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Age and Birth Cohort–Adjusted Rates of Suicide Mortality Among US Male and Female Youths Aged 10 to 19 Years From 1999 to 2017 [jamanetwork.com]

 

By Bin Yu and Xinguang Chen, Jama Network, September 13, 2019

Question  Does a measure of suicide mortality calculated by adjusting for chronological age and year of birth differ from unadjusted models?

Findings  In this multiyear cross-sectional study using data from the US Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research database, age and birth cohort–adjusted suicide mortality rates were estimated after controlling for a curved age effect and a V-shaped cohort effect that also differed by sex. The adjusted rates showed a more rapid increase and a smaller sex difference in the suicide mortality rates for US youths aged 10 to 19 years from 1999 to 2017.

Meaning  Age and birth cohort–adjusted suicide mortality rates may be an unbiased measure of the time trend and sex pattern in suicide among US youths and may be useful for informing evidence-based suicide prevention.

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