Evidence map›Paper›PMID 34034038›Full record

SynthesisClinical psychology review2021

Social media use and self-injurious thoughts and behaviors: A systematic review and meta-analysis.

Jacqueline Nesi, Taylor A Burke, Alexandra H Bettis, Anastacia Y Kudinova, Elizabeth C Thompson, Heather A MacPherson, Kara A Fox, Hannah R Lawrence, Sarah A Thomas, Jennifer C Wolff and 3 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical psychology review, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 11 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 11 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Self-mutilation: a systematic review.Forensic science, medicine, and pathology · 2025
    Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Multilevel risk and protective factors for self-harm, suicidal ideation and suicide attempt in adolescents.Journal of child psychology and psychiatry, and allied disciplines · 2026
    Article
  18. Article
  19. Article
  20. Article

13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Jacqueline NesiAlpert Medical School of Brown University, United States; Rhode Island Hospital, United States. Electronic address: jacqueline_nesi@brown.edu.
Taylor A BurkeAlpert Medical School of Brown University, United States; Rhode Island Hospital, United States.
Alexandra H BettisVanderbilt University Medical Center, United States.
Anastacia Y KudinovaAlpert Medical School of Brown University, United States; Emma Pendleton Bradley Hospital, United States.
Elizabeth C ThompsonAlpert Medical School of Brown University, United States; Rhode Island Hospital, United States.
Heather A MacPhersonAlpert Medical School of Brown University, United States; Emma Pendleton Bradley Hospital, United States.
Kara A FoxUniversity of North Carolina at Chapel Hill, United States.
Hannah R LawrenceMcLean Hospital, United States; Havard Medical School, United States.
Sarah A ThomasAlpert Medical School of Brown University, United States; Emma Pendleton Bradley Hospital, United States.
Jennifer C WolffAlpert Medical School of Brown University, United States; Rhode Island Hospital, United States.
Melanie K AltemusRhode Island Hospital, United States.
Sheiry SorianoAlpert Medical School of Brown University, United States.
Richard T LiuHavard Medical School, United States; Massachusetts General Hospital, United States.

Funding

Tracking and Evaluation CoreU54GM115677 · NIGMS · BROWN UNIVERSITY · PI ROUNDS, SHARON IRENE SMITH · 2016 to 2025
$45.0M
RESEARCH TRAINING IN CHILD MENTAL HEALTHT32MH019927 · NIMH · RHODE ISLAND HOSPITAL (PROVIDENCE, RI) · PI Kristen G Benito, Anthony Spirito · 1994 to 2026
$7.8M
Neural Mechanisms Underlying Self-Critical Rumination and Self-Reassurance and Suicidal Thoughts and Behavior in YouthK23MH122587 · NIMH · EMMA PENDLETON BRADLEY HOSPITAL · PI KUDINOVA, ANASTACIA Y. · 2020 to 2024
$1.0M
Social Media Use and Mechanisms of Suicide Risk in AdolescentsK23MH122669 · NIMH · RHODE ISLAND HOSPITAL · PI NESI, JACQUELINE · 2020 to 2024
$1.0M
A Treatment Engagement Protocol to Improve Follow-Up Care for Psychiatrically Hospitalized Adolescents at Clinical High Risk for PsychosisK23MH119211 · NIMH · RHODE ISLAND HOSPITAL · PI THOMPSON, ELIZABETH COURTNEY · 2020 to 2023
$787k
NIGMS NIH HHS U54 GM115677NIMH NIH HHS K23 MH119211NIMH NIH HHS K23 MH122587NIMH NIH HHS K23 MH122669NIMH NIH HHS T32 MH019927
6 · The paper itself

Abstract

Despite considerable public and scholarly debate about the role of social media in self-injurious thoughts and behaviors (SITBs), no comprehensive, quantitative synthesis of this literature has previously been undertaken. The current systematic review and meta-analysis examines associations between social media use and SITBs, including suicidal ideation, suicide plans, suicide attempts, and nonsuicidal self-injury (NSSI). A range of social media behaviors and experiences were identified, including cybervictimization and perpetration, exposure to and generation of SITB-related content, problematic use, sexting, social media importance, and frequency of use. A systematic search of PsycINFO, Medline, CINAHL, and the references of prior reviews yielded 61 eligible studies. Results largely suggested medium effect sizes for associations between specific social media constructs (cybervictimization, SITB-related social media use, problematic social media use) and SITBs. There was no association between frequency of social media use and SITBs; however, studies on this topic were limited. The majority of studies identified focused on cybervictimization, and results suggested positive associations with all SITBs, with the association between cybervictimization and suicidal ideation stronger for adolescents than adults. Overall, findings highlight the utility of examining specific social media behaviors and experiences, and point to the need for more research in this area.

Indexed as

Self-Injurious BehaviorSocial MediaAdolescentAdultHumansRisk FactorsSuicidal IdeationSuicide, AttemptedNonsuicidal self-injurySelf-injurious behaviorsSocial mediaSuicidal ideationSuicide attemptSuicide plans

Identifiers

PMID34034038
PMCPMC8243901

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.