potential risks but also offers opportunities for suicide prevention. We examined suicide/self-harm related Internet use in a sample of young adults. 22.5% of participants reported suicide/self-harm related Internet use. It was strongly associated with self-harm, suicidal thoughts, and suicidal plans. A greater proportion had accessed helpful sites than potentially harmful sites. The Internet presents potential risks but also offers opportunities for prevention.