Dr.LisaBoeskyTroubledTeenExpert.com 1
Children, Teens & SuicideWho Is Most at Risk and 10 Ways
We Sometimes Get It Wrong
CICMH—March 2017
Dr. Lisa BoeskyTroubledTeenExpert.com
vHeadlines
vFrightening Increases
vTragedies
vEnding Suffering
vHispanic Youth
vGirls vRatesvTheories
¡ More Research NeededvCommunication & Conflict w/ __________vBorn in US v“Different”
Dr.LisaBoeskyTroubledTeenExpert.com 2
vMental Health DisordervAlcohol/DrugsvAnger/AggressionvFamily vSchoolvRigid/All-or-NonevDiscipline/Legal vPast SI/SA
vStress
vSocial
v50vComplexvResearchvGroup
vNew & Different¢ In practice?
vBelongingvBurdenvCapability
(Joiner, 2005)
Dr.LisaBoeskyTroubledTeenExpert.com 3
v Moodv Less pleasure
v Fatiguev Guilt/Shamev Concentration
v Flat/Apathetic
v Aggressionv Restless/Slow v Appetite/Sleep
v Statements*v Death v Inadequate, hopeless, or
guiltyv Gives away possessionsv Withdrawn/isolated
v Personality changev Not usual routinev Neglects hygienev Self-destructive or
Risky bx
v Previousv Exposurev Hospitalizationv Medicationv Traumav Mental Health
v Substance Usev Anger/Violencev Family Historyv Risk Factors*
Ø Protective Factors
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vAlone vEasy AccessvSupervision vCaretaker AttitudevSupportvSolid SP Program
Interview
vKey QuestionvS-A-L
¡ Previous? ¡ How? ¡ Hospitalization?¡ Scars?¡ Happening?¡ Not? Coping?¡ Coping? ¡ One thing?
vC-SSRSvSIQvSPSvSBQ-RvBSIvRFL-A
vSOS
v4/5 Questions
v Pros & Cons
Dr.LisaBoeskyTroubledTeenExpert.com 5
• Careless• Should have, not done • Done, should not have • Agency, group, individual • Not all-knowing• “Reasonable”
vClinically
vLiability
Dr.LisaBoeskyTroubledTeenExpert.com 9
vMalevBlackvHanging, Suffocation, Strangulation
vHome
vFamily/Friends vADHD
v30%
(Sheftall et al., 2016)