many studies chart changes in the number of adolescents brought in for emergency psychiatric care, or admitted to hospitals each year because they deliberately harmed themselves. This can either be in a suicide attempt, commonly done by overdosing on medications, or in what is called nonsuicidal self-injury (NSSI), often done by cutting oneself without the intent to die. Figure 1.4 shows the data for visits to emergency rooms in the United States, and it shows a pattern similar to the rising rates of depression that we saw in figure 1.1, especially for girls.
