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To increase knowledge about trends, demographics, and means in child suicides, data including all child (&lt;\u200918\u00a0years) suicides in Sweden in 2000 through 2018 were retrieved from the Swedish National Board of Forensic Medicine. In all, a total of 416 child suicides were found in a 19-year period, accounting for an annual suicide rate of 1.1\/100,000 child population. The number of suicides increased with 2.2% by each successive year during the study period (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). The mean age in both sexes was 16\u00a0years; boys accounted for 55% and girls for 45% of all study cases. The majority of the children who died by suicide (96%) were teenagers (13\u201317\u00a0years old) and suicides in children younger than 10\u00a0years were uncommon. Suicide methods were 59% hanging, 20% lying\/jumping in front of a moving object, 8% jumping from a height, 7% firearm injury, 4% poisoning, and 2% other methods. Sex differences were significant (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) only for firearms being preferably used by boys. The vast majority of firearms used were licensed long-barreled weapons.<\/jats:p><jats:p><jats:italic>Conclusion<\/jats:italic>: The number of child suicides in Sweden is relatively low but increasing. Most of the children used a violent and highly lethal method. Prevention of premature mortality is an urgent concern with an emphasis on resolutely reducing the availability of suicide means.<jats:table-wrap><jats:table><jats:tbody><jats:tr><jats:td colspan=\"2\"><jats:bold>What is Known:<\/jats:bold><jats:italic>\u2022 Suicide is a significant cause of death globally among children, bringing tragic consequences for young individuals, their family, and the entire society.<\/jats:italic><jats:italic>\u2022 Suicide rates and distribution of suicide methods in children differ between countries and settings, but studies of time trends are scarce.<\/jats:italic><\/jats:td><\/jats:tr><jats:tr><jats:td colspan=\"2\"><jats:bold>What is New:<\/jats:bold><jats:italic>\u2022 Increasing number of minors\u2019 suicides and the predominance of violent methods emphasize the importance of prevention strategies tailored for a child population.<\/jats:italic><jats:italic>\u2022 Even in a setting of very restrictive firearm laws, firearm suicides in children must not be overlooked.<\/jats:italic><\/jats:td><\/jats:tr><\/jats:tbody><\/jats:table><\/jats:table-wrap><\/jats:p>","DOI":"10.1007\/s00431-021-04240-7","type":"journal-article","created":{"date-parts":[[2021,9,3]],"date-time":"2021-09-03T19:28:50Z","timestamp":1630697330000},"page":"599-607","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Child suicides in Sweden, 2000\u20132018"],"prefix":"10.1007","volume":"181","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6510-8387","authenticated-orcid":false,"given":"Mensura","family":"Junuzovic","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaja Maria Toporska","family":"Lind","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulf","family":"Jakobsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,9,2]]},"reference":[{"key":"4240_CR1","unstructured":"World Health Organization (2018) Adolescent mental health in the European Region. https:\/\/www.euro.who.int\/__data\/assets\/pdf_file\/0005\/383891\/adolescent-mh-fs-eng.pdf. 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