A landmark study shows that teenagers who exhibit addictive patterns of using social media, mobile phones, or video games are up to three times more likely to experience suicidal thoughts or behaviors than their peers. The research, published in JAMA, tracks youths over several years to examine compulsive screen use and suicidality rather than simply total time online. This shift in focus strengthens the call for nuanced mental health strategies in a digital age.
For Thai parents, educators, and health professionals, the findings raise urgent questions about balancing digital engagement with well‑being. Thailand is navigating rising concerns about digital dependency among youths, and the study underscores the need for supportive approaches that address underlying struggles rather than imposing blunt screen-time limits.
The investigation followed over 4,000 children from around age 10 for four years, assessing digital habits and mental health. Researchers identified “addictive use” as compulsive, uncontrollable engagement with screens, marked by failed attempts to cut back, irritability when devices are unavailable, and disruption to sleep, daily life, and relationships. By year four, nearly 18 percent reported suicidal thoughts and five percent reported suicidality, including attempts or self-harm. Data suggest addictive use is a stronger predictor of suicidality than the sheer amount of time spent online.
“Children and teens who cannot control their use of social media, games, or phones are the ones most at risk,” said a principal author in a leading clinical psychology program. “It’s not about hours; it’s about whether usage interferes with life, mood, relationships, and functioning.” In Thailand, where digital detox conversations are common in schools and homes, the study supports targeted, supportive interventions—helping youths recognize unhealthy patterns and access help—over blanket bans.
Past research has shown that moderate screen use can offer benefits, such as social connection and relaxation, but problematic or addictive use—often tied to underlying psychological distress—can worsen loneliness, anxiety, and depression. The longitudinal design of this study strengthens the case for addressing addiction-like behaviors rather than treating screen time as a standalone problem.
A Thai child psychiatrist notes that digital media overuse is not yet a formal psychiatric diagnosis in most manuals, though gaming disorder is recognized in the ICD-11. From a public health perspective, it is crucial to address not just platforms but the real suffering behind compulsive use. Families frequently observe changes in personality, sleep, appetite, and school performance and need clear guidance on how to respond.
Thailand now faces growing counseling demand for digital dependency. Data from the Mental Health Department of the Public Health Ministry show that cases related to internet and gaming addiction among teens have risen since the pandemic, with figures tripling from pre-COVID levels. Officials emphasize that many cases accompany depression, anxiety, or family conflict, and highlight the isolation and hopelessness reported by youths who feel trapped in their digital habits, which correlates with higher risks of self-harm.
Thailand’s status as a leading user of social media—paired with a high-pressure, exam-focused education system—means digital life is deeply woven into daily routines. For many youths, online communities offer self-expression and peer support, but addiction can turn connection into dependence and hindrances to real-life coping.
Experts worldwide acknowledge that cultural context shapes how digital addiction appears and is addressed. In Thailand, parental expectations and the value placed on academic achievement necessitate prevention programs that acknowledge family dynamics and stressors while providing practical support.
The study’s implications are clear: move beyond broad “screen-time” panic to targeted, science-based interventions. Implementing digital literacy programs in schools—teaching how algorithms and online content influence behavior—can help students navigate online life more safely. Thai schools are piloting such initiatives and could expand them broadly.
Health professionals urge vigilance for red flags of harmful engagement: inability to cut back despite efforts, mood changes tied to device use, secrecy about online activity, sleep or appetite disturbances, social withdrawal, and declining school performance. Open, nonjudgmental conversations and access to counseling are essential tools.
Practical recommendations for Thai families include regular family check-ins on digital well-being, setting screen-free times (meals, bedtime), teaching stress management techniques, modeling balanced use, and seeking professional help when warning signs appear. Schools can integrate digital wellness into curricula and provide student support services.
For those in crisis, the public health hotline 1323 and local mental health services offer confidential support nationwide.
In the Thai context, the goal is not to demonize digital platforms but to reduce harm and foster safe, constructive engagement. Policymakers, schools, and families can collaborate to develop resources, family media plans, and accessible mental health services for at-risk youths.
Sources have been integrated into the narrative to reflect local context and do not appear as separate references. Key institutions referenced include JAMA for the study’s publication and Thailand’s Mental Health Department for local data, with insights from leading Thai clinicians and researchers.