Evidence map›Paper›PMID 41680908›Full record

ArticleChild and adolescent psychiatry and mental health2026

Changes in suicide attempt, suicidal ideation, and self-harm among Indian adolescents: comparison of cross-sectional surveys before (2016) and after (2023) COVID-19 pandemic.

Samir Kumar Praharaj, Xiao Zhang, Praveen Arahanthabailu, Avinash G Kamath, Rashmi Vishwanath, Anne Abio, Suvina Soans, Sneha Sesha, Vidisha Lahiri, Abel Buskutty and 2 more

Abstract read
In one paragraph

Article in Child and adolescent psychiatry and mental health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Global Perspectives on Adolescent Suicide and Self-Harm: Findings and Insights From the ASCAPAP Grand Forum.Journal of the Korean Academy of Child and Adolescent Psychiatry · 2026
    Article
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

12 authors.

Samir Kumar PraharajDepartment of Psychiatry, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India. samir.kp@manipal.edu.ORCID http://orcid.org/0000-0001-8530-1432
Xiao ZhangResearch Centre for Child Psychiatry, University of Turku, Turku, Finland.ORCID http://orcid.org/0009-0006-6956-0171
Praveen ArahanthabailuDepartment of Psychiatry, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.ORCID http://orcid.org/0000-0002-5639-9933
Avinash G KamathManipal Hospital, Ambedkar Circle, Mangalore, Karnataka, India.
Rashmi VishwanathChild and Adolescent Mental Health Services, Sandwell, Black Country Healthcare NHS Foundation Trust, West Bromwich, B708NY, UK.ORCID http://orcid.org/0000-0002-6803-7518
Anne AbioResearch Centre for Child Psychiatry, University of Turku, Turku, Finland.
Suvina SoansFather Muller Medical College, Mangalore, Karnataka, India.
Sneha SeshaChetna Psychiatric Hospital, Hyderabad, India.
Vidisha LahiriDepartment of Psychiatry, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Abel BuskuttyDepartment of Psychiatry, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
C K Shiva PrasadIshanya India Foundation, Bangalore, India.
Andre SouranderResearch Centre for Child Psychiatry, University of Turku, Turku, Finland.ORCID http://orcid.org/0000-0003-0361-7244

Funding

HORIZON EUROPE European Research Council 101020767; ERC AdvancedResearch Council of Finland 345546
6 · The paper itself

Abstract

backgroundThis study examined trends in suicide attempts, suicidal ideation, and self-harm among adolescents before and after the COVID-19 pandemic, and explored their associations with psychopathology, bullying victimization, and perceived school safety.

methodsTwo cross-sectional surveys were conducted in 2016 (n = 1,459) and 2023 (n = 1,153) among students in grades 7 to 9 (ages 11–17) across nine schools in South India. Suicidal behaviours were assessed using self-report items on suicide attempts, suicidal ideation, and self-harm. Risk factors included mental health (measured using the Strengths and Difficulties Questionnaire), traditional and cyberbullying victimization, and perceived school safety.

resultsBetween 2016 and 2023, the odds of suicide attempts increased from 2.1% to 6.6% (adjusted odds ratio, aOR = 3.45; 2.11–5.64), suicidal ideation from 4.7% to 11.6% (aOR = 2.64; 1.87–3.74), and self-harm from 8.5% to 15.2% (aOR = 1.65; 1.25–2.17). The largest increase in suicide attempts was observed among boys (aOR = 4.25; 2.05–8.80). Higher odds of suicidality were associated with emotional and conduct problems, physical health issues, bullying (traditional and cyber), male gender, urban residence, and non-nuclear family structures. Feeling safe at school and prosocial behaviour were protective factors.

conclusionRates of adolescent suicidality increased after the pandemic. Risk factors identified were bullying, mental and physical health issues, and family structure, while school safety and prosocial behaviour are protective. Interventions targeting these areas are urgently needed to mitigate rising suicide risk among adolescents.

Indexed as

AdolescentPandemicSelf-harmSuicidal ideationSuicide attemptTemporal trend

Identifiers

PMID41680908
PMCPMC13005413

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.