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The most common suicide methods were hanging\/suffocation and jumping\/lying in front of a moving object or jumping from a height. Firearm and railway access were related to suicide deaths by firearms and jumping\/lying, respectively. Economic quality and inequality were not related to overall suicide mortality rates. However, economic inequality was correlated with a higher ratio of male:female suicides. This study provides a recent update of cross\u2010national suicide trends in adolescents. Findings replicate prior patterns related to age, sex, geographic region, and common suicide methods. New to this review are findings relating suicide method accessibility to suicide mortality rates and the significant association between income inequality and the ratio of male:female suicide. 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