Smith L, Carmichael C, Oh H, et al. - The study's findings suggest potential target factors that could be addressed among persons who had previously attempted suicide in order to prevent future suicide attempts and possibly completed suicides. Moreover, it is possible that region-specific interventions are required.

• Participants in the study were 162,994 adolescents [mean (SD) age 13.8 (0.9) years; 50.8% boys].

• Multiple suicide attempts occurred at a rate of 4.4% overall [range: 1.2% (Laos) to 13.8% (Ghana)].

• Food insecurity, smoking, alcohol consumption, cannabis use, amphetamine use, sedentary behavior, sexual intercourse, sleep problems, loneliness, no close friends, and bullying victimization were all independently associated with multiple suicide attempts in the overall sample of those who had attempted suicide at least once in the previous 12 months, though some regional differences existed.