@article{ref1,
title="Life experiences preceding high lethality suicide attempts in adolescents at a level I regional trauma center",
journal="Suicide and life-threatening behavior",
year="2021",
author="Lyons, Vivian H. and Decou, Christopher R. and Niehoff, Elizabeth and Moore, Megan and Rivara, Frederick P. and Rowhani-Rahbar, Ali",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: To describe life experiences associated with patterns of medically treated and documented self-directed violence among youth who attempted suicide using highly lethal means to understand precipitating factors among youth using such lethal means. <br><br>METHOD: Using data from a regional, level 1 Trauma center, we identified all youth suicide attempt survivors who received treatment from 2010 to 2018 for a suicide attempt with a firearm, hanging, or jump from height injury (n = 42). We described differences in patient demographics and life experiences associated with patterns of self-directed violence by suicide attempt mechanism. We additionally assessed mechanisms used in any prior suicide attempts to identify potential increasing lethality of mechanism selection. <br><br>RESULTS: There were 42 eligible patients included, of whom 40.5% attempted suicide with a firearm, 26.2% with hanging, 33.3% with jumping injury. A greater proportion of patients with firearm injuries endorsed social support and had fewer preparatory acts, history of self-harming behavior, prior suicide behaviors, and fewer prior attempts compared to patients who attempted suicide with other mechanisms. <br><br>CONCLUSIONS: Given our findings, means safety should remain a key strategy to prevent highly lethal suicidal behavior among adolescents, especially with firearms, given that such attempts may occur prior to formal contact with mental health services.<p /> <p>Language: en</p>",
language="en",
issn="0363-0234",
doi="10.1111/sltb.12740",
url="http://dx.doi.org/10.1111/sltb.12740"
}