{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T21:54:57Z","timestamp":1791323697012,"version":"4.3.1"},"reference-count":8,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,12,13]],"date-time":"2023-12-13T00:00:00Z","timestamp":1702425600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Adoles Ment Health"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:p>Most social media platforms censor and moderate content related to mental illness to protect users from harm, though this may be at the expense of potential positive outcomes for youth mental health. Current evidence does not offer strong support for the relationship between censoring mental health content and preventing harm. In fact, existing moderation strategies can perpetuate negative consequences for mental health by creating isolated and polarized communities where at\u2010risk youth remain exposed to harmful content, such as pro\u2010eating disorder communities that use lexical variants to evade censorship. Social media censorship of content related to mental illness can also silence positive discourse about mental health, create barriers to accessing online support and resources, and hinder research efforts on youth well\u2010being. Social media content about mental health can have important positive impacts on youth mental health by facilitating help\u2010seeking, depicting positive coping strategies, and promoting a sense of belonging for struggling youth, but these benefits are minimized under existing moderation and censorship practices. This article presents a call to action for evidence\u2010based social media policies and for practitioners to consider the clinical implications of social media engagement when connecting with young patients.<\/jats:p>","DOI":"10.1111\/camh.12689","type":"journal-article","created":{"date-parts":[[2023,12,13]],"date-time":"2023-12-13T07:39:05Z","timestamp":1702453145000},"page":"104-106","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Debate: Social media content moderation may do more harm than good for youth mental health"],"prefix":"10.1111","volume":"29","author":[{"given":"Cindy C.","family":"Zhang","sequence":"first","affiliation":[{"name":"Division of Neurology, Department of Medicine The University of British Columbia  Vancouver BC Canada"},{"name":"British Columbia Children's and Women's Hospital  Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grayden","family":"Zaleski","sequence":"additional","affiliation":[{"name":"Division of Neurology, Department of Medicine The University of British Columbia  Vancouver BC Canada"},{"name":"British Columbia Children's and Women's Hospital  Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaya N.","family":"Kailley","sequence":"additional","affiliation":[{"name":"Division of Neurology, Department of Medicine The University of British Columbia  Vancouver BC Canada"},{"name":"British Columbia Children's and Women's Hospital  Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katelyn A.","family":"Teng","sequence":"additional","affiliation":[{"name":"Division of Neurology, Department of Medicine The University of British Columbia  Vancouver BC Canada"},{"name":"British Columbia Children's and Women's Hospital  Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahala","family":"English","sequence":"additional","affiliation":[{"name":"Division of Neurology, Department of Medicine The University of British Columbia  Vancouver BC Canada"},{"name":"British Columbia Children's and Women's Hospital  Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Riminchan","sequence":"additional","affiliation":[{"name":"Division of Neurology, Department of Medicine The University of British Columbia  Vancouver BC Canada"},{"name":"British Columbia Children's and Women's Hospital  Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie M.","family":"Robillard","sequence":"additional","affiliation":[{"name":"Division of Neurology, Department of Medicine The University of British Columbia  Vancouver BC Canada"},{"name":"British Columbia Children's and Women's Hospital  Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,13]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"American Academy of Pediatrics. (2021).AAP\u2010AACAP\u2010CHA Declaration of a national emergency in child and adolescent mental health. Available from:https:\/\/www.aap.org\/en\/advocacy\/child\u2010and\u2010adolescent\u2010healthy\u2010mental\u2010development\/aap\u2010aacap\u2010cha\u2010declaration\u2010of\u2010a\u2010national\u2010emergency\u2010in\u2010child\u2010and\u2010adolescent\u2010mental\u2010health\/[last accessed 9 August 2023]."},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.00274"},{"key":"e_1_2_5_4_1","doi-asserted-by":"crossref","unstructured":"Chancellor S. Pater J. Clear T. Gilbert E. &De Choudhury M.(2016).#thyghgapp: Instagram content moderation and lexical variation in pro\u2010eating disorder communities. InProceedings for the 19th ACM conference on computer\u2010supported cooperative work & social computing(pp. 1201\u20131213).https:\/\/doi.org\/10.1145\/2818048.2819963","DOI":"10.1145\/2818048.2819963"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1145\/3512958"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1461444818776611"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/asi.24637"},{"key":"e_1_2_5_8_1","unstructured":"Mosseri A.(2019).Changes we're making to do more to support and protect the most vulnerable people who use Instagram. Instagram Blog. Available from:https:\/\/about.instagram.com\/blog\/announcements\/supporting\u2010and\u2010protecting\u2010vulnerable\u2010people\u2010on\u2010instagram[last accessed 17 April 2023]."},{"key":"e_1_2_5_9_1","first-page":"2677","article-title":"Mental health coping stories on social media: A causal\u2010inference study of Papageno effect","volume":"2023","author":"Yuan Y.","year":"2023","journal-title":"Proceedings of the ACM Web Conference"}],"container-title":["Child and Adolescent Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/camh.12689","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T11:47:51Z","timestamp":1761738471000},"score":1,"resource":{"primary":{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/10.1111\/camh.12689"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,13]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1111\/camh.12689"],"URL":"https:\/\/doi.org\/10.1111\/camh.12689","archive":["Portico"],"relation":{},"ISSN":["1475-357X","1475-3588"],"issn-type":[{"value":"1475-357X","type":"print"},{"value":"1475-3588","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,13]]},"assertion":[{"value":"2023-11-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}