Analysis of nonsuicidal self-injury posts on Twitter: A quantitative and qualitative research




Self-Injurious Behavior; Internet; Mental health.


Retrospective study, of mixed approach, with quantitative and qualitative approaches, with the objective of analyzing posts about non-suicidal self-harm on Twitter. The posts were collected through screen capture, transcribed and encoded. Quantitative data were analyzed using descriptive statistics, association tests and multiple logistic regression, with a significance level of 5%. Qualitative data were analyzed using thematic analysis by Braun and Clarke. In the results, female profile tweets and potentially harmful content prevailed. The expression of the suicidal behavior of the author of the post was associated with the encouragement of non-suicidal self-harm and increased chances of sharing and commenting on the posts. Reply posts were more likely to receive likes and comments. Posts encouraging non-suicidal self-harm describe social manifestations of behavior and exposure to non-suicidal self-harm through mass communication. The results bring important discussions about the potential impact of posts on non-suicidal self-harm and reflection on the discussion of behavior in the digital social context. It is important that mental health actions include tracking risk behaviors on the internet, supporting people in situations of vulnerability, redirecting to support services, as well as strategic actions to promote the conscious and healthy use of social networks.


American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders. Arlington.

Bosman, M., & Meijel, B. Van. (2008). Perspectives of Mental Health Professionals and Patients on Self-Injury in Psychiatry : A Literature Review. 180 Archives OfPsychiatric Nursing, 22(4), 180–189.

Braun, V. & Clarke, V. (2006). Thematic_Analysis_Revised_-_Final. Qualitative Research in Psychology, 3((2)), 77–101.

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.

Brown, R. C., Fischer, T., Goldwich, A. D., Keller, F., Young, R., & Plener, P. L. (2018). # cutting : Non-suicidal self-injury ( NSSI ) on Instagram. Psychological Medicine, 48(2), 337–346.

Cassel, P. A., Terribile, T. G. & Machado, J. C. (2019). Por trás da tela: uso e consequências dos jogos online para multijogadores. Research, Society and Development, 8(10):e-498101421.

Costa, J. dos S., Silva, A. C., & Vedana, K. G. G. (2019). Postagens sobre autolesão não suicida na internet. Adolescencia & Saúde, 16(1), 7–12.

Fox, K. R., Millner, A. J., Mukerji, C. E., & Nock, M. K. (2017). Examining the role of sex in self-injurious thoughts and behaviors. Clinical Psychology Review, (June), 0–1.

Frost, M., Casey, L., Frost, M., & Casey, L. (2016). Who Seeks Help Online for Self-Injury ? Who Seeks Help Online for. USUI, 20(1), 69–79.

Vedana, K. G. G., Donato, G. D. I., Miasso, A. I., Carolina, A. N. A., Zanetti, G., & Borges, T. L. (2018). Most popular posts about suicide in blogs Postagens mais populares sobre suicídio em blogs. Pensar Enfermagem, 22(1), 61–74.

Vedana, K. G. G., Silva, A. F., Corrêa, C., Pereira, M., & Silva, G. L. (2018). Blue Whale”: blog posts about the suicide game. J Contemp Nurs, 7(1), 1–7.

Hasking, P., & Rose, A. (2016). A Preliminary Application of Social Cognitive Theory to Nonsuicidal Self-Injury. Journal of Youth and Adolescence, 45(8), 1560–1574.

Hetrick, S. E., Robinson, J., Burge, E., Blandon, R., Mobilio, B., Rice, S. M., & Davey, C. G. (2018). Youth codesign of a mobile phone app to facilitate self-monitoring and management of mood symptoms in young eople with major depression, suicidal ideation, and self-harm. Journal of Medical Internet Research, 20(1), 1–19.

Hooley, J. M., & Franklin, J. C. (2018). Why Do People Hurt Themselves ? A New Conceptual Model of Nonsuicidal.

Jacob, N., Evans, R., & Scour, J. (2017). The in fl uence of online images on self-harm : A qualitative study of young people aged 16 e 24, 60, 140–147.

Kelada, L., Hasking, P., & Melvin, G. A. (2016). The Relationship Between Nonsuicidal Self-Injury and Family Functioning : Adolescent and Parent Perspectives. Journal of Marital and Family Therapy, 80(8), 1056–1077.

Lewis, S. P., Heath, N. L., Michal, N. J., & Duggan, J. M. (2012). Non-suicidal self-injury , youth , and the Internet : What mental health professionals need to know. Child and Adolescent Psychiatry and Mental Health, 6(1), 1.

Lim, K., Wong, C. H., Mcintyre, R. S., Wang, J., Zhang, Z., Tran, B. X., & Ho, R. C. (2019). Global Lifetime and 12-Month Prevalence of Suicidal Behavior , Deliberate Self-Harm and Non-Suicidal Self-Injury in Children and Adolescents between 1989 and 2018 : A Meta-Analysis. International Journal of Environmental Research and Public Health, 16(22), 4581.

Madjar, N., Shabat, S. Ben, Elia, R., Fellner, N., Rehavi, M., Rubin, S. E., & Shoval, G. (2017). Non-suicidal self-injury within the school context : Multilevel analysis of teachers ’ support and peer climate. European Psychiatry, 41, 95–101.

Marchant, A., Hawton, K., Stewart, A., Montgomery, P., Singaravelu, V., Lloyd, K., & John, A. (2017). A systematic review of the relationship between internet use, self-harm and suicidal behaviour in young people: The good, the bad and the unknown. PloS One, 12(8), e0181722.

Ministério da Saúde. (2012). Resolução no 466, de 12 DE Dezembro de 2012.

Moreno, M. A., Ed, M. S., H, M. P., Ton, A., Selkie, E., H, M. P. (2016). Secret Society 123 : Understanding the Language of Self-Harm on Instagram. Journal of Adolescent Health, 58(1), 78–84.

Muehlenkamp, J. J., & Brausch, A. M. (2016). Reconsidering Criterion A for the Diagnosis of Non-Suicidal Self-Injury Disorder. Journal of Psychopathology and Behavioral Assessment, 547–558.

Pereira, A. S. et. al (2018). Metodologia da pesquisa científica UFSM.

Silva, A. C., & Botti, N. C. L. (2017). Compreensão das Postagens de um grupo de automutilação no Facebook a partir do modelo de prevenção de recaídas de Marlatt.

Tseng, F.-Y.; & Yang, H.-J. (2015). Internet Use and Web Communication Networks , Sources of Social Support , and Forms of Suicidal and Nonsuicidal Self-Injury Among Adolescents : Different Patterns Between Genders. Suicide & Life-Threatening Behavior, 45(110), 178–191.

Vedana, K. G. G., Pereira, C. C. M., Di Donato, G., & Vanzela, A. S. (2018). “13 Reasons Why”: social blog posts about the book and series related to suicidal behavior among young individuals. Enfermagem Revista, 21(1), 2–10.

Wang, J., Plöderl, M., Häusermann, M., & Weiss, M. G. (2015). Understanding Suicide Attempts Among Gay Men From Their Self-perceived Causes. The Journal of Nervous and Mental Disease, 203(7), 499–506.

Whitlock, J. L., Powers, J. L., & Eckenrode, J. (2006). The virtual cutting edge: The Internet and adolescent self-injury. Developmental Psychology, 42(3), 407–417.

Whitlock, J., & Rodham, K. (2013). School Psychology Forum : Understanding Nonsuicidal Self-Injury in Youth, 7(4), 93–110.




How to Cite

SILVA, A. C. .; VEDANA, K. G. G. .; SANTOS, J. C. P. dos; PILLON, S. C. .; VENTURA, C. A. A.; MIASSO, A. I. . Analysis of nonsuicidal self-injury posts on Twitter: A quantitative and qualitative research. Research, Society and Development, [S. l.], v. 10, n. 4, p. e40410413017, 2021. DOI: 10.33448/rsd-v10i4.13017. Disponível em: Acesso em: 19 jun. 2021.



Health Sciences