Suicide is a leading cause of death among youth, and media depictions of suicidal behavior can be a contributing risk factor. Of interest, Instagram recently received more scholarly attention due to its large number of publicly available, explicit, and graphic depictions of self-harm. Importantly, researchers have hypothesized that exposure to this content could be a risk for self-harm and suicide in vulnerable audiences. We tested this hypothesis using a two-wave US panel survey among young adults (N = 729). Analyses indicated that exposure to self-harm on Instagram was associated with suicidal ideation, self-harm, and emotional disturbance even controlling for exposure to other sources with similar content. As hypothesized, exposure to self-harm on Instagram at the first wave prospectively predicted self-harm and suicidality-related outcomes at the second wave 1 month later. These findings provide evidence that such exposure can lead to contagion in vulnerable users. Implications are discussed.

Responsibility frames potentially shape the public perception of health issues such as obesity, diabetes, or mental illness, specifically regarding responsibility attributions for their causes and treatment. Which responsibility frames prevail in the health context, and the responses they may elicit from audiences, has not been studied systematically. This systematic review includes studies with different methodological approaches published between 2004 and 2019 (N = 68). Content analyses (n = 56) show that different media attribute health responsibility most frequently, but not exclusively to individuals. Individual responsibility was especially emphasized for obesity, which was also the most studied health issue. Tendencies toward societal attributions of responsibility emerged over time, particularly regarding health risks for which the frames describe a specific cause (e.g., sugar, trans-fat). Experimental studies (n = 12) indicate that individual responsibility frames reduce policy support. The effects of responsibility frames were, however, not as clear-cut as expected with research gaps regarding behavioral and affective outcomes. Overall, there is a clear emphasis on noncommunicable diseases in this field. Finally, the conceptual focus on individual vs. societal health responsibility distracts from social network influences as another relevant health determinant. The implications for health communication are discussed.

Worldwide, people profit from equally accessible online health information via search engines. Therefore, equal access to health information is a global imperative. We studied one specific scenario, in which Google functions as a gatekeeper when people seek suicide-related information using both helpful and harmful suicide-related search terms. To help prevent suicides, Google implemented a “suicide-prevention result” (SPR) at the very top of such search results. While this effort deserves credit, the present investigation compiled evidence that the SPR is not equally displayed to all users. Using a virtual agent-based testing methodology, a set of 3 studies in 11 countries found that the presentation of the SPR varies depending on where people search for suicide-related information. Language is a key factor explaining these differences. Google’s algorithms thereby contribute to a global digital divide in online health-information access with possibly lethal consequences. Higher and globally balanced display frequencies are desirable.