Analysis of trends in adolescent suicides and accidental deaths in England and Wales, 1972-2011

Abstract

Background: Previous analyses of adolescent suicides in England and Wales have focused on short time periods. Aims: To investigate trends in suicide and accidental deaths in adolescents between 1972 and 2011. Method: Time trend analysis of rates of suicides and deaths from accidental poisoning and hanging in 10- to 19-year-olds by age, gender and deprivation. Rate ratios were estimated for 1982-1991, 1992-2001 and 2002-2011 with 1972-1981 as comparator. Results: Suicide rates have remained stable in 10- to 14-year-olds, with strong evidence for a reduction in accidental deaths. In males aged 15-19, suicide rates peaked in 2001 before declining. Suicide by hanging is the most common method of suicide. Rates were higher in males and in 15- to 19-yearolds living in more deprived areas. Conclusions: Suicide rates in adolescents are at their lowest since the early 1970s with no clear evidence that changes in coroners' practices underlie this trend. Declaration of interest D.G. is a member of the National Suicide Prevention Strategy Advisory Group (England).