# The mediating role of social media disorder in the relationship between social media use and self-harm behavior in Indonesian adolescents

**Authors:** Fransiska Kaligis, Cokorda Istri Agung Dewinta Adnyani, Kevin Girisamudra Wikanta, Muhammad Dzaky Darmawan, Muhammad Reza, Billy Pramatirta, Ruziana Masiran

PMC · DOI: 10.3389/fpubh.2025.1663729 · Frontiers in Public Health · 2025-10-08

## TL;DR

This study explores how heavy social media use and social media disorder are linked to self-harm behavior in Indonesian adolescents.

## Contribution

The study identifies social media disorder as a partial mediator between social media use and self-harm behavior in adolescents.

## Key findings

- Higher social media usage intensity is significantly correlated with increased self-harm behavior.
- Social media disorder partially mediates the relationship between social media use and self-harm behavior.

## Abstract

Social media use in adolescence has been at an all-time high, along with the constant increase of self-harm behavior. Existing research on the relationship between social media usage and self-harm behavior in adolescent is inconsistent and scarce. We aimed to determine the relationship between adolescent self-harm behavior and social media usage, as well as to explore the mediating role of social media disorder in the relationship between social media use and self-harm behavior in Indonesian adolescents.

A cross-sectional study was conducted to investigate the relationship between self-harm behavior and social media use in 1096 adolescents aged 13–18 years old, who attend secondary and high schools in Jakarta.

Higher social media usage intensity was significantly correlated with increased instances of self-harm (p < 0.001). Similarly, a significant association was found between social media disorder and self-harm behavior (p < 0.001). Confirmatory Factor Analysis (CFA) yielded an acceptable and good fit of latent construct modeling based on several indices. Regression analysis indicated a strong link between social media usage time and social media disorder (β = 0.277, p = 0.035), and between social media disorder and self-harm behavior (β = 0.353, p < 0.001).

Social media usage intensity and social media disorder was associated with self-harm behavior in adolescents, with social media disorder partially mediating the link between social media usage intensity and self-harm behavior. Our findings emphasize the importance of monitoring and managing social media use among adolescents to mitigate the risk of self-harm.

## Full-text entities

- **Diseases:** self-harm (MESH:D012652), social media disorder (MESH:D010033)

## Full text

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## Figures

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## References

30 references — full list in the complete paper: https://tomesphere.com/paper/PMC12540064/full.md

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Source: https://tomesphere.com/paper/PMC12540064