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Chronicles

The story behind the story

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Amid a mental health crisis because of COVID-19, Stanford researchers found that most tech platforms have no policies related to discussions of self-harm

Exclusive: Amid a rising mental health crisis, Stanford researchers find many companies ignoring posts about self-harm

Platformer Casey Newton

Context & Ripple Effects

This study lands between two earlier beats in the same arc: Facebook had already moved in 2019, tightening its rules on self-harm, suicide, and eating disorder content after consulting experts, while researchers separately argued that platforms need [[a:938867|in-house mental health knowledge to understand what their recommendation algorithms do to users with mental illness]].

The Stanford finding reframes those moves as exceptions rather than the norm: with COVID-19 driving a mental health crisis, most platforms still have no written policy at all for self-harm discussions — and later reporting showed the problem compounding, with self-harm posts on Twitter rising through mid-2022, including graphic photos with high engagement.

First-order effects

  • Platforms named in the study with no self-harm policy now have a documented benchmark they can be measured against, while Facebook's earlier expert-consulted rules become the reference point others are compared to.
  • Mental health researchers and advocates gain a concrete gap to cite when pressing platforms, instead of arguing from anecdote.

Second-order effects

  • Advertiser-sensitive platforms face pressure to adopt policies reactively once peers like Facebook demonstrate a template exists, turning content governance into a competitive baseline rather than a differentiator.
  • The absence of causation evidence — researchers note studies linking social media and mental health don't establish it — makes holding platforms accountable for algorithms that promote self-harm legally difficult, shifting enforcement weight onto voluntary policy commitments like the ones this study audited.

Third-order effects

  • If the pattern holds, platform duty-of-care for vulnerable users becomes a patchwork defined by whichever company moved first and whatever researchers can document, until regulators step in where voluntary policies are absent — the structural outcome the causation debate leaves unresolved.

The trend: Platform responsibility for user mental health is being set researcher-by-researcher and platform-by-platform, with early movers' policies becoming the de facto standard the rest of the industry is judged against.

Discussion

  • @caseynewton Casey Newton on x
    I got the first look at new research on platform policies around self-harm. A surprising number of companies have no policies at all — even amid a growing mental health crisis. From Stanford's excellent @ShelbyAPerkins, @elenacryst, and @shelbygrossman https://www.platformer.news…
  • @carnage4life Dare Obasanjo on x
    @CaseyNewton @ShelbyAPerkins @elenacryst @shelbygrossman What does a messaging app policy on self-harm even look like? A friend texts you that they are contemplating suicide and iMessage kicks them off the platform?
  • @stanfordio @stanfordio on x
    CW: Suicide, self-injury, ED 📢Today: A report from @ShelbyAPerkins @shelbygrossman & @elenacryst compares public-facing policies of 39 online platforms for policies on suicide, self-injury, and eating disorder content. Key takeaways in 🧵⤵️ https://cyber.fsi.stanford.edu/ ...
  • @ekp Ellen K. Pao on x
    “We're more than a decade into the platform era, but there are still so many big questions to figure out.” @CaseyNewton on missing platform policies on posts about self-harm https://www.platformer.news/ ...
  • @etbrooking Emerson T. Brooking on x
    The @stanfordio team has led the field in smart platform policy analysis: first in election misinformation, then vaccine falsehoods, and now the terribly complex issue of self-harm. Great work by @ShelbyAPerkins, @elenacryst, & @shelbygrossman. https://cyber.fsi.stanford.edu/ ...