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Incidence and temporal trends in self-harm and suicide among adolescents

Incidence and temporal trends of adolescent self-harm and suicide

Greater Manchester data showed that although overall post-pandemic self-harm rates fell below 2019 levels, the 2023 rate among girls aged 10 to 12 was sixty percent higher than in 2019.

The study aimed to examine temporal trends in the frequency of self-harm episodes among adolescents presenting to healthcare services during and after the COVID-19 pandemic. Two large integrated electronic health record repositories were used: the nationally representative Clinical Practice Research Datalink (CPRD) Aurum dataset and the Greater Manchester Care Record (GMCR) dataset in Northwest England. The CPRD study observed a marked increase in the incidence of self-harm among adolescent girls during the first two years of the pandemic. In the GMCR study, rates in 2023 were lower among both girls and boys than in the pre-pandemic year of 2019; however, this overall trend did not apply to girls aged 10 to 12, whose rate in 2023 was sixty percent higher than in 2019. The authors suggest that this increase may reflect greater exposure to harmful social media content and associated problematic behaviours, and emphasise that effective intervention requires interagency coordination to identify risks early and overcome barriers to timely access to care. Although no increase was observed in the frequency of self-harm presenting to healthcare services among adolescent boys, the authors note that mental well-being in this group may also have deteriorated, potentially manifesting as externalising disorders.

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