New Doc Corner
DOC’S CORNER
12/6/2018
UNDERSTANDING AND PREVENTING ADOLESCENT SUICIDE: PART I. Adolescent suicide has become a national health crisis. Although it is difficult to talk about, and most of us would like to act like it doesn’t exist, knowing some of the causes, risk factors, and ways to get help can save tremendous distress, and even lives. The Center for Disease Control (CDC) reports that it is the second leading cause of death among youth, ages 15-19. In 2016, 2,061 adolescent suicide deaths were reported, accounting for 18% of all reported deaths in this age group. Males are much more likely to die by suicide, by almost three times as much as females. While females have higher incidence of suicidal ideation and behavior, males are more likely to carry out the acts. Almost 20% of teenagers have contemplated suicide in the last year. The causes and risk factors of suicidal thoughts and behaviors are a combination of biological, psychological, and environmental factors. Mental health issues are clearly related to such thoughts. 20% of youth have a significant mental health issue, including depression and bipolar disorder which are most commonly associated with suicidal threat. Other psychological disorders are also related, including anxiety, conduct disorders, substance abuse, post traumatic stress, and eating disorders. When these problems are combined with external circumstances for teens, they often feel overwhelmed. Interpersonal losses, disciplinary problems, school failures, conflicts with peers, and bullying can lead to a sense of hopelessness. Adverse Childhood Events (ACE) and significant and serious family issues, like physical and sexual abuse, are high risk factors. Children who have gender identity or sexual identity conflicts are at high risk, with LBGT adolescents having the highest rates of suicidal ideation. Suicide is a relatively rare event, and difficult to predict, but there are some warning signs. As listed by the American Psychological Association, these include::
