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Talking about Suicide

Talking about Suicide

This morning our little community of Stone Oak in San Antonio, Texas was devastated by the news of an 8th grade boy who, last night, took his own life.

I am a trauma-informed trained crisis counselor who works with many of the youth in our community. This one hits particularly close to home. While I don’t know the family personally, I know many people who are connected with them or to them in some way or another. The kids in our community, whether they are ours or friends of our children, are all of our kids. 

As our community grieves, I want to give parents and kids some resources and ways to open up dialogue and communication in your own home about this often-silent topic. 

Here are some tips for parents to talk with your kids about suicide:

Use the word: When you talk about it, use the words “suicide” and “killing yourself.” Be direct with your child. Don’t circumvent the issue. Don’t say, “Have you ever thought about, you know, doing something to yourself?” Say it out loud. The words make it real for everyone. 

Ask: The National Suicide Prevention Lifeline recommends the following questions be asked to address current suicide ideation or intent (commanly referred to as S/I): Are you thinking of suicide? Have you thought about suicide in the last two months? Have you ever attempted to kill yourself? As uncomfortable as these questions can be to ask, they are important ones. It’s also important to ask if they know of people or friends that talk about suicide or ending their lives. 

Be prepared: If your child answers “yes” to any of the three questions, take it seriously. It is not a ploy or gimmick for attention. I can’t tell you how many parents I have had call me over the years tell me “I think they are just attention-seeking.” If your child tells you they have thought about killing themselves, believe them. 

Check-In Often: Things change on a dime in a child or teenager’s life – friendships shift or end, romantic relationships go awry, pressure for grades can mount, peer-pressure, feeling like they don’t fit in or have a purpose…..there’s a litany of things that can pile on, and fast. Talk with your child about their goals, how they feel about the changes in their life, and what pressures or stress they are currently feeling.

Seek Help: If you think your child is depressed or has changes in behavior, contact a professional immediately. Don’t wait to see if it “blows over” or “is just a phase.” A counselor that specializes in depression, self-injury and one that has crisis and suicide experience is important. 

Listen: Someone asked me today what the signs are for someone in trouble. The answer to that is……there is no perfect formula or way to know exactly. Sometimes there are whispers. Sometimes there are screams. Often there is silence. Watch for all three, along with the below warning signs.  

The National Suicide Prevention Lifeline has the following list of warning signs to help determine if a loved one is at risk for suicide:

– Talking about wanting to die or kill themselves

– Looking for a way to kill themselves, such as searching online or buying a gun

– Talking about feeling hopeless or having no reason to live

– Talking about feeling trapped or in unbearable pain

– Talking about being a burden to others

– Increasing their use of alcohol or drugs

– Acting anxious or agitated; behaving recklessly

– Sleeping too little or too much

– Withdrawing or isolating themselves

– Showing rage or talking about seeking revenge

– Displaying extreme mood swings

I give my clients (teenage and otherwise) the following resources to plug into their phones:

National Suicide Prevention Lifeline: 800-273-8255

24/7 Crisis Text Line: Type “Hello” or “Hi” or “I’m Here” to 741741 and a Trained Crisis Professional will respond instantly. 

Keep the dialogue in your home open. Let’s reach out to those that feel alone, hopeless and desperate. Talking about suicide is uncomfortable and painful, but necessary. And could save someone’s life. 

How to Choose a Counselor for your Child

How to Choose a Counselor for your Child

School is out for the first semester, and maybe your child is struggling with a transition or an issue that needs some outside help. That’s when a counselor might be the answer. A good counselor can help someone work through challenges, problems and sorting out life’s pressures.

There are some important things to consider when choosing who will work with your child. Make sure you have an initial phone consultation with any potential counselor and find out the following:

1) Availability – Some counselors book appointments only during work hours, and others offer weeknight and weekend hours to accommodate school, sports and other activities. Some counselors offer in-home or distance counseling options as well.

2) Specialization – Make sure the counselor is adept in the specific area you need. Does your child have anxiety, depression or a substance use issue? Do you need someone with experience with eating disorders? Children under age 10 usually benefit from someone who is a Registered Play Therapist. Ask a counselor upfront about their area(s) of specialization.

3) Payment – Find out about the payment options offered by the counselor or counseling practice – do they take insurance or are they cash-pay only? And what payment types are accepted? Some counselors (such as myself) offer discounts for military or first responders. I also offer discounts for multiple, pre-paid sessions. Don’t be afraid to ask if there are options for discounts.

4) Consistency – The therapeutic process is maximized when there is consistency. Make sure you are willing – and able – to commit to a regular appointment schedule. Oftentimes, people make the mistake of thinking that one or two appointments here and there are enough. A lot happens in the weekly life of a child or teenager!  Regular, scheduled appointments will help bring the best results.

5) Credentials – Be careful with this one. Vet the credentials of any potential counselor. Some people take “online certification” courses and call themselves a counselor. Make sure yours holds a minimum of a Master’s Degree and is licensed to practice in in the state where you live. You can verify credentials at any Department of State Health Services’s website.

Above all, make sure your child is comfortable with the counselor they visit. The therapeutic relationship will work only if your child feels the counselor is someone they can work with and confide in. Good luck with your search!