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The academy guidelines note that online harassment "can cause profound psychosocial outcomes," including suicide. The widely publicized suicide of a 15-year-old Massachusetts girl last year occurred after she'd been bullied and harassed, in person and on Facebook.
"Facebook is where all the teens are hanging out now. It's their corner store," O'Keeffe said.
She said the benefits of kids using social media sites like Facebook shouldn't be overlooked, however, such as connecting with friends and family, sharing pictures and exchanging ideas.
"A lot of what's happening is actually very healthy, but it can go too far," she said.
Dr. Megan Moreno, a University of Wisconsin adolescent medicine specialist who has studied online social networking among college students, said using Facebook can enhance feelings of social connectedness among well-adjusted kids, and have the opposite effect on those prone to depression.
Parents shouldn't get the idea that using Facebook "is going to somehow infect their kids with depression," she said.
American Academy of Pediatrics:
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