David Kahan, Thomas L McKenzie
School and Neighborhood Predictors of Physical Fitness in Elementary School Students
The Journal of school health
selfharm suicide major public health concerns worldwide attention focused web environment helpful harmful influence longitudinal research selfharm suiciderelated internet use limited highlighting paucity evidence longterm patterns effects engaging content study explores experiences people engaging selfharm suicide content 6month period study used qualitative digital ethnographic methods longitudinally including onetoone interviews 3 time points explore individual narratives trajectory analysis approach involving 4 steps used interpret data findings 14 participants established webbased journey people engage selfharm suicide content total 5 themes identified initial interactions selfharm suicide content changes selfharm suicide content people engage changes experiences selfharm suicide behaviors associated webbased selfharm suicide content engagement disengagementreengagement cycle future perspectives webbased selfharm suicide content engagement initial engagements driven participants seeking help often offline support unavailable participants exposure selfharm suicide content led selfharm suicide behaviors varying patterns change time notably disengagement webbased selfharm suicide spaces served protective measure participants pull familiar content resulted brief periods disconnection participants also expressed future intentions continue returning selfharm suicide webbased spaces acknowledging nonlinear nature recovery journey aiming support others community within themes identified study narratives revealed participants behavior shaped cognitive flexibility rigidity metacognitive abilities digital expertise opportunities behavior change arose periods cognitive flexibility prompted life events stressors shifts mental health participants sought diverse potentially harmful content challenging times moved toward recoveryoriented engagements positive circumstances metacognitive digital efficacy skills also played pivotal role participants control webbased interactions enabling effective management content platforms sites posed potential harms study demonstrated complexity webbased interactions beneficial harmful content intertwined participants demonstrated metacognition digital efficacy better control webbased engagements attributed skills study processes including taking part reflective diaries showing potential upskilling users study also highlighted participants remained vulnerable engaging familiar webbased spaces emphasizing responsibility webbased industry leaders develop tools empower users enhance webbased safety