Epidemiology: Research on Patterns and Risk Factors Related to Suicide and Suicidal Behaviors

Risk Factors for Self-Harm Among Youth With Bipolar Disorder

In a cohort of Ohio Medicaid-enrolled youth with bipolar disorder (BD), we found older age, female sex, non-Hispanic white race/ethnicity, comorbid psychiatric disorders, prior suicidal ideation and self-harm, and prior mental health emergency department visits were positively associated with self-harm. The highest risk period for self-harm was the first 3 months after a new BD episode. Prior psychiatric hospitalization was negatively associated with self-harm. 

Risk Factor for Self-Harm Among Youth With First Episode Psychosis

This study identified risk factors for self-harm and suicide death among Medicaid-covered adolescents and young adults with first episode psychosis (FEP). The hazards of self-harm were significantly higher for children who had previous incidents of self-harm, suicidal ideation, child abuse and neglect, comorbid medical and psychiatric diagnoses, and prior mental health care. Risk of self-harm was highest in the first three months following FEP.

Cannabis Use, Self-Harm and Mortality Risk Among Youth With Mood Disorders

A population-based retrospective study examined the association between cannabis use disorder (CUD) and self-harm, suicide and all-cause mortality in youth with mood disorders. CUD was significantly associated with self-harm and all-cause mortality. 

Gender Trend Analysis

Trends in suicide rates among U.S. youth aged 10-19 were investigated by age group, sex, race/ethnicity and method of suicide. Findings showed a significant reduction in the historically large gap in youth suicide rates between males and females underscoring the importance of interventions that consider unique differences by sex.