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Objectives <p>To identify medications frequently mentioned in suicide plans by texters at a crisis intervention service, and to evaluate age differences.</p> Methods <p>We developed a natural language processing pipeline to extract medications mentioned in suicide plans. In conversations from 5,691 texters, we examined the frequency with which each medication was mentioned in texters under age 18 (<i>N</i> = 2,332) versus age 18 and older (<i>N</i> = 3,359).</p> Results <p>The ten most frequently mentioned medications during discussions of planned suicide by overdose were: ibuprofen (16.5% of conversations), acetaminophen (16.1%), alprazolam (9.2%), diphenhydramine (7.3%), insulin (6.0%), melatonin (5.4%), sertraline (3.4%), aspirin (3.1%), fentanyl (3.0%), and trazodone (3.0%). Ibuprofen, acetaminophen, melatonin, and amphetamine were mentioned significantly more often by texters under age 18 than those 18 or older.</p> Conclusions <p>Individuals under age 18 are particularly likely to plan suicide attempts using medications that are available over the counter, including ibuprofen and acetaminophen. In contrast with some prior reports, insulin and melatonin were frequently mentioned. The importance of public health measures including access restriction is emphasized.</p>

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Medication-related suicide plans in children and adolescents: findings from crisis conversations

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月27日

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  • Ignacio J. Tripodi,
  • Greg Buda,
  • Margaret Meagher,
  • Elizabeth A. Olson

摘要

Objectives

To identify medications frequently mentioned in suicide plans by texters at a crisis intervention service, and to evaluate age differences.

Methods

We developed a natural language processing pipeline to extract medications mentioned in suicide plans. In conversations from 5,691 texters, we examined the frequency with which each medication was mentioned in texters under age 18 (N = 2,332) versus age 18 and older (N = 3,359).

Results

The ten most frequently mentioned medications during discussions of planned suicide by overdose were: ibuprofen (16.5% of conversations), acetaminophen (16.1%), alprazolam (9.2%), diphenhydramine (7.3%), insulin (6.0%), melatonin (5.4%), sertraline (3.4%), aspirin (3.1%), fentanyl (3.0%), and trazodone (3.0%). Ibuprofen, acetaminophen, melatonin, and amphetamine were mentioned significantly more often by texters under age 18 than those 18 or older.

Conclusions

Individuals under age 18 are particularly likely to plan suicide attempts using medications that are available over the counter, including ibuprofen and acetaminophen. In contrast with some prior reports, insulin and melatonin were frequently mentioned. The importance of public health measures including access restriction is emphasized.