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[Internet Addiction, Suicidality and Non-Suicidal Self-Harming Behavior - A Systematic Review]
Toni Andreas Steinbüchel1, Stephan Herpertz1, Ina Külpmann2
1Klinik für Psychosomatische Medizin und Psychotherapie, LWL-Universitätsklinikum der Ruhr-Universität Bochum.
Internet addiction (IA) is linked to higher rates of non-suicidal self-harming behavior (NSSI) and suicidality. Suicidal ideation is more strongly associated with IA than actions, necessitating further research and clinical attention.
Area of Science:
- Psychiatry
- Psychology
- Public Health
Background:
- Internet addiction (IA) frequently co-occurs with mental health disorders like depression, anxiety, ADHD, and personality disorders.
- IA is associated with significant psychological distress.
- This study focuses on the relationship between IA, suicidal behavior, and non-suicidal self-injurious behavior (NSSI).
Purpose of the Study:
- To systematically review the existing research literature on the association between Internet addiction (IA) and suicidal behavior.
- To investigate the link between IA and non-suicidal self-injurious behavior (NSSI).
- To assess the prevalence of NSSI and suicidality in individuals with IA.
Main Methods:
- A systematic literature search was conducted across 14 databases using keywords for IA, NSSI, and suicidality.
- Articles were filtered based on inclusion and exclusion criteria, focusing on studies using validated psychometric instruments.
- A total of 15 studies met the criteria for inclusion in the review.
Main Results:
- Ten studies examined the IA-suicidality link, four explored IA, suicidality, and NSSI, and one focused on IA and NSSI.
- All included studies reported higher prevalence rates of NSSI and suicidality among individuals with IA compared to those without.
- Point prevalence for NSSI and suicidality in IA subjects varied significantly, ranging from 1.6% to 18.7%.
Conclusions:
- Internet addiction is associated with increased rates of non-suicidal self-harm and suicidality.
- Suicidal ideation appears more closely linked to IA than actual suicidal actions.
- NSSI and suicidality require explicit consideration in the assessment and treatment of individuals with IA.
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