{
    "abstract": "Adolescents are being increasingly exposed to digital media, especially in the aftermath of the COVID-19 pandemic. This reality raises concerns over the effects of this exposure, in addition to an increase in suicidal behavior and self-harm.\nThis study aims to analyze the relationship between excessive screen time, self-harm, and suicidal behavior in adolescents during the COVID-19 pandemic.\nThis is an integrative literature review. The research question was structured using the PICOT strategy (P-adolescents; I-intensive screen and internet time; O-suicidal behavior and self-harm; and T-pandemic timeframe). The databases included were: Embase, LILACS, PubMed, Scopus, Cinahl, Web of Science, and Google Scholar. Initially, 1645 studies were found; after reviewing their titles and abstracts, 18 studies met the eligibility criteria.\nThe results revealed concerning associations between prolonged exposure and behaviors such as self-harm and suicidal behavior.\nThese findings can assist nurses in identifying young individuals at risk due to inappropriate technology use, enabling the development of tailored interventions, the implementation of educational programs for healthy digital habits, and the promotion of mental well-being.\nIn light of the above, measures to mitigate this problem and the risks stemming from prolonged exposure are needed, considering that the adverse effects go beyond the pandemic context.",
    "authors": [
        {
            "affiliation": "Universidade Federal de Alfenas, Programa de P\u00f3s-gradua\u00e7\u00e3o em Enfermagem, Alfenas, Minas Gerais, Brazil.",
            "firstname": "Mariane Inara\u00ed",
            "initials": "MI",
            "lastname": "Alves"
        },
        {
            "affiliation": "Universidade Federal de Alfenas, Programa de P\u00f3s-gradua\u00e7\u00e3o em Enfermagem, Alfenas, Minas Gerais, Brazil.",
            "firstname": "S\u00e9rgio Alves",
            "initials": "SA",
            "lastname": "Dias Junior"
        },
        {
            "affiliation": "Universidade Federal de Alfenas, Programa de P\u00f3s-gradua\u00e7\u00e3o em Enfermagem, Alfenas, Minas Gerais, Brazil.",
            "firstname": "Thais",
            "initials": "T",
            "lastname": "Martins"
        },
        {
            "affiliation": "Universidade Federal de Alfenas, Programa de P\u00f3s-gradua\u00e7\u00e3o em Enfermagem, Alfenas, Minas Gerais, Brazil.",
            "firstname": "Adriana Olimpia Barbosa",
            "initials": "AOB",
            "lastname": "Felipe"
        },
        {
            "affiliation": "Universidade Federal de Alfenas, Programa de P\u00f3s-gradua\u00e7\u00e3o em Enfermagem, Alfenas, Minas Gerais, Brazil.",
            "firstname": "Patr\u00edcia Scotini",
            "initials": "PS",
            "lastname": "Freitas"
        },
        {
            "affiliation": "Universidade Federal de Alfenas, Programa de P\u00f3s-gradua\u00e7\u00e3o em Enfermagem, Alfenas, Minas Gerais, Brazil.",
            "firstname": "Denis da Silva",
            "initials": "DDS",
            "lastname": "Moreira"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2025 The Author(s). Journal of Child and Adolescent Psychiatric Nursing published by Wiley Periodicals LLC.",
    "doi": "10.1111/jcap.70015\n10.33448/rsd-v10i3.12986\n10.1111/inm.12900\n10.5007/interthesis.v11i2.34753\n10.5195/jmla.2017.183\n10.1371/journal.pone.0294553\n10.1016/j.psychres.2024.115991\n10.1556/2006.2023.00078\n10.1093/pch/pxz095\n10.3389/fpsyt.2023.1243619\n10.57187/s.3461\n10.1007/s00787-023-02264-y\n10.1002/capr.12578\n10.55905/revconv.16n.10-078\n10.1002/casp.2874\n10.1177/07435584231194869\n10.5123/S1679-49742022000200033\n10.1016/S2215-0366(19)30402-X\n10.1016/j.lanepe.2025.101211\n10.3390/ijerph192114009\n10.2147/NDT.S198806\n10.1177/20552076241255660\n10.3390/healthcare10091671\n10.30773/pi.2023.0051\n10.1186/s12889-022-13931-1\n10.3389/fpsyt.2023.1259909\n10.1038/s41598-022-05291-y\n10.1590/s0104-07072008000400018\n10.1016/j.psychres.2006.05.010\n10.1542/peds.2021-053852I\n10.1016/j.jadohealth.2023.10.021\n10.1016/j.pedhc.2023.12.011\n10.1186/s13643-016-0384-4\n10.1590/1518-8345.6273.3744\n10.1016/j.jaac.2019.06.017\n10.1177/0956797616678438\n10.1590/1984-0462/2024/42/2022181\n10.1016/j.ssmph.2024.10172\n10.1038/s41562-023-01712-8\n10.1186/s13052-021-01102-8\n10.3390/ijerph191811600\n10.1016/j.jpsychires.2024.08.005\n10.1590/1980-265X-TCE-2018-0424\n10.1016/j.addbeh.2023.107808\n10.1016/j.jad.2023.07.030\n10.1016/j.jad.2023.10.081\n10.3389/fpsyt.2022.1033242\n10.1007/s10964-023-01782-x",
    "journal": "Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc",
    "keywords": [
        "COVID\u201019 pandemic",
        "adolescent",
        "internet addiction disorder",
        "mental health",
        "self\u2010harm behavior"
    ],
    "methods": null,
    "publication_date": "2025-04-17",
    "pubmed_id": "40244031\n34142419\n28670219\n38055658\n38833936\n38224348\n31528113\n37953935\n38679958\n37486387\n35894393\n31706930\n40213498\n36360887\n32021203\n36155233\n38817842\n36141284\n37794666\n35962376\n38250260\n35079056\n16887199\n35503334\n38085201\n38244009\n27919275\n36351087\n31400437\n28085574\n39506982\n37957284\n34215311\n36141872\n39163662\n37536220\n37437741\n37838270\n36532167\n37148440",
    "results": null,
    "title": "The Relationship Between Excessive Screen Time, Self-Harm, and Suicidal Behavior in Adolescents During the COVID-19 Pandemic: An Integrative Literature Review.",
    "xml": "<Element 'PubmedArticle' at 0x7885037c08b0>"
}