Youth Suicide Statistics 2017 Thoughts Behaviors Deaths Stephen

Youth Suicide Statistics: 2017 Thoughts, Behaviors, & Deaths Stephen E. Brock, Ph. D, NCSP, LEP California State University, Sacramento, CA, USA 1

Statistics & Demographics World Suicide Rates, 2015 (per 100, 000 population) World Health Organization (WHO, 2017) 2

Statistics & Demographics World Suicide Rates, 2015 (per 100, 000 population) Rank Country Suicide Rate 1 Sri Lanka 34. 6 2 Guyana 30. 6 3 Mongolia 28. 1 4 Kazakhstan 27. 5 5 CÃ’te d'Ivoire 27. 2 6 Suriname 26. 9 7 Equatorial Guinea 26. 6 8 Lithuania 26. 1 9 Angola 25. 9 Republic of Korea 24. 1 10 WHO (2017) 3

Statistics & Demographics World Suicide Rates, 2015 (per 100, 000 population) Rank Country 48 Suicide Rate United States 12. 6 World Average 10. 5 175 Sao Tome & Principe; Saint Vincent and the Grenadines 02. 6 177 Pakistan 02. 5 178 Bahamas 01. 6 179 Brunei Darussalam 01. 4 179 Jamaica 01. 4 181 Grenada 00. 4 182 Barbados 00. 3 183 Antigua and Barbuda 00. 0 WHO (2017) 4

Statistics & Demographics World Female Suicide Rates, 2015 WHO (2017) 5

Statistics & Demographics World Male Suicide Rates, 2015 WHO (2017) 6

Statistics & Demographics Male : Female Ratio of Suicide Deaths, 2015 The global Male: Female ratio of suicide deaths was 1. 7 in 2015, meaning there was 1. 7 male suicide deaths for each female suicide deaths WHO (2017) 7

2017 Statistics & Demographics (2016) Age in Years # of Deaths 1 5 to 8 9 10 11 12 13 14 15 16 17 18 Total 0 1 CDC 2 CDC 4 (7) 12 (12) 24 (34) 77 (68) 149 (121) 237 (201) 349 (308) 438 (370) 469 (414) 559 (530) 2, 337 (2, 023) Cause of Death Rank 1 NA 11 (9) 7 (8) 4 (3) 3 (3) 2 (2) 1 (2) 2 (2) (2019); https: //webappa. cdc. gov/sasweb/ncipc/leadcause. html (2019); https: //webappa. cdc. gov/sasweb/ncipc/mortrate. html Suicide Rate 2 0. 10 (0. 17) 0. 29 (0. 29) 1. 01 (0. 82) 1. 86 (1. 64) 3. 59 (2. 94) 5. 74 (4. 91) 8. 48 (7. 43) 10. 37 (8. 67) 10. 92 (9. 85) 13. 18 (11. 57) 4. 03 (3. 49) 8

Statistics & Demographics Youth Suicide Deaths by Age and Year • Deaths per 100, 000 • 14 Year • 12 • 10 • 1995 • 8 • 2000 • 6 • 2005 • 2010 • 4 • 2017 • 2 • 0 • 11 • 12 • 13 • 14 • Age CDC (2019); http: //www. cdc. gov/injury/wisqars/ • 15 • 16 • 17 • 18 9

Statistics & Demographics p Magnitude of the problem n n Suicidal SDV among high school students in 20171 p 17. 2% seriously considered suicide p 13. 6% made a suicide plan p 7. 4% attempted suicide p 2. 4% attempt required medical attention 50 nonfatal self-harm injuries for each suicide death in 2017. 2 p p 1 Kann Females: 1 death for every 148 nonfatal self-harm injuries Males: 1 death for every 14. 5 nonfatal self-harm injuries et al. (2018); 2 CDC (2019) 10

Statistics & Demographics (2017) p More males (5 to 18 years) die by suicide n Gender ratio 3. 625 male suicides (N = 1, 725) for each female suicide (N = 612) p 42% of 14 -18 year old suicides is by a firearm. n 46% of 14 -18 year old male suicides is by a firearm n 18% of 14 -18 year old female suicides is by a firearm n Suicide by firearms rate (all ages) = 7. 32 n Suicide by firearms rate (14 -18 yrs) = 4. 31 n Suicide by firearms rate (14 -18 yrs male) = 7. 41 n Suicide by firearms rate (14 -18 yrs female) = 1. 07 p Highest suicide rate is among American Indian/Alaskan Native men 25 -29 (67. 22 per 100, 0001) CDC (2019); https: //webappa. cdc. gov/sasweb/ncipc/mortrate. html 11

Statistics & Demographics US Suicide Rates per 100, 000 population, by County 2008 -2014 12 CDC (2018); https: //wisqars. cdc. gov: 8443/cdc. Map. Framework/

2017 Statistics & Demographics (2016) Youth Suicide Deaths by State (15 to 24 year olds) Rank 1 2 3 4 5 6 7 8 9 10 47 CDC (2019) State Alaska (1) Wyoming (11) New Mexico (10) Montana (2) South Dakota (3) North Dakota (8) Utah (9) Oklahoma (6) Idaho (4) New Hampshire (15) Total U. S. California (44) N Rate 45 27 92 43 36 31 124 131 56 42 6, 252 522 44. 33 36. 31 32. 53 31. 58 30. 97 27. 61 25. 01 24. 33 23. 90 23. 89 9. 79 9. 60 13

Statistics & Demographics California Suicide Rates per 100, 000 population, by County 20082014 CDC (2018); https: //wisqars. cdc. gov: 8443/cdc. Map. Framework/ 14

98 1 98 • 1 2 98 • 1 3 98 • 1 4 98 • 1 5 98 • 1 6 98 • 1 7 98 • 1 8 98 • 1 9 99 • 1 0 99 • 1 1 99 • 1 2 99 • 1 3 99 • 1 4 99 • 1 5 99 • 1 6 99 • 1 7 99 • 1 8 99 • 2 9 00 • 2 0 00 • 2 1 00 • 2 2 00 • 2 3 00 • 2 4 00 • 2 5 00 • 2 6 00 • 2 7 00 • 2 8 00 • 2 9 01 • 2 0 01 • 2 1 01 • 2 2 01 • 2 3 01 • 2 4 01 • 2 5 01 • 2 6 01 7 • 1 Statistics & Demographics US Suicide Rate (& Undetermined Intent; 1981 -2017) • 18 • 16 • 14 • 12 • 10 • 8 • 6 • 4 • 2 • 0 CDC (2019): https: //webappa. cdc. gov/cgi-bin/broker. exe Suicide Rate (per 100, 000) 15

4 yr 09 s • 1 0 - yrs 14 • 1 5 - yrs 19 • 2 0 - yrs 24 • 2 5 - yrs 29 • 3 0 - yrs 34 • 3 5 - yrs 39 • 4 0 - yrs 44 • 4 5 - yrs 49 • 5 0 - yrs 54 • 5 5 - yrs 59 • 6 0 - yrs 64 • 6 5 - yrs 69 • 7 0 - yrs 74 • 7 5 - yrs 79 • 8 0 - yrs 84 yr • 8 5+ s yr s 5 - • 0 -0 • 0 Suicide Rate (per 100, 000) Statistics & Demographics US Suicide Rates by Age & Gender (2007 -2017) • 50 • 45 • 40 • 35 • 30 • 25 • 20 • 15 • 10 • 5 • 0 • Males • Females CDC (2019); https: //webappa. cdc. gov/sasweb/ncipc/mortrate. html 16

CDC (2019) • White • Black • Am Ind/AK Nat • Asian/Pac Is • 8 5+ 84 0 - • 8 79 5 - • 7 74 0 - • 7 69 64 05 - • 6 59 5 - • 5 54 0 - • 5 49 5 - • 4 44 0 - • 4 39 5 - • 3 34 0 - • 3 29 5 - • 2 24 0 - • 2 19 5 - • 1 14 0 - • 1 -9 • 5 yr yr yr yr yr • Male Suicide Rate, per 100, 000 Statistics & Demographics: Male rates by age and ethnicity (2017) • 80 • 70 • 60 • 50 • 40 • 30 • 20 • 10 • Hispanic 17

CDC (2019) • White • Black • Am Ind/AK Nat • Asian/Pac Is • 8 5+ 84 0 - • 8 79 5 - • 7 74 0 - • 7 69 64 05 - • 6 59 5 - • 5 54 0 - • 5 49 5 - • 4 44 0 - • 4 39 5 - • 3 34 0 - • 3 29 5 - • 2 24 0 - • 2 19 5 - • 1 14 0 - • 1 -9 • 5 yr yr yr yr yr • Male Suicide Rate, per 100, 000 Statistics & Demographics: Male rates by age and ethnicity (2017) • 35 • 30 • 25 • 20 • 15 • 10 • 5 • 0 • Hispanic 18

Suicide Rate (per 100, 000) • 0 CDC (2019) • Male • Female • Overall Rate • Linear(Overall Rate) 19 • 2017 • 2016 • 2015 • 2014 • 2013 • 2012 • 2011 • 2010 • 2009 • 2008 • 2007 • 2006 • 2005 • 2004 • 2003 • 2002 • 2001 • 2000 • 1999 • 1998 • 1997 • 1996 • 1995 • 1994 • 1993 • 1992 • 1991 • 1990 • 1989 • 1988 • 1987 • 1986 • 1985 • 1984 • 1983 • 1982 • 1981 Statistics & Demographics Teen Suicide Rates: 1981 -2017 (15 -19 years) • 20 • 18 • 16 • 14 • 12 • 10 • 8 • 6 • 4 • 2

Statistics & Demographics Percent who Felt “sad or hopeless” • 45 • 40 Percent • 35 • 30 • 25 • 20 • 15 • 10 • 5 • 0 • 1999 • 2001 • 2003 • 2005 • 2007 • 2009 • 2011 • 2013 • 2015 • 2017 • Male Kann et al. (2018) • Female • Overall % 20

Statistics & Demographics Percent who “seriously considered attempting suicide” • 40 • 35 • Percent • 30 • 25 • 20 • 15 • 10 • 5 • Male Kann et al. (2018) • Female • Overall % • 2 01 7 5 01 • 2 3 01 • 2 01 1 9 00 • 2 7 00 • 2 5 00 • 2 00 3 1 00 • 2 9 99 • 1 7 99 • 1 99 5 3 99 • 1 99 1 • 0 21

Statistics & Demographics Percent who “made a plan about how they would attempt suicide” • 30 Percent • 25 • 20 • 15 • 10 • 5 • 0 • 1992 • 1993 • 1995 • 1997 • 1999 • 2001 • 2003 • 2005 • 2007 • 2009 • 2011 • 2013 • 2015 • 2017 • Male Kann et al. (2018) • Female • Overall % 22

Statistics & Demographics Percent who “attempted suicide one or more times” • 14 Percent • 12 • 10 • 8 • 6 • 4 • 2 • 0 • 1991 • 1993 • 1995 • 1997 • 1999 • 2001 • 2003 • 2005 • 2007 • 2009 • 2011 • 2013 • 2015 • 2017 • Male Kann et al. (2018) • Female • Overall % 23

Statistics & Demographics Percent who “made a suicide attempt that … had to be treated by a doctor or nurse” • 4 Percent • 3. 5 • 3 • 2. 5 • 2 • 1. 5 • 1 • 0. 5 • 0 • 1991 • 1993 • 1995 • 1997 • 1999 • 2001 • 2003 • 2005 • 2007 • 2009 • 2011 • 2013 • 2015 • 2017 • Male Kann et al. (2018) • Female • Overall % 24

Statistics & Demographics High School Students who Display Suicidal Behaviors • 35 • 30 Percent • 25 • 20 • 15 • 10 • 5 • 0 99 • 1 1 93 995 997 999 001 003 005 007 009 011 013 015 017 9 • 1 • 1 • 2 • 2 • 2 • Sad/Hopeless • Thoughts • Attempt • Serious • Plan Attempt 25 Kann et al. (2018)

Youth Suicide Statistics: 2017 Thoughts, Behaviors, & Deaths Stephen E. Brock, Ph. D, NCSP, LEP California State University, Sacramento, CA, USA 26