Unveiling the Silent Crisis: Global Burden of Suicide-related Deaths Among Children Aged 10-14 years

Overview

Journal World J Pediatr

Specialty Pediatrics

Date 2024 Jan 18

PMID 38238639

Authors

Irmina Maria Michalek

Pawel Koczkodaj

Marzena Michalek

Florentino Luciano Caetano Dos Santos

Affiliations

Soon will be listed here.

Abstract

Background: The rise in suicides among children aged 10-14 years demands urgent attention globally. This study aims to assess the global burden of suicide-related deaths in this age group from 1990 to 2019, considering factors such as sex, geography, and sociodemographics, to inform prevention strategies and interventions.

Methods: The data from Global Burden of Disease 2019, encompassing 204 countries and territories, were analyzed to investigate deaths and years of life lost (YLLs) due to suicide among children aged 10-14 years. Statistical analyses, including mortality rates, YLLs, and the sociodemographic index (SDI), were conducted using standardized tools.

Results: In 2019, a total of 8327 [95% uncertainty interval (UI) = 7073-9685] children aged 10-14 years died globally due to suicide, with a mortality rate of 1.30 (95% UI = 1.10-1.51) per 100,000. The rates varied across countries/territories ranging between 0.05 (95% UI = 0.02-0.10) in South Africa and 7.49 (95% UI = 5.13-10.57) in Greenland. The contribution of suicide-related deaths to all-cause mortality ranged from 0.07% (95% UI = 0.04%-0.15%) in South Africa to 33.02% (95% UI = 24.36%-41.53%) in Greenland. Worldwide, there were approximately 636,196 (95% UI = 540,383-740,009) YLLs due to suicide, with a rate of 99.07 (95% UI = 84.15-115.23) per 100,000. The association between SDI and suicide-related deaths was evident, with higher contributions observed in countries with higher SDI.

Conclusions: This study reveals a concerning global burden of suicide-related deaths among children aged 10-14 years. Despite progress in reducing mortality rates, suicide remains a significant issue. While overall rates have declined, the percentage of deaths caused by suicide in this age group is increasing.

References

Guzzetta F, Tondo L, Centorrino F, Baldessarini R . Lithium treatment reduces suicide risk in recurrent major depressive disorder. J Clin Psychiatry. 2007; 68(3):380-3. DOI: 10.4088/jcp.v68n0304. View

Evans E, Hawton K, Rodham K . Factors associated with suicidal phenomena in adolescents: a systematic review of population-based studies. Clin Psychol Rev. 2004; 24(8):957-79. DOI: 10.1016/j.cpr.2004.04.005. View

Dahl R . Adolescent brain development: a period of vulnerabilities and opportunities. Keynote address. Ann N Y Acad Sci. 2004; 1021:1-22. DOI: 10.1196/annals.1308.001. View

Vandenbroucke J, von Elm E, Altman D, Gotzsche P, Mulrow C, Pocock S . Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration. Epidemiology. 2007; 18(6):805-35. DOI: 10.1097/EDE.0b013e3181577511. View

Cipriani A, Hawton K, Stockton S, Geddes J . Lithium in the prevention of suicide in mood disorders: updated systematic review and meta-analysis. BMJ. 2013; 346:f3646. DOI: 10.1136/bmj.f3646. View

Patton G, Sawyer S, Santelli J, Ross D, Afifi R, Allen N . Our future: a Lancet commission on adolescent health and wellbeing. Lancet. 2016; 387(10036):2423-78. PMC: 5832967. DOI: 10.1016/S0140-6736(16)00579-1. View

. Suicide trends among youths and young adults aged 10-24 years--United States, 1990-2004. MMWR Morb Mortal Wkly Rep. 2007; 56(35):905-8. View

Bottino S, Bottino C, Regina C, Correia A, Ribeiro W . Cyberbullying and adolescent mental health: systematic review. Cad Saude Publica. 2015; 31(3):463-75. DOI: 10.1590/0102-311x00036114. View

Naghavi M . Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016. BMJ. 2019; 364:l94. PMC: 6598639. DOI: 10.1136/bmj.l94. View

10.

Meltzer H, Alphs L, Green A, Altamura A, Anand R, Bertoldi A . Clozapine treatment for suicidality in schizophrenia: International Suicide Prevention Trial (InterSePT). Arch Gen Psychiatry. 2003; 60(1):82-91. DOI: 10.1001/archpsyc.60.1.82. View

11.

Reynders A, Kerkhof A, Molenberghs G, Van Audenhove C . Help-seeking, stigma and attitudes of people with and without a suicidal past. A comparison between a low and a high suicide rate country. J Affect Disord. 2015; 178:5-11. DOI: 10.1016/j.jad.2015.02.013. View

12.

Brent D, Perper J, Moritz G, Liotus L, Schweers J, Roth C . Psychiatric impact of the loss of an adolescent sibling to suicide. J Affect Disord. 1993; 28(4):249-56. DOI: 10.1016/0165-0327(93)90060-w. View

13.

Tollefsen I, Hem E, Ekeberg O . The reliability of suicide statistics: a systematic review. BMC Psychiatry. 2012; 12:9. PMC: 3350416. DOI: 10.1186/1471-244X-12-9. View

14.

Desai Bostrom A, Andersson P, Rask-Andersen M, Jarbin H, Lundberg J, Jokinen J . Regional clozapine, ECT and lithium usage inversely associated with excess suicide rates in male adolescents. Nat Commun. 2023; 14(1):1281. PMC: 10015020. DOI: 10.1038/s41467-023-36973-4. View

15.

Keller S, McNeill V, Honea J, Paulson Miller L . A Look at Culture and Stigma of Suicide: Textual Analysis of Community Theatre Performances. Int J Environ Res Public Health. 2019; 16(3). PMC: 6388390. DOI: 10.3390/ijerph16030352. View

16.

Lee H, Rhee S, Kim M, Park C, Yang J, Son K . Shifting attitudes toward suicide over time: A latent profile analysis using the Korea National Suicide Survey. Front Psychiatry. 2023; 14:1124318. PMC: 10014803. DOI: 10.3389/fpsyt.2023.1124318. View

17.

Romer D . Seasonal suicide trends in adolescents in the US: Did they explain the apparent effect of the Netflix show 13 Reasons Why?. Suicide Life Threat Behav. 2022; 53(2):207-218. DOI: 10.1111/sltb.12934. View

18.

Brent D, Baugher M, Bridge J, Chen T, Chiappetta L . Age- and sex-related risk factors for adolescent suicide. J Am Acad Child Adolesc Psychiatry. 1999; 38(12):1497-505. DOI: 10.1097/00004583-199912000-00010. View

19.

Bolton J, Au W, Chateau D, Walld R, Leslie W, Enns J . Bereavement after sibling death: a population-based longitudinal case-control study. World Psychiatry. 2016; 15(1):59-66. PMC: 4780295. DOI: 10.1002/wps.20293. View

20.

. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018; 392(10159):1789-1858. PMC: 6227754. DOI: 10.1016/S0140-6736(18)32279-7. View