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ALMATY, KAZAKHSTAN - March 16, 2019: a beautiful young unidentified girl runs through the woods during the spring. Marathon in the city of Almaty, in a grove
ALMATY, KAZAKHSTAN - March 16, 2019: a beautiful young unidentified girl runs through the woods during the spring. Marathon in the city of Almaty, in a grove
Lumut Perak, Malaysia - September 16, 2019: People swimming at beach of Teluk Batik. Teluk Batik Beach is located at Lumut and. Sitiawan and looks out towards
ALMATY, KAZAKHSTAN - March 16, 2019: a beautiful young unidentified girl runs through the woods during the spring. Marathon in the city of Almaty, in a grove
ALMATY, KAZAKHSTAN - March 16, 2019: a beautiful young unidentified girl runs through the woods during the spring. Marathon in the city of Almaty, in a grove
ALMATY, KAZAKHSTAN - March 16, 2019: a beautiful young unidentified girl runs through the woods during the spring. Marathon in the city of Almaty, in a grove
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Indian young girl on time Pushkar Camel Mela, Rajasthan, India, close up portrait. PUSHKAR, INDIA - NOVEMBER 16, 2018 : Indian young girl in the desert Thar on
Indian young girl on time Pushkar Camel Mela, Rajasthan, India, close up portrait. PUSHKAR, INDIA - NOVEMBER 16, 2018 : Indian young girl in the desert Thar on
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Indian young girl on time Pushkar Camel Mela, Rajasthan, India, close up portrait. PUSHKAR, INDIA - NOVEMBER 16, 2018 : Indian young girl in the desert Thar on
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Local young girl in Manali, India. MANALI, INDIA, 16 SEPTEMBER 2014: Unidentified local young girl, outdoor in Manali . The majority of the local population are
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Indian young girl on time Pushkar Camel Mela, Rajasthan, India, close up portrait. PUSHKAR, INDIA - NOVEMBER 16, 2018 : Indian young girl in the desert Thar on
Local young girl, outdoors in Manali begging money from tourists, India. MANALI, INDIA - SEPTEMBER 16, 2014: Unidentified local young girl, outdoors in Manali
Indian young girl on time Pushkar Camel Mela, Rajasthan, India, close up portrait. PUSHKAR, INDIA - NOVEMBER 16, 2018 : Indian young girl in the desert Thar on
Gypsy young girl on the local market in Manali, Himachal Pradesh, India. MANALI, INDIA - SEPTEMBER 16, 2014: Unidentified gypsy young girl on the local market in
Indian young girl on time Pushkar Camel Mela, Rajasthan, India, close up portrait. PUSHKAR, INDIA - NOVEMBER 16, 2018 : Indian young girl in the desert Thar on
Indian young girl on time Pushkar Camel Mela, Rajasthan, India. PUSHKAR, INDIA - NOVEMBER 16, 2018 : Indian young girl in the desert Thar on time Pushkar Camel
Smiling asian girl with parrot on the arm. Chicago, Illinois, USA - August 16, 2014: Smiling asian girl with parrot on the arm at North Avenue Beach in Chicago
Indian young girl on time Pushkar Camel Mela, Rajasthan, India, close up portrait. PUSHKAR, INDIA - NOVEMBER 16, 2018 : Indian young girl in the desert Thar on
Indian young girl on time Pushkar Camel Mela, Rajasthan, India, close up portrait. PUSHKAR, INDIA - NOVEMBER 16, 2018 : Indian young girl in the desert Thar on
Indian young girl on time Pushkar Camel Mela, Rajasthan, India, close up portrait. PUSHKAR, INDIA - NOVEMBER 16, 2018 : Indian young girl in the desert Thar on
Indian young girl on time Pushkar Camel Mela, Rajasthan, India, close up portrait. PUSHKAR, INDIA - NOVEMBER 16, 2018 : Indian young girl in the desert Thar on
Indian young girl on time Pushkar Camel Mela, Rajasthan, India, close up portrait. PUSHKAR, INDIA - NOVEMBER 16, 2018 : Indian young girl in the desert Thar on
Indian young girl on time Pushkar Camel Mela, Rajasthan, India, close up portrait. PUSHKAR, INDIA - NOVEMBER 16, 2018 : Indian young girl in the desert Thar on
Indian young girl on time Pushkar Camel Mela, Rajasthan, India, close up portrait. PUSHKAR, INDIA - NOVEMBER 16, 2018 : Indian young girl in the desert Thar on
Indian young girl on time Pushkar Camel Mela, Rajasthan, India, close up portrait. PUSHKAR, INDIA - NOVEMBER 16, 2018 : Indian young girl in the desert Thar on
Indian young girl on time Pushkar Camel Mela, Rajasthan, India, close up portrait. PUSHKAR, INDIA - NOVEMBER 16, 2018 : Indian young girl in the desert Thar on
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Data from GP practices between 2001 and 2014 showed rates of self-harm for boys stayed roughly steady – but soared upwards for girls in recent years
Youngsters in deprived areas were less likely to be referred to mental health services within 12 months of their first incident. Photograph: Catchlight Visual Services/Alamy
Last modified on Mon 27 Nov 2017 15.13 GMT
Self-harm reported to GPs among teenage girls under the age of 17 in the UK increased by 68% over just three years, research has revealed.
The study also found that self-harm among young people aged 10-19 was three times more common among girls than boys, with those who self-harmed at much greater risk of suicide than those who did not.

“One of the big messages here is that self-harm is complex – it is about schools, it is about families, it is about health professionals [and] teachers all working together trying to tackle the problem,” said Nav Kapur, professor of psychiatry and population health at the University of Manchester, and a co-author of the study.
Writing in the British Medical Journal, Kapur and colleagues describe how they looked at data from 674 GP practices across the UK to explore the rates of self-harm among 10-19 year-olds.
The results reveal that annually between 2001 and 2014, on average across 10- to 19-year-olds, 37.4 girls per 10,000 and just over 12 boys per 10,000 reported their first episode of self-harm. Repeat episodes of self-harm were more common among girls.
The study also found self-harming to be more common among children and teenagers living in deprived areas. Such youngsters were less likely to be referred to mental health services within 12 months of their first incident than those in more affluent areas.
Further analysis using additional data revealed that youngsters who self-harmed were about nine times more likely to die an unnatural death than those who did not, 17 times more likely to die from suicide, and 34 times more likely to die from acute alcohol or drug poisoning.
Strikingly, the team found that, while the incidence of self-harm remained fairly constant between 2001 and 2014 among boys aged 10 to 19, as well as among girls aged 10 to 12, and 17 and older, incidence of reported self-harm among girls aged 13-16 increased 68% between 2011 and 2014.

The findings chime with data from the NHS that recently showed a jump in hospital admissions following self-harm among girls under the age of 17.
However, Dr Praveetha Patalay from the University of Liverpool, who was not involved in the latest study, said that other research based on surveys of youngsters had not shown such increases.

“It is possible that the higher rates in this study reflect better identification, and more young people seeking treatment from GPs and/or higher severity of the self-harming behaviours compared to previous years,” she said.
The authors admit that girls in their early-to-mid teenage years might be more likely than boys to talk to a doctor, and might be more likely to be asked about self-harm.
But, they add, it is unlikely that such factors alone explain the rise in reports of self-harm among 13- to 16-year-old girls. “If it was [just down to] greater awareness, then you would expect to see it in girls aged 10-12 and girls aged 17-19,” said Kapur.

While Kapur says it is unclear what is behind the apparent rise, previous research has suggested a growing number of young women are experiencing mental health problems, with contributing factors including worries about appearance.. The rise of social media, and online content around self-harmingt could also play a role, noted the team.

How can we improve the mental health of girls and women?
“That is the early period of adolescence where young people are changing most rapidly [and it is] perhaps the most stressful,” said Kapur. “We need to take [this rise] seriously and do something about it,” he said, pointing out that only half of people who present to health services as a result of self-harm get a proper assessment from a mental health professional.

Patalay agreed that the findings of the latest study are cause for concern. “The inequalities in access to specialist treatment uncovered by this research and the poor prognosis for these young people highlights the need for greater resources to help support young people and improve access to treatment,” she said.
In the UK the Samaritans can be contacted on 116 123. In the US, the National Suicide Prevention Lifeline is 1-800-273-8255. In Australia, the crisis support service Lifeline is 13 11 14. Other international suicide helplines can be found at www.befrienders.org.
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