Paediatric suicide in the USA: analysis of the National Child Death Case Reporting System
ImportanceSuicide is a leading cause of death among youths. The relationship between mental health, psychosocial factors and youth suicidality needs further analysis.ObjectiveTo describe paediatric suicide in the USA and the impact of mental health and substance abuse using the National Child Death...
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| Published in | Injury prevention Vol. 22; no. 4; pp. 268 - 273 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
BMJ Publishing Group LTD
01.08.2016
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1353-8047 1475-5785 1475-5785 |
| DOI | 10.1136/injuryprev-2015-041796 |
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| Abstract | ImportanceSuicide is a leading cause of death among youths. The relationship between mental health, psychosocial factors and youth suicidality needs further analysis.ObjectiveTo describe paediatric suicide in the USA and the impact of mental health and substance abuse using the National Child Death Review Case Reporting System (CDR-CRS). To identify psychosocial correlates contributing to suicide and whether these factors are more common among individuals with history of mental illness or substance abuse.DesignDeidentified data (CDR-CRS) from 2004 to 2012 was obtained from 29 participating states. Demographic data and psychosocial correlates, including age, gender, cause of death, history of mental illness and/or substance abuse, school concerns, previous suicide attempts and family history of suicide, were collected.ResultsA total of 2850 suicides were identified. Mean age was 15.6±1.9 years; (range 7–21 years) 73.6% male and 65.1% Caucasian. The leading causes of death were asphyxia (50.2%) and weapon/firearm (36.5%). Among all subjects, 25.5% had history of mental illness and 19.0% had history of substance abuse. 60.0% had no report of mental illness or substance abuse. Subjects with both mental illness and substance abuse were more likely to have school concerns (OR=4.1 (p<0.001)), previous suicide attempts (OR=4.2 (p<0.001)) and a family history of suicide (OR=3.2 (p<0.001)) compared with subjects without those characteristics.ConclusionsMost suicide records in the CDR-CRS had no indication of mental illness or substance abuse. The youth with mental-illness/substance-abuse issues were more likely to have other compounding psychosocial correlates that may be warning signs of suicide. |
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| AbstractList | Suicide is a leading cause of death among youths. The relationship between mental health, psychosocial factors and youth suicidality needs further analysis.IMPORTANCESuicide is a leading cause of death among youths. The relationship between mental health, psychosocial factors and youth suicidality needs further analysis.To describe paediatric suicide in the USA and the impact of mental health and substance abuse using the National Child Death Review Case Reporting System (CDR-CRS). To identify psychosocial correlates contributing to suicide and whether these factors are more common among individuals with history of mental illness or substance abuse.OBJECTIVETo describe paediatric suicide in the USA and the impact of mental health and substance abuse using the National Child Death Review Case Reporting System (CDR-CRS). To identify psychosocial correlates contributing to suicide and whether these factors are more common among individuals with history of mental illness or substance abuse.Deidentified data (CDR-CRS) from 2004 to 2012 was obtained from 29 participating states. Demographic data and psychosocial correlates, including age, gender, cause of death, history of mental illness and/or substance abuse, school concerns, previous suicide attempts and family history of suicide, were collected.DESIGNDeidentified data (CDR-CRS) from 2004 to 2012 was obtained from 29 participating states. Demographic data and psychosocial correlates, including age, gender, cause of death, history of mental illness and/or substance abuse, school concerns, previous suicide attempts and family history of suicide, were collected.A total of 2850 suicides were identified. Mean age was 15.6±1.9 years; (range 7-21 years) 73.6% male and 65.1% Caucasian. The leading causes of death were asphyxia (50.2%) and weapon/firearm (36.5%). Among all subjects, 25.5% had history of mental illness and 19.0% had history of substance abuse. 60.0% had no report of mental illness or substance abuse. Subjects with both mental illness and substance abuse were more likely to have school concerns (OR=4.1 (p<0.001)), previous suicide attempts (OR=4.2 (p<0.001)) and a family history of suicide (OR=3.2 (p<0.001)) compared with subjects without those characteristics.RESULTSA total of 2850 suicides were identified. Mean age was 15.6±1.9 years; (range 7-21 years) 73.6% male and 65.1% Caucasian. The leading causes of death were asphyxia (50.2%) and weapon/firearm (36.5%). Among all subjects, 25.5% had history of mental illness and 19.0% had history of substance abuse. 60.0% had no report of mental illness or substance abuse. Subjects with both mental illness and substance abuse were more likely to have school concerns (OR=4.1 (p<0.001)), previous suicide attempts (OR=4.2 (p<0.001)) and a family history of suicide (OR=3.2 (p<0.001)) compared with subjects without those characteristics.Most suicide records in the CDR-CRS had no indication of mental illness or substance abuse. The youth with mental-illness/substance-abuse issues were more likely to have other compounding psychosocial correlates that may be warning signs of suicide.CONCLUSIONSMost suicide records in the CDR-CRS had no indication of mental illness or substance abuse. The youth with mental-illness/substance-abuse issues were more likely to have other compounding psychosocial correlates that may be warning signs of suicide. ImportanceSuicide is a leading cause of death among youths. The relationship between mental health, psychosocial factors and youth suicidality needs further analysis.ObjectiveTo describe paediatric suicide in the USA and the impact of mental health and substance abuse using the National Child Death Review Case Reporting System (CDR-CRS). To identify psychosocial correlates contributing to suicide and whether these factors are more common among individuals with history of mental illness or substance abuse.DesignDeidentified data (CDR-CRS) from 2004 to 2012 was obtained from 29 participating states. Demographic data and psychosocial correlates, including age, gender, cause of death, history of mental illness and/or substance abuse, school concerns, previous suicide attempts and family history of suicide, were collected.ResultsA total of 2850 suicides were identified. Mean age was 15.6 plus or minus 1.9years; (range 7-21years) 73.6% male and 65.1% Caucasian. The leading causes of death were asphyxia (50.2%) and weapon/firearm (36.5%). Among all subjects, 25.5% had history of mental illness and 19.0% had history of substance abuse. 60.0% had no report of mental illness or substance abuse. Subjects with both mental illness and substance abuse were more likely to have school concerns (OR=4.1 (p<0.001)), previous suicide attempts (OR=4.2 (p<0.001)) and a family history of suicide (OR=3.2 (p<0.001)) compared with subjects without those characteristics.ConclusionsMost suicide records in the CDR-CRS had no indication of mental illness or substance abuse. The youth with mental-illness/substance-abuse issues were more likely to have other compounding psychosocial correlates that may be warning signs of suicide. Suicide is a leading cause of death among youths. The relationship between mental health, psychosocial factors and youth suicidality needs further analysis. To describe paediatric suicide in the USA and the impact of mental health and substance abuse using the National Child Death Review Case Reporting System (CDR-CRS). To identify psychosocial correlates contributing to suicide and whether these factors are more common among individuals with history of mental illness or substance abuse. Deidentified data (CDR-CRS) from 2004 to 2012 was obtained from 29 participating states. Demographic data and psychosocial correlates, including age, gender, cause of death, history of mental illness and/or substance abuse, school concerns, previous suicide attempts and family history of suicide, were collected. A total of 2850 suicides were identified. Mean age was 15.6±1.9 years; (range 7-21 years) 73.6% male and 65.1% Caucasian. The leading causes of death were asphyxia (50.2%) and weapon/firearm (36.5%). Among all subjects, 25.5% had history of mental illness and 19.0% had history of substance abuse. 60.0% had no report of mental illness or substance abuse. Subjects with both mental illness and substance abuse were more likely to have school concerns (OR=4.1 (p<0.001)), previous suicide attempts (OR=4.2 (p<0.001)) and a family history of suicide (OR=3.2 (p<0.001)) compared with subjects without those characteristics. Most suicide records in the CDR-CRS had no indication of mental illness or substance abuse. The youth with mental-illness/substance-abuse issues were more likely to have other compounding psychosocial correlates that may be warning signs of suicide. Importance Suicide is a leading cause of death among youths. The relationship between mental health, psychosocial factors and youth suicidality needs further analysis. Objective To describe paediatric suicide in the USA and the impact of mental health and substance abuse using the National Child Death Review Case Reporting System (CDR-CRS). To identify psychosocial correlates contributing to suicide and whether these factors are more common among individuals with history of mental illness or substance abuse. Design Deidentified data (CDR-CRS) from 2004 to 2012 was obtained from 29 participating states. Demographic data and psychosocial correlates, including age, gender, cause of death, history of mental illness and/or substance abuse, school concerns, previous suicide attempts and family history of suicide, were collected. Results A total of 2850 suicides were identified. Mean age was 15.6±1.9 years; (range 7-21 years) 73.6% male and 65.1% Caucasian. The leading causes of death were asphyxia (50.2%) and weapon/firearm (36.5%). Among all subjects, 25.5% had history of mental illness and 19.0% had history of substance abuse. 60.0% had no report of mental illness or substance abuse. Subjects with both mental illness and substance abuse were more likely to have school concerns (OR=4.1 (p<0.001)), previous suicide attempts (OR=4.2 (p<0.001)) and a family history of suicide (OR=3.2 (p<0.001)) compared with subjects without those characteristics. Conclusions Most suicide records in the CDR-CRS had no indication of mental illness or substance abuse. The youth with mental-illness/substance-abuse issues were more likely to have other compounding psychosocial correlates that may be warning signs of suicide. ImportanceSuicide is a leading cause of death among youths. The relationship between mental health, psychosocial factors and youth suicidality needs further analysis.ObjectiveTo describe paediatric suicide in the USA and the impact of mental health and substance abuse using the National Child Death Review Case Reporting System (CDR-CRS). To identify psychosocial correlates contributing to suicide and whether these factors are more common among individuals with history of mental illness or substance abuse.DesignDeidentified data (CDR-CRS) from 2004 to 2012 was obtained from 29 participating states. Demographic data and psychosocial correlates, including age, gender, cause of death, history of mental illness and/or substance abuse, school concerns, previous suicide attempts and family history of suicide, were collected.ResultsA total of 2850 suicides were identified. Mean age was 15.6±1.9 years; (range 7–21 years) 73.6% male and 65.1% Caucasian. The leading causes of death were asphyxia (50.2%) and weapon/firearm (36.5%). Among all subjects, 25.5% had history of mental illness and 19.0% had history of substance abuse. 60.0% had no report of mental illness or substance abuse. Subjects with both mental illness and substance abuse were more likely to have school concerns (OR=4.1 (p<0.001)), previous suicide attempts (OR=4.2 (p<0.001)) and a family history of suicide (OR=3.2 (p<0.001)) compared with subjects without those characteristics.ConclusionsMost suicide records in the CDR-CRS had no indication of mental illness or substance abuse. The youth with mental-illness/substance-abuse issues were more likely to have other compounding psychosocial correlates that may be warning signs of suicide. |
| Author | Teshome, Getachew Reynolds, Eliza M Dykstra, Heather K Lichenstein, Richard Trigylidas, Theodore E |
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| CitedBy_id | crossref_primary_10_1016_j_jad_2021_05_005 crossref_primary_10_1016_j_jadohealth_2023_08_036 crossref_primary_10_3390_ecm1030028 crossref_primary_10_1111_1753_6405_12782 crossref_primary_10_1097_TA_0000000000002257 crossref_primary_10_1016_j_chiabu_2022_106002 crossref_primary_10_1016_j_jsr_2023_12_005 crossref_primary_10_1016_j_chc_2020_10_008 crossref_primary_10_30773_pi_2019_0025 crossref_primary_10_1542_peds_2023_065481 crossref_primary_10_3928_00485713_20190509_01 crossref_primary_10_1016_j_chc_2018_03_003 crossref_primary_10_1186_s40621_022_00378_6 crossref_primary_10_1177_09731342231190715 crossref_primary_10_1111_acem_12986 crossref_primary_10_1016_j_acap_2024_01_021 crossref_primary_10_32677_IJCH_2017_v04_i01_012 |
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| Snippet | ImportanceSuicide is a leading cause of death among youths. The relationship between mental health, psychosocial factors and youth suicidality needs further... Suicide is a leading cause of death among youths. The relationship between mental health, psychosocial factors and youth suicidality needs further analysis. To... Importance Suicide is a leading cause of death among youths. The relationship between mental health, psychosocial factors and youth suicidality needs further... Suicide is a leading cause of death among youths. The relationship between mental health, psychosocial factors and youth suicidality needs further... |
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| SubjectTerms | Adolescent Age Age Distribution Asphyxia - epidemiology Child Child abuse & neglect Child Behavior - psychology Child, Preschool Children & youth Data dictionaries Depression - epidemiology Depression - psychology Drug abuse Female Firearms Firearms - statistics & numerical data Genetics Health services Humans Incidence Infant Infant, Newborn Male Males Mental disorders Mental health care Mortality Neurodevelopmental Disorders - epidemiology Neurodevelopmental Disorders - psychology Pediatrics Poisoning Poisons Risk Factors Sex Distribution Social Environment Strangulation Substance-Related Disorders - epidemiology Substance-Related Disorders - psychology Suicide Suicide - psychology Suicide - statistics & numerical data Suicide - trends Suicides & suicide attempts Teams United States - epidemiology Young Adult |
| Title | Paediatric suicide in the USA: analysis of the National Child Death Case Reporting System |
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