Suicidal Behaviors Among United States Adolescents: Increasing Clinical and Public Health Challenges

Background/Objectives: Suicide in the United States (US) adolescents is a major clinical and public health problem. In this original investigation, we explored trends in suicidal behaviors (ideation, planning, and attempts) among US adolescents from 2011 to 2021. Methods: The study sample included 9...

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Main Authors: Jhon Ostanin, Helena Miranda, Simon Shugar, Dina Abdo, Maria Carmenza Mejia, Charles H. Hennekens, Panagiota Kitsantas
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Children
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Online Access:https://www.mdpi.com/2227-9067/12/1/57
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author Jhon Ostanin
Helena Miranda
Simon Shugar
Dina Abdo
Maria Carmenza Mejia
Charles H. Hennekens
Panagiota Kitsantas
author_facet Jhon Ostanin
Helena Miranda
Simon Shugar
Dina Abdo
Maria Carmenza Mejia
Charles H. Hennekens
Panagiota Kitsantas
author_sort Jhon Ostanin
collection DOAJ
description Background/Objectives: Suicide in the United States (US) adolescents is a major clinical and public health problem. In this original investigation, we explored trends in suicidal behaviors (ideation, planning, and attempts) among US adolescents from 2011 to 2021. Methods: The study sample included 90,306 adolescents from the 2011–2021 Youth Risk Behavior Surveillance System. Descriptive statistics and the chi-squared test were used to assess differences in suicidal behaviors across gender, race/ethnicity, and grade between 2011 and 2021. Results: The overall percentage of female adolescents reporting suicidal behaviors increased significantly between 2011 and 2021, and it was higher than males. In 2021, females exhibited significantly higher rates of considering suicide (30.0% vs. 14.3%), planning (23.6% vs. 11.6%), and attempts (13.3% vs. 6.6%) compared to their male counterparts. Whites were more likely to report suicidal ideation (22.7%) while Black non-Hispanic youth had a higher likelihood of making a suicide plan (17.7%), attempting suicide (14.5%), or making a suicide attempt requiring medical treatment (4.4%) relative to other racial/ethnic groups. Overall, ninth graders were more likely to report suicide attempts (11.6%) compared to 12th graders (8.6%). Conclusions: The results demonstrate significant increases in suicidal behavior among US adolescents, particularly in females. They suggest the need for gender-sensitive approaches in mental health support and prevention strategies. Overall, given the significant increase in suicidal behaviors, healthcare providers as well as public health professionals should prioritize mental health initiatives, promote awareness, and ensure access to mental health resources for adolescents.
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spelling doaj-art-34ee14f169f04bb3954d0cc659fbc8522025-01-24T13:27:08ZengMDPI AGChildren2227-90672025-01-011215710.3390/children12010057Suicidal Behaviors Among United States Adolescents: Increasing Clinical and Public Health ChallengesJhon Ostanin0Helena Miranda1Simon Shugar2Dina Abdo3Maria Carmenza Mejia4Charles H. Hennekens5Panagiota Kitsantas6Herbert Wertheim College of Medicine, Florida International University, Miami, FL 33199, USACharles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, USACharles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, USADepartment of Health Studies, University of Richmond, Richmond, VA 23173, USADepartment of Population Health and Social Medicine, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, USADepartment of Population Health and Social Medicine, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, USADepartment of Population Health and Social Medicine, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, USABackground/Objectives: Suicide in the United States (US) adolescents is a major clinical and public health problem. In this original investigation, we explored trends in suicidal behaviors (ideation, planning, and attempts) among US adolescents from 2011 to 2021. Methods: The study sample included 90,306 adolescents from the 2011–2021 Youth Risk Behavior Surveillance System. Descriptive statistics and the chi-squared test were used to assess differences in suicidal behaviors across gender, race/ethnicity, and grade between 2011 and 2021. Results: The overall percentage of female adolescents reporting suicidal behaviors increased significantly between 2011 and 2021, and it was higher than males. In 2021, females exhibited significantly higher rates of considering suicide (30.0% vs. 14.3%), planning (23.6% vs. 11.6%), and attempts (13.3% vs. 6.6%) compared to their male counterparts. Whites were more likely to report suicidal ideation (22.7%) while Black non-Hispanic youth had a higher likelihood of making a suicide plan (17.7%), attempting suicide (14.5%), or making a suicide attempt requiring medical treatment (4.4%) relative to other racial/ethnic groups. Overall, ninth graders were more likely to report suicide attempts (11.6%) compared to 12th graders (8.6%). Conclusions: The results demonstrate significant increases in suicidal behavior among US adolescents, particularly in females. They suggest the need for gender-sensitive approaches in mental health support and prevention strategies. Overall, given the significant increase in suicidal behaviors, healthcare providers as well as public health professionals should prioritize mental health initiatives, promote awareness, and ensure access to mental health resources for adolescents.https://www.mdpi.com/2227-9067/12/1/57suicidal behaviorsadolescent psychiatrymental healthhigh school studentsUnited States
spellingShingle Jhon Ostanin
Helena Miranda
Simon Shugar
Dina Abdo
Maria Carmenza Mejia
Charles H. Hennekens
Panagiota Kitsantas
Suicidal Behaviors Among United States Adolescents: Increasing Clinical and Public Health Challenges
Children
suicidal behaviors
adolescent psychiatry
mental health
high school students
United States
title Suicidal Behaviors Among United States Adolescents: Increasing Clinical and Public Health Challenges
title_full Suicidal Behaviors Among United States Adolescents: Increasing Clinical and Public Health Challenges
title_fullStr Suicidal Behaviors Among United States Adolescents: Increasing Clinical and Public Health Challenges
title_full_unstemmed Suicidal Behaviors Among United States Adolescents: Increasing Clinical and Public Health Challenges
title_short Suicidal Behaviors Among United States Adolescents: Increasing Clinical and Public Health Challenges
title_sort suicidal behaviors among united states adolescents increasing clinical and public health challenges
topic suicidal behaviors
adolescent psychiatry
mental health
high school students
United States
url https://www.mdpi.com/2227-9067/12/1/57
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