ArticleEuropean child & adolescent psychiatry2023
Comparisons of mental health symptoms, treatment access, and self-harm behaviors in rural adolescents before and during the COVID-19 pandemic.
Article in European child & adolescent psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Access and use of general and mental health services before and during the COVID-19 pandemic: a systematic review and meta-analysis.BMJ open · 2025Pooled it
- Suicide before and during the COVID-19 Pandemic: A Systematic Review with Meta-Analysis.International journal of environmental research and public health · 2023Pooled it
- Sports-Related Concussion Among Physically Active Adolescents in the Southeastern United States: Effects on Mental Health During the Pandemic.Child psychiatry and human development · 2026Observational
- Continuity of care: time to first outpatient appointment after child and adolescent psychiatric hospital stays in Germany.BMC health services research · 2026Article
- COVID-19 pandemic and suicide risk among youth in the United States: A scoping review.Mental health & prevention · 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
- Trauma Symptomology During COVID-19 Among Youth with a Learning, Cognitive or Psychological Disorder Diagnosis: Exploring Moderation by Social Support.Canadian journal of school psychology · 2025Article
- The Cross-Sectional and Longitudinal Effects of Cumulative Multi-Contextual Risk on Psychotic-Like Experiences among Chinese Rural Adolescents.Child psychiatry and human development · 2025Article
- Status and risk factors for depression, anxiety, and insomnia symptoms among adolescents in the post-pandemic era.BMC public health · 2025Article
- Anxiety and perceived social support as moderators of cognitive and emotional well-being in populations affected by COVID-19.Frontiers in public health · 2025Article
- Adolescent mental health in rural settings: the role of artificial intelligence and community engagement.Frontiers in public health · 2025Review
- Evaluation of COVID-19 Effect on Mental Health, Self-Harm, and Suicidal Behaviors in Children and Adolescents Population.Journal of clinical medicine · 2024Article
- Trajectories of children and adolescents attending a psychiatric emergency unit during the COVID-19 confinements: 2020-2022 longitudinal study.Child and adolescent psychiatry and mental health · 2023Article
- Evolution of Youth's Mental Health and Quality of Life during the COVID-19 Pandemic in South Tyrol, Italy: Comparison of Two Representative Surveys.Children (Basel, Switzerland) · 2023Article
- Suicide spectrum among young people during the COVID-19 pandemic: A systematic review and meta-analysis.EClinicalMedicine · 2022Article
- Rural service coordination programming for women using substances and their families.Women's health (London, England)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
The COVID-19 pandemic disrupted the lives of adolescents worldwide, and research on the mental health effects are ongoing. Adolescents living in rural areas of the United States were already known to be at a disadvantage in terms of access to mental health services, as well as elevated rates of mental health concerns and self-harm risk. Research on how these factors may have changed since the pandemic began is needed to better understand which areas saw the biggest impact and where we can best direct resources to assist youth. Data from the current study were taken from a project examining adolescent mental health and self-harm risk. The pandemic disrupted the timeline for the study resulting in data being collected in two separate waves: before (n = 695) and after (n = 206) the pandemic began. Comparisons were made between these two samples on multiple factors including depression, anxiety, emotion dysregulation, alcohol and substance use, experiencing of bullying, overall impairment, mental health services access, and self-harm. Results indicated that adolescents in the pandemic sample were more likely to have seen a counselor and been hospitalized for a mental health reason, and were more likely to have experienced past-year suicide thoughts and plans than adolescents in the pre-pandemic sample. The pandemic sample also showed more depression and anxiety symptoms, greater emotion dysregulation, and greater intensity of recent suicide ideation. Implications for assisting youth through post-pandemic times are discussed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.