Characteristics of and Precipitating Circumstances Surrounding Suicide Among Persons Aged 10–17 Years — Utah, 2011–2015

Annor, Francis; Zwald, Marissa; Wilkinson, Amanda; Friedrichs, Mike; Fondario, Anna; Dunn, Angela; Nakashima, Allyn K.; Gilbert, Leah; Ivey-Stephenson, Asha Z.

doi:10.15585/mmwr.mm6711a4

Cited by 13 publications

(12 citation statements)

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“…NVDRS data have been used by states to examine the circumstances surrounding youth suicides and develop suicide prevention programs ( 48 – 51 ). For example, because the unadjusted suicide rate in Utah for youths aged 10–17 years had more than doubled during 2011–2015, in 2017 the Utah Department of Public Health collaborated with CDC to conduct an epidemiologic investigation of suicides among that age group ( 48 ).…”

Section: Discussionmentioning

confidence: 99%

“…For example, because the unadjusted suicide rate in Utah for youths aged 10–17 years had more than doubled during 2011–2015, in 2017 the Utah Department of Public Health collaborated with CDC to conduct an epidemiologic investigation of suicides among that age group ( 48 ). To identify precipitating circumstances for these suicides, data were analyzed from the Utah Violent Death Reporting System (UTVDRS) for years 2015–2017 ( 48 ). Precipitating circumstances were found to include mental health problems, depressed mood, a history of suicidal ideation, a recent crises such as family and intimate partner problems, school problems, and suicide of a friend or family member.…”

Section: Discussionmentioning

confidence: 99%

“…Data describing youth suicide in Utah have been used to support suicide prevention efforts such as the creation of a student safety and crisis tip line, a study focused on prevention of firearm suicides, and a position at the Office of the Medical Examiner to study youth suicide deaths ( 49 ). Furthermore, the nuanced findings regarding technology restriction as a contributing factor in youth suicides stimulate areas for future research ( 48 , 49 ). …”

Section: Discussionmentioning

confidence: 99%

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Surveillance for Violent Deaths — National Violent Death Reporting System, 32 States, 2016

Ertl

Sheats

Petrosky

et al. 2019

MMWR Surveill. Summ.

113

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Problem/ConditionIn 2016, approximately 65,000 persons died in the United States as a result of violence-related injuries. This report summarizes data from CDC’s National Violent Death Reporting System (NVDRS) regarding violent deaths from 32 U.S. states for 2016. Results are reported by sex, age group, race/ethnicity, type of location where injured, method of injury, circumstances of injury, and other selected characteristics.Period Covered2016.Description of SystemNVDRS collects data regarding violent deaths obtained from death certificates, coroner/medical examiner reports, law enforcement reports, and secondary sources (e.g., child fatality review team data, Supplementary Homicide Reports, hospital data, and crime laboratory data). This report includes data collected from 32 states for 2016 (Alaska, Arizona, Colorado, Connecticut, Georgia, Hawaii, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Utah, Vermont, Virginia, Washington, and Wisconsin). NVDRS collates information for each death and links deaths that are related (e.g., multiple homicides, homicide followed by suicide, or multiple suicides) into a single incident.ResultsFor 2016, NVDRS captured 40,374 fatal incidents involving 41,466 deaths in the 32 states included in this report. The majority (62.3%) of deaths were suicides, followed by homicides (24.9%), deaths of undetermined intent (10.8%), legal intervention deaths (1.2%) (i.e., deaths caused by law enforcement and other persons with legal authority to use deadly force acting in the line of duty, excluding legal executions), and unintentional firearm deaths (<1.0%). (The term legal intervention is a classification incorporated into the International Classification of Diseases, Tenth Revision [ICD-10] and does not denote the lawfulness or legality of the circumstances surrounding a death caused by law enforcement.) Demographic patterns varied by manner of death. Suicide rates were highest among males, non-Hispanic American Indians/Alaska Natives, non-Hispanic whites, adults aged 45–64 years, and men aged ≥75 years. The most common method of injury was a firearm among males and poisoning among females. Suicides were most often preceded by a mental health, intimate partner, substance abuse, or physical health problem or a recent or impending crisis during the previous or upcoming 2 weeks. Homicide rates were highest among males and persons aged <1 year and 15–44 years. Among males, non-Hispanic blacks accounted for most homicides and had the highest rate of any racial/ethnic group. The most common method of injury was a firearm. Homicides were most often precipitated by an argument or conflict, occurred in conjunction with another crime, or for females, were related to intimate partner violence. When the relationship between a homicide victim and a suspected perpetrator was known, the suspect was most frequently an acquai...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Surveillance for Violent Deaths — National Violent Death Reporting System, 32 States, 2016

Ertl

Sheats

Petrosky

et al. 2019

MMWR Surveill. Summ.

113

View full text Add to dashboard Cite

show abstract

“…Consistent with previous evidence and an investigation of youth suicide in California ( 5 , 6 ), nonfatal suicidal behaviors examined in the current investigation differed from those of completed suicides among Utah youths described elsewhere ( 6 ). For example, the prevalence of suicidal ideation and suicide attempts were highest among females and nonwhites, whereas rates of completed suicide among youths in Utah during 2011–2015 were higher among males (11.8 per 100,000 [95% CI = 9.7–14.0]) than among females (3.7 [2.5–5.1]) and among whites (8.3 [6.8–9.7]) than among nonwhites (6.5 [4.1–8.9]) ( 7 ). Past research has demonstrated similar sex differences in nonfatal and fatal suicidal behaviors among youths.…”

Section: Discussionmentioning

confidence: 99%

Suicidal Ideation and Attempts Among Students in Grades 8, 10, and 12 — Utah, 2015

Zwald¹,

Annor²,

Wilkinson³

et al. 2018

MMWR Morb. Mortal. Wkly. Rep.

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“…This provides potential support for the role of impulsivity, identified in prior research, although instances where youth previously exhibited suicidality, it can likewise be argued that the incident was not impulsive. To the best of our knowledge, only one other research article (Annor et al., 2018) has described prevalence of the relationship between an argument surrounding technology or technology restriction and youth suicide. These researchers found that approximately 10% of youth suicides involved an argument ‘that resulted in or that was a result of technology restriction before death’ (Annor et al., p.330).…”

Section: Discussionmentioning

confidence: 99%

Characteristics of interpersonal conflicts preceding youth suicide: analysis of data from the 2017 National Violent Death Reporting System

Orlins

DeBois

Chatfield

2020

Child Adoles Ment Health

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Background Deaths by suicide among US adolescents aged 10 to 19 increased by more than 85% between 2007 and 2017. Interpersonal conflicts with peers or family members, in combination with biological, psychological, and cognitive attributes of adolescents, are among risk factors. More insight about contextual factors, including timing of conflicts relative to suicide, would be useful for professionals and programmers. Method We used data from the 2017 National Violent Death Reporting System (NVDRS) reflecting most cases in 37 US states to explore contextual circumstances in adolescent death by suicide preceded by interpersonal conflicts. We calculated descriptive statistics and conducted content analysis of narratives to identify attributes of 197 cases. Results Most deaths by suicide (n = 155) occurred within 24 hr of the conflict; most conflicts involved the adolescent and family members (n = 138). When subject matter was described, most conflicts (n = 27) focused on concerns with an adolescent’s behavior. Nearly a quarter of cases (n = 49) involved technology, including technology restrictions as punishment, as either a primary or additional aspect of the conflict. Conclusions Our findings provide support for prior research suggesting links between technology and mental health concerns, including suicidality, among adolescents. While previous works have identified both positive and negative aspects of the use of technology by adolescents, our findings suggest that restriction of technology as a punishment may be an additional contextual factor of interest in a proportion of youth suicides preceded by an argument. Given ongoing regular use of technology, practitioners should address these potential risk factors regardless of risk status.

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Characteristics of and Precipitating Circumstances Surrounding Suicide Among Persons Aged 10–17 Years — Utah, 2011–2015

Cited by 13 publications

References 7 publications

Surveillance for Violent Deaths — National Violent Death Reporting System, 32 States, 2016

Surveillance for Violent Deaths — National Violent Death Reporting System, 32 States, 2016

Suicidal Ideation and Attempts Among Students in Grades 8, 10, and 12 — Utah, 2015

Characteristics of interpersonal conflicts preceding youth suicide: analysis of data from the 2017 National Violent Death Reporting System

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