
( tiktok )Nurturing Safety and Self-Worth in the Age of Viral Trends
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The digital world, and platforms like TikTok, offer vibrant spaces for creativity, connection, and discovering new passions.1 Many find joy in sharing personal stories, joining communities, and exploring a universe of ideas.1 This ability to connect and express oneself is a wonderful aspect of our modern age, fostering communities and sparking moments of shared laughter and learning.4
However, amidst this exciting landscape, it becomes important to navigate with awareness and care. While many online trends are lighthearted and fun, some can carry hidden risks that are crucial to understand for the well-being of everyone involved.10 The purpose here is not to cast shadows on the joy these platforms can bring, but to gently explore why some trends might not be as harmless as they appear, and to empower individuals with the understanding to make safe and self-affirming choices. The very elements that make platforms like TikTok so engaging—the fun, the sense of belonging, the creative rush—can sometimes make it more challenging to critically assess every piece of content encountered. When an environment feels overwhelmingly positive, it's natural to be less guarded, potentially embracing trends without fully weighing their implications.
The Whirlwind World of Trends: Here Today, Gone Tomorrow
TikTok trends can spring into existence from a multitude of sources. They might bubble up from broader cultural shifts, such as evolving attitudes towards wellness or sustainability.13 Sometimes, they are ignited by pop culture moments—a catchy song, a memorable movie scene, or a celebrity's viral antic.13 Other times, trends are born directly from the platform's unique features, like popular sounds, specific video formats, or hashtag challenges that encourage widespread participation.1 Once sparked, these trends can spread with astonishing speed, often amplified by influencers who adopt them and by the platform's algorithm, which is designed to promote engaging content to a vast audience.2
Many of these viral phenomena are "Trend Moments"—creative prompts or formats that capture widespread attention and participation very quickly, but their lifecycle is often remarkably short, lasting from a few days to a couple of weeks.1 This fleeting nature is a key characteristic. It's true that some movements on the platform, termed "Trend Signals" (emerging behaviors lasting months to years) or "Trend Forces" (major cultural shifts lasting several years), have more staying power.1 However, the trends that often pose risks are these rapid, challenge-based "Moments." The typical TikTok video, for instance, accumulates the majority of its views within the first 24 to 48 hours of being posted, underscoring the rapid consumption and turnover of content.19 This rapid lifecycle, where trends can emerge, peak, and fade in a very short timeframe 13, contributes to a feeling of urgency. When something is perceived as new and exciting, and potentially about to disappear, there can be an intense pressure to "keep up" and participate before it's too late. This feeling is often magnified by the "fear of missing out" (FOMO), a powerful motivator, especially for younger individuals.20 The urgency to join in, fueled by the algorithm that quickly popularizes and then often just as quickly replaces trends 2, can lead to impulsive participation without a thorough consideration of potential risks. This dynamic suggests that the very structure of how trends are disseminated can encourage less thoughtful engagement, making awareness and careful judgment all the more important.
Beyond the Screen: The Real-Life Dangers Lurking in Some Trends
It is with a kind and serious heart that we approach the reality that some online trends, despite appearing as harmless fun, can encourage actions with severe real-world consequences. The intention here is not to assign blame, but to foster awareness, because understanding these potential dangers is the first step towards protecting oneself and others.
Physical Dangers: When "Fun" Turns Harmful
A concerning number of TikTok trends have been documented to encourage behaviors that can lead to significant physical injury, illness, or even worse. These are not abstract concerns; they are evidenced by real-life incidents and warnings from health professionals. For example, challenges involving the misuse of medications, like the "Benadryl Challenge" (encouraging excessive antihistamine use for hallucinations), have led to poisonings, overdoses, hospitalizations, and tragically, even fatalities.10 Similarly, the "NyQuil Chicken" or "Sleepy Chicken" challenge, which involved cooking chicken in cough medicine, prompted warnings from the U.S. Food & Drug Administration about the dangers of misusing and heating medications.12
Other trends involve dangerous physical stunts. The "Skull Breaker Challenge," where individuals are tripped mid-air, has resulted in severe head trauma, fractures, spinal injuries, and in some cases, paralysis or death.10 The "Blackout Challenge," which encourages participants to induce fainting through self-asphyxiation, carries extreme risks of brain damage and death.22 The "Fire Challenge," involving flammable liquids, has caused severe burns and related injuries.10 Even seemingly less extreme trends like the "Milk Crate Challenge" (walking on unstable stacks of milk crates) have led to falls resulting in broken bones and head or spinal trauma.10 Trends like the "Orbeez Challenge" or other pellet gun challenges, where participants shoot gel beads or projectiles at others, have caused eye injuries, soft tissue damage, and have even led to arrests and felony assault charges.10 The "Devious Licks" trend encouraged vandalism and theft of school property, leading to disciplinary actions and property damage.26
The societal impact is measurable, with reports indicating a rise in emergency department visits linked to social media stunts and an increase in calls to poison centers corresponding with ingestion-based challenges.31 This underscores that the dangers are not isolated incidents but part of a broader pattern of harm.
To illustrate the gravity of these risks, the following table provides a summary of some documented dangerous TikTok challenges and their potential consequences:
Challenge Name | Brief Description of the Trend | Documented Physical/Health Risks & Consequences |
Benadryl Challenge | Taking excessive amounts of the antihistamine Benadryl to induce hallucinations. | Poisoning, overdose, seizures, severe heart problems (including arrhythmias, cardiac arrest), coma, and death.10 |
Blackout Challenge (Choking Challenge) | Intentionally cutting off oxygen supply to oneself or others to induce a temporary blackout or high. | Hypoxia (oxygen deprivation to the brain), seizures, serious brain damage (often irreversible), and death. Several child fatalities have been linked to this challenge.22 |
Skull Breaker Challenge | Two people kick the legs out from under a third person as they jump, causing a backward fall. | Severe head trauma (concussions, skull fractures, brain hemorrhages), neck and spinal cord injuries, broken bones, paralysis, and death.10 |
Fire Challenge | Applying flammable liquid (e.g., rubbing alcohol, hand sanitizer) to oneself or objects and igniting it. | Severe first, second, and third-degree burns requiring hospitalization and skin grafts, permanent scarring, inhalation injuries, respiratory problems, and property damage if the fire spreads.10 |
Milk Crate Challenge | Attempting to walk or climb across a pyramid or line of stacked, unstable milk crates. | Painful falls leading to fractures (arms, legs, wrists, ankles), broken bones, joint dislocations, concussions, head trauma, and spinal cord injuries.10 |
Orbeez Challenge / Pellet Gun Challenges | Shooting soft gel beads (Orbeez), often frozen, or other projectiles from airsoft or toy guns at unsuspecting people. | Eye injuries (corneal abrasions, retinal damage, blindness), welts, bruising, soft tissue damage. Can cause panic if toy guns are mistaken for real firearms. Participants have faced arrest and felony assault charges.10 |
NyQuil Chicken Challenge | Cooking chicken in NyQuil or similar over-the-counter cough and cold medications. | Ingesting medication in unsafe ways. Boiling medication can concentrate it and change its properties, making it harmful to consume. Inhaling vapors during cooking can also be dangerous, potentially leading to lung damage.12 |
Devious Licks Challenge | Vandalizing and stealing items from schools, particularly bathrooms, and posting videos online. | Destruction of school property (soap dispensers, mirrors, fire alarms), leading to school closures, limited bathroom access, and significant repair costs. Students faced suspension, expulsion, and criminal charges (e.g., vandalism, theft).26 |