Prevalence, Onset, and Course of Suicidal Behavior Among Adolescents and Young Adults in Germany [jamanetwork.com]

 

By Catherine Voss, Theresa M. Ollmann, Marcel Miche, et al., JAMA Psychiatry, October 30, 2019

Question  How frequently and when do suicidal ideation, plan, and attempt emerge in adolescence and young adulthood?

Findings  In a cross-sectional, epidemiological study of 1180 adolescents and young adults from a random community sample in Germany, 10.7%, 5.0%, and 3.4% of participants reported lifetime suicidal ideation, plan, and attempt, respectively. The cumulative incidence of suicidal behavior increased after age 10 years more strongly among female than male participants, and the transition from ideation to action occurred mostly during the same year.

Meaning  Adolescence and young adulthood are critical developmental periods for the onset of suicidal behavior, with a short time for targeted interventions to disrupt the ideation-to-action pathway.

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