Suicide Prevention: Supporting Youth and Knowing The Signs
Courtney Carter
/ Categories: WELLNESS, 2024

Suicide Prevention: Supporting Youth and Knowing The Signs

Over the last two decades, youth suicide has increased significantly. According to the Centers for Disease Control and Prevention, suicide is now the second leading cause of death among individuals ages 10 to 24. The Vermont Department of Health’s Youth Risk Survey reports that 15% of youth in Bennington County made a plan about how they would attempt suicide. As the rates of suicide among young people continue to rise, this month—National Suicide Prevention Month—provides an important opportunity to educate the public, share resources, and encourage conversations that can save lives.

Some notable signs that a youth may be having suicidal thoughts are:

 

1. Changes in behavior: Withdrawal, irritability, or mood swings

2. Increased risk-taking: Engaging in reckless activities or substance use

3. Emotional distress: Expressing feelings of hopelessness, worthlessness, or anxiety

4. Social withdrawal: Avoiding friends, family, or activities

5. Changes in sleep or appetite

6. Decline in academic performance

7. Preoccupation with death or suicide

8. Giving away prized possessions

9. Saying goodbye to loved ones

10. Increased use of social media to search for information about suicide

Adult caregivers/parents or peers may hear the teen saying, "I don't want to live anymore" or "I wish I could just disappear." There are also nonverbal cues to watch for such as writing or drawing about death or suicide, increased use of social media to express sadness or hopelessness or displaying suicidal ideation through art or music.

As caregivers, friends, and community members, we can help if we notice these troubling changes.

One way to help is to have a direct but non-confrontational conversation with the youth. It’s okay to be direct alongside being supportive. Oftentimes, starting the conversation is the scariest part, while the actual and often-emotional conversation can serve to bring much needed relief. It’s also important to distinguish between the intention to hurt oneself versus contemplating suicide. Both are serious issues that will require support, but self-harm is often utilized as a coping tool, while thinking of ending one’s life is very different. Being able to really hear someone in their pain is an important first step. If you suspect a youth is experiencing suicidal thoughts, listen without judgment, offer support, and seek professional help immediately.

With awareness, compassion, and action, we can support youth in getting the help they need. 

The help you need is here

If a friend, acquaintance, and/or loved one is struggling, there are many resources to help. The following free resources provide confidential support for people in distress and can help connect them to prevention and crisis resources.

United Counseling Service (UCS)

UCS offers immediate emergency services to individuals in crisis throughout Bennington County. Call 802-442-5491.

UCS also offers Mental Health First Aid and Youth Mental Health First Aid training for anyone in the community who would like to become better educated about mental health issues and how to respond to a mental health emergency. Call 802-442-5491.

 

988 Suicide & Crisis Lifeline

The 988 Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones. Text 988.

 

The National Suicide Prevention Lifeline

Lifeline connects people in immediate crisis with a skilled, trained crisis worker who will listen to the problems they are experiencing and will connect them to local mental health services. All calls are confidential and free. Call 800-273-8255 (TALK).


Project Extreme Crisis Text Line

The Crisis Text Line serves anyone, in any type of crisis, at any time of the day or night, by providing access to support and information via a medium people already use and trust: texting.  Text the message LEV to 741741 24/7 to be connected with a trained counselor.

 

Ryan Lane is the Director of Children, Youth and Family Services at United Counseling Service.

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Moving Forward Safely

One of the most frustrating and anxiety-producing traits of our COVID –19 pandemic is how much uncertainty is involved in all aspects of this disease. Symptoms caused by the Coronavirus, age groups affected, the usefulness of medications, anticipated death rate, and the timeline for development of a vaccine are examples of information that sometimes change on a weekly basis.

Vermonters have done a great job of limiting the spread of the virus and protecting our most vulnerable neighbors by following the Governor's "Stay Home, Stay Safe" order over the past few months. Now, we've all been directed to wear masks in public. Both Bennington and Wilmington's Select Boards have passed local mandates requiring masks in public places. Thanks to these efforts—along with distancing, handwashing, and other factors—Vermont is among the states with the fewest number of infections. Continuing each of these important infection-prevention strategies is crucial to returning to a more normal way of life.

As we open up and begin to re-connect, we fully expect to see a rise in COVID –19 cases in Vermont. Thankfully, we have had time to prepare for this increase. We also have adequate PPE, and increased testing will help us gather crucial information for stemming the spread with less disruption to our normal lives.

More than ever, I find it helpful to focus on what we have learned and how it can help us move forward safely. Here is some of what we have learned so far: Most large hospitals, often treating over 1000 COVID patients daily, effectively protected their workers by obsessively following the rules of screening, hygiene, distancing, and masking. Each of these components is designed to work together; Each alone has its inherent limits.

  • Absent quick testing at the workplace, the best screening is asking employees if they have COVID-like symptoms (fever, chills, new cough, shortness of breath, sore throat, loss of taste or smell) and to stay home if they do.
  • Washing our hands (or using sanitizer) after touching well-handled items or visiting populated areas. Washing your hands 10 times daily is not too often.
  • Though an uncovered sneeze or cough can travel farther, 6 feet distancing continues to be the sweet spot for safety.
  • Masks (double layer cotton and surgical) are effective to prevent spreading of large and some small droplets containing virus. They also seem to give some minimal protection to those wearing a mask. Since possibly 40 percent of transmission happens when we do not have symptoms, we wear our masks to protect others and to suppress overall infection rate. They also help many people (not all) to avoid touching their face. The downside is a warm chin; the upside is you may be protecting someone from a significant illness. Masks are not a symbol of government intrusion. Masks are simply a tool to protect others and show empathy.

It is difficult to predict how many COVID-19 infections will occur in our communities in the coming months. What I am certain of is that our choices, on where we go and what we do, often affect the safety of those around us. As we learn to live with this virus in our community, following the recommendation above will help us all.

Marie George, MD, is SVMC’s infectious disease specialist.

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