title: Impact of online resources and social media on help-seeking behaviour in youth with psychotic symptoms.
abstract: The objective of the study was to explore the content of existing online resources available to information-seeking youth as psychotic symptoms first emerge and determine how these resources may influence initiation of care.
  
  
  
  Using 18 hypothetical search terms, developed by the Early Treatment Programme (ETP) staff, we searched three of the most popular websites used by the youth (Google, Facebook and Twitter) and extracted the first five hits from each. Sites were categorized into those that encouraged help seeking, those that potentially contribute to treatment delay, those with an undetermined impact and those that were unrelated to treatment.
  
  
  
  An alarmingly few of the first five hits from the top three online resources encourage potentially psychotic youth to seek professional evaluation. The majority of our search results yielded unmonitored chat forums that lacked a unified message. The remainder promoted stigma, normalized potentially psychotic experiences or were completely unrelated to mental health.
  
  
  
  We must develop innovative, easy-to-access and youth-focused online and social media experiences that encourage symptomatic youth to seek care.
authors.affiliation: Psychiatry Research, North Shore - Long Island Jewish Health System, The Zucker Hillside Hospital, Glen Oaks, New York, USA. Mbirnbaum@NSHS.edu.
authors.forename: Michael L
authors.initials: ML
authors.lastname: Birnbaum
authors.affiliation: Psychiatry Research, North Shore - Long Island Jewish Health System, The Zucker Hillside Hospital, Glen Oaks, New York, USA.
authors.forename: Kristin
authors.initials: K
authors.lastname: Candan
authors.affiliation: College of Osteopathis Medicine, New York Insititute of Technology, Old Westbury, New York, USA.
authors.forename: Ilana
authors.initials: I
authors.lastname: Libby
authors.affiliation: William James Hall, Harvard University, Cambridge, Massachusetts, USA.
authors.forename: Olivia
authors.initials: O
authors.lastname: Pascucci
authors.affiliation: Psychiatry Research, North Shore - Long Island Jewish Health System, The Zucker Hillside Hospital, Glen Oaks, New York, USA.
authors.forename: John
authors.initials: J
authors.lastname: Kane
mesh_terms: D006297:Health Services Accessibility; D000066505:Help-Seeking Behavior; D006801:Humans; D020407:Internet; D011618:Psychotic Disorders / Q000175:diagnosis / Q000523:psychology*; D061108:Social Media
keywords: adolescence; duration of untreated psychosis (DUP); early psychosis; first-episode psychosis; social media