自殺念慮および自殺行動のソーシャルメディアによる開示

Background: Disclosure of a stigmatized experience such as suicidal thoughts and behaviors can have both positive and negative consequences. While online social media platforms have become an increasingly prevalent mode of disclosure for suicide attempt survivors, it remains unclear how suicide attempt survivors perceive online disclosures. Aims: We sought to explore the advantages and disadvantages of suicide-related disclosure via social media, from the perspective of suicide attempt survivors. Method: As part of a larger study, we analyzed responses from qualitative interviews with suicide attempt survivors (n = 18) and coded responses around advantages and disadvantages of disclosing via social media. Results: Advantages of social media disclosure discussed by participants were: anonymity, easy connection to support, and opportunity to support others. Disadvantages of disclosure via social media included: potential for triggering others, negative responses (e.g., trolling, cyberbullying), communication barriers, and the perception of attention-seeking. Limitations: The sample was a relatively small convenience sample who were open enough about their experiences with suicide to participate in research interviews. Conclusion: Quantitative methods are warranted to determine the relative salience of advantages and disadvantages. Future investigations might delve into the decision-making process of suicide-related disclosure via social media and develop guidance for making disclosure decisions.