Basch Corey H, Donelle Lorie, Fera Joseph, Jaime Christie
Department of Public Health, William Paterson University, Wayne, NJ, United States.
Arthur Labatt Family School of Nursing, Western University, London, ON, Canada.
JMIR Form Res. 2022 May 19;6(5):e38340. doi: 10.2196/38340.
Social media platforms that are based on the creation of visual media, such as TikTok, are increasingly popular with adolescents. Online social media networks provide valuable opportunities to connect with each other to share experiences and strategies for health and wellness.
The aim of this study was to describe the content of the hashtag #mentalhealth on TikTok.
This cross-sectional, descriptive content analysis study included 100 videos with the hashtag #mentalhealth on TikTok. All videos that included the hashtag #mentalhealth were analyzed and coded for the presence of content categories. Additionally, the comments to each video were viewed and coded for content in the following themes: offering support or validation; mentioning experience with suicide or suicidal ideation; mentioning experience with self-harm; describing an experience with hospitalization for mental health issues; describing other mental health issues; and sharing coping strategies, experiences of healing, or ways to feel better.
Collectively, the 100 videos studied received 1,354,100,000 views; 266,900,000 likes; and 2,515,954 comments. On average, each video received 13,406,930.69 (SD 8,728,095.52) views; 2,657,425.74 (SD 1,449,920.45) likes; and 24,910.44 (SD 21,035.06) comments. The only content category observed in most (51/100, 51%) of the videos included in the sample was "general mental health." The remaining content categories appeared in less than 50% of the sample. In total, 32% (32/100) of the videos sampled received more than the overall average number of likes (ie, more that 2.67 million likes). Among these 32 videos, 23 (72%) included comments offering support or validation and 20 (62%) included comments that described other mental health issues or struggles.
With over 1 billion cumulative views, almost half of the assessed TikTok videos included in this study reported or expressed symptoms of mental distress. Future research should focus on the potential role of intervention by health care professionals on social media.
以视觉媒体创作为基础的社交媒体平台，如TikTok，在青少年中越来越受欢迎。在线社交媒体网络为人们相互联系提供了宝贵机会，以分享健康和幸福方面的经验与策略。
本研究旨在描述TikTok上#心理健康这个主题标签的内容。
这项横断面描述性内容分析研究纳入了TikTok上带有#心理健康主题标签的100个视频。对所有包含#心理健康主题标签的视频进行分析，并对内容类别进行编码。此外，查看每个视频的评论，并按以下主题对内容进行编码：提供支持或认可；提及自杀或自杀意念经历；提及自我伤害经历；描述因心理健康问题住院的经历；描述其他心理健康问题；分享应对策略、康复经历或感觉好转的方法。
总体而言，所研究的100个视频共获得13.541亿次观看量、2.669亿次点赞以及251.5954万条评论。平均每个视频获得1340.693069万次（标准差872.809552万次）观看量、265.742574万次（标准差144.992045万次）点赞以及24910.44条（标准差21035.06条）评论。样本中大多数（51/100，51%）视频中观察到的唯一内容类别是“一般心理健康”。其余内容类别出现在不到50%的样本中。总共32%（32/100）的抽样视频获得的点赞数超过总体平均点赞数（即超过267万次点赞）。在这32个视频中，23个（72%）包含提供支持或认可的评论，20个（62%）包含描述其他心理健康问题或困扰的评论。
本研究中评估的TikTok视频累计观看量超过10亿次，几乎一半的视频报告或表达了心理困扰症状。未来的研究应关注医疗保健专业人员在社交媒体上进行干预的潜在作用。
