Showing posts with label teen suicide. Show all posts
Showing posts with label teen suicide. Show all posts

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

Wednesday, October 8, 2008

Sue Scheff - Teen Suicide


Suicide is the third most common cause of death amongst adolescents between 15-24 years of age, and the sixth most common cause of death amongst 5-14 year olds. It is estimated that over half of all teens suffering from depression will attempt suicide at least once, and of those teens, roughly seven percent will succeed on the first try. Teenagers are especially vulnerable to the threat of suicide, because in addition to increased stress from school, work and peers, teens are also dealing with hormonal fluctuations that can complicate even the most normal situations.
Because of these social and personal changes, teens are also at higher risk for depression, which can also increase feelings of despair and the desire to commit suicide.


In fact, according to a study by the National Institute of Mental Health (NIMH) almost all people who commit suicide suffer from a diagnosable mental disorder or substance abuse disorder. Often, teens feel as though they have no other way out of their problems, and may not realize that suicidal thoughts and feelings can be treated. Unfortunately, due to the often volatile relationship between teens and their parents, teens may not be as forthcoming about suicidal feelings as parents would hope. The good news is there are many signs parents can watch for in their teen without necessarily needing their teen to open up to them.


At some point in most teens’ lives, they will experience periods of sadness, worry and/or despair. While it is completely normal for a healthy person to have these types of responses to pain resulting from loss, dismissal, or disillusionment, those with serious (often undiagnosed) mental illnesses often experience much more drastic reactions. Many times these severe reactions will leave the teen in despair, and they may feel that there is no end in sight to their suffering. It is at this point that the teen may lose hope, and with the absence of hope comes more depression and the feeling that suicide is the only solution. It isn’t.


Teen girls are statistically twice as likely as their male counterparts to attempt suicide. They tend to turn to drugs (overdosing) or to cut themselves, while boys are traditionally more successful in their suicide attempts because they utilize more lethal methods such as guns and hanging. This method preference makes boys almost four times more successful in committing suicide.


Studies have borne out that suicide rates rise considerably when teens can access firearms in their home. In fact, nearly 60% of suicides committed in the United States that result in immediate death are accomplished with a gun. This is one crucial reason that any gun kept in a home with teens, even if that teen does not display any outward signs of depression, be stored in a locked compartment away from any ammunition. In fact, the ammunition should be stored in a locked compartment as well, and the keys to both the gun and ammunition compartments should be kept in a different area from where normal, everyday keys are kept. Remember to always keep firearms, ammunition, and the keys to the locks containing them, away from kids.Unfortunately, teen suicide is not a rare event.


In the United States, the Centers for Disease Control and Prevention (CDC) estimates that suicide is the third leading cause of death for people between the ages of 15 and 24. This disturbing trend is affecting younger children as well, with suicide rates experiencing dramatic increases in the under-15 age group from 1980 to 1996. Suicide attempts are even more prevalent, though it is difficult to track the exact rates.

Tuesday, September 9, 2008

Sue Scheff: National Suicide Prevention Week


Suicide is one of the leading causes of death in older children and teens. And statistics show that suicide rates in teenagers are on the rise.


That makes it even more important for everyone to raise awareness of suicide prevention, especially now during National Suicide Prevention Week.


In addition to learning to recognize the risk factors and warning signs of suicide, spread the word about the availability of the National Suicide Prevention Lifeline — 1-800-273-TALK (8255).

Dr. Gary Nelson, Author of “A Relentless Hope” Surviving Teen Depression recently talked about this serious subject of teen suicide - http://www.wtap.com/daybreak/headlines/27988159.html
Learn more about Teen Suicide.

Wednesday, May 28, 2008

Parents Universal Resource Experts (Sue Scheff) A Cry for Help


“For some reason, when I’d get depressed, I would just take a razor and I’d cut little slits in my arm. I don’t know why I did it.”

– Melissa, 19

At thirteen, Melissa Gerjoi tried to kill herself.

“I just wanted to do something, something that would just totally stop everything,” Melissa, now 19, recounts.

She later realized she didn’t want to die; she wanted to get rid of the pain.

“For some reason, when I’d get depressed, I would just take a razor and I’d cut little slits in my arm,” she says. “And I don’t know why I did it, and I don’t know why it was any consolation whatsoever.”

It was after her father died in a car crash that Melissa started cutting herself. It was her way of coping.

“Sometimes kids are engaging in this behavior as a way of converting their intense emotional pain into the more tolerable physical pain,” explains Dr. Leslie Apfelbaum, a child psychologist.

According to a study by the Centers for Disease Control, in the year 2005, nearly half a million people were treated in emergency rooms for self-inflicted wounds. More of them were teenagers than any other age group. Experts say most aren’t trying to die, they’re crying out for help.

“We actually call it suicidal gestures,” says Dr. Apfelbaum. “…a way of asking for help without actually doing something too harmful.”

A change in behavior, as well as long sleeves and baggy clothes to hide scars, are clues your child may be hurting themselves. Professional therapy can help unlock the emotional pain.

Family support and time away at boarding school helped Melissa pull her life back together and stop the vicious cycle of self-inflicted pain.

“I sort of stopped my life and went on and started a new one,” she says. “I mean, I totally turned around and changed into a different person.”

Tips for Parents
Self-Injury May Be Path to Suicide

What exactly constitutes self-injury? According to the American Academy of Child & Adolescent Psychiatry (AACAP), self-injury is the act of deliberately destroying body tissue – at times to change a way of feeling. Lately it has become a popular among adolescents, and its forms may include the following:

Carving
Scratching
Branding
Marking
Picking and pulling skin and hair
Burning
Cutting
Biting
Head banging
Bruising
Hitting
Excessive tattooing
Excessive body piercing
The AACAP says that teens engage in self-mutilation in order to take risks, to rebel, to reject their parents’ values, to state their individuality or merely to be accepted by their peers. Others, however, may injure themselves out of desperation or anger to seek attention, to show their hopelessness and worthlessness or because they have suicidal thoughts. Some young children may resort to self-injurious acts from time to time but often grow out of it. Children with mental retardation and/or autism may also show these behaviors, which may persist into adulthood. And children who have been abused or abandoned may self-mutilate.

The Self-Harm Alliance cites the following factors that may contribute to a teen’s reasons for self-harming:

Loss of a loved one
Physical abuse, such as domestic violence
Sexual abuse, such as rape or child abuse
Verbal abuse, such as bullying
Childhood neglect from one or both parents
Physical Illness or disability
Loss of freedom
Relationship problems
If your child or adolescent is engaging in self-harm, the AACAP says it is important to talk to your child about respecting and valuing his or her body. You can also help your teen to avoid hurting himself or herself by teaching him or her the following skills:

To accept reality and find ways to make the present moment more tolerable
To identify feelings and talk them out rather than acting on them
To distract himself or herself from feelings of self-harm (counting to 10, waiting 15 minutes, saying “NO!” or “STOP!,” practicing breathing exercises, journaling, drawing, thinking about positive images, using ice and rubber bands, etc.)
To stop, think and evaluate the pros and cons of self-injury
To soothe himself or herself in a positive, non-injurious way
To practice positive stress management
To develop better social skills
You should have your child evaluated by a mental health professional to identify and treat the underlying causes of self-injury. A child and adolescent psychiatrist can also diagnose and treat any serious psychiatric disorders that may accompany your child’s self-injurious behavior.

The most severe cases of self-injury result in suicide. The CDC estimates about 32,000 people commit suicide every year in the United States. It is the third leading cause of death for 15- to 24-year-old. The National Association of School Psychologists cites the following signs indicating that your child’s self-injurious behavior may be escalating to suicide:

Suicide notes: These notes are a very real sign of danger and should be taken seriously.
Threats: Threats may be direct statements (“I want to die” or “I am going to kill myself”) or, unfortunately, indirect comments (“The world would be better without me” and “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.

“Masked” depression: Sometimes risk-taking behaviors can include acts of aggression, gunplay and alcohol or substance abuse.

Final arrangements: This behavior may take many forms, such as giving away prized possessions like jewelry, clothing, journals or pictures.

Continued efforts to hurt oneself: Common self-destructive behaviors include running into traffic, jumping from heights and scratching, cutting or marking the body.

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

If one or more of these signs occurs, talk to your child about your concerns and seek professional help when the concerns persist. With support from family and professional treatment, your child can heal and return to a more healthy path of development.

As a parent, you can help prevent teen suicide in the following ways, according to PROMINA Health System:

Know the warning signs and when to get a professional assessment.

Learn who your child is, how he or she feels and what he or she thinks by being more involved in his or her life.

Improve and enhance adult supervision and socialization and monitor the feelings, thoughts and behaviors of your child.

Emphasize honest communication and sharing.

Emphasize honest cooperation with authority and systems, such as school, church, work or rules at home.

References
American Academy of Child & Adolescent Psychiatry
Centers for Disease Control and Prevention
National Association of School Psychologists
PROMINA Health System
Self-Harm Alliance

Sunday, April 13, 2008

Parents Universal Resource Experts - Sue Scheff - Teen Substance Abuse



Preventing Drug Abuse: What Can You Do?


If you suspect your teen is doing any form of gateway drug, it's important to talk to them about it as soon as possible. Again, it is important to not yell or threaten. You will no doubt be scared and angry, but so is your teen. If they feel as though you don't support them or they can't talk to you, scaring them will only make the problem worse! Try to remain calm.
Assure your teen they can trust you and that you love them and want to help them. Explain harmful side effects of drugs, but assure them it's not too late to get help, and that you will support them. Tell them about any changes you've noticed in their behavior and how those changes make you feel. Let them talk to you, and listen to them. Do not judge them or criticize them.


The first you need to do in order to prevent your teen from abusing drugs, alcohol or tobacco is to take seriously the threat posed by these substances to your child. You have to take seriously the risks posed because this will ultimately be the one catalyst that will allow you to talk to your teen about the problem in a frank and open manner. By taking to heart the importance of the matter at hand, you will be in a better position to urge your teen to do the same. You do not need to be harsh or judgmental with them. It is a better strategy to be as supportive as you can. If you insist on being hostile and angry with your teen, you will likely succeed in pushing them away form you and deeper into possible addiction.


Any treatment plan you decide upon for your teen should be dictated by the substances they abuse and how much they abuse them. For example, to send a child to a strict military-style school because they have tried drugs or alcohol a handful of times is something of an overreaction. Many times if a teen’s experiments with drugs, alcohol and tobacco are minor, a good open talk with them can convey all the information you want, and achieve very positive results in terms of future behavior.


Of course, the story is entirely different if your teen has become addicted to drugs and alcohol. In this instance, a detoxification program may be in order, along with a treatment regimen that helps wean the child off of drugs and replaces that with medicine. Studies have shown that the effectiveness of prescription medicine treatment for substance abuse is greatly enhanced when combined with one-on-one and/or family counseling.


One thing to remember if treatment becomes the order for the day when addressing your child’s substance issues is that relapse after treatment is common. This does not mean that you or your teen have failed any part of the recovery process. Addiction is extremely difficult to overcome and the most important thing to keep in mind is to take things one step at a time.


For more information about Teen Drug Abuse.



Wit's End! Book Information



Monday, December 17, 2007

Sue Scheff Launches New Websites for Parents with At Risk Teens

With today’s teens, parents can struggle with them and the issues that they are confronted with. As parent advocate, I believe in educating parents with “stuff” teens deal with including peer pressure and more.

Take a moment to review my latest websites to help inform on teenagers today.

Teen Suicide
Teen Cults
Preventing Teen Drug Addiction
Teen Mischief
Identity Crisis for Adopted Children