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. 2019 Oct 4;68(9):1–36. doi: 10.15585/mmwr.ss.6809a1

TABLE 12. Number* and percentage of youth suicides, by precipitating circumstances and decedent’s age group — National Violent Death Reporting System, 32 states,§ 2016.

Precipitating circumstance 10–17 yrs
18–24 yrs
Total
No. (%) No. (%) No. (%)
Mental health/Substance abuse
Current diagnosed mental health problem
377 (46.3)
1,133 (45.7)
1,510 (45.9)
Depression/dysthymia
279 (74.0)
792 (69.9)
1,071 (70.9)
Anxiety disorder
75 (19.9)
191 (16.9)
266 (17.6)
Bipolar disorder
18 (4.8)
176 (15.5)
194 (12.8)
ADD/ADHD
63 (16.7)
67 (5.9)
130 (8.6)
Schizophrenia
2 (<1.0)
74 (6.5)
76 (5.0)
PTSD
6 (1.6)
47 (4.1)
53 (3.5)
OCD
1 (<1.0)
11 (<1.0)
12 (<1.0)
Eating disorder
1 (<1.0)
5 (<1.0)
6 (<1.0)
Other
55 (14.6)
68 (6.0)
123 (8.1)
Unknown
32 (8.5)
119 (10.5)
151 (10.0)
History of ever being treated for a mental health problem
335 (41.2)
881 (35.6)
1,216 (36.9)
Current depressed mood
290 (35.6)
900 (36.3)
1,190 (36.1)
Current mental health treatment
247 (30.3)
602 (24.3)
849 (25.8)
Substance abuse problem (excludes alcohol)
74 (9.1)
525 (21.2)
599 (18.2)
Alcohol problem
26 (3.2)
307 (12.4)
333 (10.1)
Other addiction (e.g., gambling, sex)
3 (<1.0)
14 (<1.0)
17 (<1.0)
Interpersonal
Intimate partner problem
204 (25.1)
816 (32.9)
1,020 (31.0)
Family relationship problem
265 (32.6)
294 (11.9)
559 (17.0)
Other relationship problem (nonintimate)
62 (7.6)
94 (3.8)
156 (4.7)
Other death of family member or friend
44 (5.4)
109 (4.4)
153 (4.6)
Suicide of family member or friend
36 (4.4)
77 (3.1)
113 (3.4)
Perpetrator of interpersonal violence during past month
3 (<1.0)
38 (1.5)
41 (1.2)
Victim of interpersonal violence during past month
5 (<1.0)
12 (<1.0)
17 (<1.0)
Life stressor
Crisis during previous or upcoming 2 weeks
317 (38.9)
781 (31.5)
1,098 (33.4)
Argument or conflict
202 (24.8)
536 (21.6)
738 (22.4)
School problem
212 (26.0)
117 (4.7)
329 (10.0)
Recent criminal legal problem
35 (4.3)
230 (9.3)
265 (8.0)
Job problem
6 (<1.0)
216 (8.7)
222 (6.7)
Physical health problem
32 (3.9)
104 (4.2)
136 (4.1)
Financial problem
4 (<1.0)
127 (5.1)
131 (4.0)
History of child abuse/neglect
40 (4.9)
48 (1.9)
88 (2.7)
Eviction or loss of home
3 (<1.0)
53 (2.1)
56 (1.7)
Noncriminal legal problem
6 (<1.0)
41 (1.7)
47 (1.4)
Physical fight (two persons, not a brawl)
9 (1.1)
38 (1.5)
47 (1.4)
Traumatic anniversary
5 (<1.0)
16 (<1.0)
21 (<1.0)
Caretaker abuse/neglect led to death
5 (<1.0)
4 (<1.0)
9 (<1.0)
Exposure to disaster
0 (0.0)
1 (<1.0)
1 (<1.0)
Crime and criminal activity
Precipitated by another crime
20 (2.5)
87 (3.5)
107 (3.3)
Crime in progress**
6 (30.0)
28 (32.2)
34 (31.8)
Terrorist attack
0 (0.0)
0 (0.0)
0 (0.0)
Suicide event
History of suicidal thoughts or plans
290 (35.6)
886 (35.8)
1,176 (35.7)
Left a suicide note
322 (39.6)
816 (32.9)
1,138 (34.6)
History of suicide attempt
173 (21.3)
589 (23.8)
762 (23.1)
Suicide disclosure
Disclosed suicide intent
201 (24.7)
652 (26.3)
853 (25.9)
Disclosed intent to whom††
  Previous or current intimate partner
38 (18.9)
232 (35.6)
270 (31.7)
  Other family member
57 (28.4)
194 (29.8)
251 (29.4)
  Friend/colleague
65 (32.3)
120 (18.4)
185 (21.7)
  Health care worker
7 (3.5)
14 (2.1)
21 (2.5)
  Other person
22 (10.9)
57 (8.7)
79 (9.3)
  Unknown
12 (6.0)
35 (5.4)
47 (5.5)
Total§§ 814 (89.4) 2,478 (90.3) 3,292 (90.1)

Abbreviations: ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; OCD = obsessive-compulsive disorder; PTSD = posttraumatic stress disorder.

* Includes suicides with one or more precipitating circumstances. More than one circumstance could have been present per decedent.

Denominator includes those suicides with one or more precipitating circumstances. The sum of percentages in columns exceeds 100% because more than one circumstance could have been present per decedent.

§ Alaska, Arizona, Colorado, Connecticut, Georgia, Hawaii, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Utah, Vermont, Virginia, Washington, and Wisconsin. Illinois, Pennsylvania, and Washington collected data on ≥80% of violent deaths in the state, in accordance with requirements under which the state was funded.

Includes decedents with one or more diagnosed current mental health problems; therefore, sums of percentages for the diagnosed conditions exceed 100%. Denominator includes the number of decedents with one or more current diagnosed mental health problems.

** Denominator includes those decedents involved in an incident that was precipitated by another crime.

†† Denominator includes decedents who disclosed intent.

§§ Circumstances were unknown for 363 decedents (97 aged 10–17 years and 266 aged 18–24 years); total no. of youth suicide decedents = 3,655 (911 aged 10–17 years and 2,744 aged 18–24 years).