Evidence map›Paper›PMID 39441101›Full record

ArticleThe Australian and New Zealand journal of psychiatry2025

Youth suicidality risk relative to ambient temperature and heatwaves across climate zones: A time series analysis of emergency department presentations in New South Wales, Australia.

Cybele Dey, Jianyun Wu, John Uesi, Grant Sara, Michael Dudley, Katherine Knight, James G Scott, Ollie Jay, Michael Bowden, Iain E Perkes

Abstract read
In one paragraph

Article in The Australian and New Zealand journal of psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
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

10 authors.

Cybele DeyDepartment of Psychological Medicine, The Sydney Children's Hospitals Network, Westmead, NSW, Australia.ORCID 0000-0001-6713-8205
Jianyun WuSystem Information and Analytics Branch, NSW Ministry of Health, St Leonards, NSW, Australia.
John UesiSystem Information and Analytics Branch, NSW Ministry of Health, St Leonards, NSW, Australia.
Grant SaraDiscipline of Psychiatry and Mental Health, School of Clinical Medicine, Faculty of Medicine & Health, University of New South Wales, Sydney, NSW, Australia.ORCID 0000-0002-3762-1711
Michael DudleyDiscipline of Psychiatry and Mental Health, School of Clinical Medicine, Faculty of Medicine & Health, University of New South Wales, Sydney, NSW, Australia.
Katherine KnightDepartment of Psychological Medicine, The Sydney Children's Hospitals Network, Westmead, NSW, Australia.
James G ScottChild Health Research Centre, The University of Queensland, South Brisbane, QLD, Australia.ORCID 0000-0002-0744-0688
Ollie JayHeat and Health Research Incubator, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Michael BowdenMental Health Branch, NSW Ministry of Health, St Leonards, NSW, Australia.ORCID 0000-0003-3783-7739
Iain E PerkesDepartment of Psychological Medicine, The Sydney Children's Hospitals Network, Westmead, NSW, Australia.ORCID 0000-0001-8028-9032

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveYouth suicidality prevalence continues to rise alongside hot weather severity. Links between these two variables are underexplored. We examined associations between daily temperature and emergency department suicidality presentations by young people. We assessed these associations for five regions covering New South Wales as determined by 'climate zone' and analysed for heatwave effects as well as based on demographic subgroups.

methodsDaily emergency department presentations for suicidality by people aged 12-24 years across New South Wales, Australia, during warmer months (November to March) from 2012 to 2019 were examined in relation to daily mean temperature and heatwaves (⩾3 consecutive days ⩾ 95th percentile of long-term daily mean temperature) and by climate zone, using a generalised additive model with negative binomial distribution. Risks for age- and sex-based subgroups were also calculated.

resultsNew South Wales youth suicidality presentation rates were significantly higher on hotter days. For every 1°C rise above average daily mean temperature, youth suicidality presentations to New South Wales emergency departments increased by 1.3%. Heatwaves did not increase presentation rates beyond single-day daily mean temperature effects. These findings were predominantly replicated across climate zones and demographic subgroups, though the association between suicidality and ambient temperature was weaker in coastal regions including Eastern Sydney.

conclusionThere is a positive linear association between ambient temperature and youth suicidality presentations to emergency departments. Risks are increased on single hot days, not only during heatwaves. Public health, broader societal approaches to heat and health system planning should consider impacts on youth suicidality of predicted increases in hot weather severity and frequency.

Indexed as

Emergency Service, HospitalAdolescentChildClimateExtreme HeatFemaleHot TemperatureHumansMaleNew South WalesSuicideYoung AdultadolescentClimate changehot temperatureself-injurious behaviouryoung adult

Identifiers

PMID39441101
PMCPMC11667958

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.