‘I chose the bad’: Youth's meaning making of being involved in self-harm content online during adolescence

Abstract

This article aims to explore how young adults (18–23) who have a history of self-harm experienced involvement in self-harm content online during adolescence. The qualitative data analysis follows the steps of Interpretative phenomenological analysis and resulted in four meta-themes: (1) ‘Solitude during adolescence—finally found a place to fit in’, (2) ‘Tempting but dangerous—a game that never should end’, (3) ‘Searching for self—it was like an online diary’ and (4) ‘No one in charge’. Each superordinate theme characterizes essential features of subjective reasons for becoming involved in and their way out of self-harm content online. Digital involvement is discussed in light of developmental challenges during adolescence—such as exploration of borders, autonomy and self-identity formation. For lonely people, online involvement with self-harm content may enable ‘a potential space’ in between reality and fiction sufficient for relational and personal exploration. Involvement in self-harm content online may cover a need to belong, to express and share problems, and for support. This knowledge should inform clinicians to ask patients about involvement in risk content online and motivate decision-makers to develop ways to detect and support vulnerable adolescents online and offline.