Simone Biles has decided to withdraw from Thursday’s women’s all-around final, USA Gymnastics has confirmed.

The 24-year-old pulled out after one rotation of the women’s team final on Tuesday in Tokyo, citing mental health concerns.

USA Gymnastics said Biles is yet to decide whether to withdraw from her four individual finals, which are scheduled to take place next week.

In a statement, USA Gymnastics said: “After further medical evaluation, Simone Biles has withdrawn from the final individual all-around competition.

“We wholeheartedly support Simone’s decision and applaud her bravery in prioritising her well-being. Her courage shows, yet again, why she is a role model for so many.”

Biles won four gold medals in Rio in 2016 and was aiming to become the first gymnast to retain a female all-around title at the Games since Vera Caslavska in 1968.

She successfully qualified for the final in first place but a mistake on her opening vault in Tuesday night’s team final prompted her to leave the arena with a US team medic.

“Certainly you’ve seen Simone do a terrific job of that over the years and I have no doubt in my mind that she’s going to be back, hopefully this week, I don’t know.”

Manchester United midfielder Paul Pogba also offered his support and said Biles’ decision was a moment of “undeniable strength”.

Pogba wrote on Twitter: “A moment of undeniable strength from @Simone_Biles. We always focus on the physical aspect of health but the mental aspect is just as important. When you take care of both, you will flourish in life! #SimoneBiles GOAT.”