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More than 250 people worldwide have died while taking selfies in the last six years, The Washington Post reports, citing a new study from researchers associated with the All India Institute of Medical Sciences, a group of public medical colleges based in New Delhi.

The findings, which analyzed news reports of the 259 selfie-related deaths from October 2011 to November 2017, were published in the July-August edition of the Journal of Family Medicine and Primary Care.

Of the 259 deaths, researchers found the leading cause to be drowning, followed by incidents involving transportation — for example, taking a selfie in front of an oncoming train — and falling from heights. Other causes of selfie-related deaths include animals, firearms and electrocution.

“The selfie deaths have become a major public health problem,” Agam Bansal, the study’s lead author, told The Washington Post.

Though the study found India to have the highest number of deaths of all countries, multiple reports of fatal selfie incidents have also come from Russia, the United States and Pakistan. Bansal noted that while the simple act of taking a selfie isn’t deadly, hazards arise when people take risks while trying to get that perfect shot.

Bansal added he was also concerned about how many of the selfie-related fatalities involved young people. More than 85 percent of the victims were between the ages of 10 and 30, he said.

“What worries me the most is that it is a preventable cause of death,” he said. “Taking a toll on these many numbers just because you want a perfect selfie because you want a lot of likes, shares on Facebook, Twitter or other social media, I don’t think this is worth compromising a life for such a thing.”

While the number of deaths reported in the study may seem high, Bansal said there could be many more cases that just haven’t been documented because of issues with reporting.