Life under Pressure (PDF)

A rare study that transforms our understanding of why youth die by suicide, why youth suicide clusters happen, and how to stop them

Youth suicide clusters have deeply unsettled communities in recent years. While clusters have been widely documented in the media, too little is known about why youth die by suicide, why youth suicide clusters happen, and how to stop them both.

In Life under Pressure, Anna S. Mueller and Seth Abrutyn investigate the social roots of youth suicide and why certain places weather disproportionate incidents of adolescent suicides and suicide clusters. Through close examination of kids' lives in a community repeatedly rocked by youth suicide clusters, Mueller and Abrutyn reveal how the social worlds that youth inhabit and the various messages they learn in those spaces--about who they are supposed to be, mental illness, and help-seeking--shape their feelings about themselves and in turn their risk of suicide. With great empathy, Mueller and Abrutyn also identify the moments when adults unintentionally fail kids by not talking to them about suicide, teaching them how to seek help, or helping them grieve.

Through stories of survival, resilience, and even rebellion, Mueller and Abrutyn show how social environments can cause suicide and how they can be changed to help kids discover a life worth living. By revealing what it is like to live and die in one community, Life under Pressure offers tangible solutions to one of the twenty-first century's most tragic public health problems.