41% of US teenagers and 43% of UK teenagers said the feeling that they weren't attractive started on Instagram. 6% of US teenagers and 13% of UK teenagers said that the desire to kill themselves started on Instagram.

"The perfect image, feeling attractive, and having enough money are the most likely to have started on Instagram" [Started on Instagram, US n = 565; UK n = 557]: • Have to create the perfect image: US "39%", UK "51%" • Not attractive: US "41%", UK "43%" • Don't have enough money: US "42%", UK "42%" • Don't have enough friends: US "32%", UK "33%" • Not good enough: US "24%", UK "29%" • Friends aren't really their friends: US "24%", UK "25%" • Have to be happy: US "17%", UK "27%" • Alone or lonely: US "21%", UK "18%" • Down, sad, or depressed: US "10%", UK "13%" • Can't be honest about their: US "8%", UK "13%" • Wanted to kill themselves: US "6%", UK "13%" • Wanted to hurt themselves: US "9%", UK "7%" "Of the things you've felt in the past month, did any of them start on Instagram? Please select all that apply"