🕷️ Crawler Inspector

URL Lookup

Direct Parameter Lookup

Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 175 (from laksa047)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa175.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://www.childrenshospitals.org/content/behavioral-health/summary/the-state-of-pediatric-suicide\')), getAhrefsUnparsedNoserviceFromURL(\'https://www.childrenshospitals.org/content/behavioral-health/summary/the-state-of-pediatric-suicide\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/www.childrenshospitals.org\/content\/behavioral-health\/summary\/the-state-of-pediatric-suicide","crawl_time":1776075309,"first_indexed_time":1695807696,"http_code":200,"src_unparsed":"org,childrenshospitals!www,\/content\/behavioral-health\/summary\/the-state-of-pediatric-suicide s443","src_root_hash":"1884407356721660775","history_drop_reason":null,"meta_title":"Addressing Pediatric Suicide","meta_descriptions":["The latest solutions, resources and data on the current mental health crisis for children's hospitals and health systems."],"attrs_boilerpipe_text":"Increasing cases of pediatric suicidality highlight the ongoing mental health crisis among youth. Suicide attempts, ideation, and self-injury have become the most common mental health conditions seen in children’s hospitals’ emergency departments, according to data from the\nChildren’s Hospital Association’s Pediatric Health Information System (PHIS®)\n.\nBetween 2016 and 2021, suicide self-injury cases among patients ages 5-18 seen at children's hospital emergency departments increased by 168.6%. The trend in cases has remained essentially unchanged for the past four years, meaning the crisis is not abating.\n“Not only have the numbers increased, but we are also seeing worse acuity — children don’t get to us until their illness is more advanced, such as having persistent suicidal ideation instead of initially fleeting thoughts,” says Heather Huszti, chief of psychology at Children’s Hospital of Orange County (CHOC).\nAround\none-fifth of all adolescent deaths\nare from suicide. It is the\nsecond leading cause of death\n among young people 10-14 years old and\nthird leading cause of death\nfor those between 15-24. In 2024, suicide self-injury made up more than a third of visits to children’s hospitals' emergency rooms.\n“As tempting as it might be to pin this increase on one specific thing, it is likely to be a complex interaction of several factors. Children’s hospitals must continue to invest in and advocate for children’s mental health,” Huszti said.\nChildren’s hospital suicide-self injury ED cases by year. Source: Pediatric Health Information System (PHIS)\nWho’s affected?\nWhile rare in children younger than 10 years, suicide death rates increase markedly during adolescence and young adulthood. According to the\nCDC's Youth Risk Behavior Survey Data Summary and Trends Report\n, among high school students in 2021:\n20% seriously considered attempting suicide.\n16% made a suicide plan.\n9.5% attempted suicide.\nMental health issues and suicidality affect children across the board, but subsets of students have very different experiences, with some faring worse, according to the CDC report.\nGender\nIn 2023,13% of female students attempted suicide. Almost 30% of girls said they seriously considered attempting suicide, nearly double the rate among boys. More than half of female students experienced persistent feelings of sadness or hopelessness.\nRace and ethnicity\nSuicide is now the leading cause of death for Asian American youth. A quarter of American Indians and Alaska natives said they had seriously considered a suicide attempt.\nSexual identity\nAlmost 20% of LGBTQ+ students attempted suicide during the past year. Close to 70% experienced persistent feelings of sadness or hopelessness.\nResponding to the crisis\nHealth care organizations and children’s hospitals are innovating care, adding services, and reimaging the future of behavioral health care to meet immediate needs.\nIn 2021, Children’s Hospital Association (CHA), American Academy of Pediatrics (AAP), and the American Academy of Child and Adolescent Psychiatry\ndeclared a national state of emergency\nin children’s mental health. The declaration called on policymakers at all levels of government and advocates for children and adolescents to increase funding, address regulatory challenges, address acute care needs, and more.\nCHA also joined with Cardinal Health Foundation and the Zero Suicide Institute to create \nPreventing Youth Suicide: A Cardinal Health Foundation National Collaborative\n. The first-of-its-kind collaborative develops a data-driven approach to accelerate improvement in the identification and care of children at risk for suicide.\nSince 2022, the 39 hospitals that make up the collaborative have implemented many changes in suicide care, including screening, data collection, training staff, and building a culture that recognizes the importance of this work.\n“This initiative has transformed how we care for children’s mental health—across every setting. It gave us a shared framework and empowered our teams to screen universally for suicide risk, intervene early, and respond with compassion,” said Dr. Linda Mayes, chief of child psychiatry at Yale New Haven Health System and chair of the Yale Child Study Center. “Most importantly, we’ve built a system where every child is seen, every concern is heard, and every risk is met with care and connection.”\nIn addition, CHA partnered with other organizations to launch the advocacy initiative \nSpeak Our Minds\n, which urges Congress to enact legislation and increase funding to address the crisis.\nResources and strategies\nAlong with creating partnerships, children’s hospitals and health systems are developing resources, tools, and strategies for combatting youth suicide.\nAdvocacy-related work\n to improve the entire system, including a \ndocumentary\n and \nreference materials\n.\nCollection of solutions from children's hospitals\n covering early intervention, workforce, community partnerships, and emergency care.\nVirtual learning series designed to drive action and implementation.\nA tangible way to\nprevent youth suicide\n.\nRestricting lethal means\n report.\nBlueprint for Youth Suicide Prevention\n from AAP and American Foundation for Suicide Prevention.\nYouth Suicide Prevention and Intervention Best Practices and Policy Implications\nfrom Nationwide Children’s and Springer.\nGuide for Schools\n on Student-Directed Suicide Prevention Program from Cincinnati Children’s.\nCare of the pediatric patient with suicidal ideation\ncourse from CHA’s Pediatric Learning Solutions (PLS).\nPediatric behavioral and mental health course library\n from PLS.\nPeer-to-peer online community\nintended to facilitate communication about programs, staff support, cost of care, and other behavioral health topics.\nBy the numbers\n6,400\n10- to 24-year-olds die by suicide each year\n1\/3\nof all ED visits at children's hospitals are for suicide\/self-injury\n20%\nof high schoolers say they think seriously about suicide","attrs_markdown":"#### Your Browser is Out of Date\nTo provide you with the best experience, our websites uses features that are not supported by your current browser. For the best experience on Childrenshospitals.org, please open this site in a different browser such as [Google Chrome](https:\/\/www.google.com\/chrome\/)\n\nProceed Anyway\n\n[![CHA logo](https:\/\/www.childrenshospitals.org\/-\/media\/project\/cha\/publicwebsite\/logos\/brand_cha_horizontal_black.svg?iar=0&hash=F29595F048E2DFDB989EDEDF1E991760)](https:\/\/www.childrenshospitals.org\/)\n\n[Advocacy](https:\/\/www.childrenshospitals.org\/advocacy)[News](https:\/\/www.childrenshospitals.org\/news)[Resources](https:\/\/www.childrenshospitals.org\/resources)[Events](https:\/\/www.childrenshospitals.org\/education\/events)[Services](https:\/\/www.childrenshospitals.org\/services)[About](https:\/\/www.childrenshospitals.org\/about-cha)\n\n[Advocacy](https:\/\/www.childrenshospitals.org\/advocacy)[News](https:\/\/www.childrenshospitals.org\/news)[Resources](https:\/\/www.childrenshospitals.org\/resources)[Events](https:\/\/www.childrenshospitals.org\/education\/events)[Services](https:\/\/www.childrenshospitals.org\/services)[About CHA](https:\/\/www.childrenshospitals.org\/about-cha)[Find a Hospital](https:\/\/www.childrenshospitals.org\/hospital-directory)[Careers]()[Contact Us](https:\/\/www.childrenshospitals.org\/contact-us)\n\n[Privacy Policy](https:\/\/www.childrenshospitals.org\/content\/utilities\/privacy-policy)[Do Not Sell My Personal Information](https:\/\/www.childrenshospitals.org\/)\n\n[![CHA logo](https:\/\/www.childrenshospitals.org\/-\/media\/project\/cha\/publicwebsite\/logos\/brand_cha_horizontal_white.svg?iar=0&hash=467FF7413933DCFC13937CE65F24B9E6)](https:\/\/www.childrenshospitals.org\/content\/behavioral-health\/summary\/the-state-of-pediatric-suicide)\n\nChampions for Children's Health\n\n© Children's Hospital Association\n\n1. [Summary](https:\/\/www.childrenshospitals.org\/Search#t=PublicWebsiteTab&sort=%40contentdate%20descending&f:@contenttype=[Summary])\n\n![](https:\/\/www.childrenshospitals.org\/images\/icons-brand-accent.svg)\n# Addressing Pediatric Suicide\nThe latest solutions, resources and data on the current mental health crisis for children's hospitals and health systems.\n\nPublished Aug. 20, 2025\n\n3 min. read\n\n![Silhouette of teen girl.](https:\/\/www.childrenshospitals.org\/-\/media\/images\/global\/hero\/mobile-page-hero\/state_of_pediatric_suicide0923.jpg?h=340&iar=0&w=900&hash=71B3A3D38B1E621A8D2C5231E924712C)\n\nIncreasing cases of pediatric suicidality highlight the ongoing mental health crisis among youth. Suicide attempts, ideation, and self-injury have become the most common mental health conditions seen in children’s hospitals’ emergency departments, according to data from the [Children’s Hospital Association’s Pediatric Health Information System (PHIS®)](https:\/\/www.childrenshospitals.org\/content\/analytics\/product-program\/pediatric-health-information-system).\n\nBetween 2016 and 2021, suicide self-injury cases among patients ages 5-18 seen at children's hospital emergency departments increased by 168.6%. The trend in cases has remained essentially unchanged for the past four years, meaning the crisis is not abating.\n\n“Not only have the numbers increased, but we are also seeing worse acuity — children don’t get to us until their illness is more advanced, such as having persistent suicidal ideation instead of initially fleeting thoughts,” says Heather Huszti, chief of psychology at Children’s Hospital of Orange County (CHOC).\n\nAround [one-fifth of all adolescent deaths](https:\/\/wisqars.cdc.gov\/lcd\/?o=LCD&y1=2023&y2=2023&ct=10&cc=ALL&g=00&s=0&ry=0&e=0&ar=lcd1age&at=custom&ag=lcd2age&a1=10&a2=24) are from suicide. It is the [second leading cause of death](https:\/\/wisqars.cdc.gov\/lcd\/?o=LCD&y1=2022&y2=2022&ct=10&cc=ALL&g=00&s=0&r=0&ry=2&e=0&ar=lcd1age&at=groups&ag=lcd1age&a1=0&a2=199) among young people 10-14 years old and [third leading cause of death](https:\/\/wisqars.cdc.gov\/lcd\/?o=LCD&y1=2022&y2=2022&ct=10&cc=ALL&g=00&s=0&r=0&ry=2&e=0&ar=lcd1age&at=groups&ag=lcd1age&a1=0&a2=199) for those between 15-24. In 2024, suicide self-injury made up more than a third of visits to children’s hospitals' emergency rooms.\n\n“As tempting as it might be to pin this increase on one specific thing, it is likely to be a complex interaction of several factors. Children’s hospitals must continue to invest in and advocate for children’s mental health,” Huszti said.\n\n![](https:\/\/www.childrenshospitals.org\/-\/media\/images\/global\/page-inset\/cht_graph_suicide_self_injury_data0825.jpg)\n\nChildren’s hospital suicide-self injury ED cases by year. Source: Pediatric Health Information System (PHIS)\n#### Who’s affected?\nWhile rare in children younger than 10 years, suicide death rates increase markedly during adolescence and young adulthood. According to the [CDC's Youth Risk Behavior Survey Data Summary and Trends Report](https:\/\/www.cdc.gov\/healthyyouth\/data\/yrbs\/pdf\/yrbs_data-summary-trends_report2023_508.pdf), among high school students in 2021:\n\n- 20% seriously considered attempting suicide.\n- 16% made a suicide plan.\n- 9\\.5% attempted suicide.\n\nMental health issues and suicidality affect children across the board, but subsets of students have very different experiences, with some faring worse, according to the CDC report.\n\n**Gender**\n\nIn 2023,13% of female students attempted suicide. Almost 30% of girls said they seriously considered attempting suicide, nearly double the rate among boys. More than half of female students experienced persistent feelings of sadness or hopelessness.\n\n**Race and ethnicity**\n\nSuicide is now the leading cause of death for Asian American youth. A quarter of American Indians and Alaska natives said they had seriously considered a suicide attempt.\n\n**Sexual identity**\n\nAlmost 20% of LGBTQ+ students attempted suicide during the past year. Close to 70% experienced persistent feelings of sadness or hopelessness.\n\n#### Responding to the crisis\nHealth care organizations and children’s hospitals are innovating care, adding services, and reimaging the future of behavioral health care to meet immediate needs.\n\nIn 2021, Children’s Hospital Association (CHA), American Academy of Pediatrics (AAP), and the American Academy of Child and Adolescent Psychiatry [declared a national state of emergency](https:\/\/www.childrenshospitals.org\/news\/newsroom\/2021\/11\/declaration-of-a-national-emergency-in-child-and-adolescent-mental-health\/) in children’s mental health. The declaration called on policymakers at all levels of government and advocates for children and adolescents to increase funding, address regulatory challenges, address acute care needs, and more.\n\nCHA also joined with Cardinal Health Foundation and the Zero Suicide Institute to create [Preventing Youth Suicide: A Cardinal Health Foundation National Collaborative](https:\/\/www.childrenshospitals.org\/news\/newsroom\/2022\/09\/childrens-hospitals-team-up-with-cardinal-health-to-prevent-youth-suicide). The first-of-its-kind collaborative develops a data-driven approach to accelerate improvement in the identification and care of children at risk for suicide.\n\nSince 2022, the 39 hospitals that make up the collaborative have implemented many changes in suicide care, including screening, data collection, training staff, and building a culture that recognizes the importance of this work.\n\n“This initiative has transformed how we care for children’s mental health—across every setting. It gave us a shared framework and empowered our teams to screen universally for suicide risk, intervene early, and respond with compassion,” said Dr. Linda Mayes, chief of child psychiatry at Yale New Haven Health System and chair of the Yale Child Study Center. “Most importantly, we’ve built a system where every child is seen, every concern is heard, and every risk is met with care and connection.”\n\nIn addition, CHA partnered with other organizations to launch the advocacy initiative [Speak Our Minds](https:\/\/speakourminds.org\/), which urges Congress to enact legislation and increase funding to address the crisis.\n\n#### Resources and strategies\nAlong with creating partnerships, children’s hospitals and health systems are developing resources, tools, and strategies for combatting youth suicide.\n\n- [Advocacy-related work](https:\/\/www.childrenshospitals.org\/advocacy\/mental-health) to improve the entire system, including a [documentary](https:\/\/www.childrenshospitals.org\/content\/behavioral-health\/product-program\/the-wait-to-nowhere-documentary) and [reference materials](https:\/\/www.childrenshospitals.org\/content\/public-policy\/reference-material\/focusing-on-childrens-mental-health).\n- [Collection of solutions from children's hospitals](https:\/\/www.childrenshospitals.org\/news\/childrens-hospitals-today\/2025\/09\/advancing-behavioral-health-care) covering early intervention, workforce, community partnerships, and emergency care.\n- Virtual learning series designed to drive action and implementation.\n- A tangible way to [prevent youth suicide](https:\/\/www.childrenshospitals.org\/news\/childrens-hospitals-today\/2025\/05\/reducing-repeat-behavioral-health-crises-with-personal-notes).\n- [Restricting lethal means](https:\/\/www.childrenshospitals.org\/content\/quality\/report\/teaching-caregivers-how-to-restrict-lethal-means-for-patients-with-suicidality) report.\n- [Blueprint for Youth Suicide Prevention](https:\/\/www.aap.org\/en\/patient-care\/blueprint-for-youth-suicide-prevention\/) from AAP and American Foundation for Suicide Prevention.\n- [Youth Suicide Prevention and Intervention Best Practices and Policy Implications](https:\/\/link.springer.com\/content\/pdf\/10.1007\/978-3-031-06127-1.pdf) from Nationwide Children’s and Springer.\n- [Guide for Schools](https:\/\/www.tandfonline.com\/doi\/full\/10.1080\/13811118.2023.2247033) on Student-Directed Suicide Prevention Program from Cincinnati Children’s.\n- [Care of the pediatric patient with suicidal ideation](https:\/\/www.childrenshospitals.org\/content\/pediatric-learning-solutions\/product-program\/care-of-the-pediatric-patient-with-suicidal-ideation-course-overview) course from CHA’s Pediatric Learning Solutions (PLS).\n- [Pediatric behavioral and mental health course library](https:\/\/www.childrenshospitals.org\/content\/pediatric-learning-solutions\/product-program\/pediatric-behavioral-and-mental-health-course-library) from PLS.\n- [Peer-to-peer online community](https:\/\/community.childrenshospitals.org\/communities\/community-home?CommunityKey=17f5632a-36c0-4588-b788-38623b7caa8a) intended to facilitate communication about programs, staff support, cost of care, and other behavioral health topics.\n\nBy the numbers ![](https:\/\/www.childrenshospitals.org\/images\/icons-brand-accent-white.svg)\n\n# 6,400\n10- to 24-year-olds die by suicide each year\n\n# 1\/3\nof all ED visits at children's hospitals are for suicide\/self-injury\n\n# 20%\nof high schoolers say they think seriously about suicide\n\n[Behavioral and Mental Health](https:\/\/www.childrenshospitals.org\/search#t=PublicWebsiteTab&sort=relevancy&f:topics=[Behavioral%20and%20Mental%20Health])\n\n### About PHIS®\nThis unblinded comparative data set includes clinical and resource utilization data for inpatient, ambulatory surgery, ED and observation unit encounters.\n\n[Learn More](https:\/\/www.childrenshospitals.org\/content\/analytics\/product-program\/pediatric-health-information-system)\n\n## Related Content\n## A Stronger Start for Kids: Understanding the ASPIRE Model\n[![](https:\/\/www.childrenshospitals.org\/-\/media\/images\/global\/thumbnail\/aspire0326.jpg)](https:\/\/www.childrenshospitals.org\/news\/cha-blog\/2026\/03\/understanding-the-aspire-model)\n\n[A Stronger Start for Kids: Understanding the ASPIRE Model](https:\/\/www.childrenshospitals.org\/news\/cha-blog\/2026\/03\/understanding-the-aspire-model)\n\nMarch 26, 2026\n***\n\n## Standardizing Behavioral Health Care to Improve Safety and Outcomes\n[![](https:\/\/www.childrenshospitals.org\/-\/media\/images\/global\/thumbnail\/cht_behavioral_health_toolkit_aggression_assessment0323.jpg)](https:\/\/www.childrenshospitals.org\/news\/childrens-hospitals-today\/2026\/02\/standardizing-behavioral-care-to-improve-safety-and-outcomes)\n\n[Standardizing Behavioral Health Care to Improve Safety and Outcomes](https:\/\/www.childrenshospitals.org\/news\/childrens-hospitals-today\/2026\/02\/standardizing-behavioral-care-to-improve-safety-and-outcomes)\n\nFeb. 25, 2026\n***\n\n## Hopeful Conversations to End the Youth Mental Health Crisis\n[![](https:\/\/www.childrenshospitals.org\/-\/media\/images\/global\/thumbnail\/cht_transform_mental_health0125.jpg)](https:\/\/www.childrenshospitals.org\/news\/cha-blog\/2026\/02\/hopeful-conversations-to-end-the-youth-mental-health-crisis)\n\n[Hopeful Conversations to End the Youth Mental Health Crisis](https:\/\/www.childrenshospitals.org\/news\/cha-blog\/2026\/02\/hopeful-conversations-to-end-the-youth-mental-health-crisis)\n\nFeb. 10, 2026\n***\n\n[![](https:\/\/www.childrenshospitals.org\/-\/media\/images\/global\/large-card\/aspire0326.jpg)](https:\/\/www.childrenshospitals.org\/news\/cha-blog\/2026\/03\/understanding-the-aspire-model)\n\n[Blog](https:\/\/www.childrenshospitals.org\/search#t=PublicWebsiteTab&sort=%40contentdate%20descending&f:@contenttype=[Blog])\n\n[A Stronger Start for Kids: Understanding the ASPIRE Model](https:\/\/www.childrenshospitals.org\/news\/cha-blog\/2026\/03\/understanding-the-aspire-model)\n\nCMS’s new model focuses on early intervention, care coordination, and whole-child health for children enrolled in Medicaid and CHIP.\n\nMarch 26, 2026\n\n[![](https:\/\/www.childrenshospitals.org\/-\/media\/images\/global\/large-card\/cht_behavioral_health_toolkit_aggression_assessment0323.jpg)](https:\/\/www.childrenshospitals.org\/news\/childrens-hospitals-today\/2026\/02\/standardizing-behavioral-care-to-improve-safety-and-outcomes)\n\n[Article](https:\/\/www.childrenshospitals.org\/search#t=PublicWebsiteTab&sort=%40contentdate%20descending&f:@contenttype=[Article])\n\n[Standardizing Behavioral Health Care to Improve Safety and Outcomes](https:\/\/www.childrenshospitals.org\/news\/childrens-hospitals-today\/2026\/02\/standardizing-behavioral-care-to-improve-safety-and-outcomes)\n\nBy aligning teams around shared tools, real-time communication, and specialized expertise, a children’s hospital achieved significant gains in patient care, staff confidence, and system efficiency.\n\nFeb. 25, 2026\n\n[![](https:\/\/www.childrenshospitals.org\/-\/media\/images\/global\/large-card\/cht_transform_mental_health0125.jpg)](https:\/\/www.childrenshospitals.org\/news\/cha-blog\/2026\/02\/hopeful-conversations-to-end-the-youth-mental-health-crisis)\n\n[Blog](https:\/\/www.childrenshospitals.org\/search#t=PublicWebsiteTab&sort=%40contentdate%20descending&f:@contenttype=[Blog])\n\n[Hopeful Conversations to End the Youth Mental Health Crisis](https:\/\/www.childrenshospitals.org\/news\/cha-blog\/2026\/02\/hopeful-conversations-to-end-the-youth-mental-health-crisis)\n\nThe Speak Our Minds podcast shares what lies ahead on the road to better mental health care for children.\n\nFeb. 10, 2026\n\n![CHA logo](https:\/\/www.childrenshospitals.org\/-\/media\/project\/cha\/publicwebsite\/logos\/brand_cha_horizontal_white.svg?iar=0&hash=467FF7413933DCFC13937CE65F24B9E6)\n\n- [About CHA](https:\/\/www.childrenshospitals.org\/about-cha)\n- [News](https:\/\/www.childrenshospitals.org\/news)\n- [Careers](https:\/\/www.childrenshospitals.org\/about-cha\/about\/careers)\n- [Jobs at Hospitals](https:\/\/www.childrenshospitals.org\/about-cha\/about\/jobs-at-hospitals)\n- [Find a Hospital](https:\/\/www.childrenshospitals.org\/hospital-directory)\n- [Contact Us](https:\/\/www.childrenshospitals.org\/contact-us)\n\n- ![linkedin](https:\/\/www.childrenshospitals.org\/-\/media\/project\/cha\/publicwebsite\/icons\/linkedin-white.svg?h=15&iar=0&w=15&hash=09618782E8643B1F217CEF8008C5A173) [LinkedIn](https:\/\/www.linkedin.com\/company\/childrenshospitals\/)\n- ![facebook](https:\/\/www.childrenshospitals.org\/-\/media\/project\/cha\/publicwebsite\/icons\/facebook-white.svg?h=15&iar=0&w=15&hash=B8A12095B1855E7F663C94B8348CCF70) [Facebook](https:\/\/www.facebook.com\/childrenshospitals)\n- ![X](https:\/\/www.childrenshospitals.org\/-\/media\/project\/cha\/publicwebsite\/icons\/x-logo.svg?h=14&iar=0&w=14&hash=F585B330B6D71EE6DC2118DD8F3BE33E) [X](https:\/\/twitter.com\/hospitals4kids)\n- ![YouTube logo](https:\/\/www.childrenshospitals.org\/-\/media\/project\/cha\/publicwebsite\/icons\/yt_icon_mono_dark_w20.png?h=14&iar=0&w=20&hash=BD6C71C05261249438ECB9BB82814BB2) [YouTube](https:\/\/www.youtube.com\/@childrenshospitalscha)\n- ![Instagram](https:\/\/www.childrenshospitals.org\/-\/media\/project\/cha\/publicwebsite\/icons\/instagram.png?h=18&iar=0&w=18&hash=342ACAFF8E53DDD2BA366A35C88FDB4A) [Instagram](https:\/\/www.instagram.com\/childrenshospitals\/)\n***\n[Privacy Policy](https:\/\/www.childrenshospitals.org\/content\/utilities\/privacy-policy) [Terms of Use](https:\/\/www.childrenshospitals.org\/content\/utilities\/terms-of-use) [Security and Compliance](https:\/\/www.childrenshospitals.org\/content\/utilities\/security) [Frequently Asked Questions](https:\/\/www.childrenshospitals.org\/content\/utilities\/frequently-asked-questions)\n\n© Children's Hospital Association\n\n![](https:\/\/www.childrenshospitals.org\/images\/icons-menu-close.svg)","attrs_readable_markdown":"Increasing cases of pediatric suicidality highlight the ongoing mental health crisis among youth. Suicide attempts, ideation, and self-injury have become the most common mental health conditions seen in children’s hospitals’ emergency departments, according to data from the [Children’s Hospital Association’s Pediatric Health Information System (PHIS®)](https:\/\/www.childrenshospitals.org\/content\/analytics\/product-program\/pediatric-health-information-system).\n\nBetween 2016 and 2021, suicide self-injury cases among patients ages 5-18 seen at children's hospital emergency departments increased by 168.6%. The trend in cases has remained essentially unchanged for the past four years, meaning the crisis is not abating.\n\n“Not only have the numbers increased, but we are also seeing worse acuity — children don’t get to us until their illness is more advanced, such as having persistent suicidal ideation instead of initially fleeting thoughts,” says Heather Huszti, chief of psychology at Children’s Hospital of Orange County (CHOC).\n\nAround [one-fifth of all adolescent deaths](https:\/\/wisqars.cdc.gov\/lcd\/?o=LCD&y1=2023&y2=2023&ct=10&cc=ALL&g=00&s=0&ry=0&e=0&ar=lcd1age&at=custom&ag=lcd2age&a1=10&a2=24) are from suicide. It is the [second leading cause of death](https:\/\/wisqars.cdc.gov\/lcd\/?o=LCD&y1=2022&y2=2022&ct=10&cc=ALL&g=00&s=0&r=0&ry=2&e=0&ar=lcd1age&at=groups&ag=lcd1age&a1=0&a2=199) among young people 10-14 years old and [third leading cause of death](https:\/\/wisqars.cdc.gov\/lcd\/?o=LCD&y1=2022&y2=2022&ct=10&cc=ALL&g=00&s=0&r=0&ry=2&e=0&ar=lcd1age&at=groups&ag=lcd1age&a1=0&a2=199) for those between 15-24. In 2024, suicide self-injury made up more than a third of visits to children’s hospitals' emergency rooms.\n\n“As tempting as it might be to pin this increase on one specific thing, it is likely to be a complex interaction of several factors. Children’s hospitals must continue to invest in and advocate for children’s mental health,” Huszti said.\n\n![](https:\/\/www.childrenshospitals.org\/-\/media\/images\/global\/page-inset\/cht_graph_suicide_self_injury_data0825.jpg)\n\nChildren’s hospital suicide-self injury ED cases by year. Source: Pediatric Health Information System (PHIS)\n#### Who’s affected?\nWhile rare in children younger than 10 years, suicide death rates increase markedly during adolescence and young adulthood. According to the [CDC's Youth Risk Behavior Survey Data Summary and Trends Report](https:\/\/www.cdc.gov\/healthyyouth\/data\/yrbs\/pdf\/yrbs_data-summary-trends_report2023_508.pdf), among high school students in 2021:\n\n- 20% seriously considered attempting suicide.\n- 16% made a suicide plan.\n- 9\\.5% attempted suicide.\n\nMental health issues and suicidality affect children across the board, but subsets of students have very different experiences, with some faring worse, according to the CDC report.\n\n**Gender**\n\nIn 2023,13% of female students attempted suicide. Almost 30% of girls said they seriously considered attempting suicide, nearly double the rate among boys. More than half of female students experienced persistent feelings of sadness or hopelessness.\n\n**Race and ethnicity**\n\nSuicide is now the leading cause of death for Asian American youth. A quarter of American Indians and Alaska natives said they had seriously considered a suicide attempt.\n\n**Sexual identity**\n\nAlmost 20% of LGBTQ+ students attempted suicide during the past year. Close to 70% experienced persistent feelings of sadness or hopelessness.\n\n#### Responding to the crisis\nHealth care organizations and children’s hospitals are innovating care, adding services, and reimaging the future of behavioral health care to meet immediate needs.\n\nIn 2021, Children’s Hospital Association (CHA), American Academy of Pediatrics (AAP), and the American Academy of Child and Adolescent Psychiatry [declared a national state of emergency](https:\/\/www.childrenshospitals.org\/news\/newsroom\/2021\/11\/declaration-of-a-national-emergency-in-child-and-adolescent-mental-health\/) in children’s mental health. The declaration called on policymakers at all levels of government and advocates for children and adolescents to increase funding, address regulatory challenges, address acute care needs, and more.\n\nCHA also joined with Cardinal Health Foundation and the Zero Suicide Institute to create [Preventing Youth Suicide: A Cardinal Health Foundation National Collaborative](https:\/\/www.childrenshospitals.org\/news\/newsroom\/2022\/09\/childrens-hospitals-team-up-with-cardinal-health-to-prevent-youth-suicide). The first-of-its-kind collaborative develops a data-driven approach to accelerate improvement in the identification and care of children at risk for suicide.\n\nSince 2022, the 39 hospitals that make up the collaborative have implemented many changes in suicide care, including screening, data collection, training staff, and building a culture that recognizes the importance of this work.\n\n“This initiative has transformed how we care for children’s mental health—across every setting. It gave us a shared framework and empowered our teams to screen universally for suicide risk, intervene early, and respond with compassion,” said Dr. Linda Mayes, chief of child psychiatry at Yale New Haven Health System and chair of the Yale Child Study Center. “Most importantly, we’ve built a system where every child is seen, every concern is heard, and every risk is met with care and connection.”\n\nIn addition, CHA partnered with other organizations to launch the advocacy initiative [Speak Our Minds](https:\/\/speakourminds.org\/), which urges Congress to enact legislation and increase funding to address the crisis.\n\n#### Resources and strategies\nAlong with creating partnerships, children’s hospitals and health systems are developing resources, tools, and strategies for combatting youth suicide.\n\n- [Advocacy-related work](https:\/\/www.childrenshospitals.org\/advocacy\/mental-health) to improve the entire system, including a [documentary](https:\/\/www.childrenshospitals.org\/content\/behavioral-health\/product-program\/the-wait-to-nowhere-documentary) and [reference materials](https:\/\/www.childrenshospitals.org\/content\/public-policy\/reference-material\/focusing-on-childrens-mental-health).\n- [Collection of solutions from children's hospitals](https:\/\/www.childrenshospitals.org\/news\/childrens-hospitals-today\/2025\/09\/advancing-behavioral-health-care) covering early intervention, workforce, community partnerships, and emergency care.\n- Virtual learning series designed to drive action and implementation.\n- A tangible way to [prevent youth suicide](https:\/\/www.childrenshospitals.org\/news\/childrens-hospitals-today\/2025\/05\/reducing-repeat-behavioral-health-crises-with-personal-notes).\n- [Restricting lethal means](https:\/\/www.childrenshospitals.org\/content\/quality\/report\/teaching-caregivers-how-to-restrict-lethal-means-for-patients-with-suicidality) report.\n- [Blueprint for Youth Suicide Prevention](https:\/\/www.aap.org\/en\/patient-care\/blueprint-for-youth-suicide-prevention\/) from AAP and American Foundation for Suicide Prevention.\n- [Youth Suicide Prevention and Intervention Best Practices and Policy Implications](https:\/\/link.springer.com\/content\/pdf\/10.1007\/978-3-031-06127-1.pdf) from Nationwide Children’s and Springer.\n- [Guide for Schools](https:\/\/www.tandfonline.com\/doi\/full\/10.1080\/13811118.2023.2247033) on Student-Directed Suicide Prevention Program from Cincinnati Children’s.\n- [Care of the pediatric patient with suicidal ideation](https:\/\/www.childrenshospitals.org\/content\/pediatric-learning-solutions\/product-program\/care-of-the-pediatric-patient-with-suicidal-ideation-course-overview) course from CHA’s Pediatric Learning Solutions (PLS).\n- [Pediatric behavioral and mental health course library](https:\/\/www.childrenshospitals.org\/content\/pediatric-learning-solutions\/product-program\/pediatric-behavioral-and-mental-health-course-library) from PLS.\n- [Peer-to-peer online community](https:\/\/community.childrenshospitals.org\/communities\/community-home?CommunityKey=17f5632a-36c0-4588-b788-38623b7caa8a) intended to facilitate communication about programs, staff support, cost of care, and other behavioral health topics.\n\nBy the numbers ![](https:\/\/www.childrenshospitals.org\/images\/icons-brand-accent-white.svg)\n\n## 6,400\n10- to 24-year-olds die by suicide each year\n\n## 1\/3\nof all ED visits at children's hospitals are for suicide\/self-injury\n\n## 20%\nof high schoolers say they think seriously about suicide","meta_canonical":null}

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URL	https://www.childrenshospitals.org/content/behavioral-health/summary/the-state-of-pediatric-suicide
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First Indexed	2023-09-27 09:41:36 (2 years ago)
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Meta Title	Addressing Pediatric Suicide
Meta Description	The latest solutions, resources and data on the current mental health crisis for children's hospitals and health systems.
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Boilerpipe Text	Increasing cases of pediatric suicidality highlight the ongoing mental health crisis among youth. Suicide attempts, ideation, and self-injury have become the most common mental health conditions seen in children’s hospitals’ emergency departments, according to data from the Children’s Hospital Association’s Pediatric Health Information System (PHIS®) . Between 2016 and 2021, suicide self-injury cases among patients ages 5-18 seen at children's hospital emergency departments increased by 168.6%. The trend in cases has remained essentially unchanged for the past four years, meaning the crisis is not abating. “Not only have the numbers increased, but we are also seeing worse acuity — children don’t get to us until their illness is more advanced, such as having persistent suicidal ideation instead of initially fleeting thoughts,” says Heather Huszti, chief of psychology at Children’s Hospital of Orange County (CHOC). Around one-fifth of all adolescent deaths are from suicide. It is the second leading cause of death among young people 10-14 years old and third leading cause of death for those between 15-24. In 2024, suicide self-injury made up more than a third of visits to children’s hospitals' emergency rooms. “As tempting as it might be to pin this increase on one specific thing, it is likely to be a complex interaction of several factors. Children’s hospitals must continue to invest in and advocate for children’s mental health,” Huszti said. Children’s hospital suicide-self injury ED cases by year. Source: Pediatric Health Information System (PHIS) Who’s affected? While rare in children younger than 10 years, suicide death rates increase markedly during adolescence and young adulthood. According to the CDC's Youth Risk Behavior Survey Data Summary and Trends Report , among high school students in 2021: 20% seriously considered attempting suicide. 16% made a suicide plan. 9.5% attempted suicide. Mental health issues and suicidality affect children across the board, but subsets of students have very different experiences, with some faring worse, according to the CDC report. Gender In 2023,13% of female students attempted suicide. Almost 30% of girls said they seriously considered attempting suicide, nearly double the rate among boys. More than half of female students experienced persistent feelings of sadness or hopelessness. Race and ethnicity Suicide is now the leading cause of death for Asian American youth. A quarter of American Indians and Alaska natives said they had seriously considered a suicide attempt. Sexual identity Almost 20% of LGBTQ+ students attempted suicide during the past year. Close to 70% experienced persistent feelings of sadness or hopelessness. Responding to the crisis Health care organizations and children’s hospitals are innovating care, adding services, and reimaging the future of behavioral health care to meet immediate needs. In 2021, Children’s Hospital Association (CHA), American Academy of Pediatrics (AAP), and the American Academy of Child and Adolescent Psychiatry declared a national state of emergency in children’s mental health. The declaration called on policymakers at all levels of government and advocates for children and adolescents to increase funding, address regulatory challenges, address acute care needs, and more. CHA also joined with Cardinal Health Foundation and the Zero Suicide Institute to create Preventing Youth Suicide: A Cardinal Health Foundation National Collaborative . The first-of-its-kind collaborative develops a data-driven approach to accelerate improvement in the identification and care of children at risk for suicide. Since 2022, the 39 hospitals that make up the collaborative have implemented many changes in suicide care, including screening, data collection, training staff, and building a culture that recognizes the importance of this work. “This initiative has transformed how we care for children’s mental health—across every setting. It gave us a shared framework and empowered our teams to screen universally for suicide risk, intervene early, and respond with compassion,” said Dr. Linda Mayes, chief of child psychiatry at Yale New Haven Health System and chair of the Yale Child Study Center. “Most importantly, we’ve built a system where every child is seen, every concern is heard, and every risk is met with care and connection.” In addition, CHA partnered with other organizations to launch the advocacy initiative Speak Our Minds , which urges Congress to enact legislation and increase funding to address the crisis. Resources and strategies Along with creating partnerships, children’s hospitals and health systems are developing resources, tools, and strategies for combatting youth suicide. Advocacy-related work to improve the entire system, including a documentary and reference materials . Collection of solutions from children's hospitals covering early intervention, workforce, community partnerships, and emergency care. Virtual learning series designed to drive action and implementation. A tangible way to prevent youth suicide . Restricting lethal means report. Blueprint for Youth Suicide Prevention from AAP and American Foundation for Suicide Prevention. Youth Suicide Prevention and Intervention Best Practices and Policy Implications from Nationwide Children’s and Springer. Guide for Schools on Student-Directed Suicide Prevention Program from Cincinnati Children’s. Care of the pediatric patient with suicidal ideation course from CHA’s Pediatric Learning Solutions (PLS). Pediatric behavioral and mental health course library from PLS. Peer-to-peer online community intended to facilitate communication about programs, staff support, cost of care, and other behavioral health topics. By the numbers 6,400 10- to 24-year-olds die by suicide each year 1/3 of all ED visits at children's hospitals are for suicide/self-injury 20% of high schoolers say they think seriously about suicide
Markdown	#### Your Browser is Out of Date To provide you with the best experience, our websites uses features that are not supported by your current browser. For the best experience on Childrenshospitals.org, please open this site in a different browser such as [Google Chrome](https://www.google.com/chrome/) Proceed Anyway [![CHA logo](https://www.childrenshospitals.org/-/media/project/cha/publicwebsite/logos/brand_cha_horizontal_black.svg?iar=0&hash=F29595F048E2DFDB989EDEDF1E991760)](https://www.childrenshospitals.org/) [Advocacy](https://www.childrenshospitals.org/advocacy)[News](https://www.childrenshospitals.org/news)[Resources](https://www.childrenshospitals.org/resources)[Events](https://www.childrenshospitals.org/education/events)[Services](https://www.childrenshospitals.org/services)[About](https://www.childrenshospitals.org/about-cha) [Advocacy](https://www.childrenshospitals.org/advocacy)[News](https://www.childrenshospitals.org/news)[Resources](https://www.childrenshospitals.org/resources)[Events](https://www.childrenshospitals.org/education/events)[Services](https://www.childrenshospitals.org/services)[About CHA](https://www.childrenshospitals.org/about-cha)[Find a Hospital](https://www.childrenshospitals.org/hospital-directory)[Careers]()[Contact Us](https://www.childrenshospitals.org/contact-us) [Privacy Policy](https://www.childrenshospitals.org/content/utilities/privacy-policy)[Do Not Sell My Personal Information](https://www.childrenshospitals.org/) [![CHA logo](https://www.childrenshospitals.org/-/media/project/cha/publicwebsite/logos/brand_cha_horizontal_white.svg?iar=0&hash=467FF7413933DCFC13937CE65F24B9E6)](https://www.childrenshospitals.org/content/behavioral-health/summary/the-state-of-pediatric-suicide) Champions for Children's Health © Children's Hospital Association 1. [Summary](https://www.childrenshospitals.org/Search#t=PublicWebsiteTab&sort=%40contentdate%20descending&f:@contenttype=[Summary]) ![](https://www.childrenshospitals.org/images/icons-brand-accent.svg) # Addressing Pediatric Suicide The latest solutions, resources and data on the current mental health crisis for children's hospitals and health systems. Published Aug. 20, 2025 3 min. read ![Silhouette of teen girl.](https://www.childrenshospitals.org/-/media/images/global/hero/mobile-page-hero/state_of_pediatric_suicide0923.jpg?h=340&iar=0&w=900&hash=71B3A3D38B1E621A8D2C5231E924712C) Increasing cases of pediatric suicidality highlight the ongoing mental health crisis among youth. Suicide attempts, ideation, and self-injury have become the most common mental health conditions seen in children’s hospitals’ emergency departments, according to data from the [Children’s Hospital Association’s Pediatric Health Information System (PHIS®)](https://www.childrenshospitals.org/content/analytics/product-program/pediatric-health-information-system). Between 2016 and 2021, suicide self-injury cases among patients ages 5-18 seen at children's hospital emergency departments increased by 168.6%. The trend in cases has remained essentially unchanged for the past four years, meaning the crisis is not abating. “Not only have the numbers increased, but we are also seeing worse acuity — children don’t get to us until their illness is more advanced, such as having persistent suicidal ideation instead of initially fleeting thoughts,” says Heather Huszti, chief of psychology at Children’s Hospital of Orange County (CHOC). Around [one-fifth of all adolescent deaths](https://wisqars.cdc.gov/lcd/?o=LCD&y1=2023&y2=2023&ct=10&cc=ALL&g=00&s=0&ry=0&e=0&ar=lcd1age&at=custom&ag=lcd2age&a1=10&a2=24) are from suicide. It is the [second leading cause of death](https://wisqars.cdc.gov/lcd/?o=LCD&y1=2022&y2=2022&ct=10&cc=ALL&g=00&s=0&r=0&ry=2&e=0&ar=lcd1age&at=groups&ag=lcd1age&a1=0&a2=199) among young people 10-14 years old and [third leading cause of death](https://wisqars.cdc.gov/lcd/?o=LCD&y1=2022&y2=2022&ct=10&cc=ALL&g=00&s=0&r=0&ry=2&e=0&ar=lcd1age&at=groups&ag=lcd1age&a1=0&a2=199) for those between 15-24. In 2024, suicide self-injury made up more than a third of visits to children’s hospitals' emergency rooms. “As tempting as it might be to pin this increase on one specific thing, it is likely to be a complex interaction of several factors. Children’s hospitals must continue to invest in and advocate for children’s mental health,” Huszti said. ![](https://www.childrenshospitals.org/-/media/images/global/page-inset/cht_graph_suicide_self_injury_data0825.jpg) Children’s hospital suicide-self injury ED cases by year. Source: Pediatric Health Information System (PHIS) #### Who’s affected? While rare in children younger than 10 years, suicide death rates increase markedly during adolescence and young adulthood. According to the [CDC's Youth Risk Behavior Survey Data Summary and Trends Report](https://www.cdc.gov/healthyyouth/data/yrbs/pdf/yrbs_data-summary-trends_report2023_508.pdf), among high school students in 2021: - 20% seriously considered attempting suicide. - 16% made a suicide plan. - 9\.5% attempted suicide. Mental health issues and suicidality affect children across the board, but subsets of students have very different experiences, with some faring worse, according to the CDC report. Gender In 2023,13% of female students attempted suicide. Almost 30% of girls said they seriously considered attempting suicide, nearly double the rate among boys. More than half of female students experienced persistent feelings of sadness or hopelessness. Race and ethnicity Suicide is now the leading cause of death for Asian American youth. A quarter of American Indians and Alaska natives said they had seriously considered a suicide attempt. Sexual identity Almost 20% of LGBTQ+ students attempted suicide during the past year. Close to 70% experienced persistent feelings of sadness or hopelessness. #### Responding to the crisis Health care organizations and children’s hospitals are innovating care, adding services, and reimaging the future of behavioral health care to meet immediate needs. In 2021, Children’s Hospital Association (CHA), American Academy of Pediatrics (AAP), and the American Academy of Child and Adolescent Psychiatry [declared a national state of emergency](https://www.childrenshospitals.org/news/newsroom/2021/11/declaration-of-a-national-emergency-in-child-and-adolescent-mental-health/) in children’s mental health. The declaration called on policymakers at all levels of government and advocates for children and adolescents to increase funding, address regulatory challenges, address acute care needs, and more. CHA also joined with Cardinal Health Foundation and the Zero Suicide Institute to create [Preventing Youth Suicide: A Cardinal Health Foundation National Collaborative](https://www.childrenshospitals.org/news/newsroom/2022/09/childrens-hospitals-team-up-with-cardinal-health-to-prevent-youth-suicide). The first-of-its-kind collaborative develops a data-driven approach to accelerate improvement in the identification and care of children at risk for suicide. Since 2022, the 39 hospitals that make up the collaborative have implemented many changes in suicide care, including screening, data collection, training staff, and building a culture that recognizes the importance of this work. “This initiative has transformed how we care for children’s mental health—across every setting. It gave us a shared framework and empowered our teams to screen universally for suicide risk, intervene early, and respond with compassion,” said Dr. Linda Mayes, chief of child psychiatry at Yale New Haven Health System and chair of the Yale Child Study Center. “Most importantly, we’ve built a system where every child is seen, every concern is heard, and every risk is met with care and connection.” In addition, CHA partnered with other organizations to launch the advocacy initiative [Speak Our Minds](https://speakourminds.org/), which urges Congress to enact legislation and increase funding to address the crisis. #### Resources and strategies Along with creating partnerships, children’s hospitals and health systems are developing resources, tools, and strategies for combatting youth suicide. - [Advocacy-related work](https://www.childrenshospitals.org/advocacy/mental-health) to improve the entire system, including a [documentary](https://www.childrenshospitals.org/content/behavioral-health/product-program/the-wait-to-nowhere-documentary) and [reference materials](https://www.childrenshospitals.org/content/public-policy/reference-material/focusing-on-childrens-mental-health). - [Collection of solutions from children's hospitals](https://www.childrenshospitals.org/news/childrens-hospitals-today/2025/09/advancing-behavioral-health-care) covering early intervention, workforce, community partnerships, and emergency care. - Virtual learning series designed to drive action and implementation. - A tangible way to [prevent youth suicide](https://www.childrenshospitals.org/news/childrens-hospitals-today/2025/05/reducing-repeat-behavioral-health-crises-with-personal-notes). - [Restricting lethal means](https://www.childrenshospitals.org/content/quality/report/teaching-caregivers-how-to-restrict-lethal-means-for-patients-with-suicidality) report. - [Blueprint for Youth Suicide Prevention](https://www.aap.org/en/patient-care/blueprint-for-youth-suicide-prevention/) from AAP and American Foundation for Suicide Prevention. - [Youth Suicide Prevention and Intervention Best Practices and Policy Implications](https://link.springer.com/content/pdf/10.1007/978-3-031-06127-1.pdf) from Nationwide Children’s and Springer. - [Guide for Schools](https://www.tandfonline.com/doi/full/10.1080/13811118.2023.2247033) on Student-Directed Suicide Prevention Program from Cincinnati Children’s. - [Care of the pediatric patient with suicidal ideation](https://www.childrenshospitals.org/content/pediatric-learning-solutions/product-program/care-of-the-pediatric-patient-with-suicidal-ideation-course-overview) course from CHA’s Pediatric Learning Solutions (PLS). - [Pediatric behavioral and mental health course library](https://www.childrenshospitals.org/content/pediatric-learning-solutions/product-program/pediatric-behavioral-and-mental-health-course-library) from PLS. - [Peer-to-peer online community](https://community.childrenshospitals.org/communities/community-home?CommunityKey=17f5632a-36c0-4588-b788-38623b7caa8a) intended to facilitate communication about programs, staff support, cost of care, and other behavioral health topics. By the numbers ![](https://www.childrenshospitals.org/images/icons-brand-accent-white.svg) # 6,400 10- to 24-year-olds die by suicide each year # 1/3 of all ED visits at children's hospitals are for suicide/self-injury # 20% of high schoolers say they think seriously about suicide [Behavioral and Mental Health](https://www.childrenshospitals.org/search#t=PublicWebsiteTab&sort=relevancy&f:topics=[Behavioral%20and%20Mental%20Health]) ### About PHIS® This unblinded comparative data set includes clinical and resource utilization data for inpatient, ambulatory surgery, ED and observation unit encounters. [Learn More](https://www.childrenshospitals.org/content/analytics/product-program/pediatric-health-information-system) ## Related Content ## A Stronger Start for Kids: Understanding the ASPIRE Model [![](https://www.childrenshospitals.org/-/media/images/global/thumbnail/aspire0326.jpg)](https://www.childrenshospitals.org/news/cha-blog/2026/03/understanding-the-aspire-model) [A Stronger Start for Kids: Understanding the ASPIRE Model](https://www.childrenshospitals.org/news/cha-blog/2026/03/understanding-the-aspire-model) March 26, 2026 * ## Standardizing Behavioral Health Care to Improve Safety and Outcomes [![](https://www.childrenshospitals.org/-/media/images/global/thumbnail/cht_behavioral_health_toolkit_aggression_assessment0323.jpg)](https://www.childrenshospitals.org/news/childrens-hospitals-today/2026/02/standardizing-behavioral-care-to-improve-safety-and-outcomes) [Standardizing Behavioral Health Care to Improve Safety and Outcomes](https://www.childrenshospitals.org/news/childrens-hospitals-today/2026/02/standardizing-behavioral-care-to-improve-safety-and-outcomes) Feb. 25, 2026 * ## Hopeful Conversations to End the Youth Mental Health Crisis [![](https://www.childrenshospitals.org/-/media/images/global/thumbnail/cht_transform_mental_health0125.jpg)](https://www.childrenshospitals.org/news/cha-blog/2026/02/hopeful-conversations-to-end-the-youth-mental-health-crisis) [Hopeful Conversations to End the Youth Mental Health Crisis](https://www.childrenshospitals.org/news/cha-blog/2026/02/hopeful-conversations-to-end-the-youth-mental-health-crisis) Feb. 10, 2026 * [![](https://www.childrenshospitals.org/-/media/images/global/large-card/aspire0326.jpg)](https://www.childrenshospitals.org/news/cha-blog/2026/03/understanding-the-aspire-model) [Blog](https://www.childrenshospitals.org/search#t=PublicWebsiteTab&sort=%40contentdate%20descending&f:@contenttype=[Blog]) [A Stronger Start for Kids: Understanding the ASPIRE Model](https://www.childrenshospitals.org/news/cha-blog/2026/03/understanding-the-aspire-model) CMS’s new model focuses on early intervention, care coordination, and whole-child health for children enrolled in Medicaid and CHIP. March 26, 2026 [![](https://www.childrenshospitals.org/-/media/images/global/large-card/cht_behavioral_health_toolkit_aggression_assessment0323.jpg)](https://www.childrenshospitals.org/news/childrens-hospitals-today/2026/02/standardizing-behavioral-care-to-improve-safety-and-outcomes) [Article](https://www.childrenshospitals.org/search#t=PublicWebsiteTab&sort=%40contentdate%20descending&f:@contenttype=[Article]) [Standardizing Behavioral Health Care to Improve Safety and Outcomes](https://www.childrenshospitals.org/news/childrens-hospitals-today/2026/02/standardizing-behavioral-care-to-improve-safety-and-outcomes) By aligning teams around shared tools, real-time communication, and specialized expertise, a children’s hospital achieved significant gains in patient care, staff confidence, and system efficiency. Feb. 25, 2026 [![](https://www.childrenshospitals.org/-/media/images/global/large-card/cht_transform_mental_health0125.jpg)](https://www.childrenshospitals.org/news/cha-blog/2026/02/hopeful-conversations-to-end-the-youth-mental-health-crisis) [Blog](https://www.childrenshospitals.org/search#t=PublicWebsiteTab&sort=%40contentdate%20descending&f:@contenttype=[Blog]) [Hopeful Conversations to End the Youth Mental Health Crisis](https://www.childrenshospitals.org/news/cha-blog/2026/02/hopeful-conversations-to-end-the-youth-mental-health-crisis) The Speak Our Minds podcast shares what lies ahead on the road to better mental health care for children. 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Readable Markdown	Increasing cases of pediatric suicidality highlight the ongoing mental health crisis among youth. Suicide attempts, ideation, and self-injury have become the most common mental health conditions seen in children’s hospitals’ emergency departments, according to data from the [Children’s Hospital Association’s Pediatric Health Information System (PHIS®)](https://www.childrenshospitals.org/content/analytics/product-program/pediatric-health-information-system). Between 2016 and 2021, suicide self-injury cases among patients ages 5-18 seen at children's hospital emergency departments increased by 168.6%. The trend in cases has remained essentially unchanged for the past four years, meaning the crisis is not abating. “Not only have the numbers increased, but we are also seeing worse acuity — children don’t get to us until their illness is more advanced, such as having persistent suicidal ideation instead of initially fleeting thoughts,” says Heather Huszti, chief of psychology at Children’s Hospital of Orange County (CHOC). Around [one-fifth of all adolescent deaths](https://wisqars.cdc.gov/lcd/?o=LCD&y1=2023&y2=2023&ct=10&cc=ALL&g=00&s=0&ry=0&e=0&ar=lcd1age&at=custom&ag=lcd2age&a1=10&a2=24) are from suicide. It is the [second leading cause of death](https://wisqars.cdc.gov/lcd/?o=LCD&y1=2022&y2=2022&ct=10&cc=ALL&g=00&s=0&r=0&ry=2&e=0&ar=lcd1age&at=groups&ag=lcd1age&a1=0&a2=199) among young people 10-14 years old and [third leading cause of death](https://wisqars.cdc.gov/lcd/?o=LCD&y1=2022&y2=2022&ct=10&cc=ALL&g=00&s=0&r=0&ry=2&e=0&ar=lcd1age&at=groups&ag=lcd1age&a1=0&a2=199) for those between 15-24. In 2024, suicide self-injury made up more than a third of visits to children’s hospitals' emergency rooms. “As tempting as it might be to pin this increase on one specific thing, it is likely to be a complex interaction of several factors. Children’s hospitals must continue to invest in and advocate for children’s mental health,” Huszti said. ![](https://www.childrenshospitals.org/-/media/images/global/page-inset/cht_graph_suicide_self_injury_data0825.jpg) Children’s hospital suicide-self injury ED cases by year. Source: Pediatric Health Information System (PHIS) #### Who’s affected? While rare in children younger than 10 years, suicide death rates increase markedly during adolescence and young adulthood. According to the [CDC's Youth Risk Behavior Survey Data Summary and Trends Report](https://www.cdc.gov/healthyyouth/data/yrbs/pdf/yrbs_data-summary-trends_report2023_508.pdf), among high school students in 2021: - 20% seriously considered attempting suicide. - 16% made a suicide plan. - 9\.5% attempted suicide. Mental health issues and suicidality affect children across the board, but subsets of students have very different experiences, with some faring worse, according to the CDC report. Gender In 2023,13% of female students attempted suicide. Almost 30% of girls said they seriously considered attempting suicide, nearly double the rate among boys. More than half of female students experienced persistent feelings of sadness or hopelessness. Race and ethnicity Suicide is now the leading cause of death for Asian American youth. A quarter of American Indians and Alaska natives said they had seriously considered a suicide attempt. Sexual identity Almost 20% of LGBTQ+ students attempted suicide during the past year. Close to 70% experienced persistent feelings of sadness or hopelessness. #### Responding to the crisis Health care organizations and children’s hospitals are innovating care, adding services, and reimaging the future of behavioral health care to meet immediate needs. In 2021, Children’s Hospital Association (CHA), American Academy of Pediatrics (AAP), and the American Academy of Child and Adolescent Psychiatry [declared a national state of emergency](https://www.childrenshospitals.org/news/newsroom/2021/11/declaration-of-a-national-emergency-in-child-and-adolescent-mental-health/) in children’s mental health. The declaration called on policymakers at all levels of government and advocates for children and adolescents to increase funding, address regulatory challenges, address acute care needs, and more. CHA also joined with Cardinal Health Foundation and the Zero Suicide Institute to create [Preventing Youth Suicide: A Cardinal Health Foundation National Collaborative](https://www.childrenshospitals.org/news/newsroom/2022/09/childrens-hospitals-team-up-with-cardinal-health-to-prevent-youth-suicide). The first-of-its-kind collaborative develops a data-driven approach to accelerate improvement in the identification and care of children at risk for suicide. Since 2022, the 39 hospitals that make up the collaborative have implemented many changes in suicide care, including screening, data collection, training staff, and building a culture that recognizes the importance of this work. “This initiative has transformed how we care for children’s mental health—across every setting. It gave us a shared framework and empowered our teams to screen universally for suicide risk, intervene early, and respond with compassion,” said Dr. Linda Mayes, chief of child psychiatry at Yale New Haven Health System and chair of the Yale Child Study Center. “Most importantly, we’ve built a system where every child is seen, every concern is heard, and every risk is met with care and connection.” In addition, CHA partnered with other organizations to launch the advocacy initiative [Speak Our Minds](https://speakourminds.org/), which urges Congress to enact legislation and increase funding to address the crisis. #### Resources and strategies Along with creating partnerships, children’s hospitals and health systems are developing resources, tools, and strategies for combatting youth suicide. - [Advocacy-related work](https://www.childrenshospitals.org/advocacy/mental-health) to improve the entire system, including a [documentary](https://www.childrenshospitals.org/content/behavioral-health/product-program/the-wait-to-nowhere-documentary) and [reference materials](https://www.childrenshospitals.org/content/public-policy/reference-material/focusing-on-childrens-mental-health). - [Collection of solutions from children's hospitals](https://www.childrenshospitals.org/news/childrens-hospitals-today/2025/09/advancing-behavioral-health-care) covering early intervention, workforce, community partnerships, and emergency care. - Virtual learning series designed to drive action and implementation. - A tangible way to [prevent youth suicide](https://www.childrenshospitals.org/news/childrens-hospitals-today/2025/05/reducing-repeat-behavioral-health-crises-with-personal-notes). - [Restricting lethal means](https://www.childrenshospitals.org/content/quality/report/teaching-caregivers-how-to-restrict-lethal-means-for-patients-with-suicidality) report. - [Blueprint for Youth Suicide Prevention](https://www.aap.org/en/patient-care/blueprint-for-youth-suicide-prevention/) from AAP and American Foundation for Suicide Prevention. - [Youth Suicide Prevention and Intervention Best Practices and Policy Implications](https://link.springer.com/content/pdf/10.1007/978-3-031-06127-1.pdf) from Nationwide Children’s and Springer. - [Guide for Schools](https://www.tandfonline.com/doi/full/10.1080/13811118.2023.2247033) on Student-Directed Suicide Prevention Program from Cincinnati Children’s. - [Care of the pediatric patient with suicidal ideation](https://www.childrenshospitals.org/content/pediatric-learning-solutions/product-program/care-of-the-pediatric-patient-with-suicidal-ideation-course-overview) course from CHA’s Pediatric Learning Solutions (PLS). - [Pediatric behavioral and mental health course library](https://www.childrenshospitals.org/content/pediatric-learning-solutions/product-program/pediatric-behavioral-and-mental-health-course-library) from PLS. - [Peer-to-peer online community](https://community.childrenshospitals.org/communities/community-home?CommunityKey=17f5632a-36c0-4588-b788-38623b7caa8a) intended to facilitate communication about programs, staff support, cost of care, and other behavioral health topics. By the numbers ![](https://www.childrenshospitals.org/images/icons-brand-accent-white.svg) ## 6,400 10- to 24-year-olds die by suicide each year ## 1/3 of all ED visits at children's hospitals are for suicide/self-injury ## 20% of high schoolers say they think seriously about suicide
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