External Causes of Death among Young White Americans

Abstract
To the Editor: Teenage and young-adult suicide rates among whites in the United States have increased 2.5-fold between 1960 and 1980. Discussions in the media suggest that the problem is centered in the urban and suburban middle class. But when the death rates of white Americans 15 to 24 years of age are analyzed geographically, persistent patterns emerge that challenge this portrayal and its research and policy implications.For at least two decades, six western Mountain States (Arizona, Idaho, Montana, Nevada, New Mexico, and Wyoming) have led the nation not only in the suicide rate of white youths, but also . . .

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