: Suicide rates for children and adolescents have been increasing over the past 2 decades. In April 2023, the National Institute of Mental Health (NIMH) convened a two-day workshop to address child and youth suicide. : The workshop focus was to discuss the state of the science and stimulate a collaborative response between researchers, death investigators, and data collection teams to build a science to service and service to science approach toward understanding - and ultimately preventing – this growing problem of child and youth suicide. : Topics that meeting participants highlighted as worthy of further consideration for research and practice were: increasing awareness among death investigators, medical examiners, and coroners that child suicide deaths under age 10 years do occur and should be investigated and documented accordingly; emphasizing the value of science based protocols for child and youth death investigations to enhance consistency of approaches; and articulating needs for postvention services to suicide loss survivors. : The importance of collecting an accurate and complete cause and manner of death (i.e., unintentional, suicide, homicide, undetermined) among all child decedents, and demographic information such as race, ethnicity, and sexual/gender minority status was underscored as critical for enhanced surveillance. For prevention efforts, approaches to assessing and understanding suicidal thoughts and behaviors among diverse groups of children, and the variability in proximal and distal risk factors are needed to inform opportunities for preventive interventions for diverse communities. The need for consistent measures and processes to improve death investigations, fatality review committees, and coordination between data collection systems and agencies was also raised. : Collaborations among researchers, death investigators, and data collection teams can help to fully describe the child and youth suicide crisis and provide actionable information for new research, and prevention and response efforts.

中文翻译：

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对儿童和青少年自杀的研究、实践和数据调查：科学服务和服务科学方法

：过去 20 年来，儿童和青少年的自杀率一直在上升。2023 年 4 月，国家心理健康研究所 (NIMH) 召开了为期两天的研讨会，以解决儿童和青少年自杀问题。：研讨会的重点是讨论科学现状，并激发研究人员、死亡调查人员和数据收集团队之间的协作反应，以建立科学服务和服务科学的方法，以理解并最终预防这一日益严重的儿童问题和青少年自杀。：与会者强调值得进一步考虑研究和实践的主题是：提高死亡调查人员、法医和验尸官对 10 岁以下儿童自杀死亡确实发生并应进行相应调查和记录的认识；强调基于科学的儿童和青少年死亡调查方案的价值，以提高方法的一致性；明确自杀者幸存者的事后预防服务需求。：强调收集所有儿童死者准确、完整的死因和方式（即非故意、自杀、他杀、未确定）的重要性，以及种族、族裔和性/性别少数地位等人口统计信息对于加强监视。对于预防工作，需要评估和理解不同儿童群体的自杀想法和行为的方法，以及近端和远端风险因素的变异性，以便为不同社区提供预防干预的机会。还提出需要采取一致的措施和流程来改进死亡调查、死亡审查委员会以及数据收集系统和机构之间的协调。：研究人员、死亡调查人员和数据收集团队之间的合作有助于全面描述儿童和青少年自杀危机，并为新研究、预防和应对工作提供可操作的信息。