pediatrics
Suicidal Behavior in Children and Adolescents
Key Points
Suicide is rare in prepubertal children but is the 2nd or 3rd leading cause of death in 15- to 19-year-olds. Consider drug treatment for any underlying disorder (eg, mood disorders, psychosis); however, antidepressants may increase risk of suicide in some adolescents, so carefully monitor use of medications, and supply only sublethal amounts. Look for early warning changes in behavior (eg, skipping school, sleeping or eating too much or too little, making statements suggesting suicidal intent, engaging in very risky behavior). 