The Psychological Autopsy and Determination of Child Suicides: A Survey of Medical Examiners

Crepeau‐Hobson, Franci

doi:10.1080/13811110903479011

Cited by 42 publications

(29 citation statements)

References 29 publications

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“…Underreporting may contribute differently to different suicide methods as it has been found to be associated with the coroners' suicide verdict with hanging being most likely to receive suicide verdict [18]. A study focussing on medical practitioners in USA showed that 79 % had specific factors they considered in determining accident over suicide as a cause of death in children, most commonly considered where there was no evidence of suicidal behaviour/intent, and a history of playing choking games and age (the minimum age of considering suicide verdict varied from 2 to 12 years) [19].…”

Section: Discussionmentioning

confidence: 98%

Suicide methods in children and adolescents

Kõlves

Leo

2016

Eur Child Adolesc Psychiatry

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There are notable differences in suicide methods between countries. The aim of this paper is to analyse and describe suicide methods in children and adolescents aged 10-19 years in different countries/territories worldwide. Suicide data by ICD-10 X codes were obtained from the WHO Mortality Database and population data from the World Bank. In total, 101 countries or territories, have data at least for 5 years in 2000-2009. Cluster analysis by suicide methods was performed for countries/territories with at least 10 suicide cases separately by gender (74 for males and 71 for females) in 2000-2009. The most frequent suicide method was hanging, followed by poisoning by pesticides for females and firearms for males. Cluster analyses of similarities in the country/territory level suicide method patterns by gender identified four clusters for both gender. Hanging and poisoning by pesticides defined the clusters of countries/territories by their suicide patterns in youth for both genders. In addition, a mixed method and a jumping from height cluster were identified for females and two mixed method clusters for males. A number of geographical similarities were observed. Overall, the patterns of suicide methods in children and adolescents reflect lethality, availability and acceptability of suicide means similarly to country specific patterns of all ages. Means restriction has very good potential in preventing youth suicides in different countries. It is also crucial to consider cognitive availability influenced by sensationalised media reporting and/or provision of technical details about specific methods.

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Section: Discussionmentioning

confidence: 98%

Suicide methods in children and adolescents

Kõlves

Leo

2016

Eur Child Adolesc Psychiatry

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“…Suicide rates were analyzed for persons aged ≥10 years because determining suicidal intent in younger children can be difficult ( 8 ). Age-specific suicide counts were tabulated based on National Vital Statistics System coded death certificate records ( International Classification of Diseases, Tenth Revision, underlying-cause-of death codes X60–X84, Y87.0, U03).…”

Section: Methodsmentioning

confidence: 99%

Vital Signs:Trends in State Suicide Rates — United States, 1999–2016 and Circumstances Contributing to Suicide — 27 States, 2015

Stone¹,

Simon²,

Fowler³

et al. 2018

MMWR Morb. Mortal. Wkly. Rep.

577

372

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IntroductionSuicide rates in the United States have risen nearly 30% since 1999, and mental health conditions are one of several factors contributing to suicide. Examining state-level trends in suicide and the multiple circumstances contributing to it can inform comprehensive state suicide prevention planning.MethodsTrends in age-adjusted suicide rates among persons aged ≥10 years, by state and sex, across six consecutive 3-year periods (1999–2016), were assessed using data from the National Vital Statistics System for 50 states and the District of Columbia. Data from the National Violent Death Reporting System, covering 27 states in 2015, were used to examine contributing circumstances among decedents with and without known mental health conditions.ResultsDuring 1999–2016, suicide rates increased significantly in 44 states, with 25 states experiencing increases >30%. Rates increased significantly among males and females in 34 and 43 states, respectively. Fifty-four percent of decedents in 27 states in 2015 did not have a known mental health condition. Among decedents with available information, several circumstances were significantly more likely among those without known mental health conditions than among those with mental health conditions, including relationship problems/loss (45.1% versus 39.6%), life stressors (50.5% versus 47.2%), and recent/impending crises (32.9% versus 26.0%), but these circumstances were common across groups.ConclusionsSuicide rates increased significantly across most states during 1999–2016. Various circumstances contributed to suicides among persons with and without known mental health conditions.Implications for Public Health PracticeStates can use a comprehensive evidence-based public health approach to prevent suicide risk before it occurs, identify and support persons at risk, prevent reattempts, and help friends and family members in the aftermath of a suicide.

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“…Various researchers have shown an association between personality traits and suicide risk 20,[27][28][29]39 . Hoberman and Garfinkel 18 describes that children were more likely to be angry, nervous, anxious and impulsive before the fatal act.…”

Section: Relationship Between Mental Disorders and Suicide In Childhoodmentioning

confidence: 99%