How can I help people reflect on their online activity around suicide and self-harm?
This page has tips on how to guide conversations about online activity around suicide and self-harm. It can help you talk to the people you support about what they do online and how it affects them.
I don't feel anybody has a grasp on self-harm conversations online, not even patients or practitioners, so to understand it requires a good relationship between practitioner and patient.
Person with lived experience on the importance of understanding online experiences together
Why does developing a shared understanding of someone’s internet use matter?
Everyone’s online experiences are different. When you work with people around their online activity you can’t simply advise everyone to make one set of “safer” choices. You should work with each person on the right choices for them.
Together, you should explore how their internet use is affecting their mood and their experiences of suicide and self-harm.
This will help you to understand:
- what support they want and if they have access to it
- whether they have any further needs that aren’t being met
- if there’s anything about their online activity that might make recovery more difficult
- if there’s anything they want to change about their online activity.
What should you talk about?
What motivates their online activity around suicide and self-harm?
Some common motivations for exploring suicide and self-harm online are:
- Searching for people with similar experiences.
- Learning about and getting reassurance for how they feel.
- Expressing how they feel, such as through journaling or creative activities.
- Accessing support.
- Redirecting urges to harm themselves.
- Researching methods and means of harm.
You may find that people aren’t aware of all the reasons they explore content relating to suicide and self-harm. They may describe themselves as “randomly clicking on anything to do with suicide” or “browsing anything about self-harm”. You can work with them to understand the underlying reasons.
If you want more information on why people use the internet to explore suicide and self-harm, read our short guide.
How does their online activity make them feel?
Explore with people how their online activity around suicide and self-harm makes them feel.
Through your conversations, listen to whether:
- they feel comforted, reassured or empowered;
- anything they see makes them feel anxious or upset;
- they feel better or worse after visiting different sites or different types of online activity.
If they are posting about their experiences you can ask:
- how posting makes them feel
- whether it’s a helpful release
- whether they ever regret it
- whether or not they get comments (and how comments affect them)
- if they’ve ever had a post reported (and how that made them feel).
You can also ask how their interactions with others make them feel. Consider whether:
- their interactions help them feel less alone;
- they feel a pressure of responsibility to look after other people online;
- they worry about how things they post or share may affect other people.
Sometimes the people you support will find it hard to tell how they’re feeling. Techniques like keeping a diary can help.
What do they do online?
Ask open questions about what people do online. People may be slow to talk about this or may not want to go into much detail. They may feel private about what they post and share.
This is still a helpful topic because it can help you get a sense of what being online is like for them.
- What kinds of things do they post (producing their own content), view or share (reposting other people’s content)?
- What kind of sites, platforms or social media do they visit? What hashtags do they follow?
- Have they used the internet to investigate methods of harm?
- Do they use the same accounts for everything, or do they have separate accounts for their activity around suicide and self-harm?
Different people will find different things helpful or harmful. So it’s more important to understand their feelings and motivations around their online activity than focusing on specific sites or types of content they view.
If you’d like to know more about the potential risks of online activity, read our short guide.
Don’t try to find people’s accounts or posts online
Ask people about what they do online, but don’t look it up for yourself. This almost always crosses a professional boundary and is an invasion of their privacy. During these conversations it might be helpful to reassure the people you’re talking to that you won’t view anything they post. If there’s a reason why you need to look at something online, discuss that need with them.
How important is their online activity to them?
Try to be open to the fact that some people spend a lot of time online. There can be several reasons for this.
- They may find making connections offline hard and feel unable to talk to people.
- Experiences around suicide and self-harm can be stigmatised offline. This can mean they find it easier to open up about their experiences online.
- Anxiety, agoraphobia and some types of neurodivergence can make it harder for some people to access support and make connections offline. For them, the online world can be particularly important.
Knowing that someone prefers the online world to most other interactions can help you understand what support would be best for them.
You might think it is a negative thing but sometimes you can get good support from recovery communities… You just need to make sure you follow people who are positive influences and good for you.
Person with lived experience on how they get support online
Questions
Here are some questions you can use to help you explore the topics explained above.
- Could you describe the types of things you’d normally look at online relating to suicide or self-harm?
- Could you tell me about any sites or social media you use often?
- Could you tell me about any groups online where you look for support with how you're feeling?
- Can you tell me about ways you find being online helpful?
- Do you ever find things online upsetting? In what ways?
- What do you do if you find something distressing?
- Can you tell me how viewing content relating to suicide or self-harm makes you feel?
- Are there times of the day you’re more often online, and times you aren’t?
- Can you tell me about any other types of support you have? Do you chat to people one to one – online or offline?
- If anything online is upsetting or frustrating you, what do you usually do? Is taking a break easy or difficult?
Keeping the conversation going
If you have ongoing contact with someone, come back to talking about their internet use around suicide and self-harm.
When something changes, that can be a useful time to provide further support.
This includes changes to:
- how they are feeling
- their thoughts, experiences or behaviours around suicide or self-harm
- the amount of time that they’re spending online or what they are doing
- their access to support and services.
To help someone who wants to make changes to their online activity around suicide and self-harm, use our guide to support you can offer.
To find out more about helpful or potentially harmful activity, read our overview of what we know.
Next steps
Read our guide to giving online safety advice and helping people think through if they want to change anything about what they do online.
Can you help us improve our Guidance for Practitioners?
We’re evaluating the helpfulness of this guidance and would like to hear from you.
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- Last reviewed 3rd April 2024
What advice can I give on how to stay safe online?
Once you've helped someone reflect on their online activity they may want to make changes to what they do. Find out how to help them understand their options.
Understanding online activity around suicide and self-harm
We explore why and how people create, share or browse content relating to suicide and self-harm. Learn about the risks and benefits.
Training and resources
Find resources that you can download and share with colleagues, parents and the people you work with.