#JamesDonaldson On #MentalHeath – What To Do if You’re Worried About #Suicide

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A #parent’s guide to helping a #child in distress

Writer: Nadine Kaslow, PhD

Clinical Expert: Nadine Kaslow, PhD

  • Does talking about #suicide make a #child more likely to attempt #suicide?
  • What should I say to a #child who is feeling #suicidal?
  • What should I do if I’m worried my #child is close to attempting #suicide?

If you think your #child might be feeling #suicidal, talk with them about it. Sometimes people are afraid that if they bring it up, it will make the #child more likely to attempt #suicide, but that’s not true. Showing your #child that they have someone safe to talk to makes them feel understood.

It might sound obvious, but start by making sure your #child knows how much you love them, and how important they are to you. Pay plenty of attention to them and let them know that you empathize with how they feel. Try not to tell them that they shouldn’t feel the way they do. Instead, try for simple validation: “That sounds really hard,” or “I’ve felt that way too.”

When you’re worried about a #child, it’s easy to get into a cycle of being upset and critical. Instead, try to find time to just hang out, chat, and do fun things together. Keeping tabs on #kids is another way to keep them safe. Watch their #socialmedia, get in touch with their #school, and talk with their friends and even their friends’ #parents.

If your #child needs professional support, it’s important to find a #therapist who has a lot of experience with #suicidal #teenagers. Your child’s pediatrician can give you names of #therapists they trust. Make sure your #child feels comfortable with the #therapist. Both #CBT (#cognitivebehavioraltherapy) and #DBT (#dialecticalbehavioraltherapy) are very useful for #suicidal kids. The #therapist might also recommend that your #child take medication to feel better.

Finally, if you think your #child is in danger of attempting #suicide now or soon, call #911 or get them to a hospital right away. It’s very important to take threats of #suicide seriously.

What do you do when you’re worried that a child might be feeling #suicidal? First and foremost, it’s important that you talk to him about your concerns in a calm, non-accusatory manner. Sometimes when parents are very worried, they end up saying, “Don’t think this way,” or “You shouldn’t feel that way,” and they come across not as loving and caring, as intended, but as critical. #Children respond negatively to that. So you really need to be as calm and non-accusatory as you can when talking to them.

Show the love

It may seem obvious to you that you love your #children, and that they know you love them. But when they’re having a hard time, kids need to hear over and over again from you how much you love them, and how much you care about them. It’s not good enough to just say, “You know I love you.” You need to convey that in small and big ways. These days, we all have so many things we’re juggling that kids can end up unsure of where they fit in, and whether you really have time for them. Let them know how important they are to you.

Express empathy

It’s also important to validate a child’s feelings. You want to make statements that express empathy for her distress: “It sounds like that was really difficult.” “I know how painful that can be.” “I know what that’s like. I’ve felt that way.” Telling them not to feel that way, to “pull it together,” isn’t as helpful as saying, “What is it that you’re concerned about, and how can I help you?” If you’re really concerned about your #child it’s important that you encourage him to get professional help, and that you convey that getting help isn’t weak, but something you would respect him for doing, and that you would work together to accomplish.

Prioritize the positive

Another important way to prevent #suicidalbehavior is to prioritize interacting with your #child in positive ways. Some times we get into a sort of vicious cycle with a #child. The #child does something concerning; the #parent gets critical; the #kid does something more concerning; the #parents get more upset. All interactions turn contentious. Interacting in positive ways means doing fun things together, hanging out and chatting about things that aren’t controversial, that aren’t difficult.

Minimize conflict

So choose your battles wisely with your #kid. It’s part of normal development for #adolescents to rebel, and you need to pick what you’re going to set limits about, and the rest of the time you want to focus on the positive connections. It also helps to try to increase your child’s involvement in positive experiences. #Kids who are involved in a lot of engaging or fun activities tend to fare better. Your goal as a #parent is to reassure struggling #kids that they won’t feel like this forever, and you can help do this by promoting positive experiences. When #kids feel #suicidal it’s often because they feel hopeless and can’t imagine things being better.

Stay in touch

It’s also really important to monitor your child’s whereabouts when they aren’t with you, whether online or out of the house. You can’t stop your #kids from texting and Facebooking and using #Twitter. That’s normal social interaction at this point. So you need to get on #Facebook yourself, learn how to tweet, learn how to text. And use those channels to stay on top of what your #kids are doing.

Know your child’s friends

In the “real” world, it’s also critical to know your child’s friends—to have a good sense of who they are and to have a connection with them. Sometimes it’s harder the older your #kids get, but it’s really important you do that. You should know the #parents of their friends and be in touch with them, too. And you want to communicate regularly with your child’s #school to ensure her safety and care in the #school setting. Don’t hesitate to use the #school and the people in the #school as partners in your child’s care when you have concerns.

Talk openly

But again, the crucial first step: If you think your #child might be #suicidal, talk with him about it, ask him about #suicidalthoughts. Sometimes people are afraid that if they talk about it it will make #suicidalthoughts more real, and #suicide more likely to happen. But the truth is that if a #child feels that he has someone safe in the family that he can talk to, he feels better. He feels more understood. He feels like there’s more empathy for him. And that gives you an opening to explain the value of psychotherapy, and possibly medication for the feelings that are causing him so much pain.

Find a clinician who’s a good match

To get a referral to a #mentalhealthprofessional, you can consult your child’s #doctor or a #psychologist at his #school. I recommend that you look for a #mentalhealthprofessional who has experience with #suicidal #teenagers. Not everybody is comfortable with, or has experience with #kids who are #suicidal. And when you’re interviewing people, it’s important to pick somebody you—and your child—feel comfortable with. So if your son says, “I just can’t connect with him; I don’t feel comfortable with him,” you want to take that seriously. Of course, if he does that with the second person and then the third person, at some point you may need to say, “Well, of these three people, who did you feel best with?”

Participate in therapy

And once you’ve found a clinician, participate actively in therapy with your #child. You need to be a partner in your child’s therapy. The more the #child feels like you really care, the better. And that’s not just one #parent. When somebody in the family is #suicidal it’s a family affair, and everybody needs to help out and be engaged.

There are several kinds of therapy that have been shown in research trials to be particularly useful for #suicidal #kids. One is #cognitivebehavioraltherapy, and that helps change kids’ thoughts, which in turn changes their feelings and their actions. And #dialecticalbehaviortherapy is another approach. It’s a more mindfulness-based approach, and we know that that’s helpful for particular types of #suicidal #kids, particularly those who have what’s called borderline #personalitydisorder, and lots of #suicidalthoughts. And, finally, some #kids, particularly those who are seriously depressed or anxious or have #ADHD, may benefit from medication in combination with psychotherapy.

#James Donaldson notes:
Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.
Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.
Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.
  #http://bit.ly/JamesMentalHealthArticle
Find out more about the work I do on my 501c3 non-profit foundation
website www.yourgiftoflife.org Order your copy of James Donaldson’s latest book,
#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy

Book
www.celebratingyourgiftoflife.com

Take emergency measures

Of course, if you’re worried that if you don’t do something right now your #child will attempt #suicide, you need to call #911, or whatever the emergency #mentalhealth access number is in your community, or take your #child to the hospital. #Suicidalthoughts or #behaviors are an emergency, and must be considered as such.

For more information and resources on #suicide see the APA’s #suicide help page.

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