Predictors of Traumatic Suicide Attempts in Youth Presenting to Hospitals with Level I Trauma Centers

Limited research exists examining the predictors of suicide attempts by mechanism. The purpose of this study was to examine predictors of traumatic suicide attempts in youth. Data came from patients 5–18 years of age presenting because of a suicide attempt at 2 hospitals in Central Texas with level I trauma centers. Univariate logistic regression examined the association between traumatic suicide attempts and variables describing the patient's demographic, mental health, and social information. We used the Mann–Whitney U test to examine the association between traumatic suicide attempts and the continuous variable of age. Of 231 patients included in this study, most were female (75.8%), non-Hispanic white (48.1%), and had a median age of 15.0 years (interquartile range 14–16). Compared with patients presenting because of an intentional overdose, patients presenting because of traumatic suicide attempts were associated with a reported criminal history (odds ratio [OR] 14.50 [95% confidence interval {CI} 3.84–54.82]), reported Child Protective Services history (OR 3.26 [95% CI 0.99–10.77]), being publicly insured or uninsured (OR 1.80 [95% CI 1.02–3.19]), male (OR 2.37 [95% CI 1.28–4.38]), and identifying as Hispanic (OR 2.01 [95% CI 1.10–3.68). Our findings inform targeted preventative resources and education efforts to populations of greatest need.