ArticlePsychiatry research2021
Deliberate self-harm in adolescents during COVID-19: The roles of pandemic-related stress, emotion regulation difficulties, and social distancing.
Article in Psychiatry research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Global prevalence of self-harm during the COVID-19 pandemic: a systematic review and meta-analysis.BMC psychology · 2023Pooled it
- Post-pandemic shocks and non-suicidal self-injury risk in working-age adults: differential pathways via psychological distress and social support.BMC public health · 2026Article
- Trends in self-harm visits to the emergency department among children and youth before and during the COVID-19 pandemic in Alberta: An interrupted time series analysis.Paediatrics & child health · 2026Article
- Social media use, risk behavior engagement, and mental health among middle adolescents in the Caribbean.BMC public health · 2025Article
- Incidence of Deliberate Self-Harm in Hong Kong Before and During the COVID-19 Pandemic: Population-Wide Retrospective Cohort Study.JMIR public health and surveillance · 2025Article
- Early Adolescent Predictors of Young Adults' Distress and Adaptive Coping During the COVID-19 Pandemic: Findings From a Longitudinal Cohort Study.The Journal of early adolescence · 2024Article
- Pediatric Hospitalizations and Emergency Department Visits Related to Mental Health Conditions and Self-Harm.JAMA network open · 2024Article
- Emotion regulation difficulties and sleep quality in adolescence during the early stages of the COVID-19 lockdown.Journal of affective disorders · 2023Article
- Emergency department visits and hospital admissions for suicidal ideation, self-poisoning and self-harm among adolescents in Canada during the COVID-19 pandemic.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- 'Everything turned upside down': A thematic analysis of adolescents' experiences of everyday life during COVID-19 restrictions.Scandinavian journal of public health · 2023Article
- The Risk-Taking and Self-Harm Inventory for Adolescents: Validation of the Italian Version (RTSHIA-I).Behavioral sciences (Basel, Switzerland) · 2023Article
- The psychosocial consequences of covid-19 in adolescents with nonsuicidal self-injury.Child and adolescent psychiatry and mental health · 2023Article
- Gender and Age Influence on Emergency Department Visits for Non-Suicidal Self-Injuries in School Aged Children in Italy: An 11 Years Retrospective Cross-Sectional Study.International journal of public health · 2023Article
- Non-Suicidal Self-Injury in Adolescence: The Role of Pre-Existing Vulnerabilities and COVID-19-Related Stress.Journal of youth and adolescence · 2022Article
- Distance learning during COVID-19 lockdown: Impact on adolescents with specific learning disorders and their parents.Frontiers in psychiatry · 2022Article
- Generation COVID-19 and bodily disorders: Hyperbolic narratives and a developmental psychopathology perspective.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The objective of this study was to conduct an ecologically valid test of etiological models of deliberate self-harm (DSH) during the COVID-19 pandemic. Using a sample of Canadian adolescents, we investigated: (1) the association between COVID-19-related stress and DSH; (2) whether emotion regulation (ER) difficulties mediated/moderated this association, including whether these effects differed by age; and (3) whether the mediating/moderating effects of ER difficulties were stronger among socially distanced youth. Canadian adolescents (N = 809) aged 12-18 were recruited on social media and completed an online survey. COVID-19-related stress was associated with recent DSH. Nonacceptance of emotional responses and limited access to ER strategies fully mediated this association. The indirect effect through nonacceptance of emotional responses was stronger among more socially distanced youth, whereas the indirect effect through limited access to ER strategies was stronger among older and more socially distanced youth. COVID-19-related stress and ER difficulties did not interact to predict DSH, nor did age or social distancing moderate these interactions. These results align with etiological models proposing central roles for stress and ER difficulties in DSH. Furthermore, this study underscores a need to support adolescents, particularly older teens with reduced in-person interactions, in adaptively coping with pandemic-related stress.
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