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In Reply: We agree with Dr Parkinson that further development and expansion of the NVDRS to all 50 states is an important next step toward understanding the causes and prevention of violent deaths in the United States, including youth suicide. It will also be imperative to continue to develop and implement the most promising suicide prevention and early intervention programs, including physician education in depression recognition and suicide risk evaluation^1-3; restriction of access to the most lethal means of suicide (eg, more restrictive legislation regarding firearms, changing the packaging of analgesics to blister packets, barriers on bridges)³; and screening for mental illness and suicidality in teenagers, with timely referral and follow-up care provided when indicated.^3-4

Financial Disclosures: Dr Bridge reported that from 2001 to 2004, he participated as a coinvestigator of an open-label trial of citalopram for treatment of pediatric recurrent abdominal pain. The study was funded by . . . [Full Text of this Article]

Jeffrey A. Bridge, PhD
jeff.bridge@nationwidechildrens.org
Center for Innovation in Pediatric Practice

Joel B. Greenhouse, PhD
Department of Statistics
Carnegie Mellon University
Pittsburgh, Pennsylvania

Kelly J. Kelleher, MD, MPH
Center for Innovation in Pediatric Practice
The Research Institute at Nationwide Children's Hospital
Columbus, Ohio

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RELATED ARTICLE

Suicide Trends Among Youths Aged 10 to 19 Years in the United States, 1996-2005
Jeffrey A. Bridge, Joel B. Greenhouse, Arielle H. Weldon, John V. Campo, and Kelly J. Kelleher
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RELATED LETTER

Reporting System for Violent Deaths and Youth Suicide
Michael D. Parkinson
JAMA. 2009;301(5):485.
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