Completed Suicide in Childhood
Section snippets
Literature review
Only a few studies investigated suicides in the population aged 14 years and younger, either as a separate population or as a subsample of a larger study (Table 1). Available studies included investigations of available records on suicide (eg, coroner, educational, medical, psychiatric, social service) (n = 4) [4], [5], [12], [13], epidemiologic studies of suicide trends in childhood and early adolescence (n = 4) [14], [15], [16], [17], and a few medical autopsy studies that investigated
Age and Gender
Suicide before puberty is rare, most probably because depression and substance abuse before puberty are also rare [24]. Suicides in the group aged 14 years and younger occur predominantly among 13- to 14-year-olds [26] and are more common among boys [16]. The most recent World Health Organization (WHO) [27] suicide statistics on the population aged 14 years and younger (Table 2) show that the mean suicide rate per 100,000 was 0.59/100,000 (range 3.1–0). The mean male suicide rate was
Summary
Completed suicide in childhood is associated with an extensive personal and social morbidity [9]. An interplay of psychiatric factors (ie, depression), behavioral components (ie, impulsivity), cognitive immaturity, and environmental–contextual factors (ie, family problems) seems to have an important role in suicides among the youngest population [3], [7], [23]. Public psychoeducation [89], psychoeducation of gate-keepers [26], and additional training for pediatricians and general practitioners
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