The Use of Social Networking Sites by Adolescents with Psychiatric Illnesses: A Qualitative Study

Background: Social networking sites (SNSs) are increasingly dominant platforms for communication among adolescents. Recently, concerns have been raised about the risks involved with SNS use, particularly among more vulnerable adolescents. Objective: Our goal was to explore the experience of SNS use by adolescents with psychiatric illnesses. We also sought to understand the ways in which these sites may be a useful way to communicate—as well as a potential source of increased stress—for this vulnerable population. Methods: We performed a qualitative study by conducting in-depth, semi-structured interviews with 20 adolescents (mean age, 16 years; 15 female and 5 male participants) attending the Yale Adolescent Intensive Outpatient Program, which includes 3 hours of outpatient treatment 3 or 4 days per week. Results: The participants in our study described multiple ways in which SNSs possessed unique utility as platforms for communication. Participants found that SNSs allowed them to reach out to a broader audience and to “broadcast” feelings of distress without forcing any specific person into a supportive discussion. In addition, SNSs were described as lower-stress means of communication that allowed responses to be carefully formulated; this led to participants sharing information that they would not have shared during face-to-face interactions. However, participants also described anxiety surrounding the pressure to be active on SNSs, and they found it stressful to be exposed to pictures and posts involving former romantic