Suicidality
Indicator #26: Considered Suicide
Indicator #27: Suicide Rate
Indicator 26A: Percentage of BC students in grades 7–12 who report having seriously considered suicide in the past year.
Indicator 26B: Percentage of BC students in grades 7–12 who report having attempted suicide in the past year.
Indicator 27: Suicide rate of children and youth age 10–18, per 100,000 population.
Jump to Figure Notes and Sources
Key Messages
- Suicidality in young people encompasses a range of behaviours, including thinking about suicide (suicidal ideation), deliberate self-harm, suicide attempts, and completed suicide.1
- In the US, suicide is the third leading cause of mortality among children and youth age 10–24, and according to a 1991 estimate, as many as 3 per cent of youth make suicide attempts serious enough to require medical treatment.2 As such, suicidality among youth is a serious concern.
- The reviews of evidence regarding youth suicidality highlight the importance of knowing and understanding key risk factors in order to identify opportunities for early identification and to facilitate intervention.1
- A range of studies have examined the life course of adolescents who have attempted and completed suicide, and have identified risk factors associated with suicidal behaviour. These risk factors include depression, disruptive behaviour disorders, abuse during childhood, poor relationships with parents, firearm availability, stressful life events, and substance use disorders—with comorbid psychiatric conditions further increasing risk. Individuals with family histories of suicidality may also be at greater risk of suicide.1
- Evidence shows that specific groups of youth are at a greater risk of suicidality, including gay, lesbian, and bisexual youth; youth in the criminal justice system; and homeless/runaway youth.1
- Engaging in self-harm at a young age has been identified as an important indicator of mental health problems later in life, and has been linked to a strongly increased risk of subsequent suicidal behaviour.1 In fact, one of the best predictors of future attempts and completed suicide is having attempted suicide in the past.2
- Data currently available enables analyses of BC youth in grades 7–12 who have considered and/or attempted suicide, and those age 15–19 who have completed suicide. Future analyses may be able to report on youth age 10–18.
- As shown in Figures 26A.1 and 26B.1, female youth in grades 7–12 are more likely to consider and/or attempt suicide than male youth; however, Figure 27.1 shows that male youth age 15–19 have a higher suicide mortality rate per 100,000 population.
- Figures 26A.2 and 26B.2 demonstrate that the percentages of youth in grades 7–12 who have considered or attempted suicide are higher in Northern Health than Vancouver Coastal Health.
Figure Notes and Sources
Figure 26A.1
Notes: The differences between years were statistically significant for females and males. The difference between sexes was statistically significant across all years.
Data source: McCreary Centre Society, BC Adolescent Health Survey, 2003, 2008, 2013. Prepared by the Surveillance and Epidemiology Team, BC Office of the Provincial Health Officer, 2016.
Figure 26A.2
Note: Health authority is based on the location of the school.
Data source: McCreary Centre Society, BC Adolescent Health Survey, 2013. Prepared by the Surveillance and Epidemiology Team, BC Office of the Provincial Health Officer, 2016.
Figure 26A.3
Note: Health service delivery area is based on the location of the school.
Data source: McCreary Centre Society, BC Adolescent Health Survey, 2013. Prepared by the Surveillance and Epidemiology Team, BC Office of the Provincial Health Officer, 2016.
Figure 26B.1
Notes: The differences between 2003 and 2008 and between 2008 and 2013 were statistically significant for "All". The differences between years were statistically significant for females but not for males.
Data source: McCreary Centre Society, BC Adolescent Health Survey, 2003, 2008, 2013. Prepared by the Surveillance and Epidemiology Team, BC Office of the Provincial Health Officer, 2016.
Figure 26B.2
Note: Health authority is based on the location of the school.
Data source: McCreary Centre Society, BC Adolescent Health Survey, 2013. Prepared by the Surveillance and Epidemiology Team, BC Office of the Provincial Health Officer, 2016.
Figure 26B.3
Note: Health service delivery area is based on the location of the school.
Data source: McCreary Centre Society, BC Adolescent Health Survey, 2013. Prepared by the Surveillance and Epidemiology Team, BC Office of the Provincial Health Officer, 2016.
Figure 27.1
Note: Health authority is based on the usual residence of the youth.
Data sources: BC Vital Statistics Agency, 1992-2013 data. Population estimates are from the BC Stats website. Prepared by the Surveillance and Epidemiology Team, BC Office of the Provincial Health Officer, 2016.
Figure 27.2
Note: Health authority is based on the usual residence of the youth.
Data sources: BC Vital Statistics Agency, 2011-13 data. Population estimates are from the BC Stats website. Prepared by the Surveillance and Epidemiology Team, BC Office of the Provincial Health Officer, 2016.
References
- Somers JM, Currie L, Eiboff F. Child and youth health and well-being indicators project: appendix G – mental and emotional health and well-being evidence review [prepared for the Office of the Provincial Health Officer and the Canadian Institute for Health Information]. Ottawa, ON: Canadian Institute for Health Information; 2011.
- Spirito A, Esposito-Smythers C. Attempted and completed suicide in adolescence. Annu Rev Clin Psychol. 2006;2:237-66.