BackgroundSocial media (SM) has received considerable attention as a potential risk factor for adolescent suicide. Few empirical studies, however, have examined adolescents' daily negative and positive experiences on SM and its proximal impacts on suicidal ideation (SI), particularly using intensive monitoring designs.MethodAdolescents (N = 60; 14–17 years; 49% girls; 62% LGBTQ+) recruited using SM across the United States and participated in an 8‐week intensive monitoring protocol. Ecological momentary assessment (three brief surveys per day) asked about negative and positive SM experiences and SI (passive and active). Multilevel modelling was used to evaluate the within‐person relationships between daily SM experiences (e.g. individual fluctuations compared to a person's average) and SI, controlling for average levels of SM experiences, SM use screen time, and lifetime SI.ResultsSignificant within‐person effects of negative and positive SM experiences were associated with days when adolescents had SI. Specifically, on days when teens endorsed more frequent negative SM experiences than usual, they were more likely to report SI. However, more positive SM experiences than usual were associated with a lower likelihood of having SI. There were no significant effects of SM use (‘screen time’) on SI or on the reverse associations of SI on next‐day SM experiences.ConclusionsResults indicate that SM experiences may be dynamic and modifiable risk and protective factors for SI in adolescents, whereas there is no effect of SM screen time on SI. Our results highlight that targeting negative SM experiences and augmenting the positive experiences on SM may be critical targets to improve teens' mental health and prevent suicide, rather than focusing on limiting SM screen time.

中文翻译：

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积极和消极的社交媒体体验以及青少年自杀意念的近期风险


背景社交媒体（SM）作为青少年自杀的潜在危险因素受到了相当多的关注。然而，很少有实证研究检验青少年日常对 SM 的消极和积极经历及其对自杀意念 (SI) 的近期影响，特别是使用强化监测设计。氮= 60； 14-17岁； 49% 是女孩； 62% LGBTQ+）使用 SM 在美国各地进行招募，并参与为期 8 周的强化监测方案。生态瞬时评估（每天 3 次简短调查）询问消极和积极的 SM 体验以及 SI（被动和主动）。使用多级建模来评估日常 SM 体验（例如，与个人平均值相比的个人波动）和 SI 之间的内部关系，控制 SM 体验的平均水平、SM 使用屏幕时间和终生 SI。结果显着的人内效应消极和积极的 SM 经历与青少年发生 SI 的日子有关。具体来说，当青少年比平常更频繁地认可负面 SM 经历时，他们更有可能报告 SI。然而，比平常更积极的 SM 经历与患 SI 的可能性较低相关。 SM 的使用（“屏幕时间”）对 SI 或 SI 对第二天 SM 体验的反向关联没有显着影响。结论结果表明，SM 体验可能是青少年 SI 的动态且可改变的风险和保护因素，而SM 屏幕时间对 SI 没有影响。 我们的研究结果强调，针对消极的 SM 体验并增强 SM 的积极体验可能是改善青少年心理健康和预防自杀的关键目标，而不是专注于限制 SM 屏幕时间。