Screen addiction affects teens’ mental health. How to spot it, and help

Addictive Screen Use Trajectories and Youth Mental Health

High or increasing trajectories of addictive screen use (social media, mobile phones, or video games) are associated with elevated risks of suicidal behaviors, suicidal ideation, and worse mental health outcomes in US youth.
Photo by Inspa Makers on Unsplash

Yes, addictive screen use trajectories are strongly associated with increased risks of suicidal behaviorssuicidal ideation, and worse mental health outcomes in US youth, according to a cohort study of 4,285 adolescents.

The study emphasized that the pattern of addictive use (characterized by difficulty stopping, withdrawal, tolerance, and conflict), rather than just the total hours of screen time, is the critical factor linking screen engagement to poor mental health.


Key Findings from the Study

High Prevalence of Increasing Addictive Use

  • Nearly one-third (31.3%) of adolescents showed an increasing addictive use trajectory for social media over four years.

  • One-quarter (24.6%) of adolescents showed an increasing addictive use trajectory for mobile phones.

Association with Suicide-Related Outcomes

Both high and increasing addictive use trajectories for all screen types (social media, mobile phones, and video games) were linked to significantly elevated risks of suicide-related outcomes.

Screen Use TrajectoryRisk Ratio (RR) for Suicidal Behaviors (vs. Low Use)
Increasing Addictive Social Media Use2.14 (More than double the risk)
High-Peaking Addictive Social Media Use2.39 (Nearly two-and-a-half times the risk)

Association with Internalizing and Externalizing Symptoms

Youths with problematic screen use also reported more symptoms of mental health distress:

  • High Video Game Addictive Use was associated with the largest difference in internalizing symptoms (e.g., anxiety and depression).

  • Increasing Social Media Addictive Use was associated with the largest difference in externalizing symptoms (e.g., aggression and rule-breaking).

The Distinction from Total Screen Time

The study highlights that total screen time at baseline was not associated with the negative mental health outcomes, underscoring that the quality of engagement (i.e., whether it is compulsive or addictive) is more harmful than the quantity of time spent.

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