Simone Biles has pulled out of a second Olympic final to focus on her mental health

USA Gymnastics said in a statement: "After further medical evaluation, Simone Biles has withdrawn from the final individual all-round competition at the Tokyo Olympic Games in order to focus on her mental health.

"Simone will continue to be evaluated daily to determine whether or not to participate in next week's individual events finals.

"Jade Carey, who has the higher score in qualifications, will participate in her place'

"We wholeheartedly support the decision and applaud her bravery in prioritising her well-being.

"Her courage shows, yet again, why she is a role model for so many."

Simone's decision came after she admitted her emotional state has fluctuated and she was feeling the pressure of being the "head star" at the Olympics.

The gymnast - who made a rare misstep during a vault routine earlier this week - said after withdrawing from the team final: "I'm OK, just super frustrated how the night played out but super proud of these girls that stepped up and did what they needed to do. And now we're Olympic silver medallists so it's something that we'll cherish forever.

“I’m in shape. Emotionally, that kind of varies on the time and moment. Coming to the Olympics and being head star isn't an easy feat, so we're just trying to take it one day at a time and we'll see."

Despite Simone pulling out of the final, the rest of team USA went on to secure the silver medal behind the Russian Olympic Committee who took gold, and ahead of Great Britain who bagged the bronze.

And Simone was quick to praise her teammates - Jordan Chiles, Grace McCallum and Sunisa Lee – on social media.

She wrote: "I'm SO proud of these girls right here. You girls are incredibly brave & talented! I'll forever be inspired by your determination to not give up and to fight through adversity! They stepped up when I couldn't. thanks for being there for me and having my back! forever love y'all. (sic)”