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Published in: World Journal of Pediatrics 4/2024

Open Access 19-01-2024 | Suicide | Original Article

Unveiling the silent crisis: global burden of suicide-related deaths among children aged 10–14 years

Authors: Irmina Maria Michalek, Pawel Koczkodaj, Marzena Michalek, Florentino Luciano Caetano dos Santos

Published in: World Journal of Pediatrics | Issue 4/2024

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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.

Graphical abstract

Appendix
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Literature
1.
go back to reference Centers for Disease Control and Prevention (CDC). Suicide trends among youths and young adults aged 10–24 years-United States, 1990–2004. MMWR Morb Mortal Wkly Rep. 2007;56:905–8. Centers for Disease Control and Prevention (CDC). Suicide trends among youths and young adults aged 10–24 years-United States, 1990–2004. MMWR Morb Mortal Wkly Rep. 2007;56:905–8.
2.
go back to reference Ruch DA, Sheftall AH, Schlagbaum P, Rausch J, Campo JV, Bridge JA. Trends in suicide among youth aged 10 to 19 years in the United States, 1975 to 2016. JAMA Netw Open. 2019;2:e193886.CrossRefPubMedPubMedCentral Ruch DA, Sheftall AH, Schlagbaum P, Rausch J, Campo JV, Bridge JA. Trends in suicide among youth aged 10 to 19 years in the United States, 1975 to 2016. JAMA Netw Open. 2019;2:e193886.CrossRefPubMedPubMedCentral
3.
go back to reference Bolton JM, Au W, Leslie WD, Martens PJ, Enns MW, Roos LL, et al. Parents bereaved by offspring suicide: a population-based longitudinal case-control study. JAMA Psychiat. 2013;70:158–67.CrossRef Bolton JM, Au W, Leslie WD, Martens PJ, Enns MW, Roos LL, et al. Parents bereaved by offspring suicide: a population-based longitudinal case-control study. JAMA Psychiat. 2013;70:158–67.CrossRef
4.
go back to reference Brent DA, Moritz G, Bridge J, Perper J, Canobbio R. The impact of adolescent suicide on siblings and parents: a longitudinal follow-up. Suicide Life Threat Behav. 1996;26:253–9.CrossRefPubMed Brent DA, Moritz G, Bridge J, Perper J, Canobbio R. The impact of adolescent suicide on siblings and parents: a longitudinal follow-up. Suicide Life Threat Behav. 1996;26:253–9.CrossRefPubMed
5.
go back to reference Bolton JM, Au W, Chateau D, Walld R, Leslie WD, Enns J, et al. Bereavement after sibling death: a population-based longitudinal case-control study. World Psychiatry. 2016;15:59–66.CrossRefPubMedPubMedCentral Bolton JM, Au W, Chateau D, Walld R, Leslie WD, Enns J, et al. Bereavement after sibling death: a population-based longitudinal case-control study. World Psychiatry. 2016;15:59–66.CrossRefPubMedPubMedCentral
6.
go back to reference Andriessen K, Krysinska K, Rickwood D, Pirkis J. “It Changes Your Orbit”: the impact of suicide and traumatic death on adolescents as experienced by adolescents and parents. Int J Environ Res Public Health. 2020;17:9356.CrossRefPubMedPubMedCentral Andriessen K, Krysinska K, Rickwood D, Pirkis J. “It Changes Your Orbit”: the impact of suicide and traumatic death on adolescents as experienced by adolescents and parents. Int J Environ Res Public Health. 2020;17:9356.CrossRefPubMedPubMedCentral
7.
go back to reference Brent DA, Perper JA, Moritz G, Liotus L, Schweers J, Roth C, et al. Psychiatric impact of the loss of an adolescent sibling to suicide. J Affect Disord. 1993;28:249–56.CrossRefPubMed Brent DA, Perper JA, Moritz G, Liotus L, Schweers J, Roth C, et al. Psychiatric impact of the loss of an adolescent sibling to suicide. J Affect Disord. 1993;28:249–56.CrossRefPubMed
8.
go back to reference Patton GC, Sawyer SM, Santelli JS, Ross DA, Afifi R, Allen NB, et al. Our future: a Lancet commission on adolescent health and wellbeing. Lancet. 2016;387:2423–78.CrossRefPubMedPubMedCentral Patton GC, Sawyer SM, Santelli JS, Ross DA, Afifi R, Allen NB, et al. Our future: a Lancet commission on adolescent health and wellbeing. Lancet. 2016;387:2423–78.CrossRefPubMedPubMedCentral
9.
go back to reference Dahl RE. Adolescent brain development: a period of vulnerabilities and opportunities. Keynote address. Ann N Y Acad Sci. 2004;1021:1–22.CrossRefPubMed Dahl RE. Adolescent brain development: a period of vulnerabilities and opportunities. Keynote address. Ann N Y Acad Sci. 2004;1021:1–22.CrossRefPubMed
10.
go back to reference Brent DA, Baugher M, Bridge J, Chen T, Chiappetta L. Age- and sex-related risk factors for adolescent suicide. J Am Acad Child Adolesc Psychiatry. 1999;38:1497–505.CrossRefPubMed Brent DA, Baugher M, Bridge J, Chen T, Chiappetta L. Age- and sex-related risk factors for adolescent suicide. J Am Acad Child Adolesc Psychiatry. 1999;38:1497–505.CrossRefPubMed
11.
go back to reference Evans E, Hawton K, Rodham K. Factors associated with suicidal phenomena in adolescents: a systematic review of population-based studies. Clin Psychol Rev. 2004;24:957–79.CrossRefPubMed Evans E, Hawton K, Rodham K. Factors associated with suicidal phenomena in adolescents: a systematic review of population-based studies. Clin Psychol Rev. 2004;24:957–79.CrossRefPubMed
12.
go back to reference Borowsky IW, Ireland M, Resnick MD. Adolescent suicide attempts: risks and protectors. Pediatrics. 2001;107:485–93.CrossRefPubMed Borowsky IW, Ireland M, Resnick MD. Adolescent suicide attempts: risks and protectors. Pediatrics. 2001;107:485–93.CrossRefPubMed
13.
go back to reference 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. 2023;53:207–18.CrossRefPubMed 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. 2023;53:207–18.CrossRefPubMed
14.
go back to reference Naghavi M, Global Burden of Disease Self-Harm Collaborators. Global, regional, and national burden of suicide mortality 1990–2016: systematic analysis for the Global Burden of Disease Study 2016. BMJ. 2019;364:l94.CrossRefPubMedPubMedCentral Naghavi M, Global Burden of Disease Self-Harm Collaborators. Global, regional, and national burden of suicide mortality 1990–2016: systematic analysis for the Global Burden of Disease Study 2016. BMJ. 2019;364:l94.CrossRefPubMedPubMedCentral
15.
go back to reference GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396:1204–22.CrossRef GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396:1204–22.CrossRef
16.
go back to reference GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. 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;392:1789–858.CrossRef GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. 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;392:1789–858.CrossRef
17.
go back to reference GBD 2019 Demographics Collaborators. Global age-sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950–2019: a comprehensive demographic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396:1160–203.CrossRef GBD 2019 Demographics Collaborators. Global age-sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950–2019: a comprehensive demographic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396:1160–203.CrossRef
18.
go back to reference Vandenbroucke JP, von Elm E, Altman DG, Gotzsche PC, Mulrow CD, Pocock SJ, et al. Strengthening the reporting of observational studies in epidemiology (STROBE): explanation and elaboration. Epidemiology. 2007;18:805–35.CrossRefPubMed Vandenbroucke JP, von Elm E, Altman DG, Gotzsche PC, Mulrow CD, Pocock SJ, et al. Strengthening the reporting of observational studies in epidemiology (STROBE): explanation and elaboration. Epidemiology. 2007;18:805–35.CrossRefPubMed
19.
go back to reference Zalsman G, Hawton K, Wasserman D, van Heeringen K, Arensman E, Sarchiapone M, et al. Suicide prevention strategies revisited: 10-year systematic review. Lancet Psychiatry. 2016;3:646–59.CrossRefPubMed Zalsman G, Hawton K, Wasserman D, van Heeringen K, Arensman E, Sarchiapone M, et al. Suicide prevention strategies revisited: 10-year systematic review. Lancet Psychiatry. 2016;3:646–59.CrossRefPubMed
20.
go back to reference Bottino SM, Bottino CM, Regina CG, Correia AV, Ribeiro WS. Cyberbullying and adolescent mental health: systematic review. Cad Saude Publica. 2015;31:463–75.CrossRefPubMed Bottino SM, Bottino CM, Regina CG, Correia AV, Ribeiro WS. Cyberbullying and adolescent mental health: systematic review. Cad Saude Publica. 2015;31:463–75.CrossRefPubMed
21.
go back to reference Nguyen TH, Shah G, Muzamil M, Ikhile O, Ayangunna E, Kaur R. Association of in-school and electronic bullying with suicidality and feelings of hopelessness among adolescents in the United States. Children (Basel). 2023;10:755.PubMed Nguyen TH, Shah G, Muzamil M, Ikhile O, Ayangunna E, Kaur R. Association of in-school and electronic bullying with suicidality and feelings of hopelessness among adolescents in the United States. Children (Basel). 2023;10:755.PubMed
22.
go back to reference Balt E, Mérelle S, Robinson J, Popma A, Creemers D, van den Brand I, et al. Social media use of adolescents who died by suicide: lessons from a psychological autopsy study. Child Adolesc Psychiatry Ment Health. 2023;17:48.CrossRefPubMedPubMedCentral Balt E, Mérelle S, Robinson J, Popma A, Creemers D, van den Brand I, et al. Social media use of adolescents who died by suicide: lessons from a psychological autopsy study. Child Adolesc Psychiatry Ment Health. 2023;17:48.CrossRefPubMedPubMedCentral
23.
go back to reference Bridge JA, Goldstein TR, Brent DA. Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry. 2006;47:372–94.CrossRefPubMed Bridge JA, Goldstein TR, Brent DA. Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry. 2006;47:372–94.CrossRefPubMed
24.
go back to reference Desai Boström AE, 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;14:1281.CrossRefPubMedPubMedCentral Desai Boström AE, 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;14:1281.CrossRefPubMedPubMedCentral
25.
go back to reference Guzzetta F, Tondo L, Centorrino F, Baldessarini RJ. Lithium treatment reduces suicide risk in recurrent major depressive disorder. J Clin Psychiatry. 2007;68:380–3.CrossRefPubMed Guzzetta F, Tondo L, Centorrino F, Baldessarini RJ. Lithium treatment reduces suicide risk in recurrent major depressive disorder. J Clin Psychiatry. 2007;68:380–3.CrossRefPubMed
26.
go back to reference Cipriani A, Hawton K, Stockton S, Geddes JR. Lithium in the prevention of suicide in mood disorders: updated systematic review and meta-analysis. BMJ. 2013;346:f3646.CrossRefPubMed Cipriani A, Hawton K, Stockton S, Geddes JR. Lithium in the prevention of suicide in mood disorders: updated systematic review and meta-analysis. BMJ. 2013;346:f3646.CrossRefPubMed
27.
go back to reference Meltzer HY, Alphs L, Green AI, Altamura AC, Anand R, Bertoldi A, et al. Clozapine treatment for suicidality in schizophrenia: International Suicide Prevention Trial (InterSePT). Arch Gen Psychiatry. 2003;60:82–91.CrossRefPubMed Meltzer HY, Alphs L, Green AI, Altamura AC, Anand R, Bertoldi A, et al. Clozapine treatment for suicidality in schizophrenia: International Suicide Prevention Trial (InterSePT). Arch Gen Psychiatry. 2003;60:82–91.CrossRefPubMed
29.
go back to reference Reynders A, Kerkhof AJ, 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.CrossRefPubMed Reynders A, Kerkhof AJ, 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.CrossRefPubMed
30.
go back to reference Keller S, McNeill V, Honea J, Paulson ML. A look at culture and stigma of suicide: textual analysis of community theatre performances. Int J Environ Res Public Health. 2019;16:352.CrossRefPubMedPubMedCentral Keller S, McNeill V, Honea J, Paulson ML. A look at culture and stigma of suicide: textual analysis of community theatre performances. Int J Environ Res Public Health. 2019;16:352.CrossRefPubMedPubMedCentral
31.
go back to reference Lee H, Rhee SJ, Kim MJ, Park CHK, Yang JH, Son K, et al. Shifting attitudes toward suicide over time: a latent profile analysis using the Korea National Suicide Survey. Front Psychiatry. 2023;14:1124318.CrossRefPubMedPubMedCentral Lee H, Rhee SJ, Kim MJ, Park CHK, Yang JH, Son K, et al. Shifting attitudes toward suicide over time: a latent profile analysis using the Korea National Suicide Survey. Front Psychiatry. 2023;14:1124318.CrossRefPubMedPubMedCentral
33.
go back to reference Andersson P, Lundberg J, Jarbin H, Jokinen J, Desai Boström AE. Inverse association of anti-inflammatory prescription fills and suicide-related mortality in young adults: evidence from a nationwide study of Swedish regions, 2006–2021. Brain Behav Immun Health. 2023;31:100665.CrossRefPubMedPubMedCentral Andersson P, Lundberg J, Jarbin H, Jokinen J, Desai Boström AE. Inverse association of anti-inflammatory prescription fills and suicide-related mortality in young adults: evidence from a nationwide study of Swedish regions, 2006–2021. Brain Behav Immun Health. 2023;31:100665.CrossRefPubMedPubMedCentral
Metadata
Title
Unveiling the silent crisis: global burden of suicide-related deaths among children aged 10–14 years
Authors
Irmina Maria Michalek
Pawel Koczkodaj
Marzena Michalek
Florentino Luciano Caetano dos Santos
Publication date
19-01-2024
Publisher
Springer Nature Singapore
Keywords
Suicide
Suicide
Published in
World Journal of Pediatrics / Issue 4/2024
Print ISSN: 1708-8569
Electronic ISSN: 1867-0687
DOI
https://doi.org/10.1007/s12519-023-00781-z

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