2 In a study examining US emergency department visits for youth with suicidal ideation and attempts, 43% of cases from 2007 to 2015 were in children aged 5 to 11 years. Although uncommon prior to adolescence, suicide was the eighth leading cause of death among children aged 5 to 11 years in the United States, 1 and accounted for 2.3 deaths per 1 million youth in 2019. Youth suicide is a major public health concern. Future research examining the myriad aspects of childhood suicide, including racial/ethnic and sex differences, is needed. Potential prevention strategies include improvements in suicide risk assessment, family relations, and lethal means restriction, particularly safe firearm storage. An argument between the child and a family member and/or disciplinary action was often a precipitating circumstance of the suicide.Ĭonclusions and Relevance This qualitative study found that childhood suicide was associated with multiple risk factors and commonly preceded by a negative precipitating event. Findings revealed childhood suicide was associated with numerous risk factors accumulated over time, and suggest a progression toward suicidal behavior, especially for youth with a history of psychopathology and suicidal behavior. Details on gun access were noted in 88.0% (n = 22) of suicides by firearm, and in every case, the child obtained a firearm stored unsafely in the home. Suicide by hanging or suffocation (78.4% ) was the most frequent method, followed by firearms (18.7% ). Most suicides occurred in the child’s home (95.5% ), and more specifically in the child’s bedroom. Results Analyses included 134 child decedents (101 males 79 White individuals 109 non-Hispanic individuals mean age, 10.6 years). Main Outcomes and Measures Suicide incidence and risk factors for suicide including mental health, prior suicidal behavior, trauma, and peer, school, or family-related problems. Details and context related to suicide deaths were identified through a content analysis of case narratives from coroner or medical examiner and law enforcement reports associated with each incident.Įxposures Characteristics and precipitating circumstances associated with suicide cited in the coroner, medical examiner, and law enforcement case narratives.
The NVDRS is a state-based surveillance system that collects data on suicide and violent deaths in 50 states, with restricted-use data available from 37 states. Objective To examine characteristics and precipitating circumstances of childhood suicide.ĭesign, Setting, and Participants This qualitative study examined restricted-use data from the National Violent Death Reporting System (NVDRS) regarding child suicide decedents aged 5 to 11 years in the US from 2013 to 2017. A better understanding of factors associated with childhood suicide can inform developmentally appropriate prevention strategies. Importance Suicide is the eighth leading cause of death among children aged 5 to 11 years, with rates increasing during the past decade. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.
Challenges in Clinical Electrocardiography.
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