In Reply: We agree with Dr Parkinson that further development and expansion of the NVDRS to all 50 states is an important next step toward understanding the causes and prevention of violent deaths in the United States, including youth suicide. It will also be imperative to continue to develop and implement the most promising suicide prevention and early intervention programs, including physician education in depression recognition and suicide risk evaluation1- 3; restriction of access to the most lethal means of suicide (eg, more restrictive legislation regarding firearms, changing the packaging of analgesics to blister packets, barriers on bridges)3; and screening for mental illness and suicidality in teenagers, with timely referral and follow-up care provided when indicated.3,4
Bridge JA, Greenhouse JB, Kelleher KJ. Reporting System for Violent Deaths and Youth Suicide—Reply. JAMA. 2009;301(5):485–486. doi:10.1001/jama.2009.46
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