Influencer Stories of Mental Health and Young People.
Lead Research Organisation:
UNIVERSITY OF BIRMINGHAM
Department Name: English Language and Literature
Abstract
This project will explore how stories told by social media influencers ('influencers') can help young people or put them at risk as they gain awareness of, and respond to, challenges in mental health.
Currently, there is a worrying gap between the number of young people experiencing mental health difficulties and those who access the help they need. One of the largest barriers to accessing timely support is the knowledge and attitudes about mental illness and how to seek help (that is, poor mental health literacy). Knowing how to find and evaluate information about mental health is critical for young people as they navigate life's challenges, especially in the context of social media where there is a wealth of easily accessible information which varies in quality.
Influencers are among the most frequently followed accounts by young people in the UK, with audiences of millions. Mental health is often discussed in the stories that influencers share on social media sites like Instagram, Tiktok and YouTube. These stories are told in short-form videos which convey mental health experiences in distinct and powerful ways through words, music, images and editing effects. Influencer industry is largely unregulated which means that lay persons and professionals alike can offer information about mental health. Little is known about the quality of the mental health information influencers provide and the impact on young people's knowledge, emotions, attitudes and behaviours.
We will analyse the stories about mental health offered by influencers and work directly with young people to help them develop strategies to evaluate and respond effectively to this communication. We will do this in collaboration with the McPin Foundation, developing evidence-based resources for young people and those who support them (peers, families, educators).
We will use a combination of methods from applied linguistics and psychology in a co-designed project that is structured in three phases.
(1) Using narrative analysis, we will map out and categorise the types of mental health stories told by influencers in the videos they post on social media sites. We will analyse the responses to these stories to identify how mental health issues are reproduced, transformed and gain visibility online. We will work with mental health professionals and young people to evaluate the quality of these stories.
(2) Using frameworks from interpretive psychology, we will explore the impact of influencers' stories on the knowledge, beliefs and behaviour of young people, through focus groups and interviews. We will work with young people to define their key concerns about how influencers use stories to communicate about mental health.
(3) We will work with young people, mental health practitioners, parents and educators to co-design materials that will help young people best navigate the mental health information provided by influencers. We will deliver this content through a digital showcase with McPin and resources for national, third sector providers (e.g. Care for the Family and Futurum Careers).
The research comes at a time when regulation of influencer communication has become a matter of parliamentary concern (see Influencer Culture Inquiry, 2022). There is little consensus about how best to address the risks to and opportunities for young people's mental health in this context. Our research will explore solutions so young people can use social media in a safe and helpful way. We will generate knowledge which will be useful to educators, families and groups who support young people's mental health. The analyses will also provide insights to support sensitive and appropriate policy-making around influencers and health communication. The outcomes of our research will be shared with national and international audiences through publications, conferences and workshops.
Currently, there is a worrying gap between the number of young people experiencing mental health difficulties and those who access the help they need. One of the largest barriers to accessing timely support is the knowledge and attitudes about mental illness and how to seek help (that is, poor mental health literacy). Knowing how to find and evaluate information about mental health is critical for young people as they navigate life's challenges, especially in the context of social media where there is a wealth of easily accessible information which varies in quality.
Influencers are among the most frequently followed accounts by young people in the UK, with audiences of millions. Mental health is often discussed in the stories that influencers share on social media sites like Instagram, Tiktok and YouTube. These stories are told in short-form videos which convey mental health experiences in distinct and powerful ways through words, music, images and editing effects. Influencer industry is largely unregulated which means that lay persons and professionals alike can offer information about mental health. Little is known about the quality of the mental health information influencers provide and the impact on young people's knowledge, emotions, attitudes and behaviours.
We will analyse the stories about mental health offered by influencers and work directly with young people to help them develop strategies to evaluate and respond effectively to this communication. We will do this in collaboration with the McPin Foundation, developing evidence-based resources for young people and those who support them (peers, families, educators).
We will use a combination of methods from applied linguistics and psychology in a co-designed project that is structured in three phases.
(1) Using narrative analysis, we will map out and categorise the types of mental health stories told by influencers in the videos they post on social media sites. We will analyse the responses to these stories to identify how mental health issues are reproduced, transformed and gain visibility online. We will work with mental health professionals and young people to evaluate the quality of these stories.
(2) Using frameworks from interpretive psychology, we will explore the impact of influencers' stories on the knowledge, beliefs and behaviour of young people, through focus groups and interviews. We will work with young people to define their key concerns about how influencers use stories to communicate about mental health.
(3) We will work with young people, mental health practitioners, parents and educators to co-design materials that will help young people best navigate the mental health information provided by influencers. We will deliver this content through a digital showcase with McPin and resources for national, third sector providers (e.g. Care for the Family and Futurum Careers).
The research comes at a time when regulation of influencer communication has become a matter of parliamentary concern (see Influencer Culture Inquiry, 2022). There is little consensus about how best to address the risks to and opportunities for young people's mental health in this context. Our research will explore solutions so young people can use social media in a safe and helpful way. We will generate knowledge which will be useful to educators, families and groups who support young people's mental health. The analyses will also provide insights to support sensitive and appropriate policy-making around influencers and health communication. The outcomes of our research will be shared with national and international audiences through publications, conferences and workshops.
Publications
Christiansen A
(2025)
Multimodal Analysis of Stories Told by Mental Health Influencers on TikTok.
in Health expectations : an international journal of public participation in health care and health policy
| Title | Influencer Story Collectors Gallery |
| Description | Our research found that young people were most likely to engage with stories from their peers as a means of support for their mental health and wellbeing. To increase the range of stories that raise awareness of the challenges and benefits social media offers young people, we created a peer-led digital gallery of stories (paintings, poems, videos and stories) from young people about their experiences of mental health. |
| Type Of Art | Artistic/Creative Exhibition |
| Year Produced | 2026 |
| Impact | The digital gallery is live but launching on 25 March, 2026, so we cannot evidence notable impacts yet. |
| URL | https://influencerstories.bham.ac.uk/researchdata/stories/ |
| Title | Men's Mental Health: Conversations about the role of sports |
| Description | Our research found that young men experienced considerable stigma in relation to mental health and that there was a lack of engaging content from SMI that might promote better mental health literacy through informal learning on social media. To address this need, we created a targeted social media campaign co-designed with young men and created by Health Media Consultants (Clinician Creators with TikTok) who have a combined reach of >500k followers across their social media. |
| Type Of Art | Artefact (including digital) |
| Year Produced | 2026 |
| Impact | The content was posted between 15 Feb - 15 March 2026 Quantitative data to measure scale of reach will be gathered via social media metrics. Qualitative data (via focus groups) and comments to the social media will evidence the changes in young people's knowledge, attitudes and help-seeking intentions related to mental health issues. We will collect this evidence in late March 2026. |
| URL | https://influencerstories.bham.ac.uk/researchdata/resources/mens-mental-health/ |
| Description | This award is still active, so the findings are not yet complete. Our key findings so far are as follows: We have identified the narrative styles used by influencers on TikTok to convey information about mental health, showing a gap between professionals who convey information and lived experience accounts which share stories of recovery. We have identified the distinctive forms of advice giving used by mental health influencers and the risks associated with this. With mental health professionals, we have identified a list of harms and helps that arise from these different formats which include but go beyond misinformation (especially relating to recommending unregulated supplements), and including self-diagnosis, separating young people from professional help, inducing hypervigilance and being led to unwanted further harmful content. From focus groups with 75 young people, we identified a range of barriers and beliefs that stop young people accessing the help that they need for their mental health - including help from influencers. This includes disengagement from content about mental health due to fatigue with awareness-raising campaigns, a distrust of the medical professionals and of online content, a lack of diversity in influencer representation, persistent gendered and racist beliefs that make it difficult for people who identify as from ethnic minority groups or for young men to access support for their mental health. We identified the skills that young people bring to their evaluation of content from mental health influencers, current gaps in their awareness and have made recommendations about how this should be addressed. |
| Exploitation Route | The methods used in our analysis of the TikTok materials have been used in workshops within the UK and Europe to help other researchers analyse the short form video content from social media sites. This facilitates further analysis of data of this kind. Our research outputs provide a benchmark against which future public health communication about mental health can be evaluated (e.g. in comparison to AI generated content on social media), identifying the key areas of risk in misinformation about mental health. Our education resources are being made available to over 100 schools in the UK, with further routes to making these available under discussion. |
| Sectors | Digital/Communication/Information Technologies (including Software) Education Healthcare |
| URL | https://influencerstories.bham.ac.uk/ |
| Description | The research in this project has underpinned a suite of resources to improve mental health literacy in young people and those who support them in the following ways: · the research has changed teaching practice and training through new, youth-led resources, in turn raising young people's awareness of misinformation about mental health; · by creating digital content for the national charity, Care for the Family, there is improved provision of mental health resources for parents and carers; · We have shaped government debates about media literacy and informed policy work on communicative harms; · we have supported the work of TikTok's Clinician Creator Network through a co-designed campaign about men's mental health, also benefitting young people and the wider public. |
| First Year Of Impact | 2025 |
| Sector | Communities and Social Services/Policy,Education,Healthcare |
| Impact Types | Societal Policy & public services |
| Description | CPD webinar - Secondary Teachers |
| Geographic Reach | National |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Description | Care for the Family - Resources for Parents and Carers |
| Geographic Reach | National |
| Policy Influence Type | Influenced training of practitioners or researchers |
| URL | https://influencerstories.bham.ac.uk/researchdata/resources/parents-and-carers/ |
| Description | Public Engagement Webinar: 'WTF, this is so dangerous!' Social Media Influencers and Youth Mental Health |
| Geographic Reach | Multiple continents/international |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Description | Scroll Smart: Educational Resources to combat misinformation and mental health |
| Geographic Reach | National |
| Policy Influence Type | Contribution to new or improved professional practice |
| URL | https://influencerstories.bham.ac.uk/researchdata/resources/education/ |
| Description | Training for TikTok's Clinician Creator Network |
| Geographic Reach | National |
| Policy Influence Type | Contribution to new or improved professional practice |
| URL | https://influencerstories.bham.ac.uk/researchdata/resources/mens-mental-health/ |
| Description | Training for health professionals in public health |
| Geographic Reach | National |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Description | Written Evidence submitted to House of Lords Media Literacy |
| Geographic Reach | National |
| Policy Influence Type | Contribution to a national consultation/review |
| URL | https://publications.parliament.uk/pa/ld5901/ldselect/ldcomm/163/16302.htm |
| Description | Interview for national news |
| Form Of Engagement Activity | A press release, press conference or response to a media enquiry/interview |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Public/other audiences |
| Results and Impact | Dr Alex Christiansen was interviewed on behalf of the project by The Economist, resulting in two quotes about our research findings included in The Intelligence Podcast. |
| Year(s) Of Engagement Activity | 2024 |
| URL | https://shows.acast.com/theintelligencepodcast/episodes/between-estonia-and-a-hard-place-nato-meets?... |
| Description | Mental Health Professionals Workshop |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Seven mental health professionals attended the project workshop which generated much debate about the harms which arise from influencer communication as a form of public health. |
| Year(s) Of Engagement Activity | 2024 |
| Description | Practitioner Group Workshop (Language and Health) |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | 20 health professionals attended the workshop on Language and Health Communication at the University of Birmingham, which sparked questions and discussions afterwards. We have been invited to provide further information for trainee GPs about our research findings. |
| Year(s) Of Engagement Activity | 2024 |
| Description | Project Blog |
| Form Of Engagement Activity | Engagement focused website, blog or social media channel |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Study participants or study members |
| Results and Impact | The project blog has published three posts to date, responding to media reports on the topic of our research. |
| Year(s) Of Engagement Activity | 2024 |
| URL | https://blog.bham.ac.uk/influencerstories/ |
