{"title":"“TikTok上的自残和自杀相关内容:专题分析”。","authors":"Gillian Grant-Allen, Lezhi Wang, Jasmine Amini, Simran Dhaliwal, Mark Sinyor, Rachel Hb Mitchell","doi":"10.2196/77828","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Social media platforms, such as TikTok, may be powerful vectors for transmission of both harmful and helpful self-harm and suicide-related content; however, this has not been rigorously studied.</p><p><strong>Objective: </strong>This study aims to identify and understand the themes and overall characteristics of videos related to self-harm and suicide on TikTok.</p><p><strong>Methods: </strong>Snowball sampling was used to identify the 10 most-viewed TikTok hashtags related to self-harm and suicide, which were then used to select the most-viewed English-language posts up to June 2023. An inductive coding reliability approach to thematic analysis was iteratively applied by 2 independent coders to identify and analyze common themes within the videos.</p><p><strong>Results: </strong>In total, 188 videos were included in the thematic analysis. Five main themes and 2 subthemes were identified: emotional distress, hope and recovery-based messaging, grief and memorialization of those who died by suicide, social functions associated with self-harm and suicide-related content (subthemes: gallows humor and sarcasm; glamorization of self-harm and suicide-related behavior), and shame and guilt associated with self-harm and suicide-related behavior.</p><p><strong>Conclusions: </strong>Self-harm and suicide-related content on TikTok was diverse, encompassing both potentially harmful (eg, normalization of self-harm behavior) and helpful (eg, recovery-focused messaging) characteristics. Therefore, a multifaceted and collaborative approach is needed to address the risks of potentially harmful content while leveraging the positive characteristics to promote the safety and well-being of TikTok users.</p>","PeriodicalId":16337,"journal":{"name":"Journal of Medical Internet Research","volume":" ","pages":"e77828"},"PeriodicalIF":6.0000,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12491888/pdf/","citationCount":"0","resultStr":"{\"title\":\"Self-Harm and Suicide-Related Content on TikTok: Thematic Analysis.\",\"authors\":\"Gillian Grant-Allen, Lezhi Wang, Jasmine Amini, Simran Dhaliwal, Mark Sinyor, Rachel Hb Mitchell\",\"doi\":\"10.2196/77828\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Social media platforms, such as TikTok, may be powerful vectors for transmission of both harmful and helpful self-harm and suicide-related content; however, this has not been rigorously studied.</p><p><strong>Objective: </strong>This study aims to identify and understand the themes and overall characteristics of videos related to self-harm and suicide on TikTok.</p><p><strong>Methods: </strong>Snowball sampling was used to identify the 10 most-viewed TikTok hashtags related to self-harm and suicide, which were then used to select the most-viewed English-language posts up to June 2023. An inductive coding reliability approach to thematic analysis was iteratively applied by 2 independent coders to identify and analyze common themes within the videos.</p><p><strong>Results: </strong>In total, 188 videos were included in the thematic analysis. Five main themes and 2 subthemes were identified: emotional distress, hope and recovery-based messaging, grief and memorialization of those who died by suicide, social functions associated with self-harm and suicide-related content (subthemes: gallows humor and sarcasm; glamorization of self-harm and suicide-related behavior), and shame and guilt associated with self-harm and suicide-related behavior.</p><p><strong>Conclusions: </strong>Self-harm and suicide-related content on TikTok was diverse, encompassing both potentially harmful (eg, normalization of self-harm behavior) and helpful (eg, recovery-focused messaging) characteristics. Therefore, a multifaceted and collaborative approach is needed to address the risks of potentially harmful content while leveraging the positive characteristics to promote the safety and well-being of TikTok users.</p>\",\"PeriodicalId\":16337,\"journal\":{\"name\":\"Journal of Medical Internet Research\",\"volume\":\" \",\"pages\":\"e77828\"},\"PeriodicalIF\":6.0000,\"publicationDate\":\"2025-09-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12491888/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Medical Internet Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2196/77828\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Medical Internet Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2196/77828","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Self-Harm and Suicide-Related Content on TikTok: Thematic Analysis.
Background: Social media platforms, such as TikTok, may be powerful vectors for transmission of both harmful and helpful self-harm and suicide-related content; however, this has not been rigorously studied.
Objective: This study aims to identify and understand the themes and overall characteristics of videos related to self-harm and suicide on TikTok.
Methods: Snowball sampling was used to identify the 10 most-viewed TikTok hashtags related to self-harm and suicide, which were then used to select the most-viewed English-language posts up to June 2023. An inductive coding reliability approach to thematic analysis was iteratively applied by 2 independent coders to identify and analyze common themes within the videos.
Results: In total, 188 videos were included in the thematic analysis. Five main themes and 2 subthemes were identified: emotional distress, hope and recovery-based messaging, grief and memorialization of those who died by suicide, social functions associated with self-harm and suicide-related content (subthemes: gallows humor and sarcasm; glamorization of self-harm and suicide-related behavior), and shame and guilt associated with self-harm and suicide-related behavior.
Conclusions: Self-harm and suicide-related content on TikTok was diverse, encompassing both potentially harmful (eg, normalization of self-harm behavior) and helpful (eg, recovery-focused messaging) characteristics. Therefore, a multifaceted and collaborative approach is needed to address the risks of potentially harmful content while leveraging the positive characteristics to promote the safety and well-being of TikTok users.
期刊介绍:
The Journal of Medical Internet Research (JMIR) is a highly respected publication in the field of health informatics and health services. With a founding date in 1999, JMIR has been a pioneer in the field for over two decades.
As a leader in the industry, the journal focuses on digital health, data science, health informatics, and emerging technologies for health, medicine, and biomedical research. It is recognized as a top publication in these disciplines, ranking in the first quartile (Q1) by Impact Factor.
Notably, JMIR holds the prestigious position of being ranked #1 on Google Scholar within the "Medical Informatics" discipline.