If your adolescent child, family member, friend, or student were considering suicide, would you recognize the warning signs? If so, what would you do?
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 challenges:
Academic pressuresSocial demands (eg, to find acceptance among peers, to be attractive, to date)Divorce, single-parent homes, or other instability in the homeNegative peer pressure
Exposure to violence,
drugsPovertyConfusion and shame about sexual identity or orientationOverburdened school systems
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?
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 suicideHaving depression
conduct disorderHaving a disruptive and non-supportive family situationExperiencing relationship problems with a significant personHaving poor coping skillsHaving
other mental health conditions (eg,
obsessive compulsive disorder)
Taking antidepressantsHaving 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 oneChronic physical illnessEarly lossSchool failureAnniversary of a past loss or major life eventPerfectionism and overachievement
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 and Adolescent Psychiatry recommends being alert to the following signs that may indicate an increased risk of suicide: Experiencing a change in appetite (eg, eating more or less than usual)Experiencing a change in sleeping patterns (eg, sleeping more or less than usual)Withdrawing from people they care aboutAbusing alcohol and drugsBecoming violent or rebelliousRunning away from homeGetting arrested or having other problems with the lawIgnoring personal hygiene and appearanceFeeling very bored, having a hard time concentrating, and doing poorly in schoolActing in a way that is unlike their usual personalityHaving a lot of health complaints (eg, headaches, stomachaches, 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 himselfSay things like “I won’t be a problem much longer,” “You’ll never see me again,” or “There’s no use” If a teen makes comments about killing himself, always take these threats seriously.Give away treasured belongingsHave symptoms of psychosis (eg, hallucinating or having bizarre thoughts)
Pay attention if the teen in your life has any of the above risk factors and behaviors.
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, medicines, and poisons from the area.
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 safeSpending regular quality time and having fun togetherListening to and really trying to understand what the youth is saying and feeling, without interrupting or trying to solve his problemsShowing support and respect by allowing the teen to share his thoughts in a safe environmentEncouraging 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 a teen get the support he needs to survive this challenging time in his life. You can also help a teen become more resilient to life's struggles by showing your care and concern.