Populations and Settings

Champions challenge and lead health and behavioral health care systems to improve the care provided for individuals at risk for suicide.

Children & Youth

According to the CDC, suicide is now the second leading cause of death among youths aged 10-241, with the fastest growing rates among youth ages 10142. There is significant racial disparity where the rate of suicide among Black youth ages 13 and younger is twice that for White youth3 . Suicide prevention and treatment for youth must be developmentally appropriate, attend to critical social determinants of health, assess the presence of adverse childhood events (ACEs) and trauma, incorporate parental or guardian support, and address consent considerations4.  When youth are identified as being at risk for suicide, clinicians need to be well-versed in the assessment and management of suicidality. Suicide risk assessment and collaborative safety planning should incorporate a discussion of barriers to health and safety, including physical and environmental factors (where the family or child lives), presence of firearms or other lethal means (e.g. medications) in the home, and neighborhood safety. 

Effective youth suicide prevention requires primary prevention strategies as part of a comprehensive approach that incorporates the health system and extends into schools and the community5. When focusing specifically on health care settings, one relevant approach is the Zero Suicide framework, which has been adapted for application in pediatric settings to improve care for youth at risk of suicide. Health systems implementing the Zero Suicide framework have developed and implemented care pathways specifically for use with pediatric populations that incorporate the use of validated tools, best practices, and necessary integration with the support systems crucial for effective suicide prevention with children and adolescents. While the systems transformation needed for effective youth suicide can present challenges, comprehensive approaches to preventing youth suicide are imperative to saving lives. 

Search for tools and resources related to suicide prevention with children and youth populations below. 

  • 1. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS) [online]. (June 2020). Retrieved from www.cdc.gov/injury/wisqars
  • 2. Horowitz, L., Tipton, M. V., & Pao, M. (2020). Primary and Secondary Prevention of Youth Suicide. Pediatrics, 145(Suppl 2), S195–S203.
  • 3. Bridge, J. A., Horowitz, L. M., Fontanella, C. A., Sheftall, A. H., Greenhouse, J., Kelleher, K. J., & Campo, J. V. (2018). Age-related racial disparity in suicide rates among US youths from 2001 through 2015. JAMA pediatrics, 172(7), 697-699.
  • 4. Thompson, M. P., Kingree, J. B., & Lamis, D. (2019). Associations of adverse childhood experiences and suicidal behaviors in adulthood in a US nationally representative sample. Child: care, health and development, 45(1), 121-128.
  • 5. Robinson, J., Bailey, E., Witt, K., Stefanac, N., Milner, A., Currier, D., ... & Hetrick, S. (2018). What works in youth suicide prevention? A systematic review and meta-analysis. EClinicalMedicine, 4, 52-91.
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Suicide is the second leading cause of death among youth ages 1024...

Suicide is the second leading cause of death among youth ages 1024...

The purpose of this document is to provide trauma-informed telehealth guidance regarding safety assessment and planning for youth with suicidal or self-harm ideation and...

For children with parents working on the front lines of the COVID-19 pandemic, every day brings new fears, worries and anxieties. This resource from the Suicide Prevention...

This suicide risk screening pathway from the National Institute for Mental Health's ...

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SPRC and the National Action Alliance for Suicide Prevention are able to make this web site available thanks to support from Universal Health Services (UHS), the Zero Suicide Institute at EDC, and the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (DHHS) (grant 1 U79 SM0559945).

No official endorsement by SAMHSA, DHHS, or UHS for the information on this web site is intended or should be inferred.