Unveiling self-harm behaviour: What can social media site Twitter tell us about self-harm? A qualitative exploration

Charlotte Hilton

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Aims and objectives: To report the findings from a unique analysis of naturally occurring data regarding self-harm behaviour generated through the global social media site, Twitter. Background: Self-harm behaviours are of global concern for health and social care practice. However, little is known about the experiences of those who harm and the attitudes of the general public towards such behaviours. A deeper, richer and more organic understanding of this is vital to informing global approaches to supporting individuals through treatment and recovery. Design: Exploratory, qualitative design. Methods: Three hundred and sixty-two Twitter messages were subject to inductive thematic analysis. Results: Five themes were identified: (1) celebrity influence, (2) self-harm is not a joke (with subthemes of you wouldn't laugh if you loved me and you think it's funny, I think it's cruel), (3) support for and from others, (4) eating disorders and self-harm and (5) videos and personal stories. Conclusions: The findings indicate that self-harm behaviour continues to be largely misunderstood by the general public and is often the source of ridicule which may contribute to delays in accessing treatment. Whilst Twitter may also provide a source of valuable support for those who self-harm, the sense of community, relatedness and understanding generated by such support may contribute to normalising self-harm and perpetuating the behaviours. Relevance to clinical practice: Our understanding of the complexity of and aetiology and most effective treatment options for self-harm behaviours is still unclear. The findings demonstrate that there is a critical opportunity to conduct further qualitative research to better understand self-harm and to use these valuable and internationally relevant data to support the development of effective public education campaigns and personally tailored treatment options.

Original languageEnglish
Pages (from-to)1690-1704
Number of pages15
JournalJournal of Clinical Nursing
Volume26
Issue number11-12
Early online date20 Feb 2017
DOIs
Publication statusPublished - 1 Jun 2017

Fingerprint

Social Media
Qualitative Research
Delivery of Health Care
Education

Keywords

  • clinical practice
  • health care
  • qualitative research
  • thematic analysis

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Unveiling self-harm behaviour : What can social media site Twitter tell us about self-harm? A qualitative exploration. / Hilton, Charlotte.

In: Journal of Clinical Nursing, Vol. 26, No. 11-12, 01.06.2017, p. 1690-1704.

Research output: Contribution to journalArticle

@article{4fd6b348d29b4d959f833d6becfd9b91,
title = "Unveiling self-harm behaviour: What can social media site Twitter tell us about self-harm? A qualitative exploration",
abstract = "Aims and objectives: To report the findings from a unique analysis of naturally occurring data regarding self-harm behaviour generated through the global social media site, Twitter. Background: Self-harm behaviours are of global concern for health and social care practice. However, little is known about the experiences of those who harm and the attitudes of the general public towards such behaviours. A deeper, richer and more organic understanding of this is vital to informing global approaches to supporting individuals through treatment and recovery. Design: Exploratory, qualitative design. Methods: Three hundred and sixty-two Twitter messages were subject to inductive thematic analysis. Results: Five themes were identified: (1) celebrity influence, (2) self-harm is not a joke (with subthemes of you wouldn't laugh if you loved me and you think it's funny, I think it's cruel), (3) support for and from others, (4) eating disorders and self-harm and (5) videos and personal stories. Conclusions: The findings indicate that self-harm behaviour continues to be largely misunderstood by the general public and is often the source of ridicule which may contribute to delays in accessing treatment. Whilst Twitter may also provide a source of valuable support for those who self-harm, the sense of community, relatedness and understanding generated by such support may contribute to normalising self-harm and perpetuating the behaviours. Relevance to clinical practice: Our understanding of the complexity of and aetiology and most effective treatment options for self-harm behaviours is still unclear. The findings demonstrate that there is a critical opportunity to conduct further qualitative research to better understand self-harm and to use these valuable and internationally relevant data to support the development of effective public education campaigns and personally tailored treatment options.",
keywords = "clinical practice, health care, qualitative research, thematic analysis",
author = "Charlotte Hilton",
year = "2017",
month = "6",
day = "1",
doi = "10.1111/jocn.13575",
language = "English",
volume = "26",
pages = "1690--1704",
journal = "Journal of Clinical Nursing",
issn = "0962-1067",
publisher = "Wiley",
number = "11-12",

}

TY - JOUR

T1 - Unveiling self-harm behaviour

T2 - What can social media site Twitter tell us about self-harm? A qualitative exploration

AU - Hilton, Charlotte

PY - 2017/6/1

Y1 - 2017/6/1

N2 - Aims and objectives: To report the findings from a unique analysis of naturally occurring data regarding self-harm behaviour generated through the global social media site, Twitter. Background: Self-harm behaviours are of global concern for health and social care practice. However, little is known about the experiences of those who harm and the attitudes of the general public towards such behaviours. A deeper, richer and more organic understanding of this is vital to informing global approaches to supporting individuals through treatment and recovery. Design: Exploratory, qualitative design. Methods: Three hundred and sixty-two Twitter messages were subject to inductive thematic analysis. Results: Five themes were identified: (1) celebrity influence, (2) self-harm is not a joke (with subthemes of you wouldn't laugh if you loved me and you think it's funny, I think it's cruel), (3) support for and from others, (4) eating disorders and self-harm and (5) videos and personal stories. Conclusions: The findings indicate that self-harm behaviour continues to be largely misunderstood by the general public and is often the source of ridicule which may contribute to delays in accessing treatment. Whilst Twitter may also provide a source of valuable support for those who self-harm, the sense of community, relatedness and understanding generated by such support may contribute to normalising self-harm and perpetuating the behaviours. Relevance to clinical practice: Our understanding of the complexity of and aetiology and most effective treatment options for self-harm behaviours is still unclear. The findings demonstrate that there is a critical opportunity to conduct further qualitative research to better understand self-harm and to use these valuable and internationally relevant data to support the development of effective public education campaigns and personally tailored treatment options.

AB - Aims and objectives: To report the findings from a unique analysis of naturally occurring data regarding self-harm behaviour generated through the global social media site, Twitter. Background: Self-harm behaviours are of global concern for health and social care practice. However, little is known about the experiences of those who harm and the attitudes of the general public towards such behaviours. A deeper, richer and more organic understanding of this is vital to informing global approaches to supporting individuals through treatment and recovery. Design: Exploratory, qualitative design. Methods: Three hundred and sixty-two Twitter messages were subject to inductive thematic analysis. Results: Five themes were identified: (1) celebrity influence, (2) self-harm is not a joke (with subthemes of you wouldn't laugh if you loved me and you think it's funny, I think it's cruel), (3) support for and from others, (4) eating disorders and self-harm and (5) videos and personal stories. Conclusions: The findings indicate that self-harm behaviour continues to be largely misunderstood by the general public and is often the source of ridicule which may contribute to delays in accessing treatment. Whilst Twitter may also provide a source of valuable support for those who self-harm, the sense of community, relatedness and understanding generated by such support may contribute to normalising self-harm and perpetuating the behaviours. Relevance to clinical practice: Our understanding of the complexity of and aetiology and most effective treatment options for self-harm behaviours is still unclear. The findings demonstrate that there is a critical opportunity to conduct further qualitative research to better understand self-harm and to use these valuable and internationally relevant data to support the development of effective public education campaigns and personally tailored treatment options.

KW - clinical practice

KW - health care

KW - qualitative research

KW - thematic analysis

U2 - 10.1111/jocn.13575

DO - 10.1111/jocn.13575

M3 - Article

VL - 26

SP - 1690

EP - 1704

JO - Journal of Clinical Nursing

JF - Journal of Clinical Nursing

SN - 0962-1067

IS - 11-12

ER -