Suicidality and self-harm in adolescents before and after the COVID-19 pandemic: a systematic review.

IF 3.2 3区 医学 Q2 PSYCHIATRY
Frontiers in Psychiatry Pub Date : 2025-09-19 eCollection Date: 2025-01-01 DOI:10.3389/fpsyt.2025.1643145
Danilo Bastos Bispo Ferreira, Renata Maria Silva Santos, Maria Carolina Lobato Machado, Victhor Hugo Martins Rezende, Patrícia Gazire de Marco, Marco Aurélio Romano-Silva, Débora Marques de Miranda
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引用次数: 0

Abstract

Introduction: Adolescent mental health, self-harm, and suicidality are critical concerns during this developmental stage, marked by intense physical, emotional, and social changes. The COVID - 19 pandemic has further intensified these vulnerabilities by disrupting daily routines, increasing social isolation, limiting access to mental health services, and exacerbating academic and emotional stressors.

Methods: This systematic review followed the PRISMA 2020 guidelines and employed the PECO strategy to identify relevant studies. A total of 55 quantitative studies published between 2010 and 2024 were included. These studies examined the prevalence and risk factors of self-harm and suicidal behaviors among adolescents aged 10 to 19 years, comparing findings from the pre-pandemic and pandemic periods. Psychosocial, economic, and cultural determinants were also evaluated.

Results: The analysis revealed a consistent increase in self-harm and suicidality during the pandemic, with adolescent girls being disproportionately affected. Gender disparities were observed across diverse cultural contexts. Contributing factors included social isolation, excessive screen time, reduced access to education and healthcare, and increased family or financial stress. Cultural variability shaped both prevalence and clinical expression.

Discussion: These findings underscore the amplifying effect of the COVID - 19 pandemic on adolescent mental health vulnerabilities and highlight the need for culturally sensitive, gender-informed preventive strategies. Public policies should prioritize mental health support for youth and address systemic inequities to mitigate the psychological consequences of global crises. This review offers important insights into adolescent mental health in times of collective adversity.

Clinical trial registration: PROSPERO https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024538641, identifier CRD42024538641.

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2019冠状病毒病大流行前后青少年的自杀和自残行为:系统综述
青少年心理健康、自我伤害和自杀是这个发育阶段的关键问题,其特征是剧烈的身体、情感和社会变化。COVID - 19大流行扰乱了日常生活,增加了社会孤立,限制了获得精神卫生服务的机会,加剧了学业和情绪压力,进一步加剧了这些脆弱性。方法:本系统综述遵循PRISMA 2020指南,采用PECO策略识别相关研究。共纳入了2010年至2024年间发表的55项定量研究。这些研究调查了10至19岁青少年自残和自杀行为的流行程度和风险因素,比较了大流行前和大流行时期的调查结果。社会心理、经济和文化因素也被评估。结果:分析显示,在大流行期间,自残和自杀行为持续增加,少女受到的影响尤为严重。性别差异在不同的文化背景下被观察到。造成影响的因素包括社会孤立、屏幕时间过长、获得教育和保健的机会减少以及家庭或经济压力增加。文化差异影响了患病率和临床表现。讨论:这些调查结果强调了COVID - 19大流行对青少年心理健康脆弱性的放大效应,并强调了制定具有文化敏感性和性别信息的预防战略的必要性。公共政策应优先考虑对青年的心理健康支持,并解决系统性不平等问题,以减轻全球危机的心理后果。这篇综述为集体逆境时期的青少年心理健康提供了重要的见解。临床试验注册:PROSPERO https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024538641,标识符CRD42024538641。
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来源期刊
Frontiers in Psychiatry
Frontiers in Psychiatry Medicine-Psychiatry and Mental Health
CiteScore
6.20
自引率
8.50%
发文量
2813
审稿时长
14 weeks
期刊介绍: Frontiers in Psychiatry publishes rigorously peer-reviewed research across a wide spectrum of translational, basic and clinical research. Field Chief Editor Stefan Borgwardt at the University of Basel is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. The journal''s mission is to use translational approaches to improve therapeutic options for mental illness and consequently to improve patient treatment outcomes.
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