title: A Double-Edged Sword: A Review of Benefits and Risks of Online Nonsuicidal Self-Injury Activities.
abstract: OBJECTIVE
  This review aimed to synthesize current evidence on the perceived benefits and risks of online activity pertinent to nonsuicidal self-injury (NSSI).
  
  
  METHODS
  A systematic literature search was conducted to identify peer-reviewed articles, which yielded a total of 27 articles published between 2005 and 2015. Following this, a thematic analysis was employed to identify perceived benefits and risks of online NSSI activity.
  
  
  RESULTS
  Our thematic analysis identified 4 potential benefits (mitigation of social isolation, recovery encouragement, emotional self-disclosure, curbing NSSI urges) and 3 potential risks (NSSI reinforcement, triggering NSSI urges, stigmatization of NSSI) associated with online NSSI activities.
  
  
  CONCLUSIONS
  Given the double-edged effect of online NSSI activities, clinicians may benefit from incorporating clients' online NSSI activity in the context of NSSI assessment and treatment. Future research ought to directly examine the link between online NSSI activity and NSSI behavior to better understand the nature of these benefits and risks.
authors.affiliation: University of Guelph.
authors.forename: Stephen P
authors.initials: SP
authors.lastname: Lewis
authors.affiliation: University of Guelph.
authors.forename: Yukari
authors.initials: Y
authors.lastname: Seko
mesh_terms: D006801:Humans; D020407:Internet; D016728:Self-Injurious Behavior / Q000523:psychology*
keywords: Internet; benefits; nonsuicidal self-injury; review; risks; self-injurious behavior