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Long-Term Trends in Pediatric Self-Injury in High-Income Countries: A Systematic Review and Meta-Analysis
Natasha Saunders1,2,3,4,5,6, Hallie Benjamin4, Petros Pechlivanoglou4,5
1The Hospital for Sick Children, Toronto, Ontario, Canada.
JAMA Pediatrics
|March 16, 2026
Summary
Self-injury rates are increasing annually among youth in high-income countries, particularly for females. This trend highlights the urgent need for effective prevention strategies to address rising self-harm incidents.
Area of Science:
- Public Health
- Epidemiology
- Mental Health Research
Background:
- Self-injury is a significant public health concern, leading to frequent emergency department visits among young people.
- Existing trend data on self-injury rates in high-income nations are limited, hindering effective prevention efforts.
Conclusions:
- A significant rise in annual self-injury rates, measured by healthcare visits and self-reports, was identified in high-income countries.
- Variability in baseline self-injury rates exists across studies.
- Urgent implementation of large-scale, contextually relevant prevention initiatives is crucial, especially for female youth.
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