Impact of social media on triggering nonsuicidal self-injury in adolescents: a comparative ambulatory assessment study

Abstract Background Nonsuicidal self-injury (NSSI) is a prevalent and concerning behavior among adolescents, often triggered by negative interpersonal events. As social media is essential in the daily life of adolescents, gaining a better understanding of the impact of negative online events on NSSI...

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Main Authors: Andreas Goreis, Dorothy Chang, Diana Klinger, Heidi-Elisabeth Zesch, Bettina Pfeffer, Sofia-Marie Oehlke, Ulrich W. Ebner-Priemer, Laurence Claes, Paul L. Plener, Oswald D. Kothgassner
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Borderline Personality Disorder and Emotion Dysregulation
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Online Access:https://doi.org/10.1186/s40479-025-00280-9
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author Andreas Goreis
Dorothy Chang
Diana Klinger
Heidi-Elisabeth Zesch
Bettina Pfeffer
Sofia-Marie Oehlke
Ulrich W. Ebner-Priemer
Laurence Claes
Paul L. Plener
Oswald D. Kothgassner
author_facet Andreas Goreis
Dorothy Chang
Diana Klinger
Heidi-Elisabeth Zesch
Bettina Pfeffer
Sofia-Marie Oehlke
Ulrich W. Ebner-Priemer
Laurence Claes
Paul L. Plener
Oswald D. Kothgassner
author_sort Andreas Goreis
collection DOAJ
description Abstract Background Nonsuicidal self-injury (NSSI) is a prevalent and concerning behavior among adolescents, often triggered by negative interpersonal events. As social media is essential in the daily life of adolescents, gaining a better understanding of the impact of negative online events on NSSI urges and behaviors, distinct from that of real-life events, is warranted. Methods We recruited 25 adolescents with a history of NSSI and 25 healthy controls. Participants reported on their stress, affect, and NSSI urges four times daily over seven days using ambulatory assessment. We examined the immediate effects of negative events in real-life and on social media on these psychological outcomes. Results In adolescents who engage in NSSI, negative events on social media were positively associated with perceived stress, negative affect, and NSSI urges to a greater extent than real-life negative events. However, NSSI events during the sampling period were mostly triggered by real-life events. While the frequency of social media use was generally similar between groups, those with NSSI reported experiencing more negative events on social media. Conclusions Our findings highlight the significant impact of social media on the mental health of adolescents who engage in NSSI, possibly exacerbating stress and negative affect more than real-life events. These results underscore the need for targeted interventions addressing online interactions to mitigate NSSI behaviors and improve adolescent mental health. Trial registration This study has been registered at the German Clinical Trials Register (ID: DRKS00025905, https://drks.de/search/en/trial/DRKS00025905 ).
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spelling doaj-art-6805d8a168d44f37a5960121d1c821ee2025-02-02T12:09:21ZengBMCBorderline Personality Disorder and Emotion Dysregulation2051-66732025-01-0112111210.1186/s40479-025-00280-9Impact of social media on triggering nonsuicidal self-injury in adolescents: a comparative ambulatory assessment studyAndreas Goreis0Dorothy Chang1Diana Klinger2Heidi-Elisabeth Zesch3Bettina Pfeffer4Sofia-Marie Oehlke5Ulrich W. Ebner-Priemer6Laurence Claes7Paul L. Plener8Oswald D. Kothgassner9Department of Child and Adolescent Psychiatry, Medical University of ViennaDepartment of Child and Adolescent Psychiatry, Medical University of ViennaDepartment of Child and Adolescent Psychiatry, Medical University of ViennaDepartment of Child and Adolescent Psychiatry, Medical University of ViennaDepartment of Child and Adolescent Psychiatry, Medical University of ViennaDepartment of Child and Adolescent Psychiatry, Medical University of ViennaInstitute of Sports and Sport Sciences, Karlsruhe Institute of TechnologyClinical Psychology, Faculty of Psychology and Educational Sciences, KU LeuvenDepartment of Child and Adolescent Psychiatry, Medical University of ViennaDepartment of Child and Adolescent Psychiatry, Medical University of ViennaAbstract Background Nonsuicidal self-injury (NSSI) is a prevalent and concerning behavior among adolescents, often triggered by negative interpersonal events. As social media is essential in the daily life of adolescents, gaining a better understanding of the impact of negative online events on NSSI urges and behaviors, distinct from that of real-life events, is warranted. Methods We recruited 25 adolescents with a history of NSSI and 25 healthy controls. Participants reported on their stress, affect, and NSSI urges four times daily over seven days using ambulatory assessment. We examined the immediate effects of negative events in real-life and on social media on these psychological outcomes. Results In adolescents who engage in NSSI, negative events on social media were positively associated with perceived stress, negative affect, and NSSI urges to a greater extent than real-life negative events. However, NSSI events during the sampling period were mostly triggered by real-life events. While the frequency of social media use was generally similar between groups, those with NSSI reported experiencing more negative events on social media. Conclusions Our findings highlight the significant impact of social media on the mental health of adolescents who engage in NSSI, possibly exacerbating stress and negative affect more than real-life events. These results underscore the need for targeted interventions addressing online interactions to mitigate NSSI behaviors and improve adolescent mental health. Trial registration This study has been registered at the German Clinical Trials Register (ID: DRKS00025905, https://drks.de/search/en/trial/DRKS00025905 ).https://doi.org/10.1186/s40479-025-00280-9Nonsuicidal self-injuryAmbulatory assessmentSocial mediaInterpersonal stressAdolescents
spellingShingle Andreas Goreis
Dorothy Chang
Diana Klinger
Heidi-Elisabeth Zesch
Bettina Pfeffer
Sofia-Marie Oehlke
Ulrich W. Ebner-Priemer
Laurence Claes
Paul L. Plener
Oswald D. Kothgassner
Impact of social media on triggering nonsuicidal self-injury in adolescents: a comparative ambulatory assessment study
Borderline Personality Disorder and Emotion Dysregulation
Nonsuicidal self-injury
Ambulatory assessment
Social media
Interpersonal stress
Adolescents
title Impact of social media on triggering nonsuicidal self-injury in adolescents: a comparative ambulatory assessment study
title_full Impact of social media on triggering nonsuicidal self-injury in adolescents: a comparative ambulatory assessment study
title_fullStr Impact of social media on triggering nonsuicidal self-injury in adolescents: a comparative ambulatory assessment study
title_full_unstemmed Impact of social media on triggering nonsuicidal self-injury in adolescents: a comparative ambulatory assessment study
title_short Impact of social media on triggering nonsuicidal self-injury in adolescents: a comparative ambulatory assessment study
title_sort impact of social media on triggering nonsuicidal self injury in adolescents a comparative ambulatory assessment study
topic Nonsuicidal self-injury
Ambulatory assessment
Social media
Interpersonal stress
Adolescents
url https://doi.org/10.1186/s40479-025-00280-9
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