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Preventing Adolescent Suicide: What You Can Do

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IMAGE If your adolescent child, family member, friend, or student were considering suicide, would you recognize the warning signs? If so, what would you do?

Facing Challenging Times

Adolescence is a time of hope and expectancy, as well as extreme disappointment and mood swings. It’s normal for teens to experience stress, confusion, and self-doubt. In addition to normal physical, hormonal, and emotional changes, teens confront many of the these additional challenges:

  • Academic pressures and overburdened school systems
  • Social demands to find acceptance among peers, to be attractive, or to date
  • Divorce, single-parent homes, or other instability in the home, such as abuse or violence
  • Body image issues, which may fuel eating disorders
  • Negative peer pressure or bullying
  • Exposure to violence outside the home, alcohol, and drugs
  • Poverty
  • Confusion and shame about sexual identity or orientation

Teens may have fleeting thoughts or fantasies about suicide from time-to-time when they are struggling. But most do not make a suicide attempt or gesture. However, when the pressure seems too great, a teen may feel an overwhelming sense of helplessness, which can lead to serious thoughts of suicide.

How do you know when a teen is really in need of help?

Looking at the Risk Factors

Teen suicide is often due to a combination of factors. These factors may be biological, psychological, and cultural. Family issues also play a role. These factors can interact with a significant life event, like the break-up of an important relationship.

Examples of factors that put a teen at risk for suicide include:

  • Previously attempting suicide
  • Having depression
  • Abusing drugs
  • Having conduct disorder
  • Having a disruptive and non-supportive family situation
  • Experiencing relationship problems with a significant person
  • Bullying by peers
  • Having poor coping skills
  • Having other mental health conditions, such as schizophrenia or obsessive compulsive disorder
  • Taking antidepressants
  • Having conflicted feelings about sexual orientation—The risk may be increased if the teen experiences social rejection or bullying because of sexual orientation.
  • Having a family member, especially a parent, who has committed suicide

Other risk factors include:

  • Recent death of a loved one
  • Chronic physical illness
  • Early loss
  • School failure
  • Anniversary of a past loss or major life event
  • Perfectionism and overachievement

Being Aware of the Warning Signs

Adolescent behavior is often perplexing, particularly to parents, who may not be able to tell what’s problematic and what is normal. The American Academy of Child & Adolescent Psychiatry recommends being alert to the following signs that may indicate an increased risk of suicide:

  • Talking about death or dying
  • Experiencing a change in appetite, such as eating more or less than usual
  • Experiencing a change in sleeping patterns, such as sleeping more or less than usual
  • Withdrawing from people they care about
  • Abusing alcohol and drugs
  • Becoming violent or rebellious
  • Running away from home
  • Getting arrested or having other problems with the law
  • Ignoring personal hygiene and appearance
  • Feeling very bored, having a hard time concentrating, and doing poorly in school
  • Acting in a way that is unlike their usual personality
  • Having a lot of health complaints without physical cause, such as headaches, abdominal pain, or fatigue
  • No longer being interested in hobbies or other activities they used to enjoy

A teen who is planning to commit suicide may:

  • Talk about being a bad person or feel terrible about himself.
  • Say things like “I won’t be a problem much longer,” “You’ll never see me again,” or “There’s no use”.
    • Note: If a teen makes comments about killing himself, always take these threats seriously.
  • Give away treasured belongings.
  • Have symptoms of psychosis, such as hallucinations or bizarre thoughts.

Getting Help

Pay attention if the teen in your life has any of the above risk factors and behaviors. Take all suicide threats seriously. In the very least, these threats mean that the teen is not coping well and needs help. Never dismiss a suicide attempt as attention-seeking behavior.

The teen who is struggling should be assessed and treated right away. Professional help and ongoing family support are extremely important. In some cases, the time leading up to a suicide may be relatively short. This emphasizes the need to reach out to the teen and connect with mental health services.

If you are unsure of how to get help, you can call:

  • A mental health therapist who specializes in working with teens—Working with an experienced therapist is crucial because the teen may have another condition that needs to be treated, like depression, bipolar disorder, or substance abuse.
  • A doctor or take the teen to the emergency room—In serious cases, the teen may need to be hospitalized.
  • A crisis hotline, such as 1-800-273-TALK

In addition to reaching out for help, take steps to keep your teen safe at home. For example, remove any guns, knives, medications, and poisons from the area.

Building Teen Support

Whether you are a parent of a teen or are someone who plays an important role in a teen's life, you can help prevent suicide by developing a good relationship that is based on mutual trust, openness, and healthy communication. Although this is best established very early in life, it’s never too late. You can improve your relationship with the teen in your life by:

  • Providing a stable environment that is both physically and emotionally safe
  • Spending regular quality time and having fun together
  • Listening to and really trying to understand what the youth is saying and feeling, without interrupting or trying to solve problems
  • Showing support and respect by allowing the teen to share thoughts in a safe environment
  • Encouraging the teen to express emotions, both positive and negative, in a healthy manner, by your own example

By being aware of suicide risk factors and warning signs, you can help teens get the support they needs to survive this challenging time in their lives. You can also help teens become more resilient to life's struggles by showing your care and concern.

  • Mental Health America

    http://www.mentalhealthamerica.net

  • Youth Suicide Prevention Program

    http://www.yspp.org

  • Canadian Mental Health Association

    http://www.ontario.cmha.ca

  • Canadian Psychiatric Association

    http://www.cpa-apc.org

  • About teen suicide. Nemours Kid's Health website. Available at: http://kidshealth.org/parent/emotions/behavior/suicide.html. Updated January 2012. Accessed March 6, 2014.

  • Child and adolescent suicide. Mental Health American website. Available at: http://www.mentalhealthamerica.net/conditions/child-and-adolescent-suicide. Accessed March 6, 2014.

  • How to help. Youth Suicide Prevention Program website. Available at: http://www.yspp.org/about%5Fsuicide/what%5Fto%5Fdo.htm. Accessed March 6, 2014.

  • Suicide. Nemours Kid's Health website. Available at: http://kidshealth.org/teen/your%5Fmind/feeling%5Fsad/suicide.html. Updated November 2011. Accessed March 6, 2014.

  • Teen suicide. American Academy of Child & Adolescent Psychiatry website. Available at: http://www.aacap.org/AACAP/Families%5Fand%5FYouth/Facts%5Ffor%5FFamilies/Facts%5Ffor%5FFamilies%5FPages/Teen%5FSuicide%5F10.aspx. Updated July 2013. Accessed March 6, 2014.

  • Teenage suicide. National Alliance on Mental Illness website. Available at http://www.nami.org/Content/ContentGroups/Helpline1/Teenage%5FSuicide.htm. Accessed March 6, 2014.

  • 3/17/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: van Geel A, Vedder P, et al. Relationship between peer victimization, cyberbullying, and suicide in children and adolescents. JAMA Pediatr. Published online March 10, 2014.