2022
DOI: 10.1186/s13034-022-00452-3
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Registered psychiatric service use, self-harm and suicides of children and young people aged 0–24 before and during the COVID-19 pandemic: a systematic review

Abstract: Background The COVID-19 pandemic has impacted on psychiatric symptoms of children and young people, but many psychiatric services have been disrupted. It is unclear how service use, self-harm and suicide has changed since the pandemic started. To gain timely information, this systematic review focused on studies based on administrative data that compared psychiatric service use, self-harm and suicide before and during the pandemic among children and young people. … Show more

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Cited by 35 publications
(35 citation statements)
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“…The results of our study therefore call for special attention to this eating disorder, in which self-harming behaviors increased significantly during the pandemic. This result is consistent with other recent reports showing a marked increase in self-harm among young people younger than 24 years old [ 30 ]. The present study makes an additional contribution by clarifying the pattern of mental health problems in the successive phases of the COVID-19 pandemic in France, i.e., a sharp deterioration in the mental health of girls and young women in terms of anorexia nervosa in the second half of 2020 and throughout 2021.…”
Section: Discussionsupporting
confidence: 94%
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“…The results of our study therefore call for special attention to this eating disorder, in which self-harming behaviors increased significantly during the pandemic. This result is consistent with other recent reports showing a marked increase in self-harm among young people younger than 24 years old [ 30 ]. The present study makes an additional contribution by clarifying the pattern of mental health problems in the successive phases of the COVID-19 pandemic in France, i.e., a sharp deterioration in the mental health of girls and young women in terms of anorexia nervosa in the second half of 2020 and throughout 2021.…”
Section: Discussionsupporting
confidence: 94%
“…Instead, after an ephemeral drop toward baseline, we noticed a substantial increase in hospitalizations for AN, with a significant increase in adolescent girls aged 10 to 19 years and young women aged 20 to 29. This is congruent with studies showing that adolescent mental health has been considerably affected by the pandemic [ 18 , 20 , 30 ], with an impact that was first internalized (e.g., anxiety, depression and eating disorders) and then externalized (e.g., hospitalizations for AN) [ 31 ]. It has been suggested that during the period of isolation, people with AN may have been forced to change their eating routine, to isolate themselves socially or, conversely, to be confined with their families [ 11 , 23 ].…”
Section: Discussionsupporting
confidence: 85%
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“…In addition, childhood mental health problems have been associated with lower socioeconomic status and less stable social relationships in adulthood [44]. Our previous systematic review showed decreased mental health service use before and during the pandemic in subjects aged 0-24 years during the early phase of COVID-19 pandemic [21]. These two contradictory findings, of increased mental health problems but decreased service use during the early pandemic, indicated unmet needs.…”
Section: Discussionmentioning
confidence: 98%
“…The periods before and during the pandemic were the pandemic periods defined by the authors of the included studies and at least one corresponding prepandemic period. It is worth noting that we have previously reported findings on the registered mental health service use, self-harm and suicides based on administrative data [21] so these types of studies were also excluded in this review.…”
Section: Inclusion and Exclusion Criteriamentioning
confidence: 99%