Every Teen Counts
February 1998

Could it Happen to My Child?

Unfortunately we all think, "not mine." That’s what my husband and I thought until January 20, 1992, when a Snohomish County Sheriffs’ Chaplain came to our door. Our 16-year-old son had hung himself. Trevor was an intelligent, athletic, volatile child. He played varsity football, coached his younger brother’s basketball team and earned a 3.95 GPA at Edmonds-Woodway High School with awards in honors chemistry, geometry and arts. He wasn’t involved in drinking or drugs, but he was quick to anger, easily frustrated, a perfectionist and impulsive. We now know he was upset about the possibility of losing his girlfriend, that he was probably depressed, and he had talked with a friend about suicide and that in anticipation of his death he had given away his favorite baseball cap.

After the funeral, we started to read about youth suicide and realized that there are warning signs. But because we were not educated about suicide prevention, Trevor’s cries for help fell on deaf ears. We joined the American Association of Suicidology, the American Suicide Foundation and the National Manic Depressive Association. We attended conferences and seminars to learn more about adolescent depression and suicide. We visited a youth and family services organization that works in suicide prevention. We met with the principal of Trevor’s high school in the hopes of starting a suicide prevention program, but learned that many educators still believe in the myth that if you talk about suicide you will cause it to happen. When we called the Office of the Superintendent of Public Instruction, we learned that our state did not have a suicide prevention plan or policy.

At this point we knew that parents, teens, school personnel, health care providers, and other people involved with young people needed to know the warning signs for suicide, what to say to a suicidal person, and where to go for help. We did not want other survivors to be asking these same questions, "Why wasn’t more done to educate the general public?" "Why wasn’t my son given the choice of life over death?" "Why could no one hear his pain?"

We held our first organizing conference in September of 1992. Jeanette Wood, our local state legislator, agreed to sponsor a youth suicide prevention bill in the State House of Representatives. The bill did not pass, but as a compromise the Legislature allocated funding for the development of a statewide plan and the Washington State Youth Suicide Prevention Committee was formed. A plan was developed and the Legislature voted to fund implementation of the first phase. A public education campaign was launched with information on the warning signs on billboards and transit signs. Brochures and posters were also developed. To date, over 2,000 people across the state have been trained in suicide intervention. Consultation and technical assistance to our state’s 35 crisis centers has also begun.

We continue our work because we know prevention can work to save lives and reduce suicidal thoughts. It is in Trevor’s memory that we commit ourselves to this effort. We invite you to join us as, hand in hand, we create a safety net for the young people of our communities.

Youth Suicide Prevention: Warning Signs and How to Respond

Youth suicide is preventable. The keys to prevention are: recognition of the warning signs, expressions of concern, and a commitment to working with the young person to get help.

The greater the number of signs, the greater the risk of suicide.

Recognize the Warning Signs

  • A previous suicide attempt.
  • Current talk about suicide, or making a suicide plan.
  • Strong wish to die, preoccupation with death, giving away prized possessions.
  • Increased alcohol and/or other drug use.
  • Recent suicide attempt by a friend or family member.

There are other key risk factors to keep in mind that increase the likelihood of suicide attempts by young people. Again, the more signs observed, the greater the risk.

Other Key Risk Factors

  • Ready access to firearms.
  • Impulsiveness and taking unnecessary risks.
  • Lack of connection to family and friends (no one to talk to).

HOW TO RESPOND

If you suspect a youth is contemplating suicide, respond immediately by expressing concern and asking pointed questions. There are three steps to the response:

1. Show You Care - Let the person know you really care. Talk about your feelings and ask about his or hers. Listen carefully to what they have to say.

· "I’m concerned about you..about how you feel."
· "Tell me about your pain."
· "You mean a lot to me and I want to help."
· "I care about you, and about how you’re holding up."
· "I don’t want you to kill yourself."
· "I’m on your side...we’ll get through this."

2. Ask the Questions - Don’t hesitate to raise the subject. Talking with young people about suicide won’t put the idea in their heads. Chances are, if you’ve observed any of the warning signs, they’re already thinking about it. Be direct in a caring, non-confrontational way. Get the conversation started.

· "Are you thinking about suicide?"
· "What thoughts or plans do you have?"
· "Are you thinking about harming yourself, ending your life?"
· "How long have you been thinking about suicide?"
· "Have you thought about how you would do it?"
· "Do you have ___?" (Insert the lethal means they have mentioned.)
· "Do you really want to die? Or do you want the pain to go away?"

3. Get Help - The first steps toward instilling a sense of hope are: showing your concern, raising the issue, and listening to and understanding the young person’s feelings. Keep moving forward, together. Call for help. Call your local crisis hotline.

· "Together I know we can figure something out to make you feel better."
· "I know where we can get some help."
· "I’ll stay with you...let’s call the crisis line."
· "I can go with you to where we can get some help."
· "Let’s talk to someone who can help...let’s call the crisis line, now."
· "It’s difficult to know what to do, but I know where we can get some help."
· "You’re not alone. Let me help you."

If the young person has expressed an immediate plan, or has access to a gun or other potentially deadly means, do not leave him or her alone; get help immediately. Call your local crisis hotline.

State of Washington, Department of Health, Injury Prevention Program.

ADAMS
Comm.Counseling Serv.of Adams
County
(509) 488-5611 or (509) 659-HELP

ASOTIN-GARFIELD
Asotin County Mental Health Assn.
(509) 758-3341

BENTON-FRANKLIN
CONTACT Helpline
(509) 943-6606

CHELAN-DOUGLAS
Chelan/Douglas County Crisis
Line
(509) 662-7105

CLALLAM
Peninsula Comm. Mental Health Center
(360) 452-4500

CLARK
Clark County Crisis Line
(360) 696-9560 or
1-800-626-8137

COLUMBIA
Columbia County Services
(509) 382-2527

COWLITZ
Lower Columbia Mental Health
(360) 425-6064

FERRY
Ferry County Community Services
(509) 775-3341 or 1-800-767-6081 (after hours)

GRANT
Crisis Line of Grant County
(509) 765-1717

GRAYS HARBOR
Evergreen Counseling Center
(360) 532-4357 or 1-800-685-6556

ISLAND
Island Mental Health
1-800-584-3578

JEFFERSON
Community Counseling Service
(360) 385-0321 or
1-800-659-0321

KING
Seattle/King County Crisis Clinic
(206) 461-3222 or
1-800-244-5767

KITSAP
Bremerton Crisis Clinic/Kitsap Mental
Health
(360) 479-3033

KITTITAS
Crisis Line
(509) 925-4168
(Ellensburg) or
(509) 674-2881
(Roslyn, Cle Elum)

KLICKITAT
Counseling & Resource Center
1-800-235-4765

LEWIS
Human Response Network
(360) 748-6601 or 1-800-244-7414

LINCOLN
Lincoln County Counseling Ctr
(509) 725-3001 or
1-800-767-6081 (after hours)

OKANOGAN
Okanogan County Counseling Service
(509) 826-6191

PACIFIC
Willapa Counseling Center
1-800-884-2298 or (360) 875-9426

PEND OREILLE
Pend Oreille Mental Health
(509) 447-5651 or 1-800-767-6081

PIERCE
Tacoma/Pierce County Crisis Line
(206) 272-9882 or 1-800-576-7764

SAN JUAN
N. Island Counseling and Crisis Service
1-800-584-3578

SKAGIT
Skagit Mental Health
1-800-584-3578

SKAMANIA
Skamania County Counseling Ctr
(509) 427-9488 or
after hours 911

SNOHOMISH
Care Crisis Response Services
(206) 258-4357 or
1-800-584-3578

SPOKANE
"First Call for Help"
(509) 838-4428

STEVENS
Stevens County Counseling Serv
(509) 684-4597 or 1-800-767-6081 (after hours)

THURSTON-MASON
Crisis Clinic of Thurston & Mason Counties
(360) 586-2800 or 1-800-627-2211

WAHKIAKUM
Wahkiakim County Mental Health
(360) 795-8630

WALLA WALLA
Walla Walla Mental Health
(509) 522-4278

WHATCOM
Whatcom County Crisis Services
1-800-584-3578

WHITMAN
The Palouse Regional Crisis Line
(509) 332-1505

YAKIMA
Central Wash. Comp. Mental Health
(509) 575-4200 or 1-800-572-8122

Facts About Youth Suicide in Washington State

On average, every week two young people take their lives.

Suicide is the second leading cause of death among 15 to 19 year olds.

The youth suicide rate is almost twice that of homicide.

For every completed suicide there are at least 21 suicide attempts.

Study results show that 1/5 or more of youth surveyed had seriously considered taking their own life.

Male youth are four times more likely to complete suicide; female youth are at greater risk for attempts.

Approximately 1 out of 10 youths reported having attempted suicide.

Resources are available to learn more about youth suicide and prevention:

ü Washington State Youth Suicide Prevention Committee
P.O. Box 687
Edmonds, Washington 98020
(425) 775-8920

ü Attend the class on youth suicide prevention at the Washington State PTA Convention.


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