Sue Scheff: Teen Violence - Learn Prevention

It comes to a point where you are almost afraid to turn on the news. Kids with guns, teens shooting teens, threats, bullying and more - it is time for parents to take the time and learn more. Talk to your kids - open those lines of communication. Raising kids today has become more challenging than ever. I hear from parents almost on a daily basis and I am stunned at what these kids are learning and doing at such a young age.

Source: Connect with Kids

Can Students Prevent Violence by Telling?

“He was saying ‘I’m gonna kill people,’ everyone took it as a joke. I can’t say that I would take it any differently.”

– Joanna, 15, talking about the school shooting in Santee, California

A student who seems strange, a comment that sounds frightening … how can students tell who’s serious and who isn’t, what’s a joke and what’s a real threat?

The problem is students say those kinds of ‘jokes’ are made all the time.

“I’ve had friends who were just like, ‘man I just want to kill that teacher’ or ‘I just hate it here and want to blow up the school,’” says Tara-Lynn, a high school junior, “I’ve probably said things like that myself.”

“I mean I hear people say that all the time. I don’t take it seriously,” adds Joanna, a freshman.

When should students take it seriously? They’re in a bind. If they tell on someone, they’re called a rat or a snitch. If they don’t tell, someone could die or be injured. Always in the back of their mind, what if they tell on someone… and they’re wrong?

“How do you know you’re not gonna just end up crying ‘wolf’ all the time, every time a kid makes a threat,” says Cliff, a junior.

How should kids evaluate a threat? Experts say first, kids should follow their instincts. If something another student says doesn’t feel right, even just a little bit, it probably isn’t.

“Either afraid, or guilty, or this is just going against my values, it doesn’t feel right,” says psychologist Dr. Wendy Blumenthal.

Then find an adult you trust. Someone you can trust to protect your anonymity. Someone you can trust not to panic when you tell them you’re worried.

Maybe that’s your parents, but it could also be a school counselor, a minister from your church or a coach.

Because if a disaster happens and you stay silent about what you heard, just think how that would make you feel.

“Because if we take everything for granted,” says Crystal, a junior, “this (the school shooting in California) is what can happen.”


Tips for Parents

Police have been able to prevent several ‘Columbine-like’ massacres at US schools recently–thanks to tips from students. Students notified school officials after learning that other students planned to carry out violent acts. And while kids are more willing to report threats of violence after Columbine, experts say parents should explain to their children that there is a difference between ‘telling’ and ‘tattling.’

According to the National Education Association (NEA):

Children ‘tattle’ to get their own way or to get someone else in trouble.
Children should be encouraged to ‘tell’ an adult when someone is in danger of getting hurt.
Some schools have started anonymous hotlines so that parents or children can provide information that could alert authorities to potential problems.

According to the American Psychological Association one in 12 high schoolers is threatened or injured with a weapon each year. To reduce that risk, the APA lists several ‘warning signs’ that kids need to recognize in other students, indications that violence is a “serious possibility”:

Loss of temper on a daily basis
Frequent physical fighting
Significant vandalism or property damage
Increase in use of drugs or alcohol
Increase in risk-taking behavior
Detailed plans to commit acts of violence
Announcing threats or plans for hurting others
Enjoying hurting animals
Carrying a weapon
Once students recognize a warning sign, the APA says there are things they can do. Hoping that someone else will deal with the problem is “the easy way out.” The advice for students:

Above all, be safe. Don’t spend time alone with people who show warning signs.
Tell someone you trust and respect about your concerns and ask for help (a family member, guidance counselor, teacher, school psychologist, coach, clergy, or friend).

If you are worried about becoming a victim of violence, get someone to protect you. Do not resort to violence or use a weapon to protect yourself.

The key to preventing violent behavior, according to the APA, is asking an experienced professional for help. The important thing to remember is, don’t go it alone.


References
National Education Association
American Psychological Association

Teens and Body Piercing

Source: TeensHealth

What Is a Body Piercing and What Can You Expect?

A body piercing is exactly that — a piercing or puncture made in your body by a needle. After that, a piece of jewelry is inserted into the puncture. The most popular pierced body parts seem to be the ears, the nostrils, and the belly button.

If the person performing the piercing provides a safe, clean, and professional environment, this is what you should expect from getting a body part pierced:

The area you've chosen to be pierced (except for the tongue) is cleaned with a germicidal soap (a soap that kills disease-causing bacteria and microorganisms).
Your skin is then punctured with a very sharp, clean needle.
The piece of jewelry, which has already been sterilized, is attached to the area.
The person performing the piercing disposes of the needle in a special container so that there is no risk of the needle or blood touching someone else.
The pierced area is cleaned.
The person performing the piercing checks and adjusts the jewelry.
The person performing the piercing gives you instructions on how to make sure your new piercing heals correctly and what to do if there is a problem.

Read the entire article: http://teenshealth.org/teen/your_body/body_art/body_piercing_safe.html

Sue Scheff: Teen Body Image

Today’s peer pressure can hinder your teens self image and what they believe they need to look like. Learn more about your child’s body image and how to enhance their self confidence. Both of these can help them to make better choices in their daily lives.

Source: TeenHealth

I’m fat. I’m too skinny. I’d be happy if I were taller, shorter, had curly hair, straight hair, a smaller nose, bigger muscles, longer legs.

Do any of these statements sound familiar? Are you used to putting yourself down? If so, you’re not alone. As a teen, you’re going through a ton of changes in your body. And as your body changes, so does your image of yourself. Lots of people have trouble adjusting, and this can affect their self-esteem.

Why Are Self-Esteem and Body Image Important?

Self-esteem is all about how much people value themselves, the pride they feel in themselves, and how worthwhile they feel. Self-esteem is important because feeling good about yourself can affect how you act. A person who has high self-esteem will make friends easily, is more in control of his or her behavior, and will enjoy life more.

Body image is how someone feels about his or her own physical appearance.
For many people, especially those in their early teens, body image can be closely linked to self-esteem. That’s because as kids develop into teens, they care more about how others see them.
What Influences a Person’s Self-Esteem?

Puberty

Some teens struggle with their self-esteem when they begin puberty because the body goes through many changes. These changes, combined with a natural desire to feel accepted, mean it can be tempting for people to compare themselves with others. They may compare themselves with the people around them or with actors and celebs they see on TV, in movies, or in magazines.

But it’s impossible to measure ourselves against others because the changes that come with puberty are different for everyone. Some people start developing early; others are late bloomers. Some get a temporary layer of fat to prepare for a growth spurt, others fill out permanently, and others feel like they stay skinny no matter how much they eat. It all depends on how our genes have programmed our bodies to act.

The changes that come with puberty can affect how both girls and guys feel about themselves. Some girls may feel uncomfortable or embarrassed about their maturing bodies. Others may wish that they were developing faster. Girls may feel pressure to be thin but guys may feel like they don’t look big or muscular enough.

Outside Influences

It’s not just development that affect self-esteem, though. Lots of other factors (like media images of skinny girls and bulked-up guys) can affect a person’s body image too.
Family life can sometimes influence a person’s self-esteem. Some parents spend more time criticizing their kids and the way they look than praising them. This criticism may reduce a person’s ability to develop good self-esteem.

People may also experience negative comments and hurtful teasing about the way they look from classmates and peers. Sometimes racial and ethnic prejudice is the source of such comments. Although these often come from ignorance, sometimes they can affect another person’s body image and self-esteem.

Healthy Self-Esteem

If you have a positive body image, you probably like and accept yourself the way you are. This healthy attitude allows you to explore other aspects of growing up, such as developing good friendships, growing more independent from your parents, and challenging yourself physically and mentally. Developing these parts of yourself can help boost your self-esteem.
A positive, optimistic attitude can help people develop strong self-esteem — for example, saying, “Hey, I’m human” instead of “Wow, I’m such a loser” when you’ve made a mistake, or not blaming others when things don’t go as expected.

Knowing what makes you happy and how to meet your goals can help you feel capable, strong, and in control of your life. A positive attitude and a healthy lifestyle (such as exercising and eating right) are a great combination for building good self-esteem.

Tips for Improving Your Body Image

Some people think they need to change how they look or act to feel good about themselves. But actually all you need to do is change the way you see your body and how you think about yourself.

The first thing to do is recognize that your body is your own, no matter what shape, size, or color it comes in. If you’re very worried about your weight or size, check with your doctor to verify that things are OK. But it’s no one’s business but your own what your body is like — ultimately, you have to be happy with yourself.

Next, identify which aspects of your appearance you can realistically change and which you can’t. Everyone (even the most perfect-seeming celeb) has things about themselves that they can’t change and need to accept — like their height, for example, or their shoe size.

If there are things about yourself that you want to change and can (such as how fit you are), do this by making goals for yourself. For example, if you want to get fit, make a plan to exercise every day and eat nutritious foods. Then keep track of your progress until you reach your goal. Meeting a challenge you set for yourself is a great way to boost self-esteem!

When you hear negative comments coming from within yourself, tell yourself to stop. Try building your self-esteem by giving yourself three compliments every day. While you’re at it, every evening list three things in your day that really gave you pleasure. It can be anything from the way the sun felt on your face, the sound of your favorite band, or the way someone laughed at your jokes. By focusing on the good things you do and the positive aspects of your life, you can change how you feel about yourself.

Where Can I Go if I Need Help?

Sometimes low self-esteem and body image problems are too much to handle alone. A few teens may become depressed, lose interest in activities or friends — and even hurt themselves or resort to alcohol or drug abuse.

If you’re feeling this way, it can help to talk to a parent, coach, religious leader, guidance counselor, therapist, or an adult friend. A trusted adult — someone who supports you and doesn’t bring you down — can help you put your body image in perspective and give you positive feedback about your body, your skills, and your abilities.

If you can’t turn to anyone you know, call a teen crisis hotline (check the yellow pages under social services or search online). The most important thing is to get help if you feel like your body image and self-esteem are affecting your life.

Reviewed by: D’Arcy Lyness, PhD

Date reviewed: March 2009

Sue Scheff: Teen Depression

As I saw on the news, experts are saying that parents with children between the ages of 12-18 should have them screened for depression. It is not about promoting medication, it is about helping to understand if there are areas in their lives that can be causing stress and anxiety that can leave to making negative choices such has experimenting with substance abuse, hanging with a less than desirable peer group, feelings of low self worth, etc. Like adults, children can be prone to depression and stress and not mature enough to understand these feelings. With this, acting out in a negative way can follow. Take time to learn more.

Source: USA Today

Experts: Doctors should screen teens for depression.

If you have teens or tweens, government-appointed experts have a message: U.S. adolescents should be routinely screened for major depression by their primary care doctors. The benefits of screening kids 12 to 18 years old outweigh any risks if doctors can assure an accurate diagnosis, treatment and follow-up care, says the independent U.S. Preventive Services Task Force.
It’s a change from the group’s 2002 report concluding there wasn’t enough evidence to support or oppose screening for teens. The task force, though, says there’s still insufficient proof about the benefits and harms of screening children 7 to 11 years old.

Depression strikes about 1 out of 20 teens, and it’s been linked to lower grades, more physical illness and drug use, as well as early pregnancy.

Questionnaires can accurately identify teens prone to depression, plus there’s new evidence that therapy and/or some antidepressants can benefit them, the expert panel says in a report in today’s Pediatrics . But careful monitoring is vital since there’s “convincing evidence” that antidepressants can increase suicidal behavior in teens, the report says.

Accompanying the task force advisory in Pediatrics is a research review saying there have been few studies on the accuracy of depression screening tests, but the tests “have performed fairly well” among adolescents. Treatment can knock down symptoms of depression, say the reviewers from Kaiser Permanente and the Oregon Evidence-Based Practice Center in Portland, Ore.

In a “show me the money” volley back, pediatricians also weigh in on the topic in today’s issue of their journal. Insurance plans and managed care companies that stiff or under-pay pediatricians for mental health services throw up barriers to mental health care in doctors’ offices, says the American Academy of Pediatrics. Kids’ doctors should be compensated for screenings, as well as consults with mental health specialists and parents, AAP recommends.

Sue Scheff: African-American Suicide

Source: Connect with Kids

“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

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.

Sue Scheff: Teen Depression

Source: Connect with Kids

“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