July 12, 2002 |
Substance Use and the Risk of Suicide Among Youths |
In Brief |
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The National Household Survey on Drug Abuse (NHSDA) asks youths aged 12 to 17 whether they had thought seriously about killing themselves or tried to kill themselves during the 12 months before the survey interview.1 For the purpose of this report, youths who thought about or tried to kill themselves during the past year were considered to be at risk for suicide. Responses were analyzed by geographic regions for comparative purposes.2
Respondents were also queried about their use of alcohol and illicit drugs during the 12 months before the survey interview. "Any illicit drug" refers to marijuana/hashish, cocaine (including crack), inhalants, hallucinogens, heroin, or prescription-type drugs used nonmedically. Youths were also asked whether they had received treatment or counseling services during the past year for emotional or behavioral problems that were not caused by alcohol or drugs.3 Respondents who received treatment or counseling were asked to identify reasons for the last time they received these services.4 |
Figure 1. Percentages of Youths Aged 12 to 17 at Risk for Suicide During the Past Year, by Age: 2000 |
Figure 2. Percentages of Youths Aged 12 to 17 at Risk for Suicide During the Past Year, by Past Year Alcohol or Illicit Drug Use: 2000 |
Suicide Risk Among Youths Suicide is an important cause of mortality among youths in the United States.5 The 2000 NHSDA estimated that almost 3 million youths were at risk for suicide during the past year. Of youths at risk for suicide, 37 percent actually tried to kill themselves during the past year. Females (16 percent) were almost twice as likely as males (8 percent) to be at risk for suicide during the past year. The likelihood of suicide risk was also greater among youths aged 14 to 17 than it was among those aged 12 or 13 (Figure 1). The likelihood of suicide risk was similar among white, black, Hispanic, and Asian youths. |
Substance Use and Suicide Risk Prior research has associated substance use with an increased risk of suicide among youths.6 The 2000 NHSDA found that youths who reported alcohol or illicit drug use during the past year were more likely than those who did not use these substances to be at risk for suicide during this same time period. For instance, youths who reported past year use of any illicit drug other than marijuana (29 percent) were almost three times more likely than youths who did not (10 percent) to be at risk for suicide during this time period (Figure 2). |
Regional Differences of Suicide Risk Regionally, youths from the West (14 percent) were more likely to be at risk for suicide during the past year than those who lived in the Midwest (12 percent) or Northeast (11 percent) (Figure 3). The risk of suicide was similar among youths from large metropolitan, small metropolitan, and non-metropolitan counties. |
Mental Health Treatment Utilization Among Suicidal Youths Research has demonstrated that the most effective way to prevent suicide is through the early identification and treatment of those at risk.6 Yet, according to the 2000 NHSDA, only 36 percent of youths at risk for suicide during the past year received mental health treatment during this same time period. Fewer than one-fifth of youths at risk for suicide received help from a private therapist, psychologist, psychiatrist, social worker, or counselor (Table 1). More than 15 percent received treatment from school counselors, school psychologists, or having regular meetings with teachers. Among youths at risk for suicide who received mental health treatment, 38 percent reported suicidal thoughts or attempts as the reason for the last time they received these services.7 |
Figure 3. Percentages of Youths Aged 12 to 17 at Risk for Suicide During the Past Year, by Geographic Region: 2000 |
Table 1. Percentages of Youths Aged 12 to 17 at Risk for Suicide During the Past Year Reporting that They Received Mental Health Services During this Same Time Period, by Location of Treatment: 2000 |
End Notes
Figure and Table Notes *Any illicit drug refers to marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type drugs used nonmedically. Any illicit drug other than marijuana refers to any of these listed drugs, regardless of marijuana/hashish use; marijuana/hashish users who also have used any of the other drugs listed are included. Source (table and all figures): SAMHSA 2000 NHSDA.
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