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Suicidal tendencies, when kids see death as an answer

(1996, June 1). "Flowers at the edge of the sea." Los Angeles Times. (1996, March 23). Southern California voices: A forum for community issues platform. Los Angeles Times. (1997, March 10). "Suicidal tendencies, when kids see death as an answer." Los Angeles Times.

OVERVIEW

Suicide is the second leading cause of death among teenagers today; accidents rank first, but many of those are actually suicides. Since suicide is a compelling issue among young people, several questions need to be answered: first, why do young people want to kill themselves? Second, what are the signs of a suicidal person? Next, what do teenagers say suicide? Finally, how are schools currently dealing with this increase in teen suicides?

Consider these statistics, gathered from the articles:

  • During the past twenty years, the number of suicides has tripled among those between the ages of 15 and 29.
  • The U.S. reports more than 5,000 teen suicides a year; in 1996, Los Angeles teachers and counselors identified as many as 2,000 suicidal children.
  • One out of every twelve high school teenagers attempted suicide in 1995.
  • 30% Of teenagers have thought about suicide.
  • For every teenager that actually commits suicide, there are another 50-200 attempts.
  • The American Association of Suicidology estimates that every hour and 40 minutes, a young person kills himself.

To address the first question, why young people want to kill themselves, there are several variables and insights to consider. The Los Angeles District Attorney’s gang prevention unit recently compared 1980 and 1990 influential sources for adolescent decision making.

1980

1990

Home

Peers

School

TV

Peers

School

TV

Home

Church

Church

Teenagers in the 1980s clearly had a different view of life than do teenagers of the 1990s. Peers have become the top priority in a young person’s life. Therefore, to attain acceptance among peers, young people constantly strive to perform in front of them, look the right way, say the right thing, or just fit in. The stress from these peer pressures could tempt a teenager to wonder if such a life is worth living.

Dr. Jay Nagdimon, the director of the Los Angeles Suicide Prevention Center believes that the motivations for teen suicide are obvious. He suggests that drugs, depression, and failure at interpersonal relationships are the primary causes of teen suicides. Dr. Nagdimon adds that another strong influence facilitating suicide is societal violence: "Movies are violent, television is violent, music is violent, and sports are violent. By our obsession with violence, we make death seem easy. Even a kid can do it."

How can a youth worker identify an adolescent who may be contemplating suicide? The LAUSD Suicide Prevention Unit identifies the following as signs that a young person is at risk:

  • Depression.
  • Feelings of hopelessness.
  • Loss of interest in activities.
  • Change in appearance.
  • Previous suicide attempts.
  • A plan to commit suicide.
  • Sudden changes in behavior, eating or sleeping habits, or relationships with friends.
  • Statements such as "I want to kill myself" or "The world would be better off without me."
  • Increase in risk taking.
  • Writing or drawing about death themes.
  • Using alcohol or drugs.
  • Giving away prized possessions.
  • Withdrawing from social activities.
  • Difficulty concentrating.
  • Feelings of hopelessness.

Finally, be aware that suicidal behavior is more common among adolescents who have poor problem solving skills and who tend not to seek social support when they’re feeling troubled.

Another important perspective to explore is that of students themselves. Jessie, a school counselor states: " ‘If I could say one thing to a child about suicide, I would say, regardless of how large you think the problem is, it is never too big to share with someone else and find help or answers to whatever is bothering you. Don’t just feel you are along and that there is no one who cares.’ " Amy, 16, a high school junior, says, " ‘It’s been glamorized since the beginning of time. Romeo and Juliet was the most romantic (story) and they both take their own lives. Teens today get so wrapped up in high school life and forget there’s something bigger than the dance on Friday, that there’s a whole world out there.’ " Heidi, 17, a junior, notes, " ‘I believe that many people think that (young people talking about committing suicide) are just playing around, but when someone says, "I don’t want to wake up in the morning" they mean something by that.’ " Finally, a 13-year-old boy who tried to commit suicide but was rescued was asked, "Why did you do it?" He answered, "I don’t know." Adolescents seem to suggest that a difficulty distinguishing fantasy from reality may influence a young person’s choice to attempt suicide.

Considering the number of young people contemplating and committing suicide, how are schools currently addressing teen suicide? Suicide prevention classes began sweeping the country in the mid-1980s, after several clusters of students killed themselves and a federal court ruled that school districts could be held liable if inadequate prevention measures contributed to a death. Today, 41% of California’s public school districts have suicide education programs. Nationwide, an estimated 15% conduct such programs. Advocates of suicide education point to data showing that in California, self-inflicted deaths for older teens dropped 39% between 1970 and 1994. At the same time, the U.S. rate nearly doubled. In Los Angeles, one of two cities where the courses were piloted, the teenage suicide rate dropped from nearly three times national average to 28% below it between 1970 to 1994.

CONCLUSION

There are several key issues. First, teenagers have replaced the influences of home and family with peers and TV. More families have two parents working out of the home; there are also more single parent and divorced families than ever before. The breakdown of the home may be at the core of this and many other teenage problems. Compound this changing value system with elusive peer acceptance. The pressure to perform and to look "just right" can suffocate a teen’s purpose in life. Additionally, adolescents tend to blur reality and fantasy; they are often unable to distinguish one from the other. In this, an adolescent may not understand that he or she is mortal and destructable. One contemplating suicide may believe that he or she will not truly die—instead, just like on TV, someone will come and rescue them. Parents need to become more educated about suicide so that they can help their children before it goes too far.

QUESTIONS FOR REFLECTION AND DISCUSSION

  1. What experiences have you had with young people considering, attempting, or committing suicide?
  2. What are your thoughts on suicide? Why do you think people commit suicide?
  3. How can you help someone who is suicidal? Is it your responsibility? Whose responsibility is it to help?
  4. How can you help the friends and family of a young person who has committed suicide?

IMPLICATIONS

 

People are sometimes afraid to discuss suicide, for fear that they are actually planting seeds in someone’s mind. Yet, discussing suicide floods light upon its darkness. Parents, teachers, social workers, youth leaders must openly address suicide—risk factors, its finality, and its effect on friends and family. Also, media’s romanticizing of violence must be combatted with the truth of suicide’s unnatural death.

Scott Clark cCYS

Kurt Cobain’s death heightens spring suicide alert

Davis, W.A. (1994, April 13). "Kurt Cobain’s death heightens spring suicide alert." The Boston Globe.

OVERVIEW

When Kurt Cobain shot himself with a shotgun on April 8, 1994, suicide experts feared a spate of copycat suicides might follow. The 27-year-old Cobain had reached the status of icon for a generation. Amidst the confusion and rage of his music, one song cried, "I Hate Myself and Want to Die." The wave of grief and talk about the Nirvana star’s death was so strong that suicide experts feared a great increase in youthful suicides would follow. At least one fan, a 28-year-old Seattle man did shoot himself with a shotgun apparently partly in despondency over the star’s death. Some 65% of males and 45% of females who take their own lives, do so with a gun.

According to Margaret O’Neil (executive director of Boston’s branch of the national suicide prevention program called "The Samaritans"):

There is great concern in the field that others may emulate Kurt Cobain, contagion is something that everyone who works in suicidology is very concerned about.

O’Neil’s office receives an average of 6,000 calls per month, and the Seattle suicide produced significant attention but no significant increase in calls to the Boston office:

There hasn’t been a dramatic increase in the number of calls since Cobain’s death, but a lot of those who do call, particularly on the teen line, talk about him.

Nirvana was a leading part of the Seattle grunge sound and style. Considering that he had a successful "alternative band," a lovely spouse (Courtney Love), and a baby daughter, some found it difficult to believe he would take his life. But suicide, says O’Neil "is a matter of private pain, not public perception."

Especially noteworthy is the fact that suicide attempts increase in the spring and somewhat less in the fall.

Energy is higher in the spring (O’Neil observed), and people feel more independent and less depressed. But it is when people are starting to come out of deep depression that they are at highest risk of committing suicide. That is when they may feel empowered to take control of their life—by ending it.

Current president of the American Association of Suicidology and professor of psychology at the University of Indiana, John L. McIntosh, offers these statistics:

30,000 People commit suicide each year in the U.S.

There were 87 a day nationwide in April 1993. (Compared with 74 a day in December 1993.)

Dr. Mark Teicher of McLean Hospital in Belmont, Massachusetts says:

Suicides peak in the spring, probably as a consequence of winter, when people can become very depressed because they are forced to be inside a lot and can’t get away or benefit from the healthiness that comes with being outside.

Teicher further notes that 35 million Americans suffer from SAD (Seasonal Affective Disorder (triggered b y seasonal light changes). He believes that SAD may deepen existing depression and intensify suicidal feelings. Teicher also sees changes in temperature and barometric changes as contributing factors:

Abraham Lincoln had two bouts of suicidal depressions so severe that his friends had to lock him up to keep him from hurting himself, and both came during the two largest barometric pressure changes recorded at that time.

As to why Kurt Cobain and so many others take their own lives, experts remind us that "the reasons are very individual and situational, and often involve alcohol abuse, unemployment, mental illness, gender confusion, loss of a loved one or the ending of a relationship."

Executive director of the American Association of Suicidology, Julie Perlman, says:

People don’t become suicidal without reasons. It doesn’t happen in a vacuum, but the issues aren’t simple.

A David C. (who asked that his last name not be used) of New York City has been severely depressed and suicidal for ten years. He is also alcoholic, and his suicide attempts have often come at the end of a drinking binge. His opinion comes out of his own personal experience when he says:

Most suicidal people have multiple problems and come from families with multiple problems...The turning point for me came when I joined Alcoholics Anonymous. (After giving up drinking, he became a phone volunteer for a suicide prevention hot line and founded a self-help group known as Healing from Suicidal Pain. He also remembers spring as ‘the darkest time of all.’)

People with depression feel closer to other people in winter because everyone is depressed then. But in spring, when others start to feel better, the depressed are still depressed, and as the weather improves, the gap just gets wider. There is a lot of envy in depression, because when other people feel good, you feel worse; that is why there are also a lot of suicides around the wedding of a sibling.

The author of this article concludes:

While weather and seasonal changes are certainly factors in many suicides and suicide attempts, there are usually so many other factors involved it is impossible to say just how important they are. Suicide studies indicate that factors such as age, loneliness and repeated career or relationship failure are usually more powerful motives for self-destruction than light changes and other seasonal influences.

Davis quotes a volunteer for a support group for those who have lost someone to suicide:

Depression is a big factor, but impulsive acts take place as well, particularly among young people. Four years ago the young woman I planned to marry hung herself, seemingly without warning.

The classic signals of possible suicide attempts are

  • Sudden and unexplained improvement in mood.
  • Giving away prized possessions.
  • Making a will or discussing funeral arrangements.
  • Losing interest in personal appearance.
  • Increased use of alcohol and drugs or the taking of risks.

Above all, if there is any sense that someone is thinking of suicide, one should not be afraid or embarrassed to talk with them about it. It is critical that depressed persons verbalize their feelings and intentions.

QUESTIONS FOR REFLECTION AND DISCUSSION

  1. When someone like Kurt Cobain or a young person in town commits suicide, do you know how to discuss this with your own children or with those in your class or youth group? Do you, in fact, do so? How have these discussions gone? What activity have you found most helpful for young people around a difficult suicide?
  2. What in this article has most attracted your attention? Do you understand the nature of "copycat suicides" and seasonal influences? What in all this do you want to hear discussed?
  3. Besides the prevention of suicides, what responsibility do we have to those who suffer loss in someone else’s suicide? Might that include the death of celebrities?
  4. In planning discussions of suicide, how would you pay attention to the seasons of the year?
  5. What does the suicide of a rock star or prominent figure mean?
  6. How are we to deal with the suicidal implications of popular music?
  7. Without being simplistic, what is the relationship of faith and depression and suicide?

IMPLICATIONS

  1. There are different ways in which parents, teachers, counselors, and youth leaders must understand and respond to suicides, suicide attempts, and the hurt, guilt and fear that suicides produce.
  2. Kurt Cobain’s life, music, and suicide are all significant reflections of an age and a generation. They should be taken seriously. There are a range of differing reactions and opinions about his death. He will join James Dean, Jim Morrison, and others as a hero or even martyr for some and a "cop-out artist" for others. For most, this private and public action is significant and worthy of discussion.
  3. The seasonal aspects of suicides ought to be taken seriously, but it is important to realize these are most often a secondary factors.
  4. Behind the issue of suicide are the important matters of the meaning of life, the dignity of life, and the responsibility of relationships. Suicide is sometimes an angry act. Certainly there was rage, as well as confusion and prophecy, in the music of Nirvana and Cobain.
  5. The issue of depression as a clinical disease must always be a part of our consideration of suicide.
  6. Religious hope ought to have a place in discussions of suicide. In difficult times, we all need to review our theology of hope. And we make sure of the means by which hope is celebrated, along with the memorialization of friends’ deaths, among young people.

Dean Borgman cCYS


How to spot a teen suicide risk

Landers, A. (1988, September). "How to spot a teen suicide risk." Boston Globe.

OVERVIEW

According to Ann Landers, "One out of every four teenagers will attempt suicide before he or she is sixteen. Every minute of every hour a teenager attempts suicide. Every day, thirty-three kids will succeed."

WARNING SIGNS

  • Sudden change in behavior.
  • Dramatic change in appetite.
  • Sleeping difficulties.
  • Poor performance in school.
  • Trouble concentrating, agitation, inability to sit still.
  • Unexplained loss of energy.
  • Increased drug or alcohol use.
  • Constant feeling of worthlessness or self-hatred.
  • Excessive risk taking.
  • Preoccupation with death.
  • Giving away personal or prized possessions.

Landers continues, "It doesn’t take someone who has attempted suicide to realize that a friend has these symptoms, but it takes a true friend to reach out and try to help."

IMPLICATIONS

  • Teen suicide statistics never seem to improve. It is important to review the symptoms from time to time, particularly if you have a lot of involvement with young people.
  • Do not become exasperated if a teen exhibits only one of the listed symptoms. In most cases, it takes two or three warning signals to tip off a possible tendency toward suicide.
  • Suicide seems an easy answer to the teen. What he or she does not realize is the finality of the act. Youth workers need to emphasize that side of the issue.
  • Self-esteem, self-image, and self-acceptance will be very low in a suicidal teen. Part of helping teens is teaching them to love themselves and see that they have worth.
  • Youth leaders have the best answer for suicidal teens. The ultimate sacrifice has already been paid for them. Communicate this message to young people and start edifying them through understanding, acceptance, and friendship.

Anne Montague cCYS


Imitative suicides

Bollen, K.A. & Phillips, D.P. (1982, December). Imitative suicides: A national study of the effects of television news stories. American Sociological Review, 47, 802-809.

OVERVIEW

Previous studies by Bollen and Phillips had established that an increase of suicides occurs around the time of publicizing a suicide. However, because the previous studies dealt with weekly statistics as opposed to daily statistics, it could not be shown that the increases necessarily followed the publicizing of a suicide. This study concerned daily statistics.

DESIGN

Statistics on mortality were acquired indirectly from the U.S. National Center for Health Statistics. These were then compared with the occurrence of the publicizing of suicides on at least two of the three major television networks. Control data were taken from the seven days immediately prior to the publicizing of the suicide. Days of the week and holidays were taken into consideration and corrected for statistically.

FINDINGS

This study additionally recapitulates previous findings. The combined findings note the following that occur after a publicized suicide:

  • "Overt" suicides peak once during the first twenty-four hours following the publicizing of the suicide. They peak again six days later for another twenty-four hours.
  • Previous studies show an increase in both automobile and private plane fatalities on day three and again on day eight after the publicizing of a suicide. These are termed as "covert" suicides. The time lag between the two has prompted the suggestion that those committing "overt" suicides may have already been planning it; and those committing "covert" suicides may not have previously considered it and needed time to plan it, or they may have been more ambivalent about it.

CRITIQUE AND EVALUATION

The researchers did take holiday fluctuations and day-of-the-week fluctuations into account, and this is important. The broad national scope of the study should be sufficient to average out local fluctuations in suicide rates. Also, the large size of the sample should help minimize deviations common to smaller samples. The data from this study should be, therefore, reliable.

IMPLICATIONS

  • All kids, especially troubled adolescents, are certainly affected by a publicized suicide. This study suggests that the effect will last approximately a week. It would be wise to take the first available opportunity after a publicized suicide to discuss with kids what they are feeling about the event and about themselves. A wise youth worker will not avoid this issue.
  • There are probably also implications here for dealing with death in general, and not merely with suicide. The death of noteworthy persons, or especially of a friend of the kids, should be discussed openly.

Larry O’Connell cCYS

Global statistics

 

Global statistics. Youth Suicide League.

 

OVERVIEW

  • About four times as many young males as females commit suicide in the industrialized nations, according to the latest figures from WHO.
  • Japan and most Western European nations have relatively low rates of youth suicideófewer than 15 cases a year for every 100,000 young males.
  • The highest rates—more than 30 cases per 100,000—are found in Finland, Latvia, Lithuania, New Zealand, the Russian Federation, and Slovenia.
  • A 1994 study by the Task Force on Suicide in Canada linked suicide among young people to sexual and emotional abuse, stress, unplanned pregnancy, problems concerning sexual preference, unemployment, imprisonment, and running away from home.
  • The following table registers male and female suicides per 100,000 of 15-24-year-olds in a three-year period, in other words how many kids out of every 100,000 killed themselves. It further give an approximate ration of female to male suicides...roughly how many more boys than girls committed suicide. In the U.S. more girls try to commit suicide, but more boys succeed.

THE SUICIDE INDEX

Deaths by suicide and self-inflicted injury per 100,000 aged 15-24, 1991-1993.

 

Males

Females

M/F ratio (rounded)

Greece

3.8

0.8

5

Portugal

4.3

2.0

2

Italy

5.7

1.6

4

Spain

7.1

2.2

3

Netherlands

9.1

3.8

2

Sweden

10.0

6.7

1

Japan

10.1

4.4

2

Israel

11.7

2.5

5

United Kingdom

12.2

2.3

5

Germany

12.7

3.4

4

Denmark

13.4

2.3

6

France

14.0

4.3

3

Bulgaria

15.4

5.6

3

Czech Rep.

16.4

4.3

4

Poland

16.6

2.5

7

Ukraine

17.2

5.3

3

Hungary

19.1

5.5

3

Austria

21.1

6.5

3

Ireland

21.5

2.0

11

United States

21.9

3.8

6

Belarus

24.2

5.2

5

Canada

24.7

6.0

4

Switzerland

25.0

4.8

5

Australia

27.3

5.6

5

Norway

28.2

5.2

5

Estonia

29.7

10.6

3

Finland

33.0

3.2

10

Latvia

35.0

9.3

4

Slovenia

37.0

8.4

4

New Zealand

39.9

6.2

6

Russian Federation

41.7

7.9

5

Lithuania

44.9

6.7

7

 

Religious and social strictures against suicide may result in some under-reporting in some nations.

 

SOURCE: WHO, World Health Statistics Annual 1993 and 1994, 1994 and 1995.

Dean Borgman cCYS


Peer survivors of adolescent suicide

Mauk, G.W., & Weber, C. (1991, January). Peer survivors of adolescent suicide: Perspectives on grieving and postvention. Journal of Adolescent Research, 6(1), 113-131.

OVERVIEW

This article is essentially a research review which first briefly addresses the scope of adolescent suicide; next, examines the effects of suicide on adolescent survivors; and third, deals at length with recommendations for suicide postvention (for student recovery and readjustment) in the schools.

FINDINGS

  • The suicide rate among adolescents has been increasing over the last 25 years, but is difficult to ascertain (7,000 per year is a reasonable estimate, pp.114, 117).
  • It is a "particularly toxic form of death for peers left behind".
  • Reactions and effects include disbelief, numbness, a sense of emptiness, fear, rage, guilt, relentless depression, feelings of rejection, a sense of release, estrangement from family and friends, self-doubt, recrimination, and self-questioning.
  • Some never come to terms with the loss.
  • A school community will feel reverberations for at least 2 years following the suicide.
  • The most common reason that schools do not have postvention policies is fear of contagion.
  • Though there is some evidence for contagion it is best to have a comprehensive postvention policy, because students will discuss the suicide with or without adult guidance (and the former is best).
  • Postvention programs must include an immediate crisis response and a long-term follow-up plan (which are both discussed at length).

QUESTIONS FOR REFLECTION AND DISCUSSION

  1. Why would adolescent suicide be so troubling to many of the survivors?
  2. In the aftermath of an adolescent suicide, which individuals would need attention?
  3. How could the rationale for school postvention programs be evaluated?
  4. What would be some of the components of a responsible postvention program?
  5. What place, if any, should the church have in such a process?

IMPLICATIONS

  • Good suicide postvention skills are important for those working with youth. They, unfortunately, will probably be needed at some point.
  • The scope of the aftermath of a teenage suicide should motivate caring youth leaders to become involved in at least one of their area schools. They could have a valued role in the process if they have already developed good relationships with parents, teachers, and administrators.
  • Churches and youth programs have much to learn from this research review. Many aspects of the recommended school postvention process have direct application in these settings as well.

David Buck cCYS

   


Suicide among African-Americans is a youthful phenomenon

 

Gibbs, J.T. (1988, Spring). "Suicide among African-Americans is a youthful phenomenon." Suicide and Life Threatening Behavior, 18 (1), pp. 73-87.

OVERVIEW

Too many young African-Americans are destroying their lives either by suicide, homicide, or in fatal accidents. In the past 25 years, the overall suicide rate of African-American youth (ages 15-24) has more than doubled; males between ages 20 to 24 account for most of the increase. The female rate increased from 1.3 to 2.7 per 100,000, while the suicide rate for males mushroomed from 4.1 to 11.5 per 100,000.

The article has four goals: to examine methodological issues, to evaluate three conceptual perspectives, to discuss sociocultural factors that contribute to different rates of suicide, and to propose implications for assessment and strategies for early intervention.

METHODOLOGICAL ISSUES

Suicide is just one form of violent behavior that characterizes the self-destructive lifestyle of many low income, inner-city African-American youth. The three leading causes of death for males ages 15-24 are homicide, accidents, and suicide.

These three types of violent death appear to be related. Many accidents may be intentional and many lethal confrontations with police may be deliberate.

Karen, a recent graduate of an Ivy League college, was having difficulty in deciding whether to work or return to graduate school. She could not communicate her ambivalent feelings toward whites or her self doubts to her parents. She broke up with her boyfriend, withdrew from her friends, and argued constantly with her parents. Late one afternoon following a heated argument with her father, she was driving alone on the freeway when her car suddenly accelerated and crashed into a bridge abutment. Karen was killed instantly on the eve of her 22nd birthday.

CONCEPTUAL PERSPECTIVES

Three conceptual perspectives may help explain the epidemic of suicide:

  • The sociological approach is seen in the theory of Emile Durkheim (1867-1962). There are three types of suicide all seen in the individual’s inability to be comfortable with society. The impact of the unstable environment for many African-American youth is extremely traumatic.
  • The psychological perspective can be traced from Freud’s psychoanalytic concept that suicide represents inverted anger resulting from the loss of a loved object.
  • The ecological perspective suggests that youth suicide rates increase in proportion to the increase in age group population. Increase in competition for scarcer resources and opportunities leave youth vulnerable for suicidal behavior.

SOCIOCULTURAL FACTORS

Some sociocultural factors are positive and help prevent African-American youth from suicidal behavior. These protective elements include the strong family, the church, fraternal and social organizations, community schools, extended kin, and social support networks.

Still, other sociocultural factors add risk to the African-American youth: the breakdown in fmaily structure, decreased influence of the church, declining impact of the fraternal and social organizations, deterioration of the inner-city schools, and the weakening of social support systems may enhance suicidal behavior.

The suicide rate is higher for African-American males than for females. It is suggested that child rearing strategies may attribute to the difference. Males are disciplined more harshly, trained for independence earlier, and positively reinforced for aggression and sexuality. Females receive more nurturance, later independence training, and more reinforcement for academic training.

ASSESSMENT AND EARLY INTERVENTION

Clinicians should focus on three aspects of assessment. First, African-American youth at risk are likely to be verbally abusive, report physical problems, act out and flounder in school, and have relationships with their peers that are filled with conflict. Next, they may also be involved in persistent risk-taking, sexual responsibility, substance abuse, and delinquency. Finally, the life stress indicators should be examined (loss of parent, poverty, frequent mobility, health problems, child abuse, and others). It is important for doctors, nurses, teachers, social workers, and others to be familiar with the indicators and symptoms that put youth at risk.

Clinics should be located in inner-city schools giving access to youth in need of counseling. Prevention services should be located in inner-city neighborhoods. African-American youth identified as "at risk" should be provided with individual and family counseling. Police and community relations need improvement. Positive role models must be provided for youth whether at risk or not.

Early intervention may help prevent some suicides. As long as there remains a wide gap between the American dream of success and the ability to realize that dream, African-American youth will remain at risk.

QUESTIONS FOR REFLECTION AND DISCUSSION

  1. Is the problem of suicide in African-American youth larger than perceived?
  2. Related to suicide, what is the impact of society on African-American youth?
  3. How can support networks for African-American youth be strengthened?
  4. Can you identify the symptoms of an African-American youth at risk? List a few.

IMPLICATIONS

  • African-American youth are killing themselves at an incredibly high rate. There are many reasons for this phenomenon. Society has created an unstable environment which may facilitate inverted anger. Such instability may be a primary cause of the suicide epidemic.
  • Assessment and intervention are possible if the symptoms of at-risk African-American youth are readily recognized and treated by the many available resources.

Robert Parady cCYS

SUICIDE OVERVIEW

SUICIDE OVERVIEW

(Download this overview as a PDF)


Suicide is an international epidemic. The following table (U.N. Children’s Fund, Progress of Nations Report, 1994) highlights recent youth suicide rates (per 100,000 people) in several countries:

New Zealand

15.7

Finland

15.0

Canada

13.5

Norway

13.4

U.S.

11.1

The suicide rate reached its peak in 1977, then leveled off; and showed a slight decline in the early 1980s. However, since 1980, there has been a 120% increase in suicide among American teenagers. One in twelve teens has attempted suicide. In the U.S., about 5,000 young people end their lives each year. About 100,000 others try (estimates range from 50,000 to 250,000). Many more take their lives in "accidental" deaths (angry, drunken driving, etc.).

More girls attempt suicide than boys, but more boys die as a result of suicide attempts. The highest rate of suicide is among white males (four times the teenage average). Boys tend to use guns and violent means for suicide attempts, whereas girls are more likely to take pills. This classic pattern is changing, however, as girls are turning to more violent means.

There is a high correlation of suicide with divorce, absence of church attendance, and unemployment. Also, the influence of heavy metal rock music lyrics and videos have been noted in suicide notes.

 

KEY FACTORS IN SUICIDAL TEMPERAMENTS

  • Low self-esteem and self-confidence.
  • The tendency to set unreachable expectations.
  • Limited communication and relationships.
  • Emotional weakness in adolescent crises.
  • The influence of peer suicides.
  • A fantasy view of reality which blurs the significance of life and death.

 

SIGNALS OR CUES OF SUICIDE TO BE TAKEN SERIOUSLY

  • Depression, hopelessness, and withdrawal.
  • Changes in behavior patterns (slow and listless or reckless and defiant).
  • Verbal clues (leave-taking, termination talk).
  • The giving away of significant possessions.

 

TYPES OF SUICIDES

  • The romantic suicide.
  • The crisis suicide.
  • The psychotic suicide.
  • The depressed suicide.
  • The angry suicide.
  • Those whose suicide is a form of communication.

 

IMPLICATIONS

  • For the 20% of teenagers estimated to be seriously disturbed in our society, preventive measures are crucial. Parents, teachers, and youth leaders need to seriously look at the key factors above. Our communication and programs should deal with these.
  • Take suicidal clues or signals seriously. Talk to the person sensitively and frankly (there is no support for the idea that talking about suicide plants the idea or increases the likelihood of an attempt). Get counsel from persons qualified to judge. Refer the young person to professionals.
  • Suicides leave deep feelings among family and friends. These must be processed after any suicide.
  • Caring adults, such as youth leaders, are prime preventive factors.

Dean Borgman cCYS



EATING DISORDERS OVERVIEW

EATING DISORDERS OVERVIEW

(Download Eating Disorders overview as a PDF)


This topic deals with three dysfunctional behaviors: compulsive over-eating, anorexia nervosa, and bulimia nervosa. In the United States over a million people suffer from anorexia nervosa and bulimia nervosa. It affects 1 in 10 young women and 1 in 100 young men; these two disorders are ten times more common in women than in men.

Some eating abnormalities are common among young people. They may have grown up with, or drifted into, poor nutritional habits. They may be following some current food fads to an extreme. Or they may be over-eating to relieve stress. People in their twenties or thirties sometimes look back and remember tendencies toward anorexia or bulimia they passed through without serious trouble. They represent a second class of those dealing with food in an unhealthy way. It is when eating or abstaining from food becomes an obsession, when there is a loss of personal control, when it begins to alienate one from self or others, when there is a beginning of physical harm and emotional guilt or anxiety, that we talk about real eating disorders.

Experts gathering at a conference on obesity (December, 1998) were told that it is becoming a problem worldwide, but America still leads with the highest percentage of overweight people—affecting one-third of the entire adult population. Obesity increased by 30 percent between 1980 and 1990. It is responsible for 300,000 preventable (U.S.) deaths per year. Again, at this conference, speakers pointed out the dangers of obesity, the lack of governmental concern, and how exercise, first of all, and then a proper diet, can control the condition.

Reseachers at Cambridge University, England, are among those finding genetic cause for obesity. It is a complex story, but certain brains may not be warned to stop storing fat and therefore to stop eating. This confirms the notion that it is more difficult for some to control their weight than for others.

Some see overeating and obesity stemming from desires for compensation and protection and only secondarily concerned with punishment. Anorexia and bulimia, on the other hand, they see as stemming from desires for control and punishment and only secondarily concerned with protection.

What overeating, anorexia, and bulimia have in common are the following:

  • All are compulsive behaviors leading to addiction.
  • All are compensatory behaviors covering unmet needs.
  • All are best corrected by a four-fold treatment:
    • Physical. Medical check-up and counseling; may require hospitalization.
    • Behavior. Habits and lifestyle incentives and supports.
    • Psychotherapeutic. Individual and group therapy to reduce internal conflict and increase self-nurture.
    • Spiritual. Healing of memories and acceptance of spiritual nurture.

How overeating, anorexia, and bulimia differ:

  • Overeating is a problem of both sexes and all ages, whereas 90 percent of anorexics are female. Anorexia usually appears earlier than bulimia, in the teens or twenties.
  • Overeating may more often be a moderate condition and not severely self-destructive. Anorexia and bulimia are more severe leading to serious physical injury.

Eating disorders refers to extreme expressions of food and weight issues. They usually stem from a combination of cultural and psychological problems. The culture’s emphasis on "thinness" and perfect bodily shape and appearance contributes to the complexity and difficulty of these dysfunctional behaviors. On the other hand, there are deep feelings of inadequacy, sometimes depression, brought on by psychological or inter-personal failures. Some anorexics and overweight women may have been sexually abused as children, but there are many different patterns leading to these conditions.

A young anorexic may be a perfectionist with the following symptoms:

  • Extreme concern with body weight and shape, a distorted body image.
  • May have a compulsion to exercise.
  • Fear of weight gain.
  • Refusal to maintain weight.
  • In females, a loss of menstrual periods.

Many of those afflicted with eating disorders have felt a loss of control over their lives. This one small and tightly focused area of their lives becomes a place they find complete control and some sense of empowerment. Extreme anorexics may be determined, not only to become thin, but to extinguish life itself. Extraordinary stories of therapies tell of those who have been rescued from self destruction. We must remember that others have died.

Researchers in Oxford, England studied the differences between female and male anorexics. They found many similarities, but the men tended to be short and over-weight before they stopped eating, and were more likely to be overactive as well as anorexic. These researchers thought that men might be less likely to become anorexic because they are generally less concerned about body shape and less subject to mood disorders.

Bulimics may exhibit the following symptoms:

  • Trying different and frequent diets.
  • Having extreme concern for body weight and shape.
  • Feeling out of control during eating binges.
  • Purging by vomiting (or use of a laxative) after eating binges.
  • Repeating incidents of bingeing and purging.

It is important to stress that eating disorders:

  • Are serious emotional problems.
  • Are life-threatening.
  • Can respond to comprehensive treatment.

Those suffering from eating disorders come to realize a numbness of feeling. One website (www.geocities.com/HotSprings/5704/feelings.htm) gives a long list of adjectives helpful in discovering these emotions: "Abandoned, Absent-minded, Adamant, Agitated, Ambivalent, Angry, Anxious..." and so on through the alphabet. As feelings are owned, there is a gradual return of power and control over one’s life.

A very insightful and caring therapist and an encouraging support group are vital aspects in recovery.

QUESTIONS FOR REFLECTION AND DISCUSSION

  1. What is your experience with eating disorders? Have you ever struggled with this yourself?
  2. What is your feeling about those who exhibit symptoms of eating disorder? Why do you feel or others feel negatively toward those who are overweight or destroying themselves with food-abuse?
  3. What is most helpful to you in this article? What would you add or how would you write it differently?

 

IMPLICATIONS

  1. Teenagers struggling with eating disorders, their parents, friends and other concerned adults may have quite different reactions to this article.
  2. Serious problems such as these need to be referred to professionals.
  3. Teenagers are unusually self-conscious about their bodies and the impressions they make on their peers. Youth leaders need to be extremely sensitive to the incredibly strong feelings of hurt, fear, and anger surrounding these conditions.
  4. The unmet needs of adolescents—especially those resulting from parental deprivation or overcontrol—set an important agenda for schools and youth work.
  5. Schools and youth programs should include curricula that prevent and remedy common addictions in our society while building strong self-image and growth patterns.
Dean Borgman cCYS


Obesity

Borgman, D. (1986). Obesity. S. Hamilton, MA: Center for Youth Studies.

OVERVIEW

According to the Merck Manual (11th ed., pp. 322, 324),

Ordinary obesity is quite common, especially in middle life; extreme obesity or localized accumulation of body fat is less common and suggests unusual etiologic factors. Although heredity may play a contributory role, there is only one immediate cause of obesity: a caloric intake persistently exceeding caloric output.

If present for many months or years, overweight is associated with an increased mortality rate and decreased life expectancy. At age 45 to 50, in persons 10 lb. overweight, there is an elevation of 8% above the death rate; 20 lb., 18%; 30 lb., 28%; 50 lb., 56%.

CAUSES

For some, there may be a physical cause or attending factor such as hormonal or metabolic imbalance.

The majority of those overweight eat to fulfill the need for love and affection.

Studies show that a large percentage of obese children:

  • Are unwanted.
  • Have openly hostile mothers who push their children to compensate for unmet needs.
  • Have mothers who repress hostility with overindulgence and encourage their children to attempt to gain parental approval.
  • Hostile children may eat to ‘punish’ their parents.
  • Children with a low self-image may eat to prove their own unworthiness.
  • Hostility and fear encourage some to eat and gain weight in order to protect against intimacy—particularly with the members of the opposing gender.

Overeating as an addiction is a problem of all ages and is rarely found without accompanying symptoms. Contrary to the happy-go-lucky stereotype, most overweight persons can be insecure, moody (with some depression), or lacking in self-concern. An overweight teenage girl often feels socially out of place and athletically restricted. An obese teenage boy may also be socially and athletically limited.

TREATMENT

The following steps are essential for helping an overeater:

  • A complete physical examination and medical counseling.
  • Behavioral counseling. A program dealing with breaking habits, with schedules, exercise, and incentives (i.e., Weight Watchers).
  • Therapy attending to inner conflicts and the need for self-nurturance.
Dean Borgman cCYS



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