Teens, especially girls, are experiencing more violence, suicidal thoughts and mental health challenges.

Teen girls in the United States experienced record high levels of violence, sadness and suicide risk in recent years, amid “significant” and “heartbreaking” declines in youth health and well-being overall, according to data published Monday by the US Centers for Disease Control and Prevention. Responses for the CDC’s bi-annual Youth Risk Behavior Survey were collected in the fall of 2021, offering the first look at trends since the start of the Covid-19 pandemic.

“Many measures were moving in the wrong direction before the pandemic. These data show the mental health crisis among young people continues,” Kathleen Ethier, director of the CDC’s division of adolescent and school health, said at a media briefing. The findings are “alarming,” she said.

The survey found increasing mental health challenges, experiences of violence, and suicidal thoughts and behavior among all teens. More than 40% of high school students said that feelings of sadness or hopelessness prevented them from engaging in their regular activities for at least two weeks of the year.

Girls broadly fared worse than boys, and there is “ongoing and extreme distress” among teens who identify as lesbian, gay, bisexual or questioning (LGBQ+).

Most teen girls (57%) felt persistently sad or hopeless in 2021, double the rate for teen boys (29%). Nearly one in three teen girls seriously considered attempting suicide. Both rates “increased dramatically” over the past decade, according to the CDC.

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