QuickStats: age-adjusted suicide rates for females and males, by method—National Vital Statistics System, United States, and J Adolesc Health. Youth risk behavior surveillance—United States, Precipitating circumstances of suicide among youth aged years by sex: data from the National Violent Death Reporting System, 16 states, Rethinking lethality in youth suicide attempts: first suicide attempt outcomes in youth ages 10 to The gender paradox in suicidal behavior and its impact on the suicidal process.
J Affect Disord. Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry. Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiatry. Hospitalization for suicide ideation or attempt: Youth Risk Behavior Survey: data summary and trends report Accessed January 23, Annual research review: secular trends in child and adolescent mental health. Mental health surveillance among children—United States, MMWR Suppl.
National trends in the prevalence and treatment of depression in adolescents and young adults.
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The original data of the study were extracted from a solid data source of Wide-Ranging Online Data for Epidemiological Research and the analytical approach is strong, including joinpoint regression and age-stratified analysis. Despite the strengths, the reported results could be confounded by cohort effect given that the study covered a period longer than four decades.
Epidemiologically, the rate of suicide in a year consists of three independent risk components with the first related to age, the second to the birth cohort, and the third the time period, or the one that reflecting the risk of suicide in the year 2. The impact of age and cohort effect on time trends of suicide has been reported in published studies 3—5. Data used in this study covered a period of 42 years from to for youth aged ; these youth born during a period of more than five decades from to Although the impact of age on the time trends could be minimized by analyzing data by age groups, the potential effect on the time trends of suicide from the year birth cohorts was not considered.
Youth born in different years may carry different levels of suicide risk related to their birth year. For example, the risk of suicide death for youth aged years in is the combination of the suicide risk in period effect and the risk during when these youth were born. More valid data can be obtained by estimating adjusted rates using age-period-cohort modeling analysis 2,5 to depict the time trends and gender differences in suicide mortality. Authors need to address it as a limitation not to compute adjusted rates. Reference 1. Trends in suicide among youth aged 10 to 19 years in the united states, to Historical trends in suicide risk for the residents of mainland China: APC modeling of the archived national suicide mortality rates during Soc Psychiatry Psychiatr Epidemiol.
Age-period-cohort analysis of suicide mortality by gender among white and black Americans, Int J Equity Health. Explaining recent mortality trends among younger and middle-aged White Americans. Int J Epidemiol. View Correction. This Issue.
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