What’s unique about lesbian, gay, bisexual, and transgender (LGBT) youth and young adults suicides? Findings from the National Violent Death Reporting System

Purpose: The purpose of the study was to explore variability in circumstances around suicide deaths among youth and young adults by sexual/gender identity category (gay male, lesbian/gay female, bisexual male, bisexual female, transgender male, transgender female, non-LGBT [lesbian, gay, bisexual, and transgender] male, and non-LGBT female). Methods: Secondary analysis of National Violent Death Reporting System (NVDRS) data […]

Teen depression and suicide prevention: Standard treatment guidelines 2022

Suicide is the third leading cause of adolescent mortality in India and the fifth leading cause, globally. Every hour one child dies of suicide in India. Most adolescent suicides are impulsive. They commit suicide mainly by hanging, poisoning, drowning, and self-immolation. The important causes are family problems, break-up in romantic relationships, physical and mental illness, […]

National guidelines for child and youth behavioral health crisis care

The National Guidelines for Child and Youth Behavioral Health Crisis Care offers best practices, implementation strategies, and practical guidance for the design and development of services that meet the needs of children, youth, and their families experiencing a behavioral health crisis. Additional technical guidance is provided in a companion report produced by SAMHSA in conjunction with the […]

River of life: Aboriginal youth suicide workshop

The River of Life workshop is designed to provide information and interventions for caregivers working with youth at risk of suicide aged fifteen to twenty-four.

Trends in suicidal ideation-related emergency department visits for youth in Illinois: 2016-2021

BACKGROUND AND OBJECTIVES: Increasing suicide rates and emergency department (ED) mental abstract health visits reflect deteriorating mental health among American youth. This  population-based study analyzes trends in ED visits for suicidal ideation (SI) before and during the coronavirus disease 2019 (COVID-19) pandemic. METHODS: We analyzed Illinois hospital administrative data for ED visits coded for SI […]

Prospective development and validation of the computerized adaptive screen for suicidal youth

Objective  To develop and independently validate a novel computerized adaptive screen for suicidal youth (CASSY) for use as a universal screen for suicide risk in medical emergency departments (EDs). Design, Setting, and Participants  Study 1 of this prognostic study prospectively enrolled adolescent patients at 13 geographically diverse US EDs in the Pediatric Emergency Care Applied Research Network. […]

Sexual orientation‑related patterns of 12‑month course and severity of suicidality in a longitudinal, population‑based cohort of young adults in Sweden

Purpose We assessed sexual orientation-related patterns in the 1-year longitudinal course (i.e., onset, remittance, persistence) and severity of suicidality. Method Data were obtained from a prospective, population-based cohort representing nearly 2.4 million Swedish young adults. Results A higher proportion of sexual minorities remitted (14.6%) compared to heterosexuals (9.5%). However, over twice as many sexual minorities […]

Systematic review of suicide prevention studies with data on youth and young adults living in low-income and middle-income countries

Objectives This review aimed to provide a summary of peer-reviewed, published literature on suicide preventive interventions with data on youth and young adults in low-income and middle-income countries (LMIC). Design A systematic review was conducted using electronic databases of PubMed/MEDLINE, The Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, Education Resources Information Center and […]

Established outpatient care and follow-up after acute psychiatric service use among youths and young adults

Objective: This study explored follow-up after hospitalization and emergency room (ER) use for mental health among youths and young adults with private insurance. Methods: The IBM MarketScan commercial database (2013–2018) was used to identify people ages 12–27 with a mental health hospitalization (N=95,153) or ER use (N=108,576). Factors associated with outpatient mental health follow-up within […]

Dialectical behaviour therapy (DBT) for high-risk transgender and gender diverse (TGD) youth: A qualitative study of youth and mental health providers’ perspectives on intervention relevance

Objectives Despite the significant mental health challenges and unique treatment needs of transgender and gender diverse (TGD) youth, research on the acceptability of evidence-based treatments for these youth is limited. To address this gap, the current study explored the perceived relevance of dialectical behaviour therapy (DBT) for high-risk TGD youth. Methods Qualitative data were collected […]

Stepped care for suicide prevention in teens and young adults: Design and methods of a randomized controlled trial

Background Suicide is the second‑leading cause of death among adolescents and young adults in the United States, with rates rising over much of the last decade. The design, testing, and implementation of interventions to prevent suicide in this population is a public health priority. This manuscript outlines the design and methods for a research study […]

Defeat and entrapment mediate the relationship between insomnia symptoms and suicidal ideation in young adults

Aim In recent years, there has been a growing interest in understanding the relationship between sleep disturbance and suicide. The current study aimed to advance understanding of the psychological processes driving these relationships by examining whether insomnia symptoms are related to suicidal ideation via perceptions of defeat and entrapment. Methods Young adults (n = 259; 202 students […]

Young peoples’ perspectives on the role of harm reduction techniques in the management of their self-harm: A qualitative study

Objective Self-harm is a common phenomenon amongst young people, often used to regulate emotional distress. Over the last decade harm reduction approaches to self-harm have been introduced as a means to minimize risk and reinforce alternative coping strategies. However, there is a stark absence of research into the perceived usefulness of such techniques amongst adolescents, […]

Dos and dont’s in designing school-based awareness programs for suicide prevention: Results of a three-stage Delphi survey

Background: Despite the promising evidence for the effectiveness of school-based awareness programs in decreasing the rates of suicidal thoughts and suicide attempts in young people, no guidelines on the targets and methods of safe and effective awareness programs exist. Aims: This study intends to distill recommendations for school-based suicide awareness and prevention programs from experts. Method: A three-stage Delphi survey […]

Epidemiology of suicide and suicidal behavior in youth (IN: Youth Suicide Prevention and

Suicide is the second leading cause of death among youth aged 10–19 years in the United States. Numerous risk factors are associated with suicide and suicidal behavior including individual, family, and social characteristics. Knowledge of the complex interplay of factors contributing to youth suicide is highly relevant to the development of effective prevention strategies.

Utilizing suicide risk screening as a prevention technique in pediatric medical settings (IN: Youth Suicide Prevention and Intervention, edited by J.P. Ackerman & L.M. Horowitz)

Suicide risk screening for youth in medical settings, especially in primary care, is supported and encouraged by The Joint Commission, the American Academy of Pediatrics, and the National Action Alliance for Suicide Prevention. Implementing suicide risk screening and assessment with evidence-based tools can enhance feasibility of screening programs without overburdening busy systems of care. This […]

Safety planning and lethal means counseling with youth (IN: Youth Suicide Prevention and Intervention, edited by J.P. Ackerman & L.M. Horowitz)

Lethal means counseling and safety planning (i.e., a written list of individualized coping strategies and sources of support) are empirically supported strategies to prevent suicidal behavior. Both approaches are often prescribed as ways to manage clients’ risk of suicide. However, there is limited guidance on how to effectively implement these strategies with youth. In this […]

Youth crisis hotlines: Merging best practice suicide prevention with a system of care (IN: Youth Suicide Prevention and Intervention, edited by J.P. Ackerman & L.M. Horowitz)

In the USA, crisis hotlines, such as the National Suicide Prevention Lifeline, have become a valued resource for individuals experiencing a suicidal crisis. Often staffed by trained counselors, crisis hotlines can provide immediate support and can help to identify a caller’s problem and potential solutions, ensure the caller’s safety, and connect them with appropriate resources. […]

The cultural theory and model of suicide for youth (IN: Youth Suicide Prevention and Intervention, edited by J.P. Ackerman & L.M. Horowitz)

This chapter identifies key guidelines and opportunities for the incorporation of cultural considerations into youth suicide prevention, assessment, and intervention. Cultural factors and principles from the Cultural Theory and Model of Suicide (Chu et al., 2010) are extended to ethnic, gender, and sexual minority youth, to identify cultural factors that are more salient or more […]

Suicide and self-harm prevention and intervention in LGBTQIA+ youth: Current research and future directions (IN: Youth Suicide Prevention and Intervention, edited by J.P. Ackerman & L.M. Horowitz)

Youth who are lesbian, gay, bisexual, queer, and questioning their sexual identities (LGBQ+) and/or who are a gender distinct from their birth-assigned sex (i.e., trans gender and gender diverse), collectively LGBTQIA+, show nearly triple the risk for self-injurious thoughts and behaviors (SITBs), including nonsuicidal self-injury, suicide ideation, and suicide attempts (Marshal et al., 2011). Unfortunately, […]

Preventing suicide in youth with intellectual and neurodevelopmental disorders: Lessons learned and policy recommendations (IN: Youth Suicide Prevention and Intervention, edited by J.P. Ackerman & L.M. Horowitz)

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by social communication defcits and the presence of repetitive and restricted behaviors. Based on tracking of 8-year-old children within 11  communities in the USA, 1 in 54 children was identifed with ASD in 2016 by the CDC’s Autism and Developmental Disabilities Monitoring (ADDM) Network (Maenner et […]

Five-year mortality after hospitalisation for suicide attempt with a violent method

Objective This study aimed to estimate the 5-year mortality among people admitted into a transdisciplinary unit providing combined psychiatric and somatic rehabilitation treatment. Methods In this retrospective study, we analyzed the clinical records of all individuals admitted into the transdisciplinary unit from 01/01/2011 to 12/31/2017 after a suicide attempt using violent means. Vital status was […]

The relationship of adverse childhood experiences to PTSD, depression, poly-drug use and suicide attempt in reservation-based Native American adolescents and young adults

Adverse childhood experiences (ACEs) are associated with numerous risk behaviors and mental health outcomes among youth. This study examines the relationship between the number of types of exposures to ACEs and risk behaviors and mental health outcomes among reservation-based Native Americans. In 2011, data were collected from Native American (N = 288; 15-24 years of […]