Showing posts with label teen suicide. Show all posts
Showing posts with label teen suicide. Show all posts

Thursday, April 2, 2009

Sue Scheff: Teenage Depression


Source: USA Today


Experts: Doctors should screen teens for depression.


If you have teens or tweens, government-appointed experts have a message: U.S. adolescents should be routinely screened for major depression by their primary care doctors. The benefits of screening kids 12 to 18 years old outweigh any risks if doctors can assure an accurate diagnosis, treatment and follow-up care, says the independent U.S. Preventive Services Task Force.
It’s a change from the group’s 2002 report concluding there wasn’t enough evidence to support or oppose screening for teens. The task force, though, says there’s still insufficient proof about the benefits and harms of screening children 7 to 11 years old.


Depression strikes about 1 out of 20 teens, and it’s been linked to lower grades, more physical illness and drug use, as well as early pregnancy.


Questionnaires can accurately identify teens prone to depression, plus there’s new evidence that therapy and/or some antidepressants can benefit them, the expert panel says in a report in today’s Pediatrics . But careful monitoring is vital since there’s “convincing evidence” that antidepressants can increase suicidal behavior in teens, the report says.


Accompanying the task force advisory in Pediatrics is a research review saying there have been few studies on the accuracy of depression screening tests, but the tests “have performed fairly well” among adolescents. Treatment can knock down symptoms of depression, say the reviewers from Kaiser Permanente and the Oregon Evidence-Based Practice Center in Portland, Ore.


In a “show me the money” volley back, pediatricians also weigh in on the topic in today’s issue of their journal. Insurance plans and managed care companies that stiff or under-pay pediatricians for mental health services throw up barriers to mental health care in doctors’ offices, says the American Academy of Pediatrics. Kids’ doctors should be compensated for screenings, as well as consults with mental health specialists and parents, AAP recommends.

Thursday, February 19, 2009

Parents Universal Resource Experts - Sue Scheff - Teen Suicide and Depression


If your teen tells you he or she has been experiencing suicidal thoughts or feelings, or if you think your teen may be feeling suicidal but is not telling you, get help immediately. Do not call your teen’s bluff- take all mentions and threats of suicide seriously. There are many mental health professionals trained to deal with suicidal feelings and suicide specifically in teens, and many pediatricians or family physicians can refer parents to specialists if there is an urgent need for your teen to be treated. Another resource is your local emergency room. If your teen is suicidal, do not leave him or her alone, and do not wait for an appointment to see a doctor or specialist- take your teen immediately to the closest ER, where a psychological evaluation can be performed without an appointment. This can literally be the difference between your teen’s life and death.


Some less obvious signs that your teen may be contemplating suicide include depression, withdrawal from daily activities your teen once enjoyed, dramatic personality shifts, drug or alcohol use, lack of attention to personal hygiene, violent behavior or outbursts, running away, decline in school attendance and grades, and change in sleeping patterns. Also, if your teen has already attempted suicide once before, they may be more likely to try again if adequate treatment was not received following the first attempt.


Other behaviors may include: giving away important personal belongings, statements by your teen that he or she is a “bad person” or that he or she “won’t be a problem for much longer”, or any signs of psychosis, which can include hallucinations or bizarre thoughts. According to NIMH, often times many of these warning signs go without notice by family and friends until it is too late. Further complicating matters, just because your teen is exhibiting any of these signs does not mean he or she is suicidal. This is why it is crucial to keep the lines of communication open between yourself and your teen. There is no better way to predict or decipher suicidal feelings than to simply ask your teen how he or she is feeling.

Thursday, July 31, 2008

A Relentless Hope: Surviving The Storm of Teen Depression


A Relentless Hope: Surviving The Storm of Teen Depression
By Gary E. Nelson

(Published by Cascade Books, an imprint of Wipf & Stock, a traditional publisher)



Depression and related illnesses threaten to wreck the lives of many teens and their families. Suicide driven by these illnesses is one of the top killers of young people. How do teens become depressed? What does depression feel like? How can we identify it? What helps depressed teens? What hurts them? How do families cope with teen depression?

In, A Relentless Hope, Dr. Nelson uses his experience as a pastor and pastoral counselor to guide the reader through an exploration of these and many other questions about depression in teens. He's worked with many teens over the years offering help to those confronted by this potentially devastating illness. The author also uses the story of his own son's journey through depression to weave together insights into the spiritual, emotional, cognitive, biological, and relational dimensions of teen depression. The book is written for those without formal clinical training, so it appeals to teens, parents, teachers, pastors, and any who walk with the afflicted through this valley of the shadow of death. Through careful analysis, candid self-revelation, practical advice, and even humor, this pastor, counselor, and father, reminds us God's light of healing can shine through the darkness of depression and offer hope for struggling teens and their families.

Visit www.survivingteendepression.com for more information.

Friday, May 23, 2008

Sue Scheff: Teen Depression


A Relentless Hope: Surviving The Storm of Teen Depression
By Gary E. Nelson

(Published by Cascade Books, an imprint of Wipf & Stock, a traditional publisher)


Depression and related illnesses threaten to wreck the lives of many teens and their families. Suicide driven by these illnesses is one of the top killers of young people. How do teens become depressed? What does depression feel like? How can we identify it? What helps depressed teens? What hurts them? How do families cope with teen depression?

In, A Relentless Hope, Dr. Nelson uses his experience as a pastor and pastoral counselor to guide the reader through an exploration of these and many other questions about depression in teens. He's worked with many teens over the years offering help to those confronted by this potentially devastating illness. The author also uses the story of his own son's journey through depression to weave together insights into the spiritual, emotional, cognitive, biological, and relational dimensions of teen depression. The book is written for those without formal clinical training, so it appeals to teens, parents, teachers, pastors, and any who walk with the afflicted through this valley of the shadow of death. Through careful analysis, candid self-revelation, practical advice, and even humor, this pastor, counselor, and father, reminds us God's light of healing can shine through the darkness of depression and offer hope for struggling teens and their families.

Dr. Nelson is available for speaking engagements, workshops, and interviews. See the contact page for information about reaching him. http://survivingteendepression.com/index.html

Sunday, April 27, 2008

Parents Universal Resource Experts (Sue Scheff) Inhalants A Deadly Drug of Choice


By PATTY PENSA
South Florida Sun-Sentinel

FORT LAUDERDALE, Fla. — Jason Emanuel was a troubled 20-year-old whose drug of choice was keyboard cleaner.

He sucked can after can of products such as Dust-Off until his lips turned blue and the euphoria set in. He came to a Delray Beach, Fla., sober house to get clean.
Instead, he was arrested for “huffing” three times over four weeks and died after his final high set off a seizure.

Jason Emanuel’s case reflects the danger of household products in the hands of young people looking for an easy hit. Indeed, Emanuel chose inhalants because there is no middle man, other than a checkout clerk. Compared with other drugs, the number of people who die from inhalants is small, but there is growing concern over the No. 1 drug of middle-schoolers, who studies show see huffing as a low-risk hit.

“Jason was not a criminal,” his adoptive father, Chris Emanuel, said. “He wasn’t a guy that would stick up the 7-Eleven. He had a problem and eventually it defeated him.”

The coroner’s report, which determines cause of death, is not complete yet.

Chris Emanuel last saw his son in mid-December, about the same time the North Carolina native was first arrested in Boynton Beach, Fla. Twice police found him in his car huffing outside Wal-Mart. A third time, he was outside SuperTarget. Each time, he appeared unsteady on his feet and was incoherent, according to police reports.

Using Jason Emanuel as an example, police in January called a news conference to warn parents about huffing. They called him the “poster child” for inhalant abuse. More than 2 million kids ages 12-17 chose an inhalant to get high, according to the Alliance for Consumer Education, which operates the Web site inhalant.org.

What they huff is found at home, with more than 1,400 household products as potential hits.
“This is a tragic situation that highlights the dangers of inhalant abuse and should force every parent to have a conversation with their children about the deadly consequences,” police spokeswoman Stephanie Slater said in a statement.

Inhalants affect the body like alcohol does: slurred speech, lack of coordination and dizziness. Some users experience hallucinations and delusions. More severe are the long-term effects, such as liver and kidney damage, hearing loss, limb spasms and brain damage.

Because the high lasts only a few minutes, users prolong the feeling by huffing for hours. Chemical-induced cardiac arrest can happen any time, said Dr. Jeffrey Bernstein, medical director of the Florida Poison Control covering South Florida.

Even without an autopsy, Jason Emanuel’s final encounter with police on Feb. 26 reveals the role inhalants played in his death. Days before, he was kicked out of the Delray Beach halfway house where he came to get sober. For three days he lived in his car, and on the last, sheriff’s deputies were called to Wal-Mart west of West Palm Beach, Fla.

Jason Emanuel told the deputies he had been huffing that afternoon, said Sheriff’s Office spokeswoman Teri Barbera. Paramedics took him to the hospital and, on the way, he suffered a seizure and stopped breathing.

On average, 100 to 125 people across the United States die from inhalants annually, said Harvey Weiss, spokesman for the National Inhalant Prevention Coalition. But the numbers may be higher, he said. There is no national clearinghouse on inhalant-related deaths.

An interim report from Florida’s medical examiners attributes three deaths to inhalants in 2007. In contrast, cocaine killed 398 people in the state last year. The prescription drug Oxycodone claimed 323 lives. Anti-drug advocates say inhalants are just as dangerous.

“You see kids on YouTube joking around, laughing and having fun, and the risk really isn’t conveyed,” said Colleen Creighton, the consumer alliance’s executive director. “The frightening thing for us is how young the kids are who are using.”

A government study released last month showed inhalants are the drug of choice for 12- and 13-year-olds. As they get older, many teens switch to marijuana.

Jason Emanuel was the opposite. His father said he smoked marijuana in high school but took up huffing about a year ago.

“He got off marijuana because he didn’t like finding dealers,” he said. “You can go to any place and find an inhalant.”

Jason Emanuel grew up in an upper-middle-class neighborhood in Charlotte, N.C. The product of private schools, he was a bright kid who had big ambitions. Ultimately, he dropped out after his first semester at Appalachian State University to go into rehab.

His parents sent him to rehabilitation centers around the United States, but he veiled his troubles to his friends.

“He just didn’t act like someone who was a drug addict,” Elliot Engstrom, 19, a childhood friend, said.

“With my generation, people get so concerned with drugs you hear about in pop culture. That’s really not the problem. It’s the prescription drugs and the stuff you buy at Wal-Mart.”

http://www.inhalant.org/