AU - JOUR AU - Chen, siky Shiqi AU - Lam, Tai Pong AU - Lam，郭辉，AU - Lam, David vaiong AU - Mak, Ki - Yan AU - Lam, Edmund Wing Wo AU - Tang, Wai Sin AU - Chan, Hoi Yan AU - Yip, Paul Siu Fai PY - 2022 DA - 2022/10/12 TI -香港青少年在Instagram上使用好友、求助意愿和自杀倾向:探索性顺序混合方法研究J - Med Internet Res SP - e37695 VL - 24 IS - 10 KW -亲密朋友KW -私人网络表达KW -寻求帮助意愿KW -自杀KW -青年AB -背景:社交网站(Social networking sites，简称sns)近年来在青少年寻求帮助和自我痛苦表达方面得到了广泛的应用。尽管网上自杀表达被认为有很大的好处，但各种担忧也被提出，尤其是在隐私问题上。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，大多数研究都忽略了私人社交网络情境的影响。目的:本研究旨在研究青少年通过Instagram新功能“亲密朋友”使用私人社交网络的情况，以及其与在线和离线求助意愿以及青少年自杀倾向的关系。方法:本研究采用探索性序贯混合方法，采用探索性定性访谈与系统定量调查相结合的方法，以香港15-19岁青少年为研究对象。在焦点小组和个人访谈中讨论了使用亲密朋友的动机和对在线表达的担忧(n=40)。随后对符合条件的中学生进行了横断面调查(n=1676)，以检查亲密朋友使用的流行程度，他们在线和离线寻求帮助的意愿以及与自杀相关的经历。结果:在访谈中，我们发现了使用亲密朋友的3个主要动机，包括(1)互动和寻求帮助，(2)释放负面情绪，(3)通风和自我表达。 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. SN - 1438-8871 UR - //www.mybigtv.com/2022/10/e37695 UR - https://doi.org/10.2196/37695 UR - http://www.ncbi.nlm.nih.gov/pubmed/36223182 DO - 10.2196/37695 ID - info:doi/10.2196/37695 ER -