Internet use and self-injurious behaviors among adolescents and young adults: an interdisciplinary literature review and implications for health professionals.

The ease and accessibility of the Internet has created an environment where individuals can both remain anonymous and interact with others who share their interests. Electronic discussion boards and social-networking sites allow individuals to communicate with others, via public postings, regarding specific topics of interest. These interactions have taken a therapeutic form for adolescents and young adults seeking practical and emotional support on the Internet. Support sites exist for many issues and illnesses, but sites focusing on self-injurious behaviors (SIB) have garnered recent attention because of their potential to either aid in recovery or exacerbate symptoms. SIB are those behaviors in which an individual purposely inflicts harm to his or her body. Based on an interdisciplinary literature review, self-injurious Web sites have been shown to provide anonymous support for individuals experiencing SIB from others who have experienced similar emotions. However, the literature also reveals that some peers who are providing the support are accepting of SIB and guilty of glossing over potentially serious posts. The emotional support received on these sites differs from services those individuals would receive from professionals, such as coping strategies to deal with stressors and a more detailed examination of ominous signs. The use of these Web sites as a help or a hindrance to an individual's recovery from SIB remains highly contested; health professionals should be aware of the pros and cons associated with this phenomenon and should be able to identify safe means of communication for clients suffering from SIB.