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key takeaway: "Tobacco use continued declining through 2025, when 7.2% of youth used tobacco. Only nicotine pouches increased, doubling from 0.8% in 2021 to 1.7% in 2025. Pouches were the second most used tobacco product, after e-cigarettes (5.2%). Most youth used flavored tobacco products. E-cigarette use intensity increased over time, with daily use growing from 9.4% in 2014 to 35.4% in 2025. Dual and poly use is common among e-cigarette and pouch users."


key takeaway: "Mental disorders—particularly acute conditions such as schizophrenia and mood disorders—and prior self-harm were associated with suicide mortality. Prior health care contact (eg, psychiatric admission) and a range of social determinants (eg, maltreatment, out-of-home placement, and social disadvantage) were also associated with higher risk, whereas family stability (eg, living with both parents) was associated with lower risk."

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