National Trends in Suicidal Thoughts and Suicide Attempts Among High School Students in the United States

作者：Tanner J. Bommersbach, Mark Olfson, Taeho Greg Rhee · 发表于：American Journal of Psychiatry · 年份：2025 · DOI：10.1176/appi.ajp.20240706 · 被引用次数：16 · 研究领域：Suicide and Self-Harm Studies、COVID-19 and Mental Health、Mental Health Treatment and Access

OBJECTIVE: The authors sought to estimate national trends in suicidal thoughts and attempts among high school students with and without health-risk behaviors. METHODS: Data were analyzed from the 2007 to 2021 Youth Risk Behavior Survey, a biennial cross-sectional survey of U.S. high school students (unweighted sample, N=119,654). Suicidal thoughts were defined as seriously considering attempting suicide or making a plan to attempt suicide in the past year. Suicide attempts included ≥1 attempt in the past year. Twenty-four health-risk behaviors across five categories (e.g., violence and sexual activities) were considered. Multivariate logistic regression identified health-risk behaviors associated with suicidal thoughts and attempts. National trends in past-year suicidal thoughts and attempts among students with and without health-risk behaviors were also estimated. RESULTS: From 2007 to 2021, among 119,654 students (mean age, 16.0 years [SD=1.2]; 59,645 females [49.1%]; 53,120 non-Hispanic White [55.3%]), significant increases occurred in past-year suicidal thoughts (biennial average percent change [BAPC]=2.9%, 95% CI=2.3, 3.4), plans (BAPC=3.0%, 95% CI=2.4, 3.7), and attempts (BAPC=2.2%, 95% CI=1.3, 3.1). The rate of increase in suicidal thoughts was disproportionately high among females, non-Hispanic White and Black students, and students with depressive symptoms, while attempts rose disproportionately among non-Hispanic White and Black students and high school seniors. Whi...