A Deeper Look At The Surgeon General’s Report On Kids & Social Media: It’s Not What You Heard
from the we-have-no-evidence,-so-let's-freak-out dept
We had just recently written about the American Psychological Association’s very thorough and detailed report going through much of the research about the impact of social media on the mental health of kids. That report was careful, and nuanced, and basically said that there is little evidence that social media is inherently bad for kids. It noted that studies suggested social media actually seems to be beneficial for many kids, and in the cases where it’s harmful, there are often other, extenuating circumstances. It had many recommendations, focused mainly on better educating children about how to use social media appropriately, rather than any sort of moral panic about it (of course, as we noted, the media still misrepresented the study and claimed it “warned of social media’s potential harm to kids.”)
A few months ago, we also wrote about the giant Pew study on teens and social media, which further found that most teens get real value out of social media, and only a really small percentage of them struggled with social media.
It was nice to see these reports and their thorough, detailed findings, as they pushed back on the growing moral panic that is enveloping much of the media and the political world regarding social media and kids.
So I was curious earlier this week when Surgeon General, Vivek Murthy, released his Social Media and Youth Mental Health report. Nearly all the reporting I saw on it suggested that it was like the opposite of the APA release, and that it talked up how social media was absolutely putting kids at risk and something needed to be done.
But… that’s not exactly what the report says.
Indeed, somewhat bizarrely, it reads kinda like the off-brand version of the APA report, with fewer details, less nuance, and a less clear plan. It cites some of the same studies.
Like the APA report, it also says the evidence of a causal impact is lacking, and (like the APA report) it says that it appears social media is good for some and not good for others. Like the APA report, it clearly lays out the benefits of social media for kids:
Social media can provide benefits for some youth by providing positive community and connection with others who share identities, abilities, and interests. It can provide access to important information and create a space for self-expression. The ability to form and maintain friendships online and develop social connections are among the positive effects of social media use for youth. , These relationships can afford opportunities to have positive interactions with more diverse peer groups than are available to them offline and can provide important social support to youth. The buffering effects against stress that online social support from peers may provide can be especially important for youth who are often marginalized, including racial, ethnic, and sexual and gender minorities. , For example, studies have shown that social media may support the mental health and well-being of lesbian, gay, bisexual, asexual, transgender, queer, intersex and other youths by enabling peer connection, identity development and management, and social support. Seven out of ten adolescent girls of color report encountering positive or identity-affirming content related to race across social media platforms. A majority of adolescents report that social media helps them feel more accepted (58%), like they have people who can support them through tough times (67%), like they have a place to show their creative side (71%), and more connected to what’s going on in their friends’ lives (80%). In addition, research suggests that social media-based and other digitally-based mental health interventions may also be helpful for some children and adolescents by promoting help-seeking behaviors and serving as a gateway to initiating mental health care.
Then it also notes that for some, it might be negative. The same thing Pew and the APA report said. But even there, the report notes that there isn’t necessarily any evidence of a causal link, just “reasons for concern about the potential negative impact.”
And, even there, it looks like Murthy is doing some cherry-picking in how the data is presented. It quotes the Pew study (which again, focused on how only a small percentage of teens had negative experiences with social media, and a larger percentage found it helpful), but just to say that more than a third of those aged 13 to 17 use social media “almost constantly.” This “almost constantly” is trotted out frequently (including in school district lawsuits) without putting it into context. First, social media covers lots of tools. Kids use Discord to communicate with each other (and to track predator teachers), which is way different than just staring at images and videos all day. And again, there are lots of things that kids do “almost constantly” — such as attending school — that we don’t consider to be problematic.
The question is whether this usage is a problem or not, and all of these reports are saying that for most kids, the answer is no. For a very small percentage, however, there are real risks. And efforts should be focused on those individuals, rather than taking away all of the benefits that these reports describe social media as providing kids.
And the report then notes that there are many areas where we just don’t have enough information to say one way or another what’s a good approach and what’s bad. That’s also useful, as hopefully it will lead to even more research on this stuff.
Unfortunately, though, after this opening, the report basically says “well, even though we don’t really have enough evidence that social media is bad for kids, and a bunch of evidence of how it’s good, we should stop kids from using it just in case it turns out to be bad.” Which is… a really weird takeaway, unless, you are writing to a foregone conclusion that the details of your report don’t actually support:
Our children and adolescents don’t have the luxury of waiting years until we know the full extent of social media’s impact. Their childhoods and development are happening now. While social media use can have positive impacts for some children, the evidence noted throughout this Surgeon General’s Advisory necessitates significant concern with the way it is currently designed, deployed, and utilized. Child and adolescent use of platforms designed for adults places them at high risk of “unsupervised, developmentally inappropriate, and potentially harmful” use according to the National Scientific Council on Adolescence. At a moment when we are experiencing a national youth mental health crisis, now is the time to act swiftly and decisively to protect children and adolescents from risk of harm.
It is difficult to see how you get to this paragraph and think it makes any sense given all of the other statements. It’s like saying: “Cars are beneficial to people because they help people traverse long distances which has many benefits. Cars are also dangerous because they can crash and kill people. So, while there are benefits and negatives, we have to ban all cars to stop the negatives.”
Life is about tradeoffs. This report highlights all the tradeoffs… and then throws them in the garbage to say “but we can’t worry about the benefits, we just need to focus on stopping the negatives.”
The actual recommendations in the report are a little better, but it includes very dangerous suggestions like age verification (which is a privacy nightmare). It does (like the APA report) talk about how parents have to take on responsibility for educating their kids on the proper use of social media, and how more tools should be provided to them. Those are perfectly good suggestions.
But, of course, with the framing of “we must protect the children” the media had a fucking field say with the report, highlighting only the claims of the harms to children, and totally ignoring how much of the report actually talks about the benefits.






So, uh, yeah. The report says that there are clear benefits, that there may be some risks, but that the research isn’t really there to prove it, and then has a little moral panic saying we need to overprotect before we know what’s happening for sure, and every news org runs with the scare tactic headline.
If it bleeds, it leads, I guess.
Of course, as a separate NY Times article highlights, these Surgeon General advisories have happened a bunch of times over the past few decades, some for good causes, and some have marked real turning points, such as around smoking and drunk driving. However, it also details some pretty embarrassing ones that were total jokes, such as the attempts by Surgeon Generals to insist that TV and video games were damaging to children, both of which were later debunked as moral panics.
What’s almost hilarious is that the 1972 report on the negative effects of TV has many similarities to this new report. It kicks off saying this:

But then immediately says “nevertheless” and immediately just starts listing out studies that claim that watching TV leads to aggression.
So, just like this latest study, there are nods towards the more nuanced position, but then that just gets bowled over by the “but moral panic and fear” part.
Maybe the next Surgeon General can issue an advisory on the impact of moral panics.
Filed Under: kids, kids and social media, moral panic, research, social media, surgeon general, teens, vivek murthy