Digital mental health service engagement changes during Covid-19 in children and young people across the UK: Presenting concerns, service activity, and access by gender, ethnicity, and deprivation.

Following this initial increase in contacts a non-significant downward trend was resumed for all presenting concerns with the exception of suicidality/self-harm/maladaptive coping where a slight upward trend can be seen, however this did not reach statistical significance.

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When stratified by gender, we found evidence of a positive trend before the pandemic, followed by a step-change (15% increase; 95% CI: 3%-27%), and evidence that the trend line during the pandemic differed from the prior trend (i.e., decreasing trend) in females, but not other gender groups.

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