The Relationship Between Excessive Screen Time, Self‐Harm, and Suicidal Behavior in Adolescents During the COVID‐19 Pandemic: An Integrative Literature Review

INTRODUCTION: 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. AIM/QUESTION: This study aims to analyze the relationship between excessive screen time, self-harm, and suicidal behavior in adolescents during the COVID-19 pandemic. METHODS: This 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. FINDINGS: The results revealed concerning associations between prolonged exposure and behaviors such as self-harm and suicidal behavior. IMPLICATIONS FOR PRACTICE: These 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. RECOMMENDATION: In 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.