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Methods of suicide used by children and adolescents

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Abstract

Although relatively rare, suicide is a leading cause of death in children and adolescents in the Western world. This study examined whether children and adolescents are drawn to other methods of suicide than adults. Swiss suicides from 1998 to 2007 were examined. The main methods of suicide were analysed with respect to age and gender. Of the 12,226 suicides which took place in this 10-year period, 333 were committed by children and adolescents (226 males, 107 females). The most prevalent methods of suicide in children and adolescents 0–19 years were hanging, jumping from heights and railway-suicides (both genders), intoxication (females) and firearms (males). Compared to adults, railway-suicides were over-represented in young males and females (both P < .001). Jumping from heights was over-represented in young males (P < .001). Thus, availability has an important effect on methods of suicide chosen by children and adolescents. Restricting access to most favoured methods of suicide might be an important strategy in suicide prevention.

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References

  1. Ajdacic-Gross V, Killias M, Hepp U, Gadola E, Bopp M, Lauber C, Schnyder U, Gutzwiller F, Rossler W (2006) Changing times: a longitudinal analysis of international firearm suicide data. Am J Public Health 96:1752–1755

    Article  PubMed  Google Scholar 

  2. Ajdacic-Gross V, Killias M, Hepp U, Haymoz S, Bopp M, Gutzwiller F, Rossler W (2010) Firearm suicides and availability of firearms: the Swiss experience. Eur Psychiatr 25:432–434

    Article  CAS  Google Scholar 

  3. Bertolote JM, Fleischmann A, De Leo D, Wasserman D (2003) Suicide and mental disorders: do we know enough? Br J Psychiatry 183:382–383

    Article  PubMed  Google Scholar 

  4. Blum RW, Nelson-Mmari K (2004) The health of young people in a global context. J Adolesc Health 35:402–418

    PubMed  Google Scholar 

  5. Buddeberg C, Buddeberg-Fischer B, Gnam G, Schmid J, Christen S (1996) Suicidal behavior in Swiss students: an 18-month follow-up survey. Crisis 17:78–86

    Article  PubMed  CAS  Google Scholar 

  6. Dahlberg LL, Ikeda RM, Kresnow MJ (2004) Guns in the home and risk of a violent death in the home: findings from a national study. Am J Epidemiol 160:929–936

    Article  PubMed  Google Scholar 

  7. Daigle MS (2005) Suicide prevention through means restriction: assessing the risk of substitution. A critical review and synthesis. Accid Anal Prev 37:625–632

    Article  PubMed  Google Scholar 

  8. Dieserud G, Gerhardsen RM, Van den Weghe H, Corbett K (2010) Adolescent suicide attempts in Baerum, Norway, 1984–2006. Crisis 31:255–264

    Article  PubMed  Google Scholar 

  9. Donaldson AE, Larsen GY, Fullerton-Gleason L, Olson LM (2006) Classifying undetermined poisoning deaths. Inj Prev 12:338–343

    Article  PubMed  CAS  Google Scholar 

  10. Gunnell D, Middleton N, Frankel S (2000) Method availability and the prevention of suicide–a re-analysis of secular trends in England and Wales 1950–1975. Soc Psychiatry Psychiatr Epidemiol 35:437–443

    Article  PubMed  CAS  Google Scholar 

  11. Harris EC, Barraclough B (1997) Suicide as an outcome for mental disorders. A meta-analysis. Br J Psychiatry 170:205–228

    Article  PubMed  CAS  Google Scholar 

  12. Hawton K (1982) Attempted suicide in children and adolescents. J Child Psychol Psychiatry 23:497–503

    Article  PubMed  CAS  Google Scholar 

  13. Hawton K, van Heeringen K (2000) The international handbook of suicide and attempted suicide. Wiley, Chichester

    Book  Google Scholar 

  14. Hepp U, Ring M, Frei A, Rossler W, Schnyder U, Ajdacic-Gross V (2010) Suicide trends diverge by method: Swiss suicide rates 1969–2005. Eur Psychiatry 25:129–135

    Article  PubMed  CAS  Google Scholar 

  15. Lahti A, Rasanen P, Riala K, Keranen S, Hakko H (2011) Youth suicide trends in Finland, 1969–2008. J Child Psychol Psychiatry 52:984–991

    Article  PubMed  Google Scholar 

  16. Lester D (1990) The effect of the detoxification of domestic gas in Switzerland on the suicide rate. Acta Psychiatr Scand 82:383–384

    Article  PubMed  CAS  Google Scholar 

  17. Levi F, La Vecchia C, Lucchini F, Negri E, Saxena S, Maulik PK, Saraceno B (2003) Trends in mortality from suicide, 1965–1999. Acta Psychiatr Scand 108:341–349

    Article  PubMed  CAS  Google Scholar 

  18. Mann JJ, Apter A, Bertolote J, Beautrais A, Currier D, Haas A, Hegerl U, Lonnqvist J, Malone K, Marusic A, Mehlum L, Patton G, Phillips M, Rutz W, Rihmer Z, Schmidtke A, Shaffer D, Silverman M, Takahashi Y, Varnik A, Wasserman D, Yip P, Hendin H (2005) Suicide prevention strategies: a systematic review. JAMA 294:2064–2074

    Article  PubMed  CAS  Google Scholar 

  19. McClure GM (2000) Changes in suicide in England and Wales, 1960–1997. Br J Psychiatry 176:64–67

    Article  PubMed  CAS  Google Scholar 

  20. Michel K, Ballinari P, Bille-Brahe U, Bjerke T, Crepet P, De Leo D, Haring C, Hawton K, Kerkhof A, Lonnqvist J, Querejeta I, Salander-Renberg E, Schmidtke A, Temesvary B, Wasserman D (2000) Methods used for parasuicide: results of the WHO/EURO multicentre study on parasuicide. Soc Psychiatry Psychiatr Epidemiol 35:156–163

    Article  PubMed  CAS  Google Scholar 

  21. Miller M, Hemenway D (2008) Guns and suicide in the United States. N Engl J Med 359:989–991

    Article  PubMed  CAS  Google Scholar 

  22. Ohberg A, Lonnqvist J, Sarna S, Vuori E, Penttila A (1995) Trends and availability of suicide methods in Finland. Proposals for restrictive measures. Br J Psychiatry 166:35–43

    Article  PubMed  CAS  Google Scholar 

  23. Reisch T, Michel K (2005) Securing a suicide hot spot: effects of a safety net at the Bern Muenster Terrace. Suicide Life Threat Behav 35:460–467

    Article  PubMed  Google Scholar 

  24. Reisch T, Schuster U, Michel K (2007) Suicide by jumping and accessibility of bridges: results from a national survey in Switzerland. Suicide Life Threat Behav 37:681–687

    Article  PubMed  Google Scholar 

  25. Reisch T, Schuster U, Michel K (2008) Suicide by jumping from bridges and other heights: social and diagnostic factors. Psychiatry Res 161:97–104

    Article  PubMed  Google Scholar 

  26. Rey Gex C, Narring F, Ferron C, Michaud PA (1998) Suicide attempts among adolescents in Switzerland: prevalence, associated factors and comorbidity. Acta Psychiatr Scand 98:28–33

    Article  PubMed  CAS  Google Scholar 

  27. Runeson B, Tidemalm D, Dahlin M, Lichtenstein P, Langstrom N (2010) Method of attempted suicide as predictor of subsequent successful suicide: national long term cohort study. BMJ 341:c3222

    Article  PubMed  Google Scholar 

  28. Schmidtke A, Hafner H (1988) The Werther effect after television films: new evidence for an old hypothesis. Psychol Med 18:665–676

    Article  PubMed  CAS  Google Scholar 

  29. Simon OR, Swann AC, Powell KE, Potter LB, Kresnow MJ, O’Carroll PW (2001) Characteristics of impulsive suicide attempts and attempters. Suicide Life Threat Behav 32:49–59

    Article  PubMed  CAS  Google Scholar 

  30. Sonneck G, Etzersdorfer E, Nagel-Kuess S (1994) Imitative suicide on the Viennese subway. Soc Sci Med 38:453–457

    Article  PubMed  CAS  Google Scholar 

  31. Stemberga V, Bralic M, Coklo M, Cuculic D, Bosnar A (2010) Suicidal drowning in Southwestern Croatia: a 25-year review. Am J Forensic Med Pathol 31:52–54

    Article  PubMed  Google Scholar 

  32. Varnik A, Kolves K, Allik J, Arensman E, Aromaa E, van Audenhove C, Bouleau JH, van der Feltz-Cornelis CM, Giupponi G, Gusmao R, Kopp M, Marusic A, Maxwell M, Oskarsson H, Palmer A, Pull C, Realo A, Reisch T, Schmidtke A, Perez Sola V, Wittenburg L, Hegerl U (2009) Gender issues in suicide rates, trends and methods among youths aged 15–24 in 15 European countries. J Affect Disord 113:216–226

    Article  PubMed  Google Scholar 

  33. Varnik A, Kolves K, van der Feltz-Cornelis CM, Marusic A, Oskarsson H, Palmer A, Reisch T, Scheerder G, Arensman E, Aromaa E, Giupponi G, Gusmao R, Maxwell M, Pull C, Szekely A, Sola VP, Hegerl U (2008) Suicide methods in Europe: a gender-specific analysis of countries participating in the “European Alliance Against Depression”. J Epidemiol Community Health 62:545–551

    Article  PubMed  CAS  Google Scholar 

  34. Wirthwein DP, Barnard JJ, Prahlow JA (2002) Suicide by drowning: a 20-year review. J Forensic Sci 47:131–136

    PubMed  Google Scholar 

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The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Psychiatric Services Aargau AG, Teaching Hospital of the University of Zurich, Haselstrasse 1, 5401, Baden, Switzerland

    Urs Hepp, Niklaus Stulz & Jürg Unger-Köppel

  2. Clinic for General and Social Psychiatry, Psychiatry University Hospital, Zurich, Switzerland

    Vladeta Ajdacic-Gross

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  1. Urs Hepp
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  2. Niklaus Stulz
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  3. Jürg Unger-Köppel
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  4. Vladeta Ajdacic-Gross
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Correspondence to Urs Hepp.

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Hepp, U., Stulz, N., Unger-Köppel, J. et al. Methods of suicide used by children and adolescents. Eur Child Adolesc Psychiatry 21, 67–73 (2012). https://doi.org/10.1007/s00787-011-0232-y

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  • DOI: https://doi.org/10.1007/s00787-011-0232-y

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