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A qualitative study of young migrants’ encounters with suicide and self-harm content, connecting and seeking help on social media

Published online by Cambridge University Press:  27 April 2026

Aditya Basu*
Affiliation:
Centre for Youth Mental Health, The University of Melbourne Faculty of Medicine Dentistry and Health Sciences , Australia Suicide Prevention Research, Orygen The National Centre of Excellence in Youth Mental Health , Australia
Greg Armstrong
Affiliation:
The University of Melbourne Nossal Institute for Global Health , Australia
Michelle Lamblin
Affiliation:
Orygen Limited , Australia The University of Melbourne Centre for Youth Mental Health , Australia
Jo Robinson
Affiliation:
The University of Melbourne Centre for Youth Mental Health , Australia Orygen The National Centre of Excellence in Youth Mental Health , Australia
Samuel McKay
Affiliation:
The University of Melbourne Centre for Youth Mental Health , Australia Orygen The National Centre of Excellence in Youth Mental Health , Australia
*
Corresponding author: Aditya Basu; Email: basu@student.unimelb.edu.au
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Abstract

Young migrants encounter heightened challenges as the intersection of their youth and migrant identities magnifies the influence of risk factors for suicide. Social media offers a platform for young migrants to express emotions, seek support and connect with others, often anonymously. However, how they communicate about self-harm and suicide online remains underexplored. This qualitative study involved 17 online interviews with young migrants aged 15–25 years. Transcribed data were coded and thematically explored using Braun and Clarke’s reflexive thematic analysis methodology. Four key themes were identified: (1) Exposed and isolated: The emotional toll of viewing self-harm and suicide-related content on young migrants; (2) Connected but at-risk: The dual role of social media in migrant belonging; (3) Digital belonging across borders: Benefits and strains of staying connected; and (4) Helpful and harmful: The dual nature of support on social media. Social media has a complex impact on young migrants, offering both protective and harmful effects. While exposure to distressing or discriminatory content may exacerbate feelings of isolation and disconnection, social media can also promote belonging, cultural understanding and resilience. It also provides accessible support, though poor-quality advice and stigma may deter help-seeking. These insights can inform culturally responsive mental health interventions.

Information

Type
Research Article
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Author(s), 2026. Published by Cambridge University Press
Figure 0

Table 1. Demographic characteristics of participants

Figure 1

Table 2. Overview of themes and their descriptors

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Author comment: A qualitative study of young migrants’ encounters with suicide and self-harm content, connecting and seeking help on social media — R0/PR1

Comments

Dear Editor-in-Chief,

I hope this letter finds you well. I am writing to submit the manuscript for “A qualitative study of young migrants’ encounters with suicide and self-harm content, connecting and seeking help on social media" for consideration for publication in Cambridge Prisms: Global Mental Health.

Our study explored the perspective of 17 young migrants in Australia who reported viewing self-harm and suicide-related content on social media. Four key themes were identified: (1) Exposed and Isolated: The Emotional Toll of Viewing Self-Harm and Suicide-Related Content on Young Migrants; (2) Connected But At-Risk: The Dual Role of Social Media in Migrant Belonging; (3) Digital Belonging Across Borders: Benefits and Strains of Staying Connected; and (4) Helpful and Harmful: The Dual Nature of Support on Social Media.

This qualitative research paper provides new insights into how young migrants use social media to communicate about self-harm and suicide on social media, as well as use these platforms to seek help for self-harm and suicide. It offers recommendations for opportunities to optimise the positive elements and minimise the risk of harm from the negative elements of social media for migrants. These findings could be of significant interest to policymakers, healthcare providers and researchers in the field of suicide prevention, particularly those with an interest among young people and/or migrants. The study can contribute to ongoing discourse for this marginalised group and lead to the development of policies and technologies aiming to reduce the risk of suicide and self-harm among young migrants. Given the journal’s commitment to publishing research that promotes equity in mental health and acknowledging cultural context in mental health care delivery, we believe that this study aligns well with Cambridge Prisms: Global Mental Health’s aims and scope.

I have attached the manuscript, along with all required submission materials, for your review. I confirm that this manuscript has not been previously published and is not under consideration for publication elsewhere. All co-authors have reviewed and approved the manuscript, and there are no conflicts of interest to disclose.

Thank you for considering this submission. I look forward to your feedback and the opportunity to contribute to Cambridge Prisms: Global Mental Health. Should you require any additional information, please do not hesitate to contact me.

Kind regards,

Aditya Basu

Review: A qualitative study of young migrants’ encounters with suicide and self-harm content, connecting and seeking help on social media — R0/PR2

Conflict of interest statement

None. I have no competing interests related to this manuscript.

Comments

Thank you for the opportunity to review this important and timely manuscript exploring young migrants’ encounters with self-harm and suicide-related content on social media. The topic is highly relevant to Global Mental Health, particularly given the growing concerns around digital environments, migration-related vulnerabilities, and youth suicide prevention.

Overall, the paper is clearly written, methodologically sound, and offers valuable insights into an understudied area. The use of reflexive thematic analysis is appropriate, and the authors successfully integrate individual narratives with theoretical frameworks (Interpersonal Theory of Suicide, Cultural Theory of Suicide), strengthening the conceptual grounding of the findings. The manuscript makes a meaningful contribution to understanding how online spaces shape belonging, identity, and risk among young migrants, and it holds clear implications for policy and digital safety interventions.

Still, several areas could be strengthened to enhance clarity and impact. My detailed comments are below.

Major Comments

1. Conceptual framing of “young migrants” could be clarified: While the authors provide demographic data, the category “young migrants” remains broad. Given the heterogeneity in migration experiences, clarifying whether participants were international students, refugees, first-generation migrants, or other categories would deepen interpretation. Consider adding a short paragraph acknowledging variability in migration trajectories and how this may shape online experiences.

2. More depth is needed around the mechanisms of accidental exposure: Participants commonly report accidental exposure to self-harm content, but the manuscript could better articulate how this occurs (algorithmic pushes, shared content, platform-specific flows). A brief methodological reflection on platform mechanisms would strengthen policy implications.

3. Strengthen the link between themes and suicide prevention strategies: The Discussion section thoughtfully integrates theory but could further specify: how digital platforms might operationalise culturally responsive safety measures; which stakeholders (tech industry, clinicians, community organisations) should act on which findings. More concrete recommendations would increase the practical utility of the study.

4. Reflexivity is well described, but its influence on analysis could be elaborated: The authors discuss their “insider” migrant status, which is commendable.

To enhance transparency, consider adding one or two concrete examples of how reflexive discussions shaped theme development, coding decisions, or interpretation.

5. Sample limitations deserve slightly deeper treatment: The authors acknowledge several limitations, but one important point could be emphasised: “recruitment via a prior survey likely selected participants already willing to discuss self-harm and digital practices, potentially excluding migrants who avoid mental-health-related content due to stigma or cultural norms”. Clarifying this improves transferability assessment.

6. Opportunity to contextualise findings within the commercial determinants of child and adolescent mental health: The Discussion could be strengthened by briefly situating the study within the broader landscape of commercial influences shaping young people’s online environments. As noted by Carrasco JP, Estrella-Porter P, Cerame Á. Commodified upbringings (Int J Soc Psychiatry. 2025;71(6):1014–1029. doi:10.1177/00207640251341078), digital platforms operate through commercial logics that commodify attention and emotional engagement. Incorporating this perspective would help clarify how algorithmic systems, content monetisation, and platform economies may intersect with migration-related vulnerabilities to shape exposure to harmful content, offering a more robust structural interpretation of the findings.

Minor Comments

1. Table 2 is excellent but could benefit from concisely summarising potential risks and protective factors per theme; this would help readers capture theoretical implications at a glance.

2. Some quotations could be shortened or paraphrased to maintain narrative flow, particularly in Theme 1.

3. Consider briefly describing the age distribution of themes (if relevant), e.g., whether younger migrants (15–17) differed in their social media usage or emotional responses.

4. A brief statement on whether participants used predominantly specific platforms (e.g., TikTok vs. Instagram) may be useful for contextualising exposure patterns.

5. A few references (e.g., “in press”) should be updated prior to final publication if available.

Review: A qualitative study of young migrants’ encounters with suicide and self-harm content, connecting and seeking help on social media — R0/PR3

Conflict of interest statement

Reviewer declares none.

Comments

I appreciate the opportunity to review this manuscript and commend the authors for their research on this important topic. The study explores the young migrants' encounters with suicide and self-harm content, connection and seeking help on social media. Overall, I believe the study will significantly contribute to the literature and recommend its acceptance, albeit with minor revision. Below, I provide some comments and suggestions that I hope will strengthen the clarity and overall impact.

Introduction

1. If possible, I would recommend the authors to include data (prevalence) for the migrants engaging in self-harm/hospitalisation due to self-harm in Australia.

2. As the authors‘ are interested in how young migrants’ use social media for seeking help, I would recommend them including more research on how young people use social media to seek help, etc.

Results

1. While the authors are looking at social media as a whole, I wonder if it highlighting perhaps specific social media platforms where the young people are coming across this type of content would further add the nuance to the results.

2. There are themes here on belongingness and connection which should be discussed in the introduction section as well and how that perhaps links into seeking help.

3. It is unclear if young migrants were using social media to seek help from each other or other resources as well such as community pages, official websites such as Beondblue, etc. This needs to be flushed out more in this theme.

4. The authors briefly discuss that the young migrants were facing stigma when seeking help for self-harm. Was this happening in offline spaces or in online spaces or both? If they were experiencing this stigma then where were they turning to to seek help?

Overall, I would recommend the authors to consider rewriting some of the content of all themes. It appears to be very surface level and lacks in-depth reflection of the stories the participants are telling.

Discussion

1. There needs to be further in-depth discussion of young migrants' exposure to negative bits about their culture/country on social media impacted them and how that can perhaps lead to alienation and worsening mental health.

2. There needs to be some consideration given that experiencing stigma for seeking help is perhaps universal. Is there particular research which suggests that this phenomenon is more severe in migrant population? If yes, this needs to be further discussed. Further, I would have liked to see some more discussion about the anonymity afforded by social media in this aspect and how that may help young migrants. There is a bit of research in this area which can be used to add further to discussion.

3. The authors also need to consider how ban on social media for young people in Australia may impact everything. The ban is already in place and needs to be a part of the discussion here.

4. The strength and limitation section is very limited. The authors need to consider adding a bit more study nuance to this section.

Recommendation: A qualitative study of young migrants’ encounters with suicide and self-harm content, connecting and seeking help on social media — R0/PR4

Comments

Dear Authors

Please see enclosed reviewer comments. We will be happy to accept this paper once you have addressed the comments from the two reviewers

Decision: A qualitative study of young migrants’ encounters with suicide and self-harm content, connecting and seeking help on social media — R0/PR5

Comments

No accompanying comment.

Author comment: A qualitative study of young migrants’ encounters with suicide and self-harm content, connecting and seeking help on social media — R1/PR6

Comments

Dear Editorial Team,

Thank you very much for the opportunity to revise our manuscript titled “A qualitative study of young migrants’ encounters with suicide and self-harm content, connecting and seeking help on social media”. We appreciate the insightful and constructive feedback provided by you and the reviewers. We found the comments extremely valuable, and we have revised the manuscript carefully in response to each point.

In the response to the review feedback section, we have provided detailed information on how we have actioned each of the comments in the updated manuscript. Two versions of the manuscript have been updated - one with track changes on to clearly highlight where the changes have been made to the original version, along with a “clean” version with these tracked changes accepted.

We are grateful to the reviewers for their thoughtful engagement with our work. We believe that the revisions have significantly strengthened the manuscript, and we hope it will now meet the journal’s publication standards.

Please do not hesitate to let us know if any further adjustments are needed.

Kind regards,

Aditya Basu

Recommendation: A qualitative study of young migrants’ encounters with suicide and self-harm content, connecting and seeking help on social media — R1/PR7

Comments

No accompanying comment.

Decision: A qualitative study of young migrants’ encounters with suicide and self-harm content, connecting and seeking help on social media — R1/PR8

Comments

No accompanying comment.