{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T15:27:33Z","timestamp":1768318053461,"version":"3.49.0"},"reference-count":37,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"ALF Agreement, Sk\u00e5ne","award":["2021-0157"],"award-info":[{"award-number":["2021-0157"]}]},{"name":"V\u00e4stra G\u00f6taland","award":["ALFGBG-715841"],"award-info":[{"award-number":["ALFGBG-715841"]}]},{"name":"V\u00e4stra G\u00f6taland","award":["ALFGBG-965525"],"award-info":[{"award-number":["ALFGBG-965525"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Suicide in children and young adults is a leading cause of premature mortality, and there is a need to develop a more profound understanding of the factors that contribute to these deaths. This study is part of the nationwide Retrospective Investigation of Health Care Utilization in Individuals who died by Suicide in Sweden 2015, conducted at Lund University, Sweden. The aim was to examine symptoms and diagnoses in children and young adults who died by suicide, as documented in their medical records at their last visits for primary care, somatic specialist care, or psychiatric care 24 months prior to suicide, and to apply contemporary psychological research in youth suicidality to the findings to formulate clinical implications. The proportions of symptoms and diagnoses in children (0\u201317 years), young adults (18\u201324 years), males, and females are described. The main symptoms noted in the cohort were depressive symptoms (28%), anxiety symptoms (26%), and pain (25%). The diagnoses predominately covered mental and behavioural disorders, and the most frequent of the mental and behavioural diagnoses were neurotic, stress-related, and somatoform disorders (32%) and mood (affective) disorders (29%). The diagnoses and symptoms were not sufficient to uncover suicidality in children and young adults. The clinical implications for alternative assessments and preventive interventions are discussed.<\/jats:p>","DOI":"10.3390\/ijerph23010105","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T09:27:12Z","timestamp":1768296432000},"page":"105","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Symptoms and Diagnoses Prior to Suicide in Children and Young Adults\u2014A Swedish Medical Record Review"],"prefix":"10.3390","volume":"23","author":[{"given":"Anna-Lena","family":"Hansson","sequence":"first","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Sk\u00e5ne University Hospital, SE-22185 Lund, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Per","family":"Johnsson","sequence":"additional","affiliation":[{"name":"Department of Psychology, Lund University, SE-22362 Lund, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3724-4637","authenticated-orcid":false,"given":"Sophia","family":"Eberhard","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Sk\u00e5ne University Hospital, SE-22185 Lund, Sweden"},{"name":"Department of Clinical Sciences, Child and Adolescent Psychiatry, Lund University, SE-22100 Varberg, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3360-4516","authenticated-orcid":false,"given":"Erik","family":"Bergqvist","sequence":"additional","affiliation":[{"name":"Psychiatric Clinic, Hallands Sjukhus Varberg, Region Halland, SE-43281 Varberg, Sweden"},{"name":"Department of Clinical Sciences, Psychiatry, Lund University, SE-22184 Lund, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elin","family":"Fr\u00f6ding Saric","sequence":"additional","affiliation":[{"name":"School of Health and Welfare, J\u00f6nk\u00f6pings University, Region J\u00f6nk\u00f6pings County, SE-55185 Jonkoping, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Karlsson","sequence":"additional","affiliation":[{"name":"National Centre for Suicide Research and Prevention (NASP), Department of Learning, Informatics, Management and Ethics (LIME), Karolinska Institutet, SE-17177 Stockholm, Sweden"},{"name":"National Centre for Suicide Research and Prevention (NASP), Centre for Health Economics, Informatics and Health Services Research (CHIS), Stockholm Health Care Services, SE-17177 Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0333-1887","authenticated-orcid":false,"given":"Sara","family":"Lindstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Psychiatry, Lund University, SE-22184 Lund, Sweden"},{"name":"Department of Psychiatry, Lund, Sk\u00e5ne University Hospital, SE-22184 Lund, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8330-6915","authenticated-orcid":false,"given":"Margda","family":"Waern","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, University of Gothenburg, SE-41345 Gothenburg, Sweden"},{"name":"Department of Psychotic Disorders, Sahlgrenska University Hospital, Region V\u00e4stra G\u00f6taland, SE-41345 Gothenburg, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3429-8418","authenticated-orcid":false,"given":"\u00c5sa","family":"Westrin","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Psychiatry, Lund University, SE-22184 Lund, Sweden"},{"name":"Department of Psychiatry, Lund, Sk\u00e5ne University Hospital, SE-22184 Lund, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,13]]},"reference":[{"key":"ref_1","first-page":"189","article-title":"Global, regional, and national burden of suicide mortality 1990 to 2016: Systematic analysis for the Global Burden of Disease Study 2016","volume":"364","author":"Naghavi","year":"2019","journal-title":"BMJ"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1191","DOI":"10.1016\/j.jadohealth.2024.02.006","article-title":"Identifying Subgroups of Youth Suicide Decedents Based on Clinical Profiles of Psychiatric and Medical Diagnoses: A Latent Class Analysis","volume":"74","author":"Thompson","year":"2024","journal-title":"J. Adolesc. Health"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1733","DOI":"10.1007\/s00787-022-01993-w","article-title":"Joint trajectories of loneliness, depressive symptoms, and social anxiety from middle childhood to early adolescence: Associations with suicidal ideation","volume":"32","author":"Liang","year":"2023","journal-title":"Eur. Child Adolesc. Psychiatry"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1093\/cs\/cdaf014","article-title":"No Signs or Symptoms? Ask My Friend! A Compelling Argument for Culturally Responsive School-Based Peer-Led Suicide Prevention Programs","volume":"47","year":"2025","journal-title":"Child. Sch."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1093\/qjmed\/hcad279","article-title":"Suicide in individuals with no psychiatric disorders: What makes you vulnerable?","volume":"117","author":"Sher","year":"2024","journal-title":"QJM Mon. J. Assoc. Physicians"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1111\/add.16351","article-title":"Risk of suicidal behavior as a function of alcohol use disorder typologies: A Swedish population-based study","volume":"119","author":"Lannoy","year":"2024","journal-title":"Addiction"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1080\/07481187.2020.1788670","article-title":"Psychache, unmet interpersonal needs, childhood trauma and suicide ideation in young adults","volume":"46","author":"Campos","year":"2022","journal-title":"Death Stud."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/j.paid.2013.08.027","article-title":"Early life stressors and suicidal ideation: Mediation by interpersonal risk factors","volume":"56","author":"Puzia","year":"2014","journal-title":"Personal. Individ. Differ."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1030","DOI":"10.1017\/S0033291721002464","article-title":"Childhood externalizing, internalizing and comorbid problems: Distinguishing young adults who think about suicide from those who attempt suicide","volume":"53","author":"Commisso","year":"2023","journal-title":"Psychol. Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1111\/j.1943-278X.1998.tb00854.x","article-title":"Perspectives on suicidology. Further reflections on suicide and psychache","volume":"28","author":"Shneidman","year":"1998","journal-title":"Suicide Life Threat. Behav."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/j.psychres.2010.09.003","article-title":"Life events as precipitants of suicide attempts among first-time suicide attempters, repeaters, and non-attempters","volume":"186","author":"Pompili","year":"2011","journal-title":"Psychiatry Res."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1080\/07481187.2020.1745954","article-title":"Depression and alcohol use disorders as precursors to death by suicide","volume":"46","author":"Perez","year":"2022","journal-title":"Death Stud."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/S2215-0366(20)30049-3","article-title":"Risk and protective factors for childhood suicidality: A US population-based study","volume":"7","author":"Janiri","year":"2020","journal-title":"Lancet Psychiatry"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1007\/s00787-023-02190-z","article-title":"Suicidality risk in children and adolescents with externalizing disorders: Symptoms profiles at high risk and the moderating role of dysregulated family relationships","volume":"33","author":"Levy","year":"2024","journal-title":"Eur. Child Adolesc. Psychiatry"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1007\/s10896-022-00415-4","article-title":"Youth Suicidality and the Role of Maternal Betrayal Trauma, Child Maltreatment, and Dissociative Symptoms","volume":"38","author":"Panisch","year":"2023","journal-title":"J. Fam. Violence"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"9039","DOI":"10.1177\/08862605231162658","article-title":"The Influence of Adverse Childhood Experiences on Suicidal Behaviors in South Korea: The Mediating Effects of Depressive Symptoms and Latent Class Analysis","volume":"38","author":"Lee","year":"2023","journal-title":"J. Interpers. Violence"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1111\/acps.13059","article-title":"Resilience as a focus of suicide research and prevention","volume":"140","author":"Sher","year":"2019","journal-title":"Acta Psychiatr. Scand."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1397","DOI":"10.1007\/s10826-015-0334-0","article-title":"Parenting and Chinese Adolescent Suicidal Ideation and Suicide Attempts: The Mediating Role of Hopelessness","volume":"25","author":"Li","year":"2016","journal-title":"J. Child Fam. Stud."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1671","DOI":"10.1007\/s10826-017-0683-y","article-title":"The Moderating Effects of Gratitude on the Association Between Perceived Parenting Styles and Suicidal Ideation","volume":"26","author":"Lo","year":"2017","journal-title":"J. Child Fam. Stud."},{"key":"ref_20","first-page":"317","article-title":"Family Relationships and Latina Teen Suicide Attempts: Reciprocity, Asymmetry, and Detachment","volume":"92","author":"Gulbas","year":"2011","journal-title":"Fam. Soc. J. Contemp. Soc. Serv."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"245","DOI":"10.2224\/sbp.2003.31.3.245","article-title":"Perceived Parental Favoritism and Suicidal Ideation in Hong Kong Adolescents","volume":"31","author":"Wong","year":"2003","journal-title":"Soc. Behav. Personal. Int. J."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Bergqvist, E., Probert-Lindstr\u00f6m, S., Fr\u00f6ding, E., Palmqvist-\u00d6berg, N., Ehnvall, A., Sunnqvist, C., Sellin, T., Vaez, M., Waern, M., and Westrin, \u00c5. (2022). Health care utilisation two years prior to suicide in Sweden: A retrospective explorative study based on medical records. BMC Health Serv. Res., 22.","DOI":"10.1186\/s12913-022-08044-9"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Hansson, A.-L., Johnsson, P., Eberhard, S., Ehnvall, A., Lindstr\u00f6m, S., Waern, M., and Westrin, \u00c5. (2025). Suicidal Communication Prior to Suicide in Children and Young Adults\u2014A Medical Records Review in Health Care Services in Sweden. Int. J. Environ. Res. Public Health, 22.","DOI":"10.3390\/ijerph22010031"},{"key":"ref_24","unstructured":"(2024, November 07). National Cause of Death Register, Swedish Board of Health and Welfare. Available online: https:\/\/www.socialstyrelsen.se\/en\/statistics-and-data\/registers\/national-cause-of-death--register\/."},{"key":"ref_25","unstructured":"Salander Renberg, E., Sunnqvist, C., Westrin, \u00c5., W\u00e6rn, M., Jokinen, J., and Runeson, B. (2013). Suicidn\u00e4ra Patienter: Kliniska Riktlinjer f\u00f6r Utredning Och V\u00e5rd, Gothia Fortbildning AB."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Werbart T\u00f6rnblom, A., Werbart, A., Sorjonen, K., and Runeson, B. (2024). Suicide and sudden violent death among young people: Two sides of the same coin?. PLoS ONE, 19.","DOI":"10.1371\/journal.pone.0313673"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/j.jad.2024.03.118","article-title":"Anxiety symptoms preceding suicide: A Swedish nationwide record review","volume":"355","author":"Doering","year":"2024","journal-title":"J. Affect. Disord."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1001\/jamapsychiatry.2023.5672","article-title":"Lifetime Suicide Attempts in Otherwise Psychiatrically Healthy Individuals","volume":"81","author":"Oquendo","year":"2024","journal-title":"JAMA Psychiatry"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"e2423996","DOI":"10.1001\/jamanetworkopen.2024.23996","article-title":"Youth Suicide and Preceding Mental Health Diagnosis","volume":"7","author":"Chaudhary","year":"2024","journal-title":"JAMA Netw. Open"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1080\/09638237.2022.2069695","article-title":"The role of self-efficacy and self-esteem in mediating positive associations between functional social support and psychological wellbeing in people with a mental health diagnosis","volume":"33","author":"Rippon","year":"2024","journal-title":"J. Ment. Health"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1016\/j.jaclp.2024.09.003","article-title":"First Suicide Attempts in Early Adolescents: A Descriptive Outcomes Study","volume":"65","author":"McKean","year":"2024","journal-title":"J. Acad. Consult. Liaison Psychiatry"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1080\/13811118.2021.1967238","article-title":"Assessing the Healthcare Utilization of Youth Who Died by Suicide: A Case-Control Study","volume":"27","author":"Kohlbeck","year":"2023","journal-title":"Arch. Suicide Res."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.jad.2016.10.036","article-title":"Psychopathology profiles of acutely suicidal adolescents: Associations with post-discharge suicide attempts and rehospitalization","volume":"209","author":"Berona","year":"2017","journal-title":"J. Affect. Disord."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"101010","DOI":"10.1016\/j.newideapsych.2023.101010","article-title":"Are mental health awareness efforts contributing to the rise in reported mental health problems? A call to test the prevalence inflation hypothesis","volume":"69","author":"Foulkes","year":"2023","journal-title":"New Ideas Psychol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1080\/19012276.2023.2258557","article-title":"Problems of diagnostic psychiatry\u2014And the search for a way forward","volume":"76","author":"Brinkmann","year":"2024","journal-title":"Nord. Psychol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1057\/sth.2015.5","article-title":"Is psychiatry dying? Crisis and critique in contemporary psychiatry","volume":"13","author":"Morgan","year":"2015","journal-title":"Soc. Theory Health"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"e70028","DOI":"10.1111\/ejn.70028","article-title":"Tacit Creationism Encourages Oversimplified Views of Functions and Dysfunctions","volume":"61","author":"Stein","year":"2025","journal-title":"Eur. J. Neurosci."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/1\/105\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T09:29:24Z","timestamp":1768296564000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/1\/105"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,13]]},"references-count":37,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1]]}},"alternative-id":["ijerph23010105"],"URL":"https:\/\/doi.org\/10.3390\/ijerph23010105","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,13]]}}}