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1 - The epidemiology of youth suicide
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- 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
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- Book:
- Suicide in Children and Adolescents
- Published online:
- 04 December 2009
- Print publication:
- 28 August 2003, pp 1-40
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- Chapter
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Summary
This chapter reviews three major sources of data that are used to derive the epidemiology of completed suicide in children and adolescents. They are official mortality statistics, the psychological autopsy literature, and general population epidemiologic surveys of nonlethal suicidal behavior. Suicide is often associated with aggressive behavior and alcohol abuse and both are more common in males. Until 1979, the ethnic breakdown in the annual age-specific mortality statistics in the U.S. published by the National Center for Health Statistics (NCHS) was limited to whites and nonwhites. Firearms are the most common method and hanging the second most prevalent method of suicide in the U.S., regardless of age or ethnicity. The chapter focuses on the main risk factors for youth suicide evaluated by the psychological autopsy studies that employed direct interviews of family and/or peer informants.