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Liz's EduGuide on Teen Suicide


ShortCuts in This Guide
  • Quiz: Is My Child Thinking of Suicide?
  • Quiz: Is My Child Thinking of Suicide?

    If your child has attempted suicide before and is threatening suicide now, don’t take this quiz. Remove weapons from your house and get help from a doctor or mental health professional immediately. You can call 1-800-273-TALK(1-800-273-8255), the National Suicide Prevention Lifeline, a free twenty-four hour hotline, for advice.

    If your child is not in immediate danger, answer these questions to identify suicide warning signs.

    • Does your teen seem extremely sad, or depressed? Has he or she withdrawn from friends and family or lost interest in activities that used to be fun?
    • Has your child been physically violent or run away from home?
    • Is your teen self-destructive (cutting, abusing drugs or alcohol, or driving recklessly)?
    • Have your child’s sleeping patterns changed dramatically? Is he or she neglecting personal appearance or hygiene?
    • Have your child’s grades dropped drastically; does he or she often skip school?
    • Is your child nearly always bored, have trouble concentrating, or appear hopeless?
    • Does your teen often complain of tiredness, stomachaches, or headaches whose causes you’ve been unable to pin down?
    • Does your child talk or write about suicide—even jokingly?
    • Is your teen giving or throwing away prized possessions or cleaning his or her room unusually thoroughly?
    • Has your child suddenly become cheerful and animated after a long stretch of depression?
    If you answered yes to any of these questions, ask your teen directly if he or she has been thinking of committing suicide. If so, you need professional help—and you need it immediately. Don’t worry about introducing the idea of suicide to your child. According to the American Academy of Child and Adolescent Psychiatry, talking about suicide doesn’t put suicidal thoughts in a young person’s head. On the contrary, it assures him or her that you care and will get whatever help is necessary.

    If your teen seems a bit bored, restless, grumpy, or rude—maybe it’s just typical adolescent moodiness. Or maybe it’s more serious. Read the article, “Is It Depression or Typical Teenage Behavior?” to help you figure out whether to be concerned and how concerned to be.

    If your child wants to discuss suicide even though he or she does not seem to be at risk, maybe a friend is considering suicide. Reading and discussing, “What Should Your Teen Do if a Friend Threatens Suicide,” can help you explore this difficult topic.

    Perhaps your child—or you—want to know more about suicide because a classmate committed suicide or because the topic appears in the news frequently. Read “Youth Suicide: Facts to Know.”
  • Help My Depressed Teen
  • Help My Depressed Teen

    1. If your teenager is depressed, don’t ignore it. As soon as you can, find a quiet time to talk.
    2. In a loving yet direct way, tell your child which signs of depression you’ve noticed in him or her (see “Is It Depression or Typical Teenage Behavior?” for a list of the warning signs).
    3. Explain that depression is an illness—a disturbance of brain chemistry—and that a mental illness can be treated just like any other illness.
    4. Be positive. Reassure your child that mental health therapy is an effective treatment for depression. Explain that the best therapy is a combination of talk therapy and antidepressant drugs.
    5. Listen carefully and nonjudgmentally to your teen’s response. Take all the time you need to learn his or her perspective on the problem. Emphasize that the two of you will work together to come up with a plan that will help him or her feel better. Answer any questions your kid has about depression and its treatment.
    6. Work with your child to find treatment. Start with a visit to your family doctor to make sure that there isn’t another explanation for his or her behavior besides depression. Get a referral to a specialist in adolescent psychology. If your doctor can’t help, try a local hospital, social service agency, or community clinic.
    7. Make sure that your teen understands that it may take a while to find the combination of psychotherapy and antidepressant drugs that works best for him or her. Remind your child that he or she has already done the hardest part—recognizing depression and getting help for it—and that you’ll keep at it until he or she is back to normal.
  • What Should Your Teen Do if a Friend Threatens Suicide?
  • What Should Your Teen Do if a Friend Threatens Suicide?


    Your teenager isn’t suicidal (take the quiz “Is My Child Thinking of Suicide?” to learn suicide warning signs if you’re not sure) or depressed (see the ShortCut “Help My Depressed Teen: What to Do Right Now”). But he or she wants to talk about suicide. Perhaps a schoolmate committed suicide recently or suicide has been in the news lately. Or maybe one of your child’s friends has been talking about suicide. Your teen may be torn between loyalty to friend who has shared a secret and worry that the friend may actually carry out a suicide plan. Here’s how you can help.

    1. Ask your teen directly whether a friend has been hinting about killing him- or herself. Emphasize the importance of taking such suicide threats seriously.

    2. Make sure your teen understands that nearly all people who are suicidal suffer from a mental illness, most often depression. With mental health therapy, depression can be controlled. Without therapy a severely depressed teen may commit suicide.

    3. If your teen has a friend who is threatening to kill him- or herself, your child must take action. Yes, your child may be sharing a secret that he or she has promised not to tell. Teens who threaten suicide rarely complete their plan, but it does happen. Ask your child what is more important: breaking a promise or saving a life.

    4. When a friend threatens suicide, your teen should listen sympathetically, calmly, and without judgment. Your child should not make light of the friend’s problems or try to change the person’s mind.

    5. Then your teen must ask the friend three questions: How will you do it? Do you have what you need to carry out your plan? and When will do it? If the friend can answer these questions, your teen should call 911 and not leave him or her alone until help arrives.

    6. If the friend can’t answer the how, what, and when questions, suicide is still a very serious, if not immediate, risk. Your teen must tell a trusted adult such as a parent or teacher immediately. Yes, the friend will likely be angry. But after he or she has gotten help and is feeling better, the friend will be grateful that your child cared enough to do the right thing.


    Source
    Nancy Schimelpfening,
    http://depression.about.com/cs/suicideprevent/a/suicidal.htm


  • Help My Suicidal Teen
  • Help My Suicidal Teen


    Do you suspect that your teenager may be thinking of suicide? Talking about suicide with a child is painful and difficult, but you must begin the discussion immediately.

    1. Don’t worry about planting the idea of suicide in your child’s mind. You can’t do it if the thought isn’t there already. And if he or she is suicidal, getting the topic out in the open will be a relief.
    2. Ask directly, “Are you thinking of killing yourself?” If the answer is yes, ask when and how your teen plans to do it.
    3. If your child has a timetable and a plan, do NOT let him or her out of your sight. Reassure your child of your love, explain that treatment will help him or her feel better, and call 911. Emergency workers will take your child to a safe place. Once he or she is out of immediate danger, you can get recommendations of health professionals who can provide the mental health therapy your child desperately needs.
    4. If your child hasn’t formed a definite suicide plan, which is likely, the situation is still quite serious. Your biggest job now is to listen: calmly, patiently, and without judgment. No matter how tempting it may be, don’t try to solve the problem or convince your teen that things aren’t really so bad.
    5. Since nearly all teens who attempt suicide suffer from a mental illness, most often depression, the next step is to get your child evaluated. Your family physician is a good place to start. You can also find help through a local mental health association or medical society, the psychiatry department of a hospital, a mental health center, or a social service agency.
       
    After your teen is evaluated, mental health professionals at these facilities can help your child begin a treatment plan. Help for your teenager is out there—and so is hope.
Articles in This Guide

How to Deal with Depression in Your Child

For children, behavior often communicates what they are feeling. Parents can learn how to deal with depression in their child by understanding the signs and taking action. [Read more »]

How to Deal with Depression in Your Child

When twelve-year-old Colin came home from school one day last week, he threw his books on the floor in anger and stormed through the house and up to his room “What’s wrong?” cried Susan, his mother, as she turned and set the dirty dishes back in the sink. “What’s wrong? Colin!”

She followed him upstairs as he started screaming, “I’m dumb and stupid, nobody likes me.” Tears streamed from his eyes. “I wish I was dead.”

Susan petted his hair comfortingly, as he buried his head in the pillow on his bed. “That’s not true. I like you,” she said sympathetically. But this is shallow comfort for a child in his middle school years. Believing your mother is your only fan and that you’re a “loser” among your classmates isn’t a good thing.

Reading the Signs

The facts are that most children reach a point at which classmates become the most important social factor in their lives. And many kids go through what’s considered to be a depression at least once during their childhood. For children, behavior often equals communication, so parents need to be alert to behaviors that communicate depression.

As a parent, you need to recognize the signs of childhood depression. For example, does your child often use words like sad, bored, and down in the dumps? Have his or her grades dropped recently? Has he or she become quieter than normal at home? Does your child spend a lot of time in his or her room alone?

There are also some less recognizable signs of depression. Some depressed children may become more argumentative and angry than normal. They may not eat as much at the dinner table. Or the sign might be as subtle as a child making less eye contact than usual.

Take Action

Depression in children is serious. If you try to make light of the situation, or your best answer is to tell your child to simply “be happy,” you may make things worse. If your child is depressed, talk with your pediatrician as soon as possible. Find out whether the symptoms signal a medical condition. If your pediatrician decides your child is going through a depression, he or she will be able to refer you to a psychiatrist or a psychologist. The pediatrician will also be able to tell you whether you and your child can work on the problem at home.

Make sure you give your depressed child plenty of attention. Go above and beyond the call of parenting duty to spend time with him or her, just the two of you. Talk with your child each day about the day’s events. Make sure your child realizes that he or she can talk with you about anything at any time. You may want to make sure your child has your daytime phone number, in case he or she needs to talk during a break at school. (Check with your school first to make sure phone calls during school hours are permitted.)

Reach for Help

When deciding whether you should send your child to see a professional therapist, make the decision jointly with your pediatrician. Your pediatrician is trained in these matters and can offer help. Your child—especially your teenager—may try to fight seeking professional help. Let’s face it, seeing a professional therapist may not be the “cool” thing to do. But reassure him or her that you care and want to find out how to make him or her feel better. Tell your child that you don’t plan to tell any friends about this and that he or she doesn’t have to either.

A therapist can talk with your child alone and with you and your child together to attempt to find out his or her  true moods and feelings. The therapist will ask your child to talk about concerns, fears, and other emotions. Typically, your child’s depression will be resolved after two to five months of therapy. If the depression is severe, therapy may take longer.

Work with the School

You may also want to talk with your child’s school guidance counselor about your son or daughter’s depression. Your child’s school likely has policies in place to build self-esteem and relieve depression. If you alert your child’s school to the depression you’ve discovered, school personnel may be able to keep an eye on activities surrounding your child: his or her interaction with other students with whom he or she is getting along and with whom he or she is in conflict. Many times the adults who witness these relationships can help resolve problems more effectively than you can as a parent.

When you talk with your child’s school officials, let them know as much as you can about your child’s situation. Tell them what specifically has him or her feeling down and what your child and you believe the solutions to the problems are.

How to Deal with Depression that Hurts Your Parenting

Chronic depression can affect your relationship with your child and keep you from fun family activities. Learn how to deal with depression for yourself and your child. [Read more »]

How to Deal with Depression that Hurts Your Parenting

No one feels like laughing every day, and that’s OK. But chronic depression can keep you from interacting with your children.

In fact, child development research in infant brain development shows that children whose mothers suffer from depression show reduced activity in the area of the brain that serves as a center for joy and other light-hearted emotions.

If you're not feeling like yourself, see if you have the signs of depression. Many mothers (not just new mothers) suffer from postpartum depression.

If chronic depression causes you to disengage from your child and stay irritable and impatient for days at a time, seek help from a mental health professional. It may be hard, but it's important that you do. Healthy Place can help point you in the right direction.

Scientists say that your child’s brain is very forgiving, especially during the first years of life. Activity in those regions will pick up as soon as you begin to lavish him with attention and indulge in fun family activities.

Questions about this topic?

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