Youth suicide has become a national crisis, with devastating impacts on families, communities and health care systems. As one of the leading causes of death among adolescents, suicide presents a critical challenge for health care providers. In this third episode of the AANP Adolescent Podcast Series, hosts Dr. Jessica Peck and Ashley Hodges explore the growing prevalence of youth suicide, associated risk factors, warning signs and the essential role of nurse practitioners (NPs) in early identification, intervention and prevention. Through clinical insight, real-world experiences and practical tools, providers are equipped to navigate these complex conversations, reduce stigma and connect at-risk youth with life-saving care.---

Key Points:

• Suicide is the second leading cause of death among individuals aged 10–24.
• Risk factors include previous suicide attempts, affective disorders (especially major depressive disorder), substance abuse, bullying, access to lethal means and social isolation.
• Girls attempt suicide more often, but boys typically use more lethal methods (such as firearms).
• Situational triggers, such as online sextortion or bullying, can prompt impulsive suicide attempts with little warning.
• Warning signs include changes in sleep, appetite, hygiene, mood, social withdrawal, giving away possessions and expressions of hopelessness.
• Non-suicidal self-injury (e.g., cutting, burning) is a strong predictor of future suicide attempts.
• Evidence-based screening tools include the ASQ (Ask Suicide-Screening Questions), PHQ-9A, Columbia Suicide Severity Rating Scale and the Patient Safety Screener.
• Creating a safety plan and restricting access to lethal means (e.g., firearms, medications) is essential in prevention.
• Encouraging emotional literacy and normalizing mental health discussions with teens can foster resilience and trust.
• Connection, validation and early intervention save lives — NPs play a pivotal role in detection and support.
• Call to Action for providers and families:
• Don’t ignore warning signs.
• It’s okay to ask directly about suicide.
• Connection is a powerful protective factor.
• Invite listeners to share this episode and use their voice for suicide prevention.
• Encourage listeners to check out the episode notes for resources and links.

National Resources:

988 Suicide & Crisis Lifeline

Crisis Text Line: Text HOME to 741741

Megan Meier Foundation: https://www.meganmeierfoundation.org/

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