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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”

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vMental Health DisordervAlcohol/DrugsvAnger/AggressionvFamily vSchoolvRigid/All-or-NonevDiscipline/Legal vPast SI/SA

vStress

vSocial

v50vComplexvResearchvGroup

vNew & Different¢ In practice?

vBelongingvBurdenvCapability

(Joiner, 2005)

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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guiltyv Gives away possessionsv Withdrawn/isolated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

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• Careless• Should have, not done • Done, should not have • Agency, group, individual • Not all-knowing• “Reasonable”

vClinically

vLiability

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vMalevBlackvHanging, Suffocation, Strangulation

vHome

vFamily/Friends vADHD

v30%

(Sheftall et al., 2016)

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vChecklist

vContracts

vOne-Time Event

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