Montana was the state with the highest rate of suicidal death among adolescents in the U.S. in 2022, with around 39 deaths per 100,000 adolescents. The overall suicide rate in the U.S. has increased over recent years. Suicide is more common among men than women with rates among men over three times higher than among women. Risk factors Risk factors for suicide include mental disorders, such as depression, bipolar disorder, and personality disorders, as well as substance abuse. In fact, suicidal thoughts, plans to commit suicide, and suicide attempts are all more common among those with drug or alcohol dependence or abuse. In terms of suicides due to a known mental disorder, depression accounts for around 72 percent of all such suicides. Methods Most suicides in the United States are carried out by firearms, however, the most common method of suicide differs from country to country. In 2022, over 27,000 suicides in the United States were conducted by firearms, or just over half of all suicides that year. Firearms are the most common means of suicide among both men and women in the United States, but suicide by poisoning is much more common among women than men.

As of 2022, the U.S. states with the highest death rates from suicide were Montana, Alaska, and Wyoming. In Wyoming and Montana, there were around 29 and 28 suicide deaths per 100,000 population, respectively. In comparison, in New Jersey, the state with the lowest suicide death rate, there were only around eight suicide deaths per 100,000 population. Differences in suicide rates by gender In the United States, there is a vast difference in suicide rates between men and women, with rates over 3.5 times higher among men. However, rates of suicide for both men and women have increased over the past couple of decades. Among men, those aged 75 years and older have the highest suicide rates, with around 42 deaths per 100,000 population in 2021. Among women, those aged 45 to 64 years have the highest rates of suicide death with 8.2 deaths per 100,000 population. What is the most common method of suicide? In the United States, the most common method of suicide is with firearms, followed by suffocation and then poisoning. In 2022, there were around 27,032 suicide deaths from firearms in the United States, compared to 12,247 deaths from suffocation and 4,894 from drug poisoning. In 2021, firearms accounted for around 60 percent of suicide deaths among men. In comparison, around 35 percent of deaths from suicide among women were due to firearms, while suffocation and poisoning each accounted for 28 percent of such deaths.

According to the latest available data, there were around 14.2 suicide deaths per 100,000 population in the United States in 2022. Suicide remains one of the leading causes of death in the U.S. highlighting the need for awareness and prevention. The suicide rate in the U.S. has risen for both men and women in recent years but remains over three times higher for men. Hospitalizations In 2021, there were around 517,000 adults hospitalized in the U.S. after a suicide attempt. Although the suicide rate among men is significantly higher than among women, there are more hospitalizations after suicide attempts for women than for men. In 2019, there were 288,000 such hospitalizations among women and 238,000 hospitalizations among men. Public opinionSuicide can be a divisive topic that involves religious and political views. Recent data shows that 72 percent of the U.S. population believes suicide is morally wrong, while 22 percent believe it to be morally acceptable. However, only 32 percent of adults believe it is “very important” to invest public dollars in the prevention of suicide.

Since the 1950s, the suicide rate in the United States has been significantly higher among men than women. In 2022, the suicide rate among men was almost four times higher than that of women. However, the rate of suicide for both men and women has increased gradually over the past couple of decades. Facts on suicide in the United States In 2022, the rate of suicide death in the United States was around 14 per 100,000 population. The suicide rate in the U.S. has generally increased since the year 2000, with the highest rates ever recorded in the years 2018 and 2022. In the United States, death rates from suicide are highest among those aged 45 to 64 years and lowest among younger adults aged 15 to 24. The states with the highest rates of suicide are Montana, Alaska, and Wyoming, while New Jersey and Massachusetts have the lowest rates. Suicide among men In 2023, around 4.5 percent of men in the United States reported having serious thoughts of suicide in the past year. Although this rate is lower than that of women, men still have a higher rate of suicide death than women. One reason for this may have to do with the method of suicide. Although firearms account for the largest share of suicide deaths among both men and women, firearms account for almost 60 percent of all suicides among men and just 35 percent among women. Suffocation and poisoning are the other most common methods of suicide among women, with the chances of surviving a suicide attempt from these methods being much higher than surviving an attempt by firearm. The age group with the highest rate of suicide death among men is by far those aged 75 years and over.

Download data on suicides in Massachusetts by demographics and year. This page also includes reporting on military & veteran suicide, and suicides during COVID-19.

During the 2019-20 school year, one youth committed suicide on the campus of a functioning elementary or secondary school. It has been found that the death rate for suicide in the U.S. for males has remained higher than that of females for the entire period between 1950 to 2019.

South Korea currently has the highest overall suicide rate among OECD countries worldwide. The suicide rate among women in South Korea is significantly higher than that of women in any other country. Nevertheless, suicide is commonly more prevalent among men than women. Suicide in the U.S. The suicide rate in the United States has risen since the year 2000. As of 2021, there were around 14.1 deaths from suicide per 100,000 population. The suicide rate among men in the U.S. is over three times what it is for females, a considerable and troubling difference. The suicide rate among men increases with age, with the highest rates found among men aged 75 years and older. Adolescent suicide Adolescent suicide is always a serious and difficult topic. A recent survey found that around 30 percent of female high school students in the United States had seriously considered attempting suicide in the past year, compared to 14 percent of male students. On average, there are around 11 suicide deaths among adolescents per 100,000 population in the United States. The states with the highest rates of adolescent suicide include Idaho, Colorado, and Utah.

IntroductionDespite considerable investment in suicide prevention since 2001, there is limited evidence for the effect of suicide prevention interventions among children and adolescents. This study aimed to estimate the potential population impact of different interventions in preventing suicide-related behaviors in children and adolescents.MethodsA microsimulation model study used data from national surveys and clinical trials to emulate the dynamic processes of developing depression and care-seeking behaviors among a US sample of children and adolescents. The simulation model examined the effect of four hypothetical suicide prevention interventions on preventing suicide and suicide attempt in children and adolescents as follows: (1) reduce untreated depression by 20, 50, and 80% through depression screening; (2) increase the proportion of acute-phase treatment completion to 90% (i.e., reduce treatment attrition); (3) suicide screening and treatment among the depressed individuals; and (4) suicide screening and treatment to 20, 50, and 80% of individuals in medical care settings. The model without any intervention simulated was the baseline. We estimated the difference in the suicide rate and risk of suicide attempts in children and adolescents between baseline and different interventions.ResultsNo significant reduction in the suicide rate was observed for any of the interventions. A significant decrease in the risk of suicide attempt was observed for reducing untreated depression by 80%, and for suicide screening to individuals in medical settings as follows: 20% screened: −0.68% (95% credible interval (CI): −1.05%, −0.56%), 50% screened: −1.47% (95% CI: −2.00%, −1.34%), and 80% screened: −2.14% (95% CI: −2.48%, −2.08%). Combined with 90% completion of acute-phase treatment, the risk of suicide attempt changed by −0.33% (95% CI: −0.92%, 0.04%), −0.56% (95% CI: −1.06%, −0.17%), and −0.78% (95% CI: −1.29%, −0.40%) for reducing untreated depression by 20, 50, and 80%, respectively. Combined with suicide screening and treatment among the depressed, the risk of suicide attempt changed by −0.27% (95% CI: −0.dd%, −0.16%), −0.66% (95% CI: −0.90%, −0.46%), and −0.90% (95% CI: −1.10%, −0.69%) for reducing untreated depression by 20, 50, and 80%, respectively.ConclusionReducing undertreatment (the untreated and dropout) of depression and suicide screening and treatment in medical care settings may be effective in preventing suicide-related behaviors in children and adolescents.

In 2021, the suicide rate among teenagers aged 15 to 19 in the U.S. was roughly 11 per 100,000 population. The statistic illustrates the rate of suicide and homicide in the U.S. among teens aged 15 to 19 from 2001 to 2021.

The suicide rate among females in the United States is highest for those aged 45 to 64 years and lowest among girls aged 10 to 14 and elderly women 75 and over. Although the suicide rate among women remains over three times lower than that of men, rates of suicide among women have gradually increased over the past couple decades. Suicide among women in the United States In 2021, there were around six suicide deaths per 100,000 women in the United States. In comparison, the rate of suicide among women in the year 2000 was about four per 100,000. Suicide rates among women are by far the highest among American Indians or Alaska Natives and lowest among Hispanic and Black or African American women. Although firearms are involved in the highest share of suicide deaths among both men and women, they account for a much smaller share among women. In 2020, the firearm suicide rate among women was 1.8 per 100,000 population, while the rates of suicide for suffocation and poisoning were 1.7 and 1.5 per 100,000, respectively. Suicidal ideation among women Although not everyone who experiences suicidal ideation, or suicidal thoughts, will attempt suicide, suicidal thoughts are a risk factor for suicide. In 2022, just over five percent of women in the United States reported having serious thoughts of suicide in the past year. Suicidal thoughts are more common among women than men even though men have much higher rates of death from suicide than women. This is because men are more likely to use more lethal methods of suicide such as firearms. Women who suffer from substance use disorder are significantly more likely to have serious thoughts of suicide than women without substance use disorder.

Among men in the United States, those aged 75 years and older have the highest death rate from suicide among all age groups. In 2022, the suicide death rate among men aged 75 years and older was 43.9 per 100,000 population. In comparison, the death rate from suicide among men aged 25 to 44 years was 29.6 per 100,000. Suicide is a significant problem in the United States, with rates increasing over the past decade. Suicide among men In the United States, the suicide rate among men is almost four times higher than that of women. In 2022, the rate of suicide among U.S. men was 23 per 100,000 population, the highest rate recorded over the past 70 years. Firearms account for the vast majority of suicide deaths among men, accounting for around 60 percent of male suicides in 2021. The reasons why U.S. men have higher rates of suicide than women are complex and not fully understood, but may have to do with the more violent means by which men carry out suicide and the stigma around seeking help for mental health issues. Suicide among women Although the suicide rate among women in the U.S. is significantly lower than that of men, the rate of suicide among women has increased over the past couple of decades. Among women, those aged 45 to 64 years have the highest death rates due to suicide, followed by women 25 to 44 years old. Interestingly, the share of women reporting serious thoughts of suicide in the past year is higher than that of men, with around 5.5 percent of U.S. women reporting such thoughts in 2023. Similarly to men, firearms account for most suicide deaths among women, however suffocation and poisoning account for a significant share of suicides among women. In 2021, around 35 percent of suicides among women were carried out by firearms, while suffocation and poisoning each accounted for around 28 percent of suicide deaths.

The National Survey of American Life Adolescent Supplement (NSAL-A), 2001-2004, was designed to estimate the lifetime-to-date and current prevalence, age-of-onset distributions, course, and comorbidity of DSM-IV disorders among African American and Caribbean adolescents in the United States; to identify risk and protective factors for the onset and persistence of these disorders; to describe patterns and correlates of service use for these disorders; and to lay the groundwork for subsequent follow-up studies that can be used to identify early expressions of adult mental disorders. In addition and similar to the NSAL adult dataset (Collaborative Psychiatric Epidemiology Surveys (CPES), 2001-2003 United States), the adolescent dataset contains detailed measures of health; social conditions; stressors; distress; racial identity; subjective, neighborhood conditions; activities and school; media; and social and psychological protective and risk factors. Numerous variables from the adult dataset have been merged into the adolescent dataset, as the NSAL adult and adolescent respondents reside in the same households. Some of these variables apply to the entire household (i.e. region, urbanicity, and family income), while others apply specifically to the NSAL adult respondent living in the adolescent's household (i.e. adult years of education, adult marital status, and adult nativity [foreign-born vs. US born]). The immigration measures were asked of Caribbean black adult respondents only. No comparable measures assess the immigration and generational status of the Caribbean black adolescent respondents. The adult dataset measures are merged into the adolescent dataset to assist in approximating these measures for adolescent respondents. The NSAL adolescent dataset also includes variables for other non-core and experimental disorders. These include tobacco use/nicotine dependence, premenstrual syndrome, minor depression, recurrent brief depression, hypomania, and hypomania sub-threshold. Demographic variables include age, race and ethnicity, ancestry or national origins, height, weight, marital status, income, and education level.

Medium/Small metropolitan counties: Model performance comparison.

Description of socio-environmental variables.

As of 2023, around 30 percent of U.S. cisgender youth aged between 13 and 24 years had considered suicide within the past 12 months, compared to 46 percent of transgender and non-binary youth. The statistic illustrates the share of U.S. LGBTQ youth who had considered or attempted suicide within the past 12 months as of 2023.

Goal 3Ensure healthy lives and promote well-being for all at all agesTarget 3.1: By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live birthsIndicator 3.1.1: Maternal mortality ratioSH_STA_MORT: Maternal mortality ratioIndicator 3.1.2: Proportion of births attended by skilled health personnelSH_STA_BRTC: Proportion of births attended by skilled health personnel (%)Target 3.2: By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live birthsIndicator 3.2.1: Under-5 mortality rateSH_DYN_IMRTN: Infant deaths (number)SH_DYN_MORT: Under-five mortality rate, by sex (deaths per 1,000 live births)SH_DYN_IMRT: Infant mortality rate (deaths per 1,000 live births)SH_DYN_MORTN: Under-five deaths (number)Indicator 3.2.2: Neonatal mortality rateSH_DYN_NMRTN: Neonatal deaths (number)SH_DYN_NMRT: Neonatal mortality rate (deaths per 1,000 live births)Target 3.3: By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseasesIndicator 3.3.1: Number of new HIV infections per 1,000 uninfected population, by sex, age and key populationsSH_HIV_INCD: Number of new HIV infections per 1,000 uninfected population, by sex and age (per 1,000 uninfected population)Indicator 3.3.2: Tuberculosis incidence per 100,000 populationSH_TBS_INCD: Tuberculosis incidence (per 100,000 population)Indicator 3.3.3: Malaria incidence per 1,000 populationSH_STA_MALR: Malaria incidence per 1,000 population at risk (per 1,000 population)Indicator 3.3.4: Hepatitis B incidence per 100,000 populationSH_HAP_HBSAG: Prevalence of hepatitis B surface antigen (HBsAg) (%)Indicator 3.3.5: Number of people requiring interventions against neglected tropical diseasesSH_TRP_INTVN: Number of people requiring interventions against neglected tropical diseases (number)Target 3.4: By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-beingIndicator 3.4.1: Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory diseaseSH_DTH_NCOM: Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease (probability)SH_DTH_NCD: Number of deaths attributed to non-communicable diseases, by type of disease and sex (number)Indicator 3.4.2: Suicide mortality rateSH_STA_SCIDE: Suicide mortality rate, by sex (deaths per 100,000 population)SH_STA_SCIDEN: Number of deaths attributed to suicide, by sex (number)Target 3.5: Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcoholIndicator 3.5.1: Coverage of treatment interventions (pharmacological, psychosocial and rehabilitation and aftercare services) for substance use disordersSH_SUD_ALCOL: Alcohol use disorders, 12-month prevalence (%)SH_SUD_TREAT: Coverage of treatment interventions (pharmacological, psychosocial and rehabilitation and aftercare services) for substance use disorders (%)Indicator 3.5.2: Alcohol per capita consumption (aged 15 years and older) within a calendar year in litres of pure alcoholSH_ALC_CONSPT: Alcohol consumption per capita (aged 15 years and older) within a calendar year (litres of pure alcohol)Target 3.6: By 2020, halve the number of global deaths and injuries from road traffic accidentsIndicator 3.6.1: Death rate due to road traffic injuriesSH_STA_TRAF: Death rate due to road traffic injuries, by sex (per 100,000 population)Target 3.7: By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmesIndicator 3.7.1: Proportion of women of reproductive age (aged 15–49 years) who have their need for family planning satisfied with modern methodsSH_FPL_MTMM: Proportion of women of reproductive age (aged 15-49 years) who have their need for family planning satisfied with modern methods (% of women aged 15-49 years)Indicator 3.7.2: Adolescent birth rate (aged 10–14 years; aged 15–19 years) per 1,000 women in that age groupSP_DYN_ADKL: Adolescent birth rate (per 1,000 women aged 15-19 years)Target 3.8: Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for allIndicator 3.8.1: Coverage of essential health servicesSH_ACS_UNHC: Universal health coverage (UHC) service coverage indexIndicator 3.8.2: Proportion of population with large household expenditures on health as a share of total household expenditure or incomeSH_XPD_EARN25: Proportion of population with large household expenditures on health (greater than 25%) as a share of total household expenditure or income (%)SH_XPD_EARN10: Proportion of population with large household expenditures on health (greater than 10%) as a share of total household expenditure or income (%)Target 3.9: By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contaminationIndicator 3.9.1: Mortality rate attributed to household and ambient air pollutionSH_HAP_ASMORT: Age-standardized mortality rate attributed to household air pollution (deaths per 100,000 population)SH_STA_AIRP: Crude death rate attributed to household and ambient air pollution (deaths per 100,000 population)SH_STA_ASAIRP: Age-standardized mortality rate attributed to household and ambient air pollution (deaths per 100,000 population)SH_AAP_MORT: Crude death rate attributed to ambient air pollution (deaths per 100,000 population)SH_AAP_ASMORT: Age-standardized mortality rate attributed to ambient air pollution (deaths per 100,000 population)SH_HAP_MORT: Crude death rate attributed to household air pollution (deaths per 100,000 population)Indicator 3.9.2: Mortality rate attributed to unsafe water, unsafe sanitation and lack of hygiene (exposure to unsafe Water, Sanitation and Hygiene for All (WASH) services)SH_STA_WASH: Mortality rate attributed to unsafe water, unsafe sanitation and lack of hygiene (deaths per 100,000 population)Indicator 3.9.3: Mortality rate attributed to unintentional poisoningSH_STA_POISN: Mortality rate attributed to unintentional poisonings, by sex (deaths per 100,000 population)Target 3.a: Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriateIndicator 3.a.1: Age-standardized prevalence of current tobacco use among persons aged 15 years and olderSH_PRV_SMOK: Age-standardized prevalence of current tobacco use among persons aged 15 years and older, by sex (%)Target 3.b: Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for allIndicator 3.b.1: Proportion of the target population covered by all vaccines included in their national programmeSH_ACS_DTP3: Proportion of the target population with access to 3 doses of diphtheria-tetanus-pertussis (DTP3) (%)SH_ACS_MCV2: Proportion of the target population with access to measles-containing-vaccine second-dose (MCV2) (%)SH_ACS_PCV3: Proportion of the target population with access to pneumococcal conjugate 3rd dose (PCV3) (%)SH_ACS_HPV: Proportion of the target population with access to affordable medicines and vaccines on a sustainable basis, human papillomavirus (HPV) (%)Indicator 3.b.2: Total net official development assistance to medical research and basic health sectorsDC_TOF_HLTHNT: Total official development assistance to medical research and basic heath sectors, net disbursement, by recipient countries (millions of constant 2018 United States dollars)DC_TOF_HLTHL: Total official development assistance to medical research and basic heath sectors, gross disbursement, by recipient countries (millions of constant 2018 United States dollars)Indicator 3.b.3: Proportion of health facilities that have a core set of relevant essential medicines available and affordable on a sustainable basisSH_HLF_EMED: Proportion of health facilities that have a core set of relevant essential medicines available and affordable on a sustainable basis (%)Target 3.c: Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing StatesIndicator 3.c.1: Health worker density and distributionSH_MED_DEN: Health worker density, by type of occupation (per 10,000 population)SH_MED_HWRKDIS: Health worker distribution, by sex and type of occupation (%)Target 3.d: Strengthen the capacity of all countries, in particular developing countries, for early warning, risk reduction and management of national and global health risksIndicator 3.d.1: International Health Regulations (IHR) capacity and health emergency preparednessSH_IHR_CAPS: International Health Regulations (IHR) capacity, by type of IHR capacity (%)Indicator 3.d.2: Percentage of bloodstream infections due to selected antimicrobial-resistant organismsiSH_BLD_MRSA: Percentage of bloodstream infection due to methicillin-resistant Staphylococcus aureus (MRSA) among patients seeking care and whose

BackgroundQueer youth experience high rates of depression and suicidality. These disparities stem from stigma-based stressors, including internalized stigma (i.e., negative social views that minoritized individuals internalize about their own identity). Given the importance of this factor in understanding mental health disparities among queer youth, we completed a systematic review and meta-analysis examining the relationships between internalized stigma and outcomes of depression and suicide risk (i.e., suicidal ideation, non-suicidal self-injury, and suicidal behavior).MethodsWe followed the PRISMA standards. Six bibliographic databases were searched for studies in the United States from September 2008 to March 2022. Dual independent screening of search results was performed based on a priori inclusion criteria.ResultsA total of 22 studies were included for data extraction and review. Most studies examined general internalized homophobia, with few examining internalized biphobia or transphobia. Many studies examined depression as an outcome, few studies examined suicidal ideation or behavior, and no studies examined non-suicidal self-injury. Meta-analyses model results show the association between general internalized queer stigma and depressive symptoms ranged r = 0.19, 95% CI [0.14, 0.25] to r = 0.24, 95% CI [0.19, 0.29], the latter reflecting more uniform measures of depression. The association between internalized transphobia and depressive outcomes was small and positive (r = 0.21, 95% CI [−0.24, 0.67]). General internalized queer stigma and suicidal ideation had a very weak positive association (r = 0.07, 95% CI [−0.27, 0.41]) and an even smaller, weaker positive association with suicide attempt (r = 0.02, 95% CI [0.01, 0.03]).ConclusionImplications for clinical practice, policy, and future research are discussed.

Rank, number of deaths, percentage of deaths, and age-specific mortality rates for the leading causes of death, by age group and sex, 2000 to most recent year.

This dataset contains qualitative and quantitative data from a mixed methods interview study with young people, with the purpose of exploring bereavement experiences among adolescents in Scotland, as well as experiences with self-harm thoughts or behaviours. Some data with potentially identifying information have been redacted or pseudo-anonymised from the interview transcripts and self-harm questionnaire responses in order to preserve the anonymity of participants. Further information and a list of variable names and descriptions from which quantitative data have been redacted are provided at the end of the accompanying README file.

The aim of this study was to explore the experiences of adolescents in Scotland who have experienced a bereavement. Findings from our previous quantitative schools-based investigation were explored further through qualitative in-depth interviews to learn more about the factors influencing young people’s bereavement experiences and outcomes. A further aim was to learn more about young people’s experiences with self-harm (thoughts or behaviours), through a brief self-report questionnaire and card sorting task. A total of 13 adolescents (aged 16-18) were recruited for the study from various sources, all of whom had experienced a bereavement. Semi-structured interviews were conducted, audio-recorded and transcribed verbatim by the researcher, with salient uses of gesture and critical observations noted. The interview topics were structured in a way to learn more about the person who died, the relationship, knowledge about the death, impact on daily life, coping, social support, and beliefs around suicide. The transcriptions have been pseudo-anonymised. Participants also completed a short self-report questionnaire on self-harm experiences, and some individuals took part in an optional card sorting task (Card Sort Task for Self-harm; Townsend et al., 2016) to learn more about their experiences surrounding past episodes of self-harm (thoughts or behaviours). This task involves individuals sorting cards relating to possible thoughts, feelings, behaviours, events, services and supports, and outcomes surrounding their first and last episodes of self-harm. Participants also rated their confidence in the accuracy of their recollections. Finally, a visual analogue scale of mood was used to gauge changes in emotional state at the start and end of the interview, and after the CaTS task if applicable. This research offers valuable insights into the experience of young people in Scotland who have experienced the death of someone important to them, and findings (derived through a thematic analysis of the data) suggest that young people experience a wide range of reactions and responses following death, covering issues such as: reactions to death, systems of support, agency and power, personal growth and perspectives, and accumulating loss.

As of 2022, the third leading cause of death among teenagers aged 15 to 19 years in the United States was intentional self-harm or suicide, contributing around 17 percent of deaths among age group. The leading cause of death at that time was unintentional injuries, contributing to around 37.4 percent of deaths, while 21.8 percent of all deaths in this age group were due to assault or homicide. Cancer and heart disease, the overall leading causes of death in the United States, are also among the leading causes of death among U.S. teenagers. Adolescent suicide in the United States In 2021, around 22 percent of students in grades 9 to 12 reported that they had seriously considered attempting suicide in the past year. Female students were around twice as likely to report seriously considering suicide compared to male students. In 2022, Montana had the highest rate of suicides among U.S. teenagers with around 39 deaths per 100,000 teenagers, followed by South Dakota with a rate of 33 per 100,000. The states with the lowest death rates among adolescents are New York and New Jersey. Mental health treatment Suicidal thoughts are a clear symptom of mental health issues. Mental health issues are not rare among children and adolescents, and treatment for such issues has become increasingly accepted and accessible. In 2021, around 15 percent of boys and girls aged 5 to 17 years had received some form of mental health treatment in the past year. At that time, around 35 percent of youths aged 12 to 17 years in the United States who were receiving specialty mental health services were doing so because they had thought about killing themselves or had already tried to kill themselves.