Self-injury and e-communities – A thematic analysis of the positive and negative consequences

Authors

  • Leah Garfield Christensen
  • Julie Krogh Nielsen
  • Ask Elklit
  • Dorte Mølgaard Christiansen

DOI:

https://doi.org/10.7146/pl.v45i1.146579

Keywords:

non-suicidal self-injury (NSSI), e-communities, social media, thematic analysis, social support, normalisation, comparison, competition

Abstract

This study aimed to examine the positive and negative consequences of participating in e-communities focused on non-suicidal self-injury (NSSI). Three semi-structured interviews were conducted with English-speaking interviewees recruited from such e communities. A thematic analysis identified five themes: 1) being able to help, 2) feeling seen and relating to each other, 3) being negatively impacted by others’ posts, 4) comparisons and competition among members, and 5) finding the right balance. These five themes highlighted ways in which members are positively and negatively affected by e-communities, as well as how they may best protect themselves from harmful consequences while simultaneously benefitting from the support they get from these communities. These findings corroborate prior research while adding insights into the personal perspectives of adults who self-harm.

References

Adler. P. & Adler, P. (2011). The Tender Cut: Inside the Hidden World of Self-Injury. New York University Press.

Braun, V. & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa

Brennan, C., Saraiva, S., Mitchell, E., Melia, R., Campbell, L., King, N. & House, A. (2022). Self-harm, and suicidal content online, harmful or helpful? A systematic review of the recent evidence. Journal of Public Mental Health, 21(1), 57-69. http://doi.org/10.1108/JPMH-09-2021-0118

Brown, R.C., Fischer, T., Goldwich, D.A. & Plener, P.L. (2020). “I just finally wanted to belong somewhere”—Qualitative analysis of experiences with posting pictures of self-injury on Instagram. Frontiers in Psychiatry, 11, 274. https://doi.org/10.3389/fpsyt.2020.00274

Coulson, N.S., Bullock, E. & Rodham, K. (2017). Exploring the therapeutic affordances of self-harm online support communities: An online survey of members. JMIR mental health, 4(4), e44. https://doi.org/10.2196/mental.8084

Davies, J., Pitman, A., Bamber, V., Billings, J. & Rowe, S. (2020). Young peoples’ perspectives on the role of harm reduction techniques in the management of their selfharm: A qualitative study. Archives of Suicide Research, 26(2), 692-706.

https://doi.or g/10.1080/13811118.2020.1823916

Davis, A. (2019, 7. februar). Partnering with experts to protect people from self-harm and suicide. Facebook. https://about.fb.com/news/2019/02/protecting-people-from-self-harm

Dyson, M.P., Hartling, L., Shulhan, J., Chisholm, A., Milne, A., Sundar, P., Scott, S.D. & Newton, A.S. (2016). A systematic review of social media use to discuss and view deliberate self-harm acts. PLoS one, 11(5), e0155813. https://doi.org/10.1371/journal.pone.0155813

Eichenberg, C. & Schott, M. (2017). An empirical analysis of internet message boards for self-harming behavior. Archives of Suicide Research, 21(4), 672-686. https://doi.org/10.1080/13811118.2016.1259597

Griep, S. K., & MacKinnon, D. F. (2020). Does nonsuicidal self-injury predict later suicidal attempts? A review of studies. Archives of Suicide Research, 26, 428-446. https://doi.org/10.1080/13811118.2020.1822244

Harris, I.M. & Roberts, L.M. (2013). Exploring the use and effects of deliberate self-harm websites: An internet-based study. Journal of Medical Internet Research, 15(12), e285. https://doi.org/10.2196/jmir.2802

Hasking, P., Rees, C.S., Martin, G. & Quigley, J. (2015). What happens when you tell someone you self-injure? The effects of disclosing NSSI to adults and peers. BMC Public Health, 15(1), 1039. https://doi.org/10.1186/s12889-015-2383-0

Lavis, A. & Winter, R. (2020). #Online harms or benefits? An ethnographic analysis of the positives and negatives of peer-support around self-harm on social media. Journal of Child Psychology and Psychiatry, and allied disciplines, 61(8), 842-854. https://doi.org/10.1111/jcpp.13245

Lewis, S.P. & Seko, Y. (2016). A double-edged sword: A review of benefits and risks of online nonsuicidal self-injury activities. Journal of Clinical Psychology, 72(3), 249-262. https://doi.org/10.1002/jclp.22242

Marchant, A., Hawton, K., Burns, L., Stewart, A. & John, A. (2021). Impact of web-based sharing and viewing of self-harm-related videos and photographs on young people: Systematic review. Journal of Medical Internet Research, 23(3), e18048. https://doi.org/10.2196/18048

Memon, A.M., Sharma, S.G., Mohite, S.S. & Jain, S. (2018). The role of online social net-working on deliberate self-harm and suicidality in adolescents: A systematized review of literature. Indian Journal of Psychiatry, 60(4), 384-392. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_414_17

Michelmore, L. & Hindley, P. (2012). Help-seeking for suicidal thoughts and self-harm in young people: A systematic review. Suicide and Life-Threatening Behavior, 42(5), 507-524. https://doi.org/10.1111/j.1943-278X.2012.00108.x

Moran, P., Coffey, C., Romaniuk, H., Olsson, C., Borschmann, R., Carlin, J.B. & Patton, G.C. (2012). The natural history of self-harm from adolescence to young adulthood: A population-based cohort study. Lancet, 379(9812), 236-243. https://doi.org/10.1016/S0140-6736(11)61141-0

Mosseri, A. (2019, 7. februar). Changes we’re making to do more to support and protect the most vulnerable people who use Instagram. Instagram. https://about.instagram.com/blog/announcements/supporting-and-protecting-vulnerable-people-on-instagram

Muehlenkamp, J.J., Xhunga, N. & Brausch, A.M. (2019). Self-Injury age of onset: A risk factor for NSSI severity and suicidal behavior. Archives of Suicide Research, 23(4), 551-563. https://doi.org/10.1080/13811118.2018.1486252

Mulhearne, P., Cotter, P., O’Shea, M. & Leahy-Warren, P. (2021). Experiences of registered general nurses who care for patients presenting with self-harm to the emergency department in Ireland. International Emergency Nursing, 58, 101047. https://doi.org/10.1016/j.ienj.2021.101047

Nesi, J, Burke, T.A., Bettis, A.H., Kudinova, A.Y., Thompson, E.C., MacPherson, H.A., Fox, K.A., Lawrence, H.R., Thomas, S.A., Wolff, J.C., Altemus, M.K., Soriano, S. & Liu, R.T. (2021). Social media use and self-injurious thoughts and behaviors: A systematic review and meta-analysis. Clinical Psychological Review, 87, 102038. https://doi.org/10.1016/j.cpr.2021.102038

Nock, M.K. & Favazza, A.R. (2009). Nonsuicidal self-injury: Definition and classification. I M.K. Nock (red.), Understanding nonsuicidal self injury: Origins, assessment, and treatment (s. 9-18). American Psychological Association. https://doi.org/10.1037/11875-001

Park, Y., Mahdy, J.C. & Ammerman, B.A. (2020). How others respond to non-suicidal self-injury disclosure: A systematic review. Journal of Community & Applied Social Psychology, 31(1), 107-119. https://doi.org/10.1002/casp.2478

Rodham, K., Gavin, J. & Miles, M. (2007). I hear, I listen and I care: A qualitative investigation into the function of a self-harm message board. Suicide and Life-Threatening Behavior, 37(4), 422-430. https://doi.org/10.1521/suli.2007.37.4.422

Rowe, S.L., French, R.S., Henderson, C., Ougrin, D., Slade, M. & Moran, P. (2014). Help-seeking behaviour and adolescent self-harm: A systematic review. Australien and New Zealand Journal of Psychiatry, 48(12), 1083-1095. https://doi.org/10.1177/0004867414555718

Sternudd, H.T. (2012). Photographs of self-injury: Production and reception in a group of self-injurers. Journal of Youth Studies, 15(4), 421-436. https://doi.org/10.1080/13676261.2012.663894

Tanggaard, L. & Brinkmann, S. (2015). Kvalitet i kvalitative studier. I S. Brinkmann & L. Tanggaard (red.), Kvalitative metoder: en grundbog (2. udgave), (s. 521-531). Hans Reitzels Forlag.

Valencia-Agudo, F., Burcher, G.C., Ezpeleta, L. & Kramer, T. (2018). Nonsuicidal self-injury in community adolescents: A systematic review of prospective predictors, mediators and moderators. Journal of Adolescence, 65, 25-38. https://doi.org/10.1016/j.adolescence.2018.02.012

Wadman, R., Nielsen, E., O’Raw, L., Brown, K., Williams, A.J., Sayal, K. & Townsend, E. (2020). “These things don’t work.” Young people’s views on harm minimization strategies as a proxy for self-harm: A mixed methods approach. Archives of Suicide Research, 24(3), 384-401. https://doi.org/10.1080/13811118.2019.1624669

Published

2024-06-11

How to Cite

Leah Garfield Christensen, Julie Krogh Nielsen, Ask Elklit, & Dorte Mølgaard Christiansen. (2024). Self-injury and e-communities – A thematic analysis of the positive and negative consequences. Psyke & Logos, 45(1), 126–142. https://doi.org/10.7146/pl.v45i1.146579