“… 39 Suicidal attempt was addressed in one study in China at 10.4%. 33 The factors that were associated with worsening mental health included the number of COVID-19 cases in the community, 26 , 27 , 30 , 31 , 35 , 36 , 40 , 44 , 45 , 57 , 61 , 66–69 being an older adolescent, 24 , 26 , 27 , 29 , 31 , 44 , 45 , 57 , 59 , 67 , 70 , 71 being female, 24 , 26 , 31 , 34 , 37 , 40 , 42 , 45 , 56 , 57 , 60 , 61 , 69 , 72–76 experiencing school closures and challenges with online learning, peer social isolation and an overloaded burden of homework. 30 , 31 , 35 , 44 , 45 , 58 , 69 , 77 , 78 Negative family relationships, including childhood trauma, conflicts within the household, emotional and physical violence by family members, were also associated with a greater risk of worse mental health.…”