Sexting is linked to psychological distress among teens. Those involved in sexting are more likely to report a suicide attempt, and have twice the odds of reporting depressive symptoms as students who aren't involved in sexting. "For girls who send the sexts ... there is a disillusionment and a sense of betrayal when it's posted everywhere. When it gets forwarded to multiple boys at multiple schools and also other girls ... a girl starts getting called names and her reputation is ruined."