Alpert Medical School of Brown University, Providence, RI, United States of America; Rhode Island Hospital, Providence, RI, United States of America.
Department of Psychiatry, Harvard Medical School, 401 Park Drive, Boston, MA, United States of America; Department of Psychiatry, Massachusetts General Hospital, Boston, MA, United States of America.
J Affect Disord. 2022 Aug 1;310:235-240. doi: 10.1016/j.jad.2022.05.013. Epub 2022 May 6.
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 (M = 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.
数字媒体，包括智能手机和社交媒体，在年轻人的生活中占据核心地位。本研究旨在探讨数字媒体在青少年精神科住院治疗中的作用。343 名精神科住院的青少年（M=15.2；70.3%为白人，13.7%为黑人，33.9%为西班牙裔；48.7%为女性）完成了自我报告的潜在数字媒体相关住院原因、数字媒体使用模式和临床症状（内化、外化、自杀意念和尝试）的评估。与数字媒体相关的住院原因很常见，超过 40%的样本至少认可一个此类原因；24.8%的人表示他们的手机被没收是住院的原因。年龄较小的青少年和有手机成瘾使用模式的青少年更有可能认可与数字媒体相关的住院原因，包括手机限制和社交媒体上的负面体验。此外，将与自杀相关的社交媒体参与（例如，发布或发送关于自杀的信息）作为入院前兆的青少年报告了更严重的自杀意念和近期自杀尝试的可能性更大。该研究的局限性包括依赖自我报告的评估方法和横断面设计。研究结果强调需要识别那些可能特别容易受到导致精神科住院风险的数字媒体体验影响的青少年。
