ArticleFrontiers in public health2023
Age- and sex-dependent increase in self-harm among adolescents with mental health problems in East China during COVID-19 related society-wide isolation.
Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 5 citations in OpenAlex.
- The role of family environment and parental factors: a person-oriented study of adolescents' psychological distress and help-seeking patterns.Child and adolescent psychiatry and mental health · 2025Article
- Psychosocial impact of the COVID-19 pandemic on children with chronic health conditions in Germany: a qualitative interview study.BMJ open · 2025Article
- Adolescent and parental proxy online record access: analysis of the empirical evidence based on four bioethical principles.BMC medical ethics · 2025Article
- The impact of physical activity on self-emotion management among university students in Western China: the mediating roles of self-rated health and life satisfaction.Frontiers in psychology · 2025Article
- The impact of empathy, sensation seeking, anxiety, uncertainty, and mindfulness on the intercultural communication in China during the COVID-19.Frontiers in public health · 2023Article
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Authors and funding
8 authors at 2 institutions in 1 country.
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Abstract
Objective: The COVID-19 pandemic has raised concerns about child and adolescent mental health issues, such as self-harm. The impact of society-wide isolation on self-harming behaviors among adolescents in China is unclear. In addition, adolescents of different ages and sexes have varying abilities to cope with environmental changes. However, these differences are rarely considered in self-harm studies. We aimed to characterize the age- and sex-dependent effects of COVID-19-related society-wide isolation on self-harm among adolescents in East China. Methods: We collected 63,877 medical records of children and adolescents aged 8-18 who had an initial visit to Shanghai Mental Health Center in China between 2017 and 2021 and charted annual self-harm rates for each age and sex. Using interrupted time series analysis, we modeled global and seasonal trends and the effect of COVID-19-related society-wide isolation on self-harm rates. Results: Females aged 10-17 and males aged 13-16 exhibited significantly increasing trends in self-harm rate ( Conclusion: Society-wide isolation has had a significant impact on early adolescent females in East China, especially for those with emotional disturbances, and has brought forward the peak in adolescent self-harm rates. This study calls for attention to the risk of self-harm in early adolescents.
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