key: cord-279207-azh21npc
authors: Sharma, Manoj Kumar; Anand, Nitin; Vishwakarma, Akash; Sahu, Maya; Thakur, Pranjali Chakraborty; Mondal, Ishita; Singh, Priya; SJ, Ajith; N, Suma; Biswas, Ankita; R, Archana; John, Nisha; Tapatrikar, Ashwini; Murthy, Keshava D.
title: Mental Health Issues Mediate Social Media Use in Rumors: Implication for Media Based Mental Health Literacy
date: 2020-05-07
journal: Asian J Psychiatr
DOI: 10.1016/j.ajp.2020.102132
sha: 
doc_id: 279207
cord_uid: azh21npc

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Research involving Human Participants and/or Animals:.All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

J o u r n a l P r e -p r o o f Social media use has recently become immensely popular not only for its leisure activities through connecting people over the world, but also for keeping updated with the current trends through news and sharing information. It provides a perfect platform to interact with others by offering opportunities to share a user's thoughts, emotions, pictures, videos and creative ideas through posts or blogs (Kuss & Griffiths, 2011b , 2011a . Hence, one important characteristic of social media platforms is rapid spreading of information through its users which is usually impactful.

Another concern is when it comes to health related information sharing on social media. As open to all, anyone can produce information and publish in the digital forum, share experiences, form their own perspectives which remain unverified by any professional news channel, editors or factcheckers (Sommariva, Vamos, Mantzarlis, Uyên-Loan Đào, & Tyson, 2018) . Thus, social media comes with its own limitations for misinformation in the form of rumours or fake news (Zubiaga, Liakata, Procter, Wong Sak Hoi, & Tolmie, 2016) . Moreover, once rumors begin to spread on social media, they are very difficult to control with updates or corrections (Jones, Thompson, Dunkel Schetter, & Silver, 2017) . Among these, health rumors which are unverified information regarding the practice of medicine and healthcare, often endanger public health (Oh & Lee, 2019) . Hence, it is important to understand the role and impact of social media in spreading rumours and verify information before sharing it with others.

Research literature has found that social media has power in influencing people's behavior when there is an outbreak of epidemic or pandemic. Over the decades, social media has been flooded with misinformation on diabetes, anorexia as well as anti-vaccination content along with the recent Zika virus or Ebola epidemic (Fernández-Luque & Bau, 2015; Sommariva et al., 2018) . The news of the Ebola epidemic created a climate of global nervousness with rumours and misinformation quickly spreading through social media platforms. Similar trend is being observed with current occurrence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) which has been declared as a pandemic.

Studies have also documented that during crisis events, people often seek out event-related information to stay informed of what is happening. If there is lack of official information, people may be at risk for exposure to rumors that fill the information void (Jones et al., 2017) . Additionally, constant assault of information through social media also leads its users to easily consume available information irrespective of its authenticity. In this is the era of "headline stress disorder", a lot of negative feelings like anxiety, hopelessness, despair, and sadness is fueled by being regulated by the (Sharma & Seshadri, 2020) .

Similarly, suicide is another public mental health problem where media and social media play a significant role in either increasing or curtailing the problem within the society. The available literature in Bangladesh and India suggests that media reporting about suicide includes information which offers details name of the victim, their occupation, method of suicide, images of suicide victims, suicide notes and citations form suicide notes. This is the information which works to make the news attractive and shares details which increase access to information for harming self and may also work to create misinformation or rumors (Arafat, Mali & Akter, 2020; Armstrong et al., 2018; Jain and Kumar, 2016) . However, the media does not highlight information to educate the general population about what are early signs of suicidal behaviors, prevention plans and expert opinions from mental health professionals, helpline numbers for support and availability of emergency services in hospitals. These findings further suggest that the reports in media on suicide do not follow the guidelines issued by the World Health Organization (WHO) and other health regulatory bodies on reporting of suicide in media (Arafat, Mali & Akter, 2020; Armstrong et al., 2018; Cherian, Lukose, Rappaia et al., 2020; Jain and Kumar, 2016) . There are similar irregularities J o u r n a l P r e -p r o o f which indicate reporting of sensitive information about suicide in a detrimental manner in media in china as well (Chu et al., 2018) .

Thus, in the light of the existing information, it becomes understandable that media in all its formats have a huge impact and more significantly has a role to report responsibly the information in an educative format which is related to health of the population. In addition, it needs to be more sensitive and responsible in reporting about public health problems like the SARS-CoV-2, and suicide where the focus is on offering information which is helpful for prevention, details the steps to take in times of the health emergency, offers expert opinions from mental health professionals, helpline numbers for support and emergency services in hospitals. This role of media will surely work to minimize the digital content which leads to creation of misinformation or rumors.

To summarize, in addition to the responsible role of media in reporting about public health problems, the individual's members of the population, the government, policy makers, health regulatory bodies and health professionals need to collaborate and develop guidelines for responsible dissemination of information over all kinds of media formats with respect to public health problems. Such guidelines will also work to improve the media based literacy about health and mental problems among the population and will be extremely helpful for use in times of public health emergencies like the SARS-COV-2 pandemic. The development of such guidelines are crucial as the pattern of epidemics and pandemics changes over time, but the cycle of rumors or fake news or inaccurate media reports continues to revolve around media formats and especially in social media likely due to stress, anxiety and other psychological factors of individuals which requires to be studied in greater detail.

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