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The phrase "second leading cause" is both grammatically correct and commonly used in written English.
It is typically used to refer to the second most significant or prevalent factor contributing to a particular outcome or situation. Example: "Smoking is the second leading cause of lung cancer, following closely behind environmental pollution."
Exact(51)
· Suicide is second leading cause of death in colleges.
By 2020, depression will be the second leading cause of disability.
For that age group, drowning remains the second leading cause of accidental death after automobile accidents.
Among those under 40, suicide is the second leading cause of death, and homicide the third.
Overdose is the second leading cause of death, after traffic accidents.
Multiple myeloma is the second leading cause overall.
Similar(8)
Homicide was the second-leading cause.
For these youths, suicide has become the second-leading cause of death (after accidents).
"Still, it's the second-leading cause of maternal death in this country".
In trauma patients, "hemorrhage is the second-leading cause of death," behind only brain injuries.
Colorectal cancer is the second-leading cause of cancer death.
More suggestions(15)
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next leading cause
second dominant cause
2nd leading cause
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second underlying cause
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second leading scorer
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second leading killer
second leading energy
second leading rusher
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com