JMIR Publications

ABSTRACT

Background:

Selfie-related injury has become a growing public health concern amid the near ubiquitous use of smartphones and social media apps. Of particular concern are selfie-related deaths at aquatic locations; areas often frequented because of their photogenic allure. Unfortunately, such places exhibit hazards inherent with their environment.

Objective:

The study aimed to ascertain current evidence regarding selfie-related injuries and recommended risk treatment measures in the academic literature as well as how selfie-related injuries and deaths were being reported by the media allowing us to identify key challenges facing Land Managers and Public Health Practitioners in mitigating selfie-related injuries and deaths.

Methods:

Between October and December 2022, we performed a narrative review of peer-reviewed literature published since January 2011. Literature was screened to identify causal factors implicated in selfie-related deaths and injuries, as well as risk treatments recommended. Furthermore, we used an environmental scan methodology to search for media reports of selfie-related injuries and deaths at aquatic locations in Australia and the United States of America (USA). Individual cases of selfie-related aquatic injuries and deaths sourced from news reports were analysed to assess epidemiological characteristics and a thematic content analysis was conducted to identify key themes of news reporting on selfie-related deaths and injuries.

Results:

In total five peer-reviewed studies were included. Four studies identified falls from height as the most common injury mechanism in selfie incidents (33%). Drowning was the second most common cause of death. Recommended risk treatments were limited but included the adoption of “no selfie zones”, physical barriers, signage, and provision of information on dangerous locations to social media users. Twelve cases were identified from media reports reporting (4 injuries and 8 fatalities; 7 in Australia and 5 in the USA). Mean age of the reported victims was 22.3 years, with victims more likely to be female tourists. Content analysis revealed three key themes from media reports: ‘Blame’, ‘Warning’, and ‘Prevention and Education’. Few media reports (n=8) provided safety recommendations.

Conclusions:

The selfie-related incident phenomenon should be viewed as a public health problem that requires a public health risk communication response. To date, little attention has been paid to averting selfie-related incidents through behaviour change methodologies or direct messaging to users, such as through social media apps. Although previous research has recommended “no selfie zones”, barriers, and signage as ways to prevent selfie incidents, our results suggest this may not be enough, and it may be prudent to also engage in direct safety messaging to social media users. Media reporting of selfie incidents should focus on preventive messaging rather than blame or warning.