Teen Suicide by Arthur
Buchanan
What is suicidal behavior?
Suicidal behavior is defined as a preoccupation or act that
is focused on causing one's own death voluntarily. An intent
to cause one's death is essential in the definition. Suicidal
ideation refers to thoughts of suicide or wanting to take one's
own life. Suicidal behavior refers to actions taken by one who
is considering or preparing to cause his/her own death. Suicide
attempt usually refers to an act focused on causing one's own
death that is unsuccessful in causing death. Suicide
refers to having intentionally caused one's own death.
What causes adolescents to attempt suicide?
Adolescence is a stressful developmental period filled with
major changes - body changes, changes in thoughts, and changes
in feelings. Strong feelings of stress, confusion, fear, and
uncertainty, as well as pressure to succeed, and the ability
to think about things in new ways influence a teenager's problem
solving and decision making abilities. For some teenagers, normal
developmental changes, when compounded by other events or changes
in their families such as divorce or moving to a new community,
changes in friendships, difficulties in school, or other losses
can be very upsetting and can become overwhelming. Problems
may appear too difficult or embarrassing to overcome. For some,
suicide may seem like a solution. As many as 12 to 25 percent
of older children and adolescents experience some form of thoughts
about suicide (suicidal ideation) at one time or another. When
feelings or thoughts become more persistent, are accompanied
by changes in behavior or specific plans for suicide, the risk
of a suicide attempt increases.
What is known about teen suicide?
Over the last several decades, the suicide rate in young people
has increased dramatically. In 1997, suicide was the third leading
cause of death in 15 to 24 year olds, and the third leading
cause of death in 10 to 14 year olds. According to the National
Institute of Mental Health (NIMH), reliable scientific research
has found the following:
There are as many as eight attempted suicides to one completed
suicide - with the ratio even higher in teens.
The strongest risk factors for attempted suicide in teens are
depression, substance abuse, and aggressive or disruptive behaviors.
The Surgeon General's call to action To Prevent Suicide, 1999
reported the following:
Among persons aged 15 to 19 years of age, firearm-related suicides
accounted for 63 percent of the increase in the overall rate
of suicide from 1980 to 1996.
Males under the age of 25 are much more likely to commit suicide
than their female counterparts. The 1996 gender ratio for people
aged 15 to 19 was 5:1 (males to females).
The Centers for Disease Control and Prevention (CDC) reports
the following:
Males are four times more likely to die from suicide than females.
Females are more likely to attempt suicide than males.
What are the risk factors for suicide?
Suicide risk factors vary with age, gender, and cultural and
social influences and may change over time. Risk factors for
suicide frequently occur in combination with each other. The
following are some suicide risk factors that may be present:
- one or more diagnosable mental or substance abuse disorders
- impulsive behaviors
- undesirable life events or recent losses (i.e., death, parental
divorce)
- family history of mental or substance abuse disorder
- family history of suicide
- family violence, including physical, sexual, or verbal/emotional
abuse
- prior suicide attempt
- firearm in the home
- incarceration
- exposure to the suicidal behavior of others
Warning signs of suicidal feelings, thoughts, or behavior:
Many of the warning signs of possible suicidal feelings are
also symptoms of depression. Observations of the following behaviors
by parents and care givers may be helpful in identifying adolescents
who may be at risk of attempting suicide:
- changes in eating and sleep habits
- loss of interest in usual activities
- withdrawal from friends and family members
- acting out behaviors and running away
- alcohol and drug use
- neglect of personal appearance
- unnecessary risk-taking
- preoccupation with death and dying
- increased physical complaints frequently associated with
emotional distress such as stomach aches, headaches, and fatigue
- loss of interest in school or schoolwork
- feelings of boredom
- difficulty concentrating
- feelings of wanting to die
- lack of response to praise
- indicates plans or efforts toward plans to commit suicide
- verbalizes "I want to kill myself," or "I'm
going to commit suicide."
- gives verbal hints such as "I won't be a problem much
longer," or "If anything happens to me, I want you
to know ...."
- gives away favorite possessions; throws away important belongings
- becomes suddenly cheerful after a period of depression
- may express bizarre thoughts
- writes one or more suicide notes Threats of suicide communicate
desperation and a cry for help. Always take statements of
suicidal feelings, thoughts, behaviors, or plans very seriously.
Any child or adolescent who expresses thoughts of suicide
should be evaluated immediately.
The warning signs of suicidal feelings, thoughts, or behaviors
may resemble other medical conditions or psychiatric problems.
Always consult your child's physician for a diagnosis.
Treatment for suicidal feelings and behaviors: Specific treatment
for suicidal feelings and behaviors will be determined by your
teen's physician based on:- your teen's age, overall health,
and medical history extent of your teen's symptoms seriousness
of the attempt your teen's tolerance for specific medications,
procedures, or therapies expectations regarding future suicide
risk your opinion or preference Any teen who has attempted suicide
requires an initial physical evaluation and treatment until
he/she is physically stable. Mental health treatment for suicidal
feelings, thoughts, or behaviors begins with detailed evaluation
of events in the adolescent's life during the two to three days
preceding the suicidal behaviors.
A comprehensive evaluation of the adolescent and family contributes
to decisions regarding treatment needs. Treatment recommendations
may include individual therapy for the adolescent, family therapy,
and, when necessary, hospitalization to provide the adolescent
a supervised and safe environment. Parents play a vital supportive
role in any treatment process.
Prevention of teen suicide:
Recognition and early intervention of mental and substance
abuse disorders is the most effective way to prevent suicide
and suicidal behavior. Studies have shown that suicide prevention
programs most likely to succeed are those focused on identification
and treatment of mental illness and substance abuse, coping
with stress, and controlling aggressive behaviors.
Suicide is a tragic and potentially preventable public
health problem. In 1999, the Surgeon General of the United States
announced a Call to Action to prevent suicide by introducing
a strategy for Awareness, Intervention, and Methodology (AIM).
The plan includes research initiatives, conferences, and evaluation
of the effectiveness of current prevention programs. The National
Center for Injury Prevention and Control (NCIPC) is already
working to raise awareness of suicide as a serious public health
problem. Consult your child's physician for more information.
Listen to Arthur Buchanan on the Mike Litman Show! http://freesuccessaudios.com/Artlive.mp3
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