used in half of completed suicides among people 15 to 19 years of age were the leading method of suicide for boys in this age group in 2003 (54% of suicides) and the second-leading method for girls (29%).1 Suicide attempts that involve a firearm usually are fatal because there is little chance for rescue. Firearms in the home, regardless of whether they are kept unloaded or stored locked, are associated with a higher risk of completed adolescent suicide.7,8 In 1 study when firearms were present in the home each of the practices of securing the firearm (keeping it locked and unloaded) and the ammunition (keeping it locked and stored away from the firearm) were associated with reduced risk of youth shootings that resulted in unintentional or selfinflicted injury or death.9 Parents must be warned about the lethality of firearms in the home and advised strongly to remove them from the premises or at least to secure them.10 Ingestion of pills is the most common reported method of attempted suicide among adolescents. 11 However the incidence of suicide attempts using other methods such as hanging is not known because victims who do not die may not be brought for medical Youth seem to be at much greater risk from media exposure than adults and may imitate suicidal behavior seen on television. 12 Media coverage of an adolescent’s suicide may lead to cluster suicides with the magnitude of additional deaths proportional to the amount duration and prominence of the media coverage