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American Journal of Epidemiology Vol. 131, No. 1: 71-78
Copyright © 1990 by The Johns Hopkins University School of Hygiene and Public Health

research-article

TIME-SPACE CLUSTERING OF TEENAGE SUICIDE

MADELYN S. GOULD1,2,3,, SYLVAN WALLENSTEIN2 and MARJORIE KLEINMAN3

1Department of Psychiatry, College of Physicians & Surgeons, Columbia University New York, NY
2School of Public Health, College of Physicians & Surgeons, Columbia University New York, NY
3New York State Psychiatric Institute New York, NY

Reprint requests to Dr. Madelyn S Gould, Division of Child Psychiatry, College of Physicians & Surgeons, Columbia University, 722 West 168th Street, New York, NY 10032

The occurrence of time-space clusters was examined in national mortality data on suicide among adolescents aged 15–19 years obtained from the National Center for Health Statistics Mortality Detail Files for 1978–1984. The analyses indicated that overall significant time-space clustering occurred among 15–19 year olds. The authors thus believe that they have documented for the first time that outbreaks of suicide occur more frequently than expected by chance alone. The occurrence of suicide dusters among teenagers appeared to vary considerably by state and year of investigation. There is some indication that there has been an increase In teenage clusters in more recent years.

adolescence; disease outbreaks; space-time clustering; suicide


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