The teen years are a challenging time for people transitioning from adolescence to adulthood, especially if they have mental health issues.The online posting, sending or sharing of hurtful content is like being trapped in a small town, except possibly the whole world sees it. So why would someone do it to themselves?That's the puzzle of digital self-harm. Like older forms of self-harm (cutting, burning, hitting oneself), there is worry it will lead suicidal ideation and attempts, but since peers assume a third-party is the culprit, the dysphoric or abnormal reasons to post cruel, embarrassing or threatening content about themselves is compounded.