杂志文章%@ 1438-8871 %I JMIR出版物%V 24 %N卡塔尔世界杯8强波胆分析 10 %P 37695 %T香港青年在Instagram上使用亲密朋友、寻求帮助的意愿和自杀倾向:中国香港鸭脷洲正街161号鸭脷洲诊所3楼香港大学家庭医学及基础护理学系%陈阿美、史琪士奇%林阿美、大邦%林阿美、郭辉%罗阿美、德林%赵、魏伟强%麦阿美、基仁%林阿美、艾德荣和%邓阿美、陈伟新%陈阿美、海仁%叶阿、Paul Siu Fai %+tplam@hku.hk %K亲密朋友%K私人在线表达%K寻求帮助意愿%K自杀%K青少年%D 2022 %7 12.10.2022 %9原创论文%J J医学互联网Res %G英语%X背景:社交网站(sns)近年来在青少年中寻求帮助和自我痛苦表达越来越流行。尽管网上自杀的表达被认为有很大的好处,但各种各样的担忧也被提出,尤其是关于隐私问题。了解青少年在社交媒体上的求助行为对有效预防自杀至关重要;然而,大多数研究忽略了私人社交网络环境的影响。目的:本研究旨在通过Instagram的新功能“亲密朋友”来研究青少年的私人社交网络使用,以及其与线上和线下求助意愿以及青少年自杀倾向的关系。方法:本研究采用探索性顺序混合方法,结合探索性定性访谈和系统定量调查,针对香港15-19岁的青少年。利用亲密朋友的动机和对在线表达的关注在焦点小组和个人访谈中得到了解决(n=40)。随后,我们对符合条件的中学生进行了横断面调查(n=1676),以调查他们使用“亲密朋友”的普遍程度、线上和线下寻求帮助的意愿,以及与自杀相关的经历。 Results: A total of 3 primary motives for using Close Friends were identified during interviews, including (1) interaction and help seeking, (2) release of negative emotions, and (3) ventilation and self-expression. Most participants also highlighted the privacy concerns associated with public online communication and the importance of contacting close friends for emotional support. Survey results showed that use of Close Friends was quite prevalent among adolescents (1163/1646, 70.66%), with around 46% (754/1646, 45.81%) of respondents being frequent users. Differences by gender and school academic banding were also revealed. Regarding help-seeking intentions, youths were generally positive about seeking help from peers and friends offline (1010/1266, 79.78%) yet negative about seeking assistance from online friends or professionals with whom they had not yet developed a real-world connection (173/1266, 13.67%). Most notably, frequencies of Close Friends usage were differentially associated with online and offline help-seeking willingness and youths’ suicidality. Compared with nonusers, those who had ever used the feature were more likely to seek offline support (adjusted odds ratios [AORs] 1.82-2.36), whereas heavy use of Close Friends was associated with increased odds of online help-seeking willingness (AOR 1.76, 95% CI 1.06-2.93) and a higher risk of suicidality (AOR 1.53, 95% CI 1.01-2.31). Conclusions: The popularity of Close Friends reflects the increasing need for private online expression among youth. This study demonstrates the importance of Close Friends for self-expression and private conversation and inadequacy of peer support for suicidal adolescents. Further research is needed to identify the causal relationship between Close Friends usage and help-seeking willingness to guide the advancement of suicide prevention strategies. Researchers and social media platforms may cooperate to co-design a risk monitoring system tailored to the private SNS context, assisting professionals in identifying youth at risk of suicide. %M 36223182 %R 10.2196/37695 %U //www.mybigtv.com/2022/10/e37695 %U https://doi.org/10.2196/37695 %U http://www.ncbi.nlm.nih.gov/pubmed/36223182
Baidu
map