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Area of Science:

  • Digital Health
  • Adolescent Psychology
  • Online Safety

Background:

  • Young individuals at risk of self-harm utilize the internet for communication, information gathering, and support.
  • The digital landscape presents both opportunities and risks for vulnerable youth.

Purpose of the Study:

  • To identify and analyze websites frequented by young people at risk of self-harm.
  • To understand the accessibility, content, purpose, and tone of these online resources.

Main Methods:

  • A systematic search was conducted using six self-harm, suicide, and depression-related terms across four major search engines.
  • 314 websites were analyzed for accessibility, content, purpose, and tonal characteristics.

Main Results:

  • Most identified websites were accessible without restriction.
  • While many sites offered helpful information (56.1% provided help-seeking advice), a notable percentage contained potentially harmful content, including self-harm methods (15.8%), encouragement (7.0%), and evocative imagery (20.7%).
  • Website tone varied, with positive/preventive content for general self-harm terms and negative tones for specific lethal intent searches.

Conclusions:

  • Websites related to self-harm and suicide are readily accessible online.
  • A significant portion of these sites are potentially harmful, normalizing or encouraging self-harm behaviors.
  • Routine assessment of internet use is recommended for young people at risk.