Suicide Prevention Month serves as a reminder of an often-overlooked crisis: the rising rates of suicidal thoughts and behaviors in children and adolescents. The urgency of this issue can’t be overstated, as suicide is now the second leading cause of death in children aged 10-14.
As parents and caregivers, our role in recognizing the signs of a child at risk of self-harm or suicide is beyond important; it can be life-saving. In this article, we provide vital information and actionable resources to help you know if it’s time to take immediate, appropriate action.
Understanding the Concern
The prevalence of suicidal thoughts and behaviors in children is a deeply concerning issue that demands our attention. Children between 5 and 14 years old experience suicide and suicidal ideation at alarming rates. Research shows that before age 13:
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7.5% of children experience suicidal ideation
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2.2% of children have made a suicide plan
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1.3% of children have attempted suicide
At Little Otter, we’ve conducted extensive research on this topic, which is detailed in our comprehensive report “The Hidden Crisis: Suicidality in Children as Young as 5.”
When to Worry: Key Indicators
It’s important to be aware of the signs that may indicate a child is at risk. Some concerning behaviors and specific signs that indicate immediate risk of suicide include:
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Talking about wanting to die or kill oneself
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Looking for a way to kill or hurt oneself
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Talking about feeling hopeless or having no reason to live
Call or text 988, the Suicide & Crisis Lifeline, go to the emergency room, or reach out to one of these national resources:
Warning signs indicating a serious risk of suicide include:
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Aggression
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Changes in irritability and impulsivity
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Displaying extreme mood swings
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Feelings of sadness or loss of interest
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Sleeping too little or too much
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Withdrawing from activities
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Talking of being a burden
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Isolating from friends and family
If you notice any of the above, it’s important to pay attention and speak to a mental health professional promptly. These behaviors may indicate a serious risk of suicide, especially if the behavior is new or seems related to a painful event, loss, or change.
When and How to Seek Help
If you recognize warning signs or have concerns about your child’s mental health, it’s crucial to address them promptly. Here are some steps you can take:
1. Trust your instincts: At Little Otter, we say parents are the experts of their children. If you’re worried, trust your instincts and take action.
2. Talk to your child: Directly asking about suicide won’t put the idea in their head. Instead, it shows care and opens the door for support. Here are some ways to start the conversation:
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“I’ve noticed some differences in you lately, and I’m wondering how you’re doing. I’m always here to talk to, and I want to know if you’re having any thoughts of self-harm or suicide.”
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“Given all that you’re dealing with right now, and what is happening at school, have you had any thoughts about hurting yourself or thoughts of killing yourself?”
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“I’ve noticed that you haven’t been seeing your friends as much lately, and you’re talking about ‘life not being worth it.’ Have you noticed? I know it’s hard to be a teenager. Has suicide ever crossed your mind?”
3. Seek professional help: If you’re concerned about your child’s mental health, it’s important to connect with a mental health professional who specializes in working with children and adolescents.
4. Consider a comprehensive assessment: Mental health care providers like Little Otter offer thorough evaluations. At Little Otter, we screen all children 8 and older and those under 8 with known factors for suicide risk using evidence-based screening tools and interventions.
5. In case of immediate risk: If you believe your child is in immediate danger, call 988 (the Suicide & Crisis Lifeline) or your local emergency number, or go to the nearest emergency room.
Treatment Options
Evidence-based treatments for children at risk of self-harm or suicide often include:
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Cognitive Behavioral Therapy (CBT)
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Dialectical Behavior Therapy (DBT)
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Family therapy
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In some cases, medication management under the supervision of a child psychiatrist
Little Otter’s approach includes:
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A comprehensive initial assessment with a licensed mental health provider as soon as possible with the child and parents.
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We conduct a thorough risk assessment and develop a safety plan with the child and family, if indicated.
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Ongoing, evidence-based treatment tailored to the child’s and family’s needs.
Prevention Strategies
While professional help is crucial, there are also steps you can take at home to support your child. You can find prevention strategies in our blog article, 14 Suicide Prevention Tips for Kids, Teens, Parents, and Families.
Resources
For immediate support:
For ongoing support and information:
Remember, you’re not alone in this journey. By staying attentive, maintaining open communication, and seeking professional help when needed, you play an important role in supporting your child’s mental health and wellbeing.
If you’re concerned about your child’s mental health or need additional support in navigating these challenges, consider reaching out to us at Little Otter. Our team of licensed therapists, psychiatrists, and parenting specialists is here to provide comprehensive, family-focused mental health care for children and their families.