Thursday, March 26, 2009

Sue Scheff: African-American Suicide




“A very achieving, gentle, loving, spiritual, sweet child.”

– Doris Smith, describing her son, Mark, who committed suicide.

When he was 10 years old, Mark Smith’s mother and father divorced.

“It affected Mark greatly,” says his mother, Doris Smith. “I found out in later years he told me it devastated him.”

Throughout his teen years, Mark had trouble sleeping and eating. He also talked about death and dying --typical signs of depression.

“He was giving me all the signs and the symptoms of a person who would take their own life,” says Smith.

Finally, he did. With a gunshot to the head.

New research finds that 4 percent of all black teens will attempt suicide. And while it’s still lower than the suicide rate for whites, the gap is closing.

“We’re more aware of it, there’s more reporting of it,” explains Psychiatrist Dr. Saundra Maass-Robinson. “There’s less… I don’t want to say there’s less stigma, but there’s less reluctance for those loved ones to identify it as a suicide than in the past.”

Maass-Robinson says that in the past 18 years, approximately 50 percent of her clients have been black teens. Still, she says, too often the ones that need help never get it.

“I will more often than not hear these young men say they’ve been wanting to get help for a while but their parents have discouraged it. So the very people they turn to for help are still part of the problem.”

Maass-Robinson says if you do see signs of depression -- no matter how subtle – take action.

“As the parent, I always take the position, ‘I know something’s wrong, I’m not here debating that. I’m not here [saying] how are you doing’,” says Maass-Robinson. “If you can’t talk to me, is there anybody you can? Because if you can’t I’m going to find you somebody and we’re going to do this.”

Doris Smith will always wish she had done more…

“I miss Mark so very much,” she says. “He was my only child. There’s not a day that goes by that I don’t think about him.”

Tips for Parents

When someone commits suicide, even people who were close to the victim often voice surprise and shock. Yet suicide is a prevalent issue, particularly among youth, who seemingly have their whole lives ahead of them. Consider the following statistics:

Suicide is the third leading cause of death for people ages 15 to 24. In fact, more teenagers and young adults die from suicide than from cancer, heart disease, AIDS, birth defects, stroke, pneumonia, influenza and chronic lung disease combined.

Risk factors for attempted suicide in youth are depression, alcohol or other drug use, and aggressive or disruptive behavior.

Over the last several decades, the suicide rate in young people has increased dramatically, nearly tripling in the last 50 years.

Male teenagers are much more likely to commit suicide than female teenagers, at a ratio of five-to-one.

Since 1980, suicide rates increased most rapidly among young black males.

According to the American Academy of Child and Adolescent Psychiatry, many of the symptoms of suicidal tendencies are similar to those of depression. Parents should be aware of the following signs that could indicate your child is at risk:

Change in eating and sleeping habits
Withdrawal from friends, family, and regular activities
Violent actions, rebellious behavior, or running away
Drug and alcohol use
Unusual neglect of personal appearance
Marked personality change
Persistent boredom, difficulty concentrating, or a decline in the quality of schoolwork
Frequent complaints about physical symptoms (often related to emotions) such as stomachaches, headaches, fatigue, etc.
Loss of interest in pleasurable activities
Intolerant of praise or rewards
A teenager who is planning to commit suicide may also …

Say that they are “a bad person” or feel "rotten inside."
Give verbal hints such as, "I won't be a problem for you much longer;" "Nothing matters;" "It's no use," or, "I won't see you again."

Put his or her affairs in order; for example, give away favorite possessions, clean his or her room, throw away important belongings, etc.

Become suddenly cheerful after a period of depression.
Have signs of psychosis (hallucinations or bizarre thoughts).
If a child or teen says, "I want to kill myself," or "I'm going to commit suicide," always take the statement seriously and seek evaluation from a psychiatrist and/or physician who specializes in children. People often feel uncomfortable talking about death. However, asking the child or adolescent whether he or she is depressed or thinking about suicide can be helpful. Don’t be afraid that this will "put thoughts in your child's head." Instead, asking the question lets the child know somebody cares, and can give him/her the chance to talk about his/her problems.

Experts at the American Association of Suicidology have developed the following suggestions to help deter someone who might be suicidal:

Be direct. Talk openly and matter-of-factly about suicide.
Be willing to listen. Allow expressions of feelings. Accept the feelings.
Be non-judgmental. Don’t debate whether suicide is right or wrong, or if feelings are good or bad. Don’t lecture on the value of life.
Get involved. Become available. Show interest and support.
Don’t dare him or her to do it.
Don’t act shocked. This will put distance between you.
Don’t be sworn to secrecy. Seek support.
Offer hope that alternatives are available, but do not offer glib reassurance.
Take action. Remove any means, such as guns or stockpiled pills.
Get help from doctors, therapists or agencies that specialize in crisis intervention and suicide prevention.

References
American Association of Suicidology
National Center for Health Statistics
The American Association of Child and Adolescent Psychiatry
University of Michigan

Sunday, March 15, 2009

Sue Scheff: Stop Bullying Now!


Kids today, both teens and pre-teens, can be extremely mean and cause emotional issues to their target. What can parents do? Read more about how you can help stop bullying.
Source: Stop Bullying Now!


What Can Adults Do?


Welcome to the Take a Stand. Lend a Hand. Stop Bullying Now! adult pages. As an adult, one of best ways you can help stop or prevent bullying is to be educated about, and sensitive to, the issue. Bullying is NOT a rite of passage - an undesirable, but sometimes unavoidable, reality of growing up. Rather, bullying is a serious public health issue that affects countless young people everyday. Further, research shows that the effects of bullying can last well into adulthood. Whether you are a concerned parent, an educator or school employee, a health and safety professional, or someone else who works with children, there are many things you can do to help.

Thursday, March 5, 2009

Sue Scheff: Teen Depression


“Just this gloom was like hanging over my head and I knew something wasn’t right but I wasn’t exactly sure what it was.”

– Amy, 16 years old

New research from Columbia University finds that nearly 50 percent of teens suffer from some form of depression, anxiety, or a number of other psychiatric disorders.

“A lot of people I know get depressed all the time about lots of stuff,” says 15-year-old Meagan.

“It’s like everything’s all on your shoulders and you have to take everything at once,” says Meredith, 14.

Sixteen-year-old Amy agrees, “Just this gloom was like hanging over my head and I knew something wasn’t right but I wasn’t exactly sure what it was.”

“My parents went through an awful divorce my ninth grade year and I was devastated, worse than my heart could ever imagine,” says 18-year-old Brittany, “and it hurts a lot, and I still hurt to this day and I’m a senior in H.S.”

The symptoms vary: some kids may be lethargic and withdrawn; others may show agitation and frustration, even aggression. Often, there is a drop in grades.

And sometimes these symptoms can cause parents to punish the child, instead of providing treatment.

“Rather than thinking of children’s misbehaviors as discipline problems or misbehaviors as deliberate,” says psychologist Sunaina Jain, Ph.D., “it’s important to see them as communications from the child.”

Experts say lots of kids experience depression or anxiety, often mild and temporary, but not always. And that’s why parents need to constantly check their child’s emotional pulse.

“You know it doesn’t take hours and hours. Even a few minutes of checking in with each other every day is a great way of saying you know I’m here, I’m interested in you,” says Jain.

Tips for Parents

All teens experience ups and downs. Every day poses a new test of their emotional stability – fighting with a friend, feeling peer pressure to “fit in” with a particular crowd or experiencing anxiety over a failed quiz – all of which can lead to normal feelings of sadness or grief. These feelings are usually brief and subside with time, unlike depression, which is more than feeling blue, sad or down in the dumps once in a while.

According to the Nemours Foundation, depression is a strong mood involving sadness, discouragement, despair or hopelessness that lasts for weeks, months or even longer. It also interferes with a person’s ability to participate in normal activities. Often, depression in teens is overlooked because parents and teachers feel that unhappiness or “moodiness” is typical in young people. They blame hormones or other factors for teens’ feelings of sadness or grief, which leaves many teens undiagnosed and untreated for their illness.

The Mayo Clinic reports that sometimes a stressful life event triggers depression. Other times, it seems to occur spontaneously, with no identifiable specific cause. However, certain risk factors may be associated with developing the disorder. Johns Hopkins University cites the following risk factors for becoming depressed:

Children under stress who have experienced loss or who suffer attention, learning or conduct disorders are more susceptible to depression.
Girls are more likely than boys to develop depression.
Youth, particularly younger children, who develop depression are likely to have a family history of the disorder.

Possible Symptoms:

Prolonged sadness or unexplained crying spells
Significant changes in appetite and sleep patterns
Irritability, anger, worry, agitation or anxiety
Pessimism or indifference
Loss of energy or persistent lethargy
Feelings of guilt and worthlessness
Inability to concentrate and indecisiveness
Inability to take pleasure in former interests or social withdrawal
Unexplained aches and pains
Recurring thoughts of death or suicide
It is important to acknowledge that teens may experiment with drugs or alcohol or become sexually promiscuous to avoid feelings of depression. According to the National Mental Health Association, teens may also express their depression through other hostile, aggressive, risk-taking behaviors. These behaviors will only lead to new problems, deeper levels of depression and destroyed relationships with friends and family, as well as difficulties with law enforcement or school officials.

The development of newer antidepressant medications and mood-stabilizing drugs in the last 20 years has revolutionized the treatment of depression. According to the Mayo Clinic, medication can relieve the symptoms of depression, and it has become the first line of treatment for most types of the disorder. Psychotherapy may also help teens cope with ongoing problems that trigger or contribute to their depression. A combination of medications and a brief course of psychotherapy are usually effective if a teen suffers from mild to moderate depression. For severely depressed teens, initial treatment usually includes medications. Once they improve, psychotherapy can be more effective.

Immediate treatment of your teen’s depression is crucial. Adolescents and children suffering from depression may turn to suicide if they do not receive proper treatment. Suicide is the third leading cause of death for Americans aged 10-24. The National Association of School Psychologists suggests looking for the following warning signs that may indicate your depressed teen if contemplating suicide:

Suicide notes: Notes or journal entries are a very real sign of danger and should be taken seriously.

Threats: Threats may be direct statements (“I want to die.” “I am going to kill myself”) or indirect comments (“The world would be better without me.” “Nobody will miss me anyway”). Among teens, indirect clues could be offered through joking or through comments in school assignments, particularly creative writing or artwork.

Previous attempts: If your child or teen has attempted suicide in the past, a greater likelihood that he or she will try again exists. Be very observant of any friends who have tried suicide before.

Depression (helplessness/hopelessness): When symptoms of depression include strong thoughts of helplessness and hopelessness, your teen is possibly at greater risk for suicide. Watch out for behaviors or comments that indicate your teen is feeling overwhelmed by sadness or pessimistic views of his or her future.

“Masked” depression: Sometimes risk-taking behaviors can include acts of aggression, gunplay and alcohol or substance abuse. While this behavior may not appear to be depression, in fact it may suggest that your teen is not concerned about his or her own safety.
Final arrangements: This behavior may take many forms. In adolescents, it might be giving away prized possessions, such as jewelry, clothing, journals or pictures.

Efforts to hurt himself or herself: Self-injury behaviors are warning signs for young children as well as teens. Common self-destructive behaviors include running into traffic; jumping from heights; and scratching, cutting or marking his or her body.

Changes in physical habits and appearance: Changes include inability to sleep or sleeping all the time, sudden weight gain or loss and lack of interest in appearance or hygiene.

Sudden changes in personality, friends or behaviors: Changes can include withdrawing from friends and family, skipping school or classes, loss of involvement in activities that were once important and avoiding friends.

Plan/method/access: A suicidal child or adolescent may show an increased interest in guns and other weapons, may seem to have increased access to guns, pills, etc., and/or may talk about or hint at a suicide plan. The greater the planning, the greater the potential for suicide.

Death and suicidal themes: These themes might appear in classroom drawings, work samples, journals or homework.

If you suspect suicide, it is important to contact a medical professional immediately. A counselor or psychologist can also help offer additional support.

References
American Academy of Child and Adolescent Psychiatry
American Foundation for Suicidal Prevention
Columbia University
Johns Hopkins University
Mayo Clinic
National Association of School Psychologists
National Depressive and Manic-Depressive Association
National Institute of Mental Health
National Mental Health Association
Nemours Foundation
Thomson-Reuters