Suicide and Children

Suicide and Children

Suicide has become much more common in children than it used to be. For children under age 15, about 1-2 out of every 100,000 children will commit suicide. For those 15-19, about 11 out of 100,000 will commit suicide. These are statistics for children in the USA. Suicide is the fourth leading cause of death for children ages 10-14 and the third leading cause of death for teenagers 15-19. Recent evidence suggests it is the lack of substance abuse, guns, and relationship problems in younger children which accounts for the lower suicide rates in this group.

The main way children kill themselves depends on what lethal means are available and their age. In countries where guns are readily available, such as the USA, that is the usual cause of suicide. Other causes are strangling and poisoning.

Suicide attempts that do not result in death are more common. In any one year, 2-6% of children will try to kill themselves. About 1% of children who try to kill themselves actually die of suicide on the first attempt. On the other hand, of those who have tried to kill themselves repeatedly, 4% succeed. About 15-50% of children who are attempting suicide have tried it before. That means that for every 300 suicide attempts, there is one completed suicide.

What makes a child more likely to attempt suicide?

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Is Your Child Depressed?

If a child has major depressive disorder, he or she is seven times more likely to try suicide. About 22% of depressed children will try suicide. Looking at it another way, children and teenagers who attempt suicide are 8 times more likely to have a mood disorder, three times more likely to have an anxiety disorder, and 6 times more likely to have a substance abuse problem. A family history of suicidal behavior and guns that are available also increase the risk. The vast majority (almost 90%) of children and adolescents who attempt suicide have psychiatric disorders. Over 75% have had some psychiatric contact in the last year. If a number of these are present, suicide risk needs to be carefully assessed regularly. If children are constantly dwelling on death and think being dead would be kind of nice, they are more likely to make a serious attempt.

Many people have thought that the main reason that children and adolescents try to kill themselves is to ma...

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...l thoughts or have made suicidal attempts have at least one, and sometimes more than one, psychiatric disorder (Read treating the chronically suicidal person). These disorders obviously need to be identified and treated. For medically serious attempts, it usually means going directly to a hospital, and then seeing a psychiatrist once the medical emergency has passed. Sometimes it means psychiatric hospitalization. For less serious attempts, it means getting seen in the next week or so.

4. Supervision

If your child makes a suicide attempt or has a plan, you need to make sure they are not alone. They need to be watched until they can be carefully assessed. This may just be a matter of a day or so, or it could be longer. No one likes being watched all the time, and it is exhausting to all concerned.

5. Avoid manipulation

Some people will use suicidal thoughts or attempts to get what they want or to get out of things they do not want to do. People try suicide to hurt others, to try to get back at boy or girl friends, and to get out of work or school. By keeping this possibility in mind, most parents (with a little help) can prevent suicidal behavior from becoming a habit.