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Research Letter
April 8, 2019

Suicidal Attempts and Ideation Among Children and Adolescents in US Emergency Departments, 2007-2015

Author Affiliations
  • 1Montreal Children’s Hospital, Division of Pediatric Emergency Medicine, Montreal, Quebec, Canada
  • 2Montreal Children’s Hospital, Division of Adolescent Medicine, Montreal, Quebec, Canada
  • 3Montreal Children’s Hospital, Department of Psychiatry, Montreal, Quebec, Canada
JAMA Pediatr. 2019;173(6):598-600. doi:10.1001/jamapediatrics.2019.0464

In the United States, suicide is a major public health concern and the second leading cause of death among youths age 10 to 18 years, persisting into early adulthood.1 Attempted suicide is the strongest predictor of subsequent death by suicide,2 and many children with suicide attempts (SA) and suicidal ideation (SI) first present to an emergency department (ED).3 Recent evidence has demonstrated marked increases in SA/SI among children and adolescents presenting to US tertiary children’s hospital EDs.4 Using a nationally representative data set, we tested the hypothesis that rising ED visits for pediatric SA/SI would be observed nationwide in a broad, generalizable sample.