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1 - The epidemiology of youth suicide

Published online by Cambridge University Press:  04 December 2009

By
Madelyn S. Gould ,
David Shaffer  and
Ted Greenberg
Edited by
Robert A. King  and
Alan Apter
Madelyn S. Gould
Affiliation:
Professor, Psychiatry and Public Health (Epidemiology), Columbia University, New York State Psychiatric Institute, 1051 Riverside Drive Unit 72, New York, NY 10032 USA e-mail: gouldm@child.cpmc.columbia.edu tel: +1-212-543-5329, fax: +1-212-543-5966
David Shaffer
Affiliation:
Irving Philips Professor of Psychiatry, Columbia University; Director of Child Psychiatry, New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032 USA e-mail: shafferd@child.cpmc.columbia.edu tel: +1-212-543-5947, fax: +1-212-543-5966
Ted Greenberg
Affiliation:
Research Scientist, Columbia University, New York State Psychiatric Institute, 722 West 168th Street, New York, NY 10032 USA e-mail: greenbet@child.cpmc.columbia.edu tel: +1-212-543-5931
Robert A. King
Affiliation:
Yale University, Connecticut
Alan Apter
Affiliation:
Tel-Aviv University
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Summary

Introduction

This chapter reviews three major sources of data that are used to derive the epidemiology of completed suicide in children and adolescents - official mortality statistics, the psychological autopsy literature, and general population epidemiologic surveys of nonlethal suicidal behavior. A presentation of the rates andpatterns of completed and attempted suicide will be followed by a discussion of the risk factors for youth suicide. This information on the epidemiology of youth completed and attempted suicide can be applied to planning of services, the drawing of causal inferences or the identification of developmental phenomena.

Suicide rates and patterns

Completed suicide

Leading causes of adolescent and young adult death in the U.S.

Unintentional injuries, suicide and homicide are consistently the leading causes of death among youth aged 10–24 in the U.S. (Table 1.1 Suicide was the fourth leading cause of death among 10- to 14-year-olds, and the third leading cause of death among 15- to 19-year-olds and among 20- to 24-year-olds in 1999. The rankings vary by gender and ethnicity: suicide accounts for more deaths among males and whites. Age, gender, and ethnic differences in incidence will be discussed further below.

Age

The incidence of suicide varies markedly by age. In 1999, 192 boys and 50 girls aged between 10 and 14 committed suicide in the U.S., accounting for 5.8% (242/4121) of all deaths occurring in this age group. The age-specific mortality rate from suicide was 1.2 per 100,000.

Keywords

epidemiologic surveysethnicitymortality statisticsNational Center for Health Statisticspsychological autopsy literatureyouth suicidenonlethal suicidal behavior
Type
Chapter
Information
Suicide in Children and Adolescents , pp. 1 - 40
Publisher: Cambridge University Press
Print publication year: 2003

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  • The epidemiology of youth suicide
    • By Madelyn S. Gould, Professor, Psychiatry and Public Health (Epidemiology), Columbia University, New York State Psychiatric Institute, 1051 Riverside Drive Unit 72, New York, NY 10032 USA e-mail: gouldm@child.cpmc.columbia.edu tel: +1-212-543-5329, fax: +1-212-543-5966, David Shaffer, Irving Philips Professor of Psychiatry, Columbia University; Director of Child Psychiatry, New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032 USA e-mail: shafferd@child.cpmc.columbia.edu tel: +1-212-543-5947, fax: +1-212-543-5966, Ted Greenberg, Research Scientist, Columbia University, New York State Psychiatric Institute, 722 West 168th Street, New York, NY 10032 USA e-mail: greenbet@child.cpmc.columbia.edu tel: +1-212-543-5931
  • Edited by Robert A. King, Yale University, Connecticut, Alan Apter, Tel-Aviv University
  • Book: Suicide in Children and Adolescents
  • Online publication: 04 December 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511550423.002
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  • The epidemiology of youth suicide
    • By Madelyn S. Gould, Professor, Psychiatry and Public Health (Epidemiology), Columbia University, New York State Psychiatric Institute, 1051 Riverside Drive Unit 72, New York, NY 10032 USA e-mail: gouldm@child.cpmc.columbia.edu tel: +1-212-543-5329, fax: +1-212-543-5966, David Shaffer, Irving Philips Professor of Psychiatry, Columbia University; Director of Child Psychiatry, New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032 USA e-mail: shafferd@child.cpmc.columbia.edu tel: +1-212-543-5947, fax: +1-212-543-5966, Ted Greenberg, Research Scientist, Columbia University, New York State Psychiatric Institute, 722 West 168th Street, New York, NY 10032 USA e-mail: greenbet@child.cpmc.columbia.edu tel: +1-212-543-5931
  • Edited by Robert A. King, Yale University, Connecticut, Alan Apter, Tel-Aviv University
  • Book: Suicide in Children and Adolescents
  • Online publication: 04 December 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511550423.002
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • The epidemiology of youth suicide
    • By Madelyn S. Gould, Professor, Psychiatry and Public Health (Epidemiology), Columbia University, New York State Psychiatric Institute, 1051 Riverside Drive Unit 72, New York, NY 10032 USA e-mail: gouldm@child.cpmc.columbia.edu tel: +1-212-543-5329, fax: +1-212-543-5966, David Shaffer, Irving Philips Professor of Psychiatry, Columbia University; Director of Child Psychiatry, New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032 USA e-mail: shafferd@child.cpmc.columbia.edu tel: +1-212-543-5947, fax: +1-212-543-5966, Ted Greenberg, Research Scientist, Columbia University, New York State Psychiatric Institute, 722 West 168th Street, New York, NY 10032 USA e-mail: greenbet@child.cpmc.columbia.edu tel: +1-212-543-5931
  • Edited by Robert A. King, Yale University, Connecticut, Alan Apter, Tel-Aviv University
  • Book: Suicide in Children and Adolescents
  • Online publication: 04 December 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511550423.002
Available formats
×