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Epidemiology and injury prevention.

causal links, most notably the family environment. It is not sensible for children to be exposed to separate curricula or social service intervention programs to prevent each of these bad outcomes. Efforts should be integrated into a more potent delivery system, and evaluated prospectively. Though hopelessness is a cardinal feature of suicide, we should not be affected in our efforts to seek the prevention of youth suicide. We need to push the rate of progress, broaden our alliances, and demand further opportunities to design and evaluate interventions, directly and indirectly. The alternative will be to watch the canary become an endangered species.