Suicidal behaviors in children

What are suicidal behaviors in children?

Suicidal behavior is any type of self-harm that is accompanied by an intent to die. Suicidal behaviors include:

• Investigating ways to die by suicide

• Talking or writing about death more than normal

• Talking about wanting to die or wanting to commit suicide

• Talking about feelings of hopelessness, worthlessness or having no reason to live

• Behaving recklessly, like crashing a car for no reason, or misusing drugs or alcohol

What are signs of suicidal behaviors in children?

It is normal for teens to feel sad, moody and irritable at times. But when those feelings don’t go away, it can be a sign that it’s time to get help.

Some of the signs of a suicidal child or teen include:

• Feeling very depressed

• Acting angry and moody

• Being unusually withdrawn

• Talking about wanting to die

• Feeling hopeless

• Feeling like they don’t belong

• Changing friend groups

• Losing interest in things they used to like

• Having new sleep patterns

• Feeling like they’re a burden (to themselves and their families)

How are suicidal behaviors in children diagnosed?

There are many ways to determine if someone is suicidal. At Children’s Health, our expert pediatric psychiatrists, psychologists and clinical therapists will do a full assessment of your child’s mental health.

• They’ll ask questions about self-injury or past suicide attempts.

• They’ll determine how safe your child is at home and if your child has access to weapons or medicines that could be used to hurt themselves.

• They’ll recommend the best treatment plan for your child.

What causes suicidal behaviors in children?

It’s easy to want to blame something for a teen’s suicidal behavior. But it’s important to realize that it’s nobody’s fault, and that there are usually multiple causes.

The factors that put teens at higher risk include:

• A history of self-injury or suicide attempts

• Depression and hopelessness

• Aggressive, risky or impulsive behaviors

• Family conflict

• A lack of social skills or problem-solving skills

• Drug or alcohol use

• Family history of suicide or mental illness

• Recent stress

• A recent hospital stay

• Serious sleep problems (insomnia)

• Having access to guns or medicines that might be used in a suicide attempt

• Being a sexual minority (LGBTQ+)

How are suicidal behaviors in children] treated?

Treatment

We can treat suicidal behaviors in many ways, and we’ll help you know what level of care your child needs. We offer:

• Hospital care - for children and teens who cannot be safely managed at home

• Day treatment - for children and adolescents who are safe to be at home but require a five-day-a-week program that includes school services and group therapy

• A nationally recognized intensive outpatient program (SPARC) - where teens live at home and attend school, while also getting several hours of weekly therapy

• Outpatient therapy - where you meet with a mental health professional as often as you and your child need to

Specialists

Our specialists will also team up to provide the best possible care for your child.

• Child psychiatrists - who are doctors that address your child’s mental health

• Child psychologists - who provide therapy to help your child think and act more positively

• Clinical therapists - who are licensed providers that can help your family learn skills to move forward

• Recreation therapists - who help you find activities and behaviors that improve mood

• Nurses - who can oversee all aspects of treatment, answer questions and treat any physical problems

Safety plan

At each level of care, we’ll start by creating a safety plan. This plan is a critical tool for suicide prevention.

It includes things like:

• Warning signs to watch for

• Coping skills to help your child and family

• Sources of social support so your child doesn’t feel alone

• Emergency numbers so you can get expert help when you need it

We’ll review medications your child may be taking and prescribe additional medication that may help.

Therapy

We also offer individual, family and group therapy. We approach therapy knowing that you and your child are doing your best – and that there is always room to learn and grow.

Our therapy sessions can:

• Help you see the world through your child’s eyes and help them see your perspective

• Provide tools to better cope with stress and tough emotions

• Strengthen communication and problem-solving skills

• Help you find hope to move forward

• Connect families and teens with others who have similar struggles. Families tell us this is one of the most powerful parts of treatment.

• National Suicide Prevention Lifeline

• The National Institute of Mental Health

• The Society for the Prevention of Teen Suicide

• National Institute of Mental Health