{"doi":"10.1111/sltb.12740","title":"Life experiences preceding high lethality suicide attempts in adolescents at a level I regional trauma center","abstract":"OBJECTIVE: To describe life experiences associated with patterns of medically treated and documented self-directed violence among youth who attempted suicide using highly lethal means to understand precipitating factors among youth using such lethal means. METHOD: Using data from a regional, level 1 Trauma center, we identified all youth suicide attempt survivors who received treatment from 2010 to 2018 for a suicide attempt with a firearm, hanging, or jump from height injury (n = 42). We described differences in patient demographics and life experiences associated with patterns of self-directed violence by suicide attempt mechanism. We additionally assessed mechanisms used in any prior suicide attempts to identify potential increasing lethality of mechanism selection. RESULTS: There were 42 eligible patients included, of whom 40.5% attempted suicide with a firearm, 26.2% with hanging, 33.3% with jumping injury. A greater proportion of patients with firearm injuries endorsed social support and had fewer preparatory acts, history of self-harming behavior, prior suicide behaviors, and fewer prior attempts compared to patients who attempted suicide with other mechanisms. CONCLUSIONS: Given our findings, means safety should remain a key strategy to prevent highly lethal suicidal behavior among adolescents, especially with firearms, given that such attempts may occur prior to formal contact with mental health services.","journal":"Suicide and Life-Threatening Behavior","year":2021,"id":208808,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.6337,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":514828,"name":"Christopher R. DeCou","orcid":"0000-0002-9435-375X","position":1,"is_corresponding":false},{"id":639160,"name":"Elizabeth Niehoff","orcid":"0000-0002-4777-3700","position":2,"is_corresponding":false},{"id":27683,"name":"Megan Moore","orcid":"0000-0003-4367-3945","position":3,"is_corresponding":false},{"id":401576,"name":"Frederick P. Rivara","orcid":"0000-0003-1427-0637","position":4,"is_corresponding":false},{"id":334620,"name":"Ali Rowhani‐Rahbar","orcid":"0000-0002-2705-4485","position":5,"is_corresponding":false},{"id":686174,"name":"Vivian H. Lyons","orcid":"0000-0003-0481-5939","position":0,"is_corresponding":true}],"reference_count":24,"raw_metadata":null,"created_at":"2026-07-18T23:52:01.526969Z","pmid":"33665874","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}