Global burden and trends of self-harm from 1990 to 2021, with predictions to 2050

Dados Bibliográficos

ID22073239
AutoresLi Xie (0000-0003-3368-4747, Nantong University), Xie Li (0000-0002-8307-4640), Liangchen Tang (Nantong University), Yixin Liu (0009-0009-0837-8298, Nantong University), Zhenchao Dong, Zhen‐Chao Dong (0000-0002-4596-6269, Nantong University), Xiaojun Zhang (0000-0003-4290-9629, Nantong University, autor correspondente)
Ano2025
Volume13
Páginas1571579-1571579
Data de publicação2025-05-14
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Public Health (JOURNAL)
Identificadores do periódicoISSN: 2296-2565 • E-ISSN: 2296-2565
EditoraFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1571579
PMID40438046
OpenAlexW4410379590
IdiomaEN
Citações recebidas2
Referências citadas74

Background: Self-harm has become a major public health problem globally. Data on the burden of self-harm in this study were taken from the GBD 2021. This study aimed to quantify historical trends (1990-2021) in the global burden of self-harm across genders, age groups, and regions, and project future changes (2022-2050) through Bayesian forecasting models. Methods: Based on the seven GBD super-regions, the burden of self-harm was analyzed by region, age, and gender from 1990 to 2021. Hierarchical statistical approach was used to predict trends in global and regional changes in the burden of self-harm, 2022-2050. Result: In 2021, the global DALYs and death counts from self-harm were 33.5 million (95% UI: 31.3-35.8) and 746.4 thousand (95% UI: 691.8-799.8). The region with the highest number of DALYs and deaths is South Asia and the highest age-standardized rates of DALYs and mortality were in central Europe, eastern Europe, and central Asia. Globally, the burden of self-harm was higher for males than for females. DALYs rates were highest among adolescents and young adults (20-29 years), whereas mortality rates showed a predominantly age-progressive pattern with the highest burden observed in middle-aged and older populations, albeit with a modest decline in the oldest age groups. Forecasting models showed a sustained decline in the global burden of self-harm from 2022-2050. Conclusion: The results highlight the need for policymakers to allocate resources to high-burden regions (e.g., South Asia and Eastern Europe), to implement gender- and age-specific prevention programs, and to strengthen cross-sectoral collaboration to address the underlying social determinants of self-harm. The findings call for strengthened mental health services and targeted interventions to effectively respond to and reduce the devastating impact of self-harm on individuals and the global community

Data science · Environmental health · Harm · Computer Science · COVID-19 and Mental Health · Health, Environment, Cognitive Aging · Medicine · Psychology · Suicide and Self-Harm Studies