Clinical characteristics and prevalence of adolescent self-harm before, during and after the COVID-19 pandemic: retrospective cross-sectional database study.

IF 3.9 3区 医学 Q1 PSYCHIATRY
BJPsych Open Pub Date : 2025-03-10 DOI:10.1192/bjo.2025.4
Patricia Zavaleta-Ramírez, Marcos Rosetti, Lilia Albores-Gallo, Emmanuel Sarmiento-Hernández
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引用次数: 0

Abstract

Background: Evidence indicates that the COVID-19 pandemic has led to an increase in self-harm among adolescents; however, little is known about the trends in prevalence after the end of the pandemic.

Aims: This retrospective cross-sectional database study evaluates changes in the prevalence and clinical characteristics of self-harm among adolescents who sought attention from the emergency service of the largest children's psychiatric hospital in Mexico before, during and after the COVID-19 pandemic.

Method: After comparing the clinical characteristics of self-harm between the three periods, we calculated the monthly prevalence of self-harm among patients (n = 3520) visiting the hospital's emergency psychiatric services over a period of 58 months. Using joinpoint regression, we evaluated temporal trends in self-harm prevalence.

Results: Affective disorders and hitting as a method of self-harm were more frequent during and after the pandemic in comparison with the pre-pandemic period. The prevalence of self-harm diminished from March 2019 to March 2023, a trend followed by an increase coinciding with the end of the pandemic and the return to normal activities.

Conclusions: The significant increase in prevalence observed after the end of the pandemic suggests a long-term impact on mental health of adolescents. This underscores the need for monitoring this population during post-pandemic years to provide timely interventions.

2019冠状病毒病大流行前后青少年自残的临床特征和流行情况:回顾性横断面数据库研究
背景:有证据表明,2019冠状病毒病大流行导致青少年自残行为增加;然而,人们对大流行结束后的流行趋势知之甚少。目的:本回顾性横断面数据库研究评估了在COVID-19大流行之前、期间和之后向墨西哥最大的儿童精神病院急诊服务寻求关注的青少年自我伤害的患病率和临床特征的变化。方法:在比较三个时期的自我伤害临床特征后,我们计算了58个月期间就诊于该院急诊精神科的3520例患者的每月自我伤害发生率。使用连接点回归,我们评估了自我伤害流行的时间趋势。结果:与疫情前相比,疫情期间和疫情后情感障碍和打人自残行为更为频繁。自2019年3月至2023年3月,自残发生率有所下降,随后随着疫情结束和活动恢复正常,自残发生率有所上升。结论:大流行结束后观察到的流行率显著增加表明对青少年心理健康有长期影响。这突出表明需要在大流行后的年份监测这一人群,以提供及时的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BJPsych Open
BJPsych Open Medicine-Psychiatry and Mental Health
CiteScore
6.30
自引率
3.70%
发文量
610
审稿时长
16 weeks
期刊介绍: Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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