‘We also don’t know whether these teenagers are less likely to seek help, because if it is the full case that they are more reluctant to seek help when distressed, it might be difficult to reach this vulnerable population,’ stated O’Connor, co-author of an accompanying journal editorial. Dr. Barbara Pena, study director at the emergency section in Nicklaus Children’s Medical center in Miami, added that self-harm and despair are not exclusive to Goth teens. These problems have emerged among teens across the board, Pena said. ‘We are seeing more cutting, more suicides than 10 years ago,’ she said. Pena thinks the Internet and social media donate to this behavior.