ArticleEuropean child & adolescent psychiatry2026
Incidence trends and clinical management of self-harm in adolescents and young adults in catalonia: primary care cohort study (2013-2022).
Article in European child & adolescent psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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Who cites it
2 citing papers in PubMed.
- An intersectional analysis of the socio-structural factors associated with anxiety and mood disorder diagnoses in young people in Catalonia: a primary care cohort study (2008-2022).European child & adolescent psychiatry · 2026Article
- Considering gender microaggressions alongside overt sexual harassment in adolescent mental health research.European child & adolescent psychiatry · 2026Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
This study investigates trends in the incidence and clinical management of self-harm among adolescents and young adults in Catalonia from 2013 to 2022, using data from the Information System for Research in Primary Care (SIDIAP). A population-based cohort analysis was conducted to examine temporal trends, demographic inequalities, and clinical care patterns. The study population comprised 1,707,471 eligible individuals aged 10 to 24, contributing 8,868,472 person-years of observation. The incidence of self-harm increased significantly over the study period (Incidence Rate Ratio [IRR] 2022 vs. 2013 for the total cohort: 2.67; 95% CI: 2.31-3.10), particularly during the COVID-19 pandemic (IRR 2022 vs. 2019: 2.06; 95 CI: 1.81-2.35), with rates in girls approximately three times higher than in boys. Socioeconomic deprivation emerged as a major risk factor, with individuals from deprived areas demonstrating elevated self-harm rates. Comorbid mental health disorders, notably anxiety and depression, were highly prevalent among individuals engaging in self-harm. Clinical management strategies differed by age and sex; girls were more frequently referred to mental health services, while psychotropic medication was commonly prescribed for both sexes. The incidence of self-harm has steadily increased reaching unprecedented levels during the pandemic, with significant disparities by sex, age, and socioeconomic status. The findings underscore the need for an appropriate healthcare response addressing the social determinants of health. Monitoring incidence trends and implementing targeted strategies are essential to support youth mental health in the post-pandemic context.
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Registered trials
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