When "Self‐Harm" Means "Suicide": A Topic Modeling Study of Adolescent Online Help‐Seeking for Self‐Harm.

Introduction: The 15%–20% of adolescents worldwide who engage in nonsuicidal self‐injury (NSSI) face an increased risk of transitioning from suicidal ideation to suicide attempt. To resist NSSI urges, young people often seek peer support online. We examined adolescent help‐seeking on a purpose‐built...

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Publicado en:Suicide & Life-Threatening Behavior Vol. 55; no. 6; pp. 1 - 9
Autores principales: Lind, Monika Neff, Razi, Afsaneh, Scholten, Hanneke, George, Madeleine J., De Choudhury, Munmun, Granic, Isabela, Lal, Shalini, Wisniewski, Pamela J., Allen, Nicholas B.
Formato: Artículo
Publicado: Wiley-Blackwell Dec2025
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2025
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        atl: When "Self‐Harm" Means "Suicide": A Topic Modeling Study of Adolescent Online Help‐Seeking for Self‐Harm.
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          Lind, Monika Neff
          Razi, Afsaneh
          Scholten, Hanneke
          George, Madeleine J.
          De Choudhury, Munmun
          Granic, Isabela
          Lal, Shalini
          Wisniewski, Pamela J.
          Allen, Nicholas B.
        affil:
          Department of Psychology, University of Oregon, Eugene Oregon,, USA
          Department of Psychological Science, University of California, Irvine California,, USA
          Department of Information Science, Drexel University, Philadelphia Pennsylvania,, USA
          Department of Computer Science, University of Central Florida, Orlando Florida,, USA
          Department of Child and Adolescent Psychiatry/Psychology, Erasmus Medical Center, Rotterdam, the Netherlands
          Community Health and Implementation Research, RTI International, Research Triangle Park North Carolina,, USA
          School of Interactive Computing, Georgia Institute of Technology, Atlanta Georgia,, USA
          Faculty of Social Sciences, McMaster University, Hamilton Ontario,, Canada
          School of Rehabilitation, University of Montreal, Montreal Quebec,, Canada
          International Computer Science Institute, Berkeley California,, USA
      su:
        Suicide
        Self-injurious behavior
        Teenagers
        Mental health
        Pattern perception
        Peer training programs (Education)
      sug:
        subj:
          Suicide
          Self-injurious behavior
          Teenagers
          Mental health
          Offices of Mental Health Practitioners (except Physicians)
          Pattern perception
          Peer training programs (Education)
      keyword:
        adolescence
        help‐seeking
        online
        peer support
        self‐harm
        suicide
        adolescence
        help‐seeking
        online
        peer support
        self‐harm
        suicide
      ab: Introduction: The 15%–20% of adolescents worldwide who engage in nonsuicidal self‐injury (NSSI) face an increased risk of transitioning from suicidal ideation to suicide attempt. To resist NSSI urges, young people often seek peer support online. We examined adolescent help‐seeking on a purpose‐built online mental health peer support platform, which is a critically understudied help‐seeking venue. Methods: Adolescents' help‐seeking posts in the "Self Harm" category on a large online peer support platform (575,261 posts from 114,937 users) were analyzed using topic modeling. We assessed the prevalence of NSSI‐related topics versus morbid/suicidal topics. Results: Our 12‐topic model produced interpretable themes. Three main findings emerged: posts included little information about the context of self‐harm behavior; there was minimal evidence of pro‐self‐harm content in posts; and the primary topics of the posts were evenly split between NSSI‐related topics and morbid/suicidal topics. Conclusion: Our findings have important implications for online mental health communities: requiring users to select a narrow category for their post may limit contextual information; moderation of pro‐self‐harm content may reduce its prevalence; and the absence of dedicated spaces for suicidal users may funnel those users into NSSI‐focused spaces, potentially increasing risk for all users.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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