Digital media, gaming and cyberbullying — formative SAQs

SAQ 1 — Cyberbullying, function and the harm-reduction plan (10 marks)

A 14-year-old presents with three months of declining school attendance and tearfulness. Seen alone, they disclose that a group chat has been mocking them daily for weeks, including a manipulated image; they have had thoughts of "not being here" but no plan. They sleep with the phone and check it through the night. [2] [1]

Questions

1. How do you classify this presentation, and what is the single most important discriminator between normative and harmful digital-media use? (3 marks) [7]

2. Outline your same-visit assessment and immediate safety actions, including your suicide-screening response. (4 marks) [2]

3. Describe the harm-reduction plan and the family media plan you would negotiate. (3 marks) [1] [7]

Model answer

Classification and discriminator (3). This is harmful digital-media use, not normative: a cyberbullying crisis with functional impairment (school decline, sleep disruption) and emerging suicidality. The single discriminator is function, not hours of use — whether sleep, mood, school, weight or safety are affected. Here every domain is impaired, and the cyberbullying sits in the conduct and contact cells of the content-contact-conduct-compulsion frame. A systematic review shows cyberbullying victimisation is associated with roughly doubled odds of self-harm and suicidal behaviour, which is why this presentation is high-acuity. [7] [2]

Assessment and safety (4). Move immediately to a structured suicide risk assessment: ideation, plan, intent, prior attempts, access to means, protective factors, ability to keep safe. With suicidal ideation after cyberbullying, secure the means and do not leave the young person alone. Preserve evidence (screenshots), advise against replying, and plan blocking, reporting and takedown of the manipulated image. Explain that confidentiality is limited by serious risk of harm, involve the crisis or mental-health pathway, and engage school and safeguarding as indicated. Do not treat this as routine mental-health follow-up. [2]

Harm-reduction and media plan (3). Negotiate a sleep-protective schedule with the device out of the bedroom overnight; curate or mute the offending accounts and platforms; protect time for sleep, movement and in-person contact; and arrange mental-health support. Build a family media plan that is age-appropriate and negotiated, not imposed — screen-free mealtimes and bedrooms, agreed content boundaries, and a low-threshold way back for review. The stance is harm reduction and motivational interviewing, not an abstinence lecture that ends disclosure. [1] [7]