Suicide attempts in the adolescent

Suicide is a leading cause of death among North American adolescents. Drugs are the commonest method used, and are most frequently those found in the home. Common factors such as frequent moves, marital difficulties of the parents, and a family history of depression occur in these patients. In 47 cases seen at a Toronto hospital, 22 patients were admitted. Of these, 20 had made suicidal gestures; two had made serious attempts. Most were of lower or middle class background. There is often a long-standing problem in the history, plus a triggering event. Knowledge of risk factors can help family physicians identify high risk patients. Hospitalization of teenagers with suicidal intent is obviously preferable, especially since it convinces patient and family that the attempt or intent has been taken seriously.