Temporal Trends in Suicidal Ideation and Attempts Among US Adolescents by Sex and Race/Ethnicity, 1991-2019.

22 , 37 , 54 The post-2009 increasing trend in suicidal ideation among White female youths paralleled an increasing trend in mental health service use for suicidal ideation or suicide attempts among White female youths aged 12 to 17 years from 2009 to 2018. 55 Adolescents in recent decades are experiencing rapid change in technology with behavioral consequences (eg, disrupted sleep, increased obesity) and evolving cul

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Joinpoint regression identified a decreasing trend in suicidal ideation from 1991 to 2019 among the total sample (average APC, −0.9%; 95% CI, −1.4% to −0.3%), with 2009 the turning point of a decreasing-increasing trend observed in suicidal ideation ( Table , Figure 2 ).

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