Johanne Renaud1,2,3,4, Alain Lesage5, Mathieu Gagné6,7, Sasha MacNeil2, Gilles Légaré6,7,8, Marie-Claude Geoffroy2,3,4, Robin Skinner9, Steven McFaull9. 1. Manulife Centre for Breakthroughs in Teen Depression and Suicide Prevention, Montreal, Québec. 2. Douglas Mental Health University Institute, Montreal, Québec. 3. McGill Group for Suicide Studies, McGill University. Montreal, Québec. 4. Department of Psychiatry, McGill University, Montreal, Québec. 5. Institut universitaire en santé mentale de Montréal, Montreal, Québec. 6. Institut national de santé publique du Québec, Québec, Québec. 7. CRISE, Université du Québec à Montréal, Montreal, Québec. 8. Université du Québec à Rimouski, Rimouski, Québec. 9. Health Surveillance and Epidemiology Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, Ottawa, Ontario.
Abstract
OBJECTIVE: Trends in rates of adolescent suicide and undetermined deaths in Canada from 1981 to 2012 were examined, focusing specifically on variations between Canadian regions. Exploratory hypotheses were formulated for regional variability in adolescent suicide rates over time in Canada. METHODS: A descriptive time trend analysis using public domain vital statistics data was performed. All deaths from 1981 to 2012 among 15 to 19 year olds coded as suicides or undetermined intent according to the International Classification of Diseases, 9th and 10th Revisions were included. RESULTS: While there was an overall stability in adolescent suicide and undetermined death rates across Canada, regional analyses showed that Quebec experienced a 7.6% annual reduction between 2001 and 2012 while the Prairies and Atlantic provinces experienced significant annual increases since 2001. Ontario and British Columbia have had non-significant fluctuations since 2001. The trends remained similar overall when excluding undetermined deaths from the analyses. CONCLUSIONS: Variations in adolescent suicide trends across provinces were found. Factors such as provincial suicide action and prevention legislation contributing to these variations remain to be studied, but these regional differences point towards the need for better consistency of suicide prevention strategies across the country.
OBJECTIVE: Trends in rates of adolescent suicide and undetermined deaths in Canada from 1981 to 2012 were examined, focusing specifically on variations between Canadian regions. Exploratory hypotheses were formulated for regional variability in adolescent suicide rates over time in Canada. METHODS: A descriptive time trend analysis using public domain vital statistics data was performed. All deaths from 1981 to 2012 among 15 to 19 year olds coded as suicides or undetermined intent according to the International Classification of Diseases, 9th and 10th Revisions were included. RESULTS: While there was an overall stability in adolescent suicide and undetermined death rates across Canada, regional analyses showed that Quebec experienced a 7.6% annual reduction between 2001 and 2012 while the Prairies and Atlantic provinces experienced significant annual increases since 2001. Ontario and British Columbia have had non-significant fluctuations since 2001. The trends remained similar overall when excluding undetermined deaths from the analyses. CONCLUSIONS: Variations in adolescent suicide trends across provinces were found. Factors such as provincial suicide action and prevention legislation contributing to these variations remain to be studied, but these regional differences point towards the need for better consistency of suicide prevention strategies across the country.
Entities:
Keywords:
Canada; adolescent; prevention; suicide; undetermined death
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