Hajdú, Katalin; (2022) “It’s cool to feel sad”: A thematic analysis of the social media experiences of university students who have self-harmed. Doctoral thesis (D.Clin.Psy), UCL (University College London).

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Abstract

Background: Suicide and self-harm rates amongst young people have been identified as a public mental health concern with emerging links to social media use. Aim: The current study aimed to qualitatively explore the social media experiences of university students who have self-harmed, as they have been identified as a group vulnerable to suicide. Method: Semi-structured interviews were completed at two time points with students aged 21 and under who have self-harmed whilst at university, with transcripts of interviews analysed using reflexive thematic analysis (Braun & Clarke, 2021). Results: Three organising themes were identified: 1) Instagram vs reality, 2) A double-edged sword, 3) Curating online spaces. The analysis provided a developmental overview of patterns across students’ experiences online, identifying negative social comparisons, the romanticisation of mental illness, and the development of their insight and rules to engage with social media in a helpful way. Conclusions: The study provided an insight into the evolution of the online lives of students who have self-harmed, highlighting key modifiable risk factors that researchers, policymakers and clinicians could meaningfully target to promote ‘digital hygiene’ and the reduction of potential harm from social media.

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