Evidence map›Paper›PMID 36789551›Full record

ArticlePediatrics2023

Youth Suicide During the First Year of the COVID-19 Pandemic.

Jeffrey A Bridge, Donna A Ruch, Arielle H Sheftall, Hyeouk Chris Hahm, Victoria M O'Keefe, Cynthia A Fontanella, Guy Brock, John V Campo, Lisa M Horowitz

Open access · greenAbstract read
In one paragraph

Article in Pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 2 pooled it
56.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

84 citing papers in PubMed, 2 syntheses or guidelines pooled it, 179 citations in OpenAlex.

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  14. Disparities in suicide risk trajectories among youth during the COVID-19 pandemic.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2026
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  15. Disparities in suicide risk trajectories among youth during the COVID-19 pandemic.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2026
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  19. Asking Preadolescents About Suicide Is Not Associated With Increased Suicidal Thoughts.Journal of the American Academy of Child and Adolescent Psychiatry · 2026
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24 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 1 country.

Jeffrey A BridgeThe Abigail Wexner Research Institute at Nationwide Children's Hospital Center for Suicide Prevention and Research, Columbus, Ohio.
Donna A RuchThe Abigail Wexner Research Institute at Nationwide Children's Hospital Center for Suicide Prevention and Research, Columbus, Ohio.
Arielle H SheftallDepartment of Psychiatry, University of Rochester Medical Center, Rochester, New York.
Hyeouk Chris HahmSchool of Social Work, Boston University, Boston, Massachussetts.
Victoria M O'KeefeJohns Hopkins Bloomberg School of Public Health, Center for American Indian Health, Department of International Health.
Cynthia A FontanellaThe Abigail Wexner Research Institute at Nationwide Children's Hospital Center for Suicide Prevention and Research, Columbus, Ohio.
Guy BrockJohns Hopkins Bloomberg School of Public Health, Center for American Indian Health, Department of International Health.
John V CampoDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Lisa M HorowitzNational Institute of Mental Health, Intramural Research Program, Bethesda, Maryland.
Nationwide Children's Hospital · USBoston University · USJohns Hopkins Medicine · USJohns Hopkins University · USNational Institute of Mental Health · USThe Ohio State University · USUniversity of Rochester Medical Center · US

Funding

Psychiatry Consultation Liaison Service ResearchZIAMH002922 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI PAO, MARYLAND · 2009 to 2025
$11.5M
The Elders' Resilience Curriculum: Toward Building Empirical Evidence for a Culturally Grounded American Indian Youth Suicide Prevention InterventionK01MH122702 · NIMH · JOHNS HOPKINS UNIVERSITY · PI O’KEEFE, VICTORIA · 2020 to 2024
$964k
NIMH NIH HHS K01 MH122702
6 · The paper itself

Abstract

objectiveTo identify potential differential changes in youth suicide deaths associated with the coronavirus disease (COVID-19) pandemic to better inform suicide prevention strategies.

methodsThis cross-sectional study analyzed national suicide data for US youth aged 5 to 24 years from 2015 to 2020. Annual and monthly numbers of suicides were extracted overall and by sex, age, race and ethnicity, and method. Expected suicides were modeled from the trend in monthly deaths before COVID-19 (January 1, 2015-February 29, 2020), by using interrupted time-series analyses with quasi-Poisson regression. Rate ratios (RR) and corresponding 95% confidence intervals (CI) were used to compare expected and observed suicides during the first 10 months of COVID-19 (March 1, 2020-December 31, 2020).

resultsAmong 5568 identified youth suicides during the 2020 pandemic, 4408 (79.2%) were male, 1009 (18.1%) Hispanic, 170 (3.3%) non-Hispanic American Indian/Alaska Native, 262 (4.7%) Asian/Pacific Islander, 801 (14.4%) Black, and 3321 (59.6%) white. There was a significant increase in overall observed versus expected youth suicides during the COVID-19 pandemic (RR = 1.04, 95% CI = 1.01-1.07), equivalent to an estimated 212 excess deaths. Demographic subgroups including males (RR = 1.05, 95% CI = 1.02-1.08), youth aged 5 to 12 years (RR = 1.20, 95% CI = 1.03-1.41) and 18 to 24 years (RR =1.05, 95% CI = 1.02-1.08), non-Hispanic AI/AN youth (RR = 1.20, 95% CI = 1.03-1.39), Black youth (RR = 1.20, 95% CI = 1.12-1.29), and youth who died by firearms (RR = 1.14, 95% CI = 1.10-1.19) experienced significantly more suicides than expected.

conclusionsSuicide deaths among US youth increased during COVID-19, with substantial variation by sex, age, race and ethnicity, and suicide method. Suicide prevention strategies must be tailored to better address disparities in youth suicide risk.

Indexed as

COVID-19SuicideAdolescentCross-Sectional StudiesEthnicityFemaleHumansMalePandemics

Identifiers

PMID36789551
PMCPMC10227859
OpenAlexW4320856474

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.