4.7 Article

Digital media-related precursors to psychiatric hospitalization among youth

Journal

JOURNAL OF AFFECTIVE DISORDERS
Volume 310, Issue -, Pages 235-240

Publisher

ELSEVIER
DOI: 10.1016/j.jad.2022.05.013

Keywords

Adolescents; Psychiatric hospitalization; Digital media; Social media; Suicide

Funding

  1. National Institute of Mental Health [K23-MH122669, K23-MH126168]
  2. National Institute of General Medical Sciences [P20GM13974]
  3. National Institutes of Health
  4. NIH

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This study examined the role of digital media in psychiatric hospital admissions among adolescents. The findings revealed that digital media-related reasons for hospitalization were common among youth, with younger adolescents and those with addictive patterns of phone use being more likely to endorse such reasons. Moreover, youth who engaged in suicide-related social media activities were more likely to report severe suicidal ideation and recent suicide attempts.
Digital media, including smartphones and social media, are central in youths' lives. This study aimed to examine the role of digital media in psychiatric hospital admissions among adolescents. 343 psychiatrically-hospitalized youth (Mage = 15.2; 70.3% White, 13.7% Black, 33.9% Hispanic; 48.7% female) completed self-report measures of potential digital media-related reasons for hospitalization, patterns of digital media use, and clinical symptoms (internalizing, externalizing, suicidal ideation and attempts). Digital media-related reasons for hospitalization were common, with over 40% of the sample endorsing at least one such reason; 24.8% endorsed having their phone taken away as a reason for admission. Younger adolescents and youth with addictive patterns of phone use were more likely to endorse digital media-related reasons for hospitalization, including phone restriction and negative social media experiences. In addition, youth endorsing suicide-related social media engagement (e.g., posting or messaging about suicide) as a precursor to admission reported more severe suicidal ideation and greater likelihood of a recent suicide attempt. Limitations of the study include a reliance on self-report measures and cross-sectional design. Findings highlight the need to identify youth who may be especially vulnerable to digital media experiences that contribute to risk for psychiatric hospitalization.

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