Evidence map›Paper›PMID 41048920›Full record

SynthesisFrontiers in psychiatry2025

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

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

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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  11. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Danilo Bastos Bispo FerreiraDepartment of Pediatrics, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Renata Maria Silva SantosDepartment of Psychiatry, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Maria Carolina Lobato MachadoDepartment of Psychiatry, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Victhor Hugo Martins RezendeDepartment of Psychiatry, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Patrícia Gazire de MarcoDepartment of Pediatrics, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Marco Aurélio Romano-SilvaDepartment of Psychiatry, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Débora Marques de MirandaDepartment of Pediatrics, Federal University of Minas Gerais, Belo Horizonte, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

adolescentsCOVID-19 pandemicmental healthrisk factorsself-harmsuicidal behaviorsuicidalitysuicide attempt

Identifiers

PMID41048920
PMCPMC12491249

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.