J. Med. Internet Res. - Exploring the use and effects of deliberate self-harm websites: an Internet-based study.

Tópicos

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Resumo

CKGROUND: In the United Kingdom, rates of deliberate self-harm (DSH) are rising. Alongside this, there has been an increase in the number of websites available with DSH content, and the Internet is known as a valuable resource for those who feel isolated by their condition(s). However, there is little and contradictory evidence available on the effects of using such websites. Further research is therefore required to examine the use and effects of DSH websites.OBJECTIVE: Our objectives were to explore (1) the reasons people engage in the use of self-harm forums/websites, (2) the beliefs of users of self-harm forums regarding the role of such websites, (3) how the use of self-harm forums/websites modulates self-harm behaviors, and (4) other ways that self-harm forums affect the lives of individuals who use them.METHODS: Data were collected by a questionnaire hosted on 20 websites with self-harm content. Participants were self-selected from users of these sites. Results were analyzed using descriptive statistics and simple thematic analysis.RESULTS: In total, 329 responses were received with 91.8% (302/329) from female site users. The majority of participants (65.6%, 187/285) visited these sites at least twice per week, and most participants used the sites to find information (78.2%, 223/285) or participate in the forums (68.4%, 195/285). Positive effects of website use such as gaining help and support, isolation reduction, and a reduction in self-harm behaviors were reported by a large number of participants. However, smaller but important numbers reported negative effects including worsened self-harm, being triggered to self-harm, and additional negative physical and psychological effects.CONCLUSIONS: This is the first multisite study to explore DSH website use in depth. There are clear and important benefits to engaging in website use for many individuals; however, these are not experienced by all website users. Negative effects were experienced by moderate numbers following website use, and clinicians should consider the impact of a patient's website use when consulting.

Resumo Limpo

ckground unit kingdom rate deliber selfharm dsh rise alongsid increas number websit avail dsh content internet known valuabl resourc feel isol condit howev littl contradictori evid avail effect use websit research therefor requir examin use effect dsh websitesobject object explor reason peopl engag use selfharm forumswebsit belief user selfharm forum regard role websit use selfharm forumswebsit modul selfharm behavior way selfharm forum affect live individu use themmethod data collect questionnair host websit selfharm content particip selfselect user site result analyz use descript statist simpl themat analysisresult total respons receiv femal site user major particip visit site least twice per week particip use site find inform particip forum posit effect websit use gain help support isol reduct reduct selfharm behavior report larg number particip howev smaller import number report negat effect includ worsen selfharm trigger selfharm addit negat physic psycholog effectsconclus first multisit studi explor dsh websit use depth clear import benefit engag websit use mani individu howev experienc websit user negat effect experienc moder number follow websit use clinician consid impact patient websit use consult

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