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There is an established body of research providing clear evidence that certain types of media reporting of suicide, such as sensationalist reporting of celebrity suicides, can produce substantial negative effects. The most notable of these effects is a subsequent increase in the number of suicides. Conversely, emerging evidence also shows that suicide reporting focused on positive narratives of recovery from suicidal thoughts may confer protective benefits and lower subsequent suicide rates. This chapter provides a brief discussion of a possible theoretical mechanism for the impact of media portrayals of suicide on subsequent suicides. It also provides a brief history of research into the effects of fictional and non-fictional media portrayals of suicide, as well as portrayals and discussions of suicide in both traditional and newer media, including social media. The chapter focuses particularly on novel research findings related to suicide and the media. It concludes with a discussion of interventions that attempt to optimize the safety of media portrayals of suicide, and those that attempt to use various types of media proactively for suicide prevention purposes.
This chapter opens the book with a puzzle. It starts by delineating two tales about the Chinese internet – one emphasizing state control and the other digital innovation and the rapid growth of China’s tech industry. To make sense of these two seemingly contradictory stories of greater openness to support digitalization while also increasing political control – also referred to as digital dilemma – the chapter introduces the core elements of popular corporatism and looks at how it differs from the more familiar command and control that builds on strong hierarchically organized state-centered logics. It considers existing work on digital dilemma and posits that its digital governance approach to the Chinese model is based on the dynamic relationship between the state, platform firms, and citizens. Because voluntary participation of citizens is important for the state to obtain feedback about their policies as well as for the companies to develop their organizational and informational resources in the state–company partnership, it focuses on two examples of digital participatory spaces in this book – social media platforms and the social credit system (SCS) – to illustrate the Chinese model during Hu and Xi’s leaderships.
Explore adolescents’ recall of food and beverage advertisements in digital media, while evaluating associations between socio-demographic characteristics and advertisement recall.
Design
Recruitment took place using a two-stage cluster probability-based sampling approach. Thirty-nine high schools stratified by type (public vs. private) were included, with one class within each grade randomly selected, wherein attending students (N=1542; age range: 11–19 years) received a paper-and-pencil questionnaire for completion in their homes.
Setting:
The study was conducted in Montevideo, the capital city of Uruguay, which is a high-income South American country with a high prevalence of overweight and obesity among adolescents. Participants indicated their spontaneous recall of food and beverage advertisements on social media and provided socio-demographic information. Individual responses to an open-ended question were graphically represented using a world cloud, after which the data were analyzed through content analysis based on inductive coding.
Participants:
A total of 1452 adolescents attending public and private high schools participated.
Results:
Almost 9 of 10 adolescents (87.6%) reported having seen a food or beverage advertisement on digital media and more than 3 of 4 (76.1%) could spontaneously recall at least one such advertisement. The three most frequently used words for spontaneous recall were 'McDonalds,' 'Coke,' and 'burgers,' whereas the three most frequently mentioned product categories were 'Fast-food and fast-food restaurants,' 'soft drinks,' and 'savoury snacks.' Some socio-demographic differences emerged.
Conclusions:
The findings stress the need to implement mandatory regulatory approaches to reduce adolescent exposure to digital marketing of unhealthy foods and beverages.
A large body of evidence suggests that adolescent mental health has worsened in recent years, particularly amongst young women. We investigated three putative risk factors which are very prevalent in the modern-day life of adolescents: social media use, sexting, and body dissatisfaction We wanted to investigate how these potential risk factors influence adolescents’ mental health, and whether the effects differ between genders.
We used a population-based survey of predominantly students (mean age 15 years) conducted in secondary schools in Ireland (September–December 2021) in one urban area (North County Dublin) and two rural areas (Cavan, Monaghan) – The “Planet Youth North Dublin, Cavan and Monaghan study”. We examined three mental health outcomes (using the Strengths and Difficulties Questionnaire (SDQ)) and self-harm behaviours. We fitted linear mixed models to examine associations between risk factors and mental health outcomes in both genders separately, adjusting for confounders.
All three risk factors were associated with poorer mental health in both genders, with larger effects in females. High social media usage (>4 hrs/day) was associated with increased poor mental health risk. Body dissatisfaction was linked to self-harm and worse mental health, being more prevalent in females (60% vs 36%). Sending sexually explicit messages was associated with poor mental health and self-harm risk in both genders.
Our findings show that high digital use, body image disturbance and sexting behaviours in teenage life have a strong association with poor mental health and self-harm, with these factors being more prevalent in females.
Can American state legislators use social media to influence the political behaviors and attitudes of the public by crafting strategic messages? While elected officials from every level of government use social media, it is not clear how the public responds to their individual posts. I argue that the rhetorical strategies employed by legislators can have a direct impact on their online constituencies, moderated by the existence of a copartisan relationship. I test my argument using a simulated social media environment embedded within a traditional survey experiment to mimic the impact of real-life social media posts. I find that legislators’ social media posts influence their approval ratings, and at times, the public’s trust in government. However, I do not find evidence that small numbers of social media posts affect a willingness to participate in politics.
Steeves revisits empirical data about young people’s experiences on social media to provide a snapshot of what happens to the interaction between self and others when community is organized algorithmically. She then uses Meadian notions of sociality to offer a theoretical framing that can explain the meaning of self, other, and community found in the data. She argues that young people interact with algorithms as if they were another social actor, and reflexively examine their own performances from the perspective of the algorithm as a specific form of generalized other. In doing so, they pay less attention to the other people they encounter in online spaces and instead orient themselves to action by emulating the values and goals of this algorithmic other. Their performances can accordingly be read as a concretization of these values and goals, making visible the agenda of those who mobilize the algorithm for their own purposes.
Digital innovation has the potential to be transformative to both clinical practice and academic research related to mental health. Recent advances in research and consumer-grade technology, combined with society’s rapid and widespread adoption of digital technology, has created an emerging and dynamic field attracting the interest of clinicians, researchers, and service-users alike. In this chapter we summarise potential applications of digital technology to mental health research and clinical practice, including digital phenotyping, smartphone applications, virtual reality, and teletherapy. We summarise how digital technologies might be applied to enhance psychiatric assessment and treatment, as well as in research settings. In particular, we outline the potential benefits of digital technology as clinical and research tools. We also explore the challenges associated with digital innovation in mental health, including ethical concerns, methodological considerations when critiquing research in this field, and considerations from the service-user perspective.
The 10-item Photo Manipulation Scale (P-MaS; McLean et al., 2015) measures the frequency to which a person manipulates (digitally edits) their own appearance within photos prior to sharing on social media or other online platforms. Photo editing practices may include changing the size or shape of body parts, removing skin blemishes, and applying filters, which are easily performed through readily available phone apps. The P-MaS can be administered online or in-person to adolescents and adults and is free to use. This chapter first discusses the development of the P-MaS and then provides evidence of its psychometrics. While mixed evidence for its unidimensionality has been observed, the authors recommend the calculation of a single total score. Internal consistency reliability, test-retest reliability, convergent validity, discriminant validity, and test-criterion validity support the use of the P-MaS. Next, this chapter provides the P-MaS items in their entirety, instructions for administering the P-MaS to participants, item response scale, and scoring procedure. Links to known translations are provided. Logistics of use, such as permissions, copyright, and contact information, are provided for readers.
The 12-item Online Appearance-Relevant Peer Conversations Scale (OARPCS; Cai, Lam, Leong, & Jackson, 2020) assesses (1) physical appearance and (2) life stressors as foci of online peer communications. The OARPCS can be administered to adolescents and/or adults and is free to use in any setting. In this chapter, we first discuss the development of the OARPCS and then summarize evidence for its psychometrics. Specifically, the OARPCS has been found to have a two-factor structure within exploratory and confirmatory factor analyses that is invariant across samples of young women and men in China and Macau. As well, the OARPCS has internal consistency reliability, test-retest reliability, convergent validity, discriminant validity and predictive validity support. Subsequently, this chapter presents the OARPCS items in their entirety, instructions for its administration, the item response scale, and the scoring procedure. Finally, logistics of use, including permissions, copyright, and contact information, are provided for readers.
The 18-item Social Media Appearance Preoccupation Scale (SMAPS) has three subscales that measure social comparison (6 items), self-presentation (7 items), and general activity (5 items) related to appearance when engaging in visual online content, especially using social media. The subscales can form a total score or be used to focus on one or more of the three subscales of online appearance preoccupation, which allows for a shorter measure. The SMAPS was designed with five issues in mind: 1) image sharing activity, 2) investment and self-presentation, 3) social comparison, 4) active versus passive social media use, and 5) negative responses to social media. The SMAPS can be administered online or in-person and has been included in research with adolescents and young adults. The SMAPS is free to use. This chapter begins with a discussion of the development of the SMAPS from item generation to psychometric analyses, which is followed by sections with psychometric information, including the factor structure and invariance, and evidence of reliability and validity. Additional sections cover administration and scoring, the response scale, the items in their entirety, instructions for administration and scoring, and permissions, copyright and contact information are provided.
This chapter examines the evolution of freedom of expression doctrines in the context of digital media. It focuses on how the European Court of Human Rights has adapted traditional doctrines, rooted in Article 10 of the European Convention on Human Rights, to address challenges in the new media environment. The authors explore how freedom of expression, vital to democracy, must balance individual rights, societal interests, and the regulation of disinformation and hate speech in the digital age. The Court’s defence of democracy has evolved from responding to authoritarian threats in Europe’s past to addressing new risks in the digital realm. Principles such as proportionality, the prohibition of abuse of rights (Article 17), and preventing the misuse of democratic freedoms (Article 18) guide limitations on expression, ensuring they are justified and not misused for political suppression. Social media has expanded the concept of ‘public watchdogs’ beyond traditional media to include non-governmental organisations, bloggers, and activists. This evolution demands rethinking the liability and freedom of expression doctrines for platforms.
Political polarization is a group phenomenon in which opposing factions, often of unequal size, exhibit asymmetrical influence and behavioral patterns. Within these groups, elites and masses operate under different motivations and levels of influence, challenging simplistic views of polarization. Yet, existing methods for measuring polarization in social networks typically reduce it to a single value, assuming homogeneity in polarization across the entire system. While such approaches confirm the rise of political polarization in many social contexts, they overlook structural complexities that could explain its underlying mechanisms. We propose a method that decomposes existing polarization and alignment measures into distinct components. These components separately capture polarization processes involving elites and masses from opposing groups. Applying this method to Twitter discussions surrounding the 2019 and 2023 Finnish parliamentary elections, we find that (1) opposing groups rarely have a balanced contribution to observed polarization, and (2) while elites strongly contribute to structural polarization and consistently display greater alignment across various topics, the masses, too, have recently experienced a surge in alignment. Our method provides an improved analytical lens through which to view polarization, explicitly recognizing the complexity of and need to account for elite-mass dynamics in polarized environments.
Since the Internet’s mainstream inception in the mid-1990s, the global telecommunications network has transformed from one that offered egalitarian promise to a network that often compromises democratic norms. And, as its conceptual linchpin, Internet “openness” provided the potential for technological innovation that could revolutionize both communication and commerce. The regulatory schemes introduced in the early Internet era thus sought to advance openness and innovation in the fledging online world. But, while the times and technologies have since changed, the regulatory frameworks have largely remained the same. Accordingly, this review essay examines the Internet’s regulatory and cultural history to explore how the open values of the information age gave way to our current era of online disinformation. To do so, I reflect upon two early studies of the digital realm that have advanced discourse and scholarship on Internet openness: Lawrence Lessig’s Code: and Other Laws of Cyberspace, Version 2.0, and Christopher Kelty’s Two Bits: The Cultural Significance of Free Software. Informed by these works, along with related digital scholarship, this essay argues that remembering the history of Internet openness reveals how the free access ideals of the Internet’s foundational age have been transformed by the renewed proprietary conventions of our current disinformation era.
Chapter 5 explains the persistence of the impunity agenda. It argues that Trump’s resurgence in 2024 has already thrust the agenda back to the forefront and that it could even be self-executing after Trump eventually leaves office. Sections 5.1 and 5.2 show how the conservative media space and an emboldened right wing in Congress discourage advocates from backing away from publicly testing IHL. Section 5.3 traces the expanding coalition of the impunity movement, which now not only includes Fox News and Republican lawmakers but also lobbyist organizations and troops granted clemency by Trump. Section 5.4 describes how close-knit professional and social networks amplify the power of the impunity coalition, even more now given Trump’s re-ascendance to the White House and Pete Hegseth’s selection as Defense Secretary.
We delve into how the digital revolution has affected the violation of, fight for, and documentation of human rights across the world. The Internet has impacted human rights in both positive and negative ways, and we discuss both direct and indirect ways this relationship has developed. The first part examines how the Internet has changed how people organize and speak up about human rights. Protesters use the Internet to organize their opposition, and new, transnational online actors are bringing together people from all over the world to campaign for climate justice, social reforms, or civil and political rights. The second part outlines ways in which the Internet is impacting media freedom and freedom of information. We present an example of how human rights movements have developed new tools to document human rights violations and to identify perpetrators to hold them accountable. In the third part we turn to the concept of digital repression – where governments use online tools to repress their citizen. We show how online censorship, surveillance, and propaganda are used to stabilize repressive governments, and present case studies on how hate speech and intrusive spyware have been linked to physical integrity violations.
Emotional appeals are a common manipulation tactic, and it is broadly assumed that emotionality increases belief in misinformation. However, past work often confounds the use of emotional language per se with the type of factual claims that tend to be communicated with emotion. In two experimental studies, we test the effects of manipulating the level of emotional language in false headlines while holding the factual claim constant. We find that, in the absence of a fact-check, the high-emotion version of a given factual claim was believed significantly less than the low-emotion version; in the presence of a fact-check, belief was comparatively low regardless of emotionality. A third experiment found that decreased belief in high-emotionality claims is greater for false claims than true claims, such that emotionality increases truth discernment overall. Finally, we analyze the social media platform X’s Community Notes program, in which users evaluate claims (‘Community Notes’) made by others. We find that Community Notes with more emotional language are less likely to be rated helpful. Our results suggest that, rather than being an effective tool for manipulating people into believing falsehoods, emotional language induces justified skepticism.
Regardless of where you sit, digital is here to stay, and hiding from it won’t change that. Rather, understand it, learn, and accept the benefits and risks as inseparable entities. By understanding digital, we may just understand our patient a little more too. Stepping beyond the patient, and looking at it from a clinical perspective, the world of digital and its application to healthcare has so much more to offer. For mental health services in particular, there is a wide range of digital opportunities to support teams to work differently. This can range from apps, chatbots, online assessments, monitoring and therapies, virtual reality, virtual administration, electronic prescribing and much more. Obviously, it is paramount we consider issues such as safeguarding, cybersecurity and privacy, but the genie is out of the bottle and digital is here to stay!
What is the relationship between social media use and trust in civil society and governance institutions? In many parts of Asia, trust in government remains high despite limited political accountability and civil liberties. This study examines whether online political expression reshapes institutional trust in governance institutions and civil society organizations. The analysis considers the dual role of social media as a site for civic engagement and a channel for disaffection with formal authority. Using data from the Asian Barometer, the findings show that political expression on social media is associated with lower trust in governance institutions and higher trust in nongovernmental organizations (NGOs), a fundamental part of civil society. These effects vary across regimes and survey waves. The results suggest that online expression may erode legitimacy of formal authority while enhancing trust in civil society, thus shaping the political role of NGOs and social media platforms in restrictive political settings.
Many of the psychological topics we have discussed have focused on the mind of the individual, but humans are a fundamentally social species. Recently, the nature of our social interactions has transformed, through our new abilities to connect with people online. This chapter discusses psychological principles of social networks, and how to quantify social networks via graph theory. The chapter examines the small-world phenomenon and the role of social ties via these graph theory measures. We then look at the case of online social networks, what can be learned about you from your profile, and how their use impacts psychological measures. The chapter concludes by showcasing findings on social network representations in the brain, and touching on ethical questions related to social media privacy concerns and AI-based social interactions.
Misinformation on social media is a recognized threat to societies. Research has shown that social media users play an important role in the spread of misinformation. It is crucial to understand how misinformation affects user online interaction behavior and the factors that contribute to it. In this study, we employ an AI deep learning model to analyze emotions in user online social media conversations about misinformation during the COVID-19 pandemic. We further apply the Stimuli–Organism–Response framework to examine the relationship between the presence of misinformation, emotions, and social bonding behavior. Our findings highlight the usefulness of AI deep learning models to analyze emotions in social media posts and enhance the understanding of online social bonding behavior around health-related misinformation.