As a therapist, parents ask me how to talk to their kids about all the tough stuff topics. My goal for this series is to address each of these topics and help you and your child navigate the more difficult areas of life.
This post is part one in how to talk to your child about suicide. Part one will explain why suicide happens and how to talk to your child about it.
Here’s a list of other tough stuff topics that I have addressed or will be in the future:
- How to talk to your kids about sex
- Talking to your child about inappropriate touching.
- Talking to your child about pornography
- Discussing the Purpose of Dating
- Self-harming Part 1 – Understanding why it happens
- Self-harming Part 2 – How to react if your child self-harms
- Suicide Part 1 – Understanding why it happens
- Suicide Part 2 – As a parent how to react if your child is suicidal
- Talking to your teens about drinking
- Talking to your teens about drugs
- How to teach your teens to follow their values – Part One
- How to teach your teens to follow their values -Part Two …And not be judgmental
And in the almost ten years of being a therapist, I’ve worked with probably hundreds of clients, young and old, who have had thoughts and attempts of suicide. It is a topic that is continuously present in the back of my mind to assess for risk and safety.
While the topic of suicide shouldn’t be that ever present in your mind, it’s essential to have an understanding of why it happens so that you, as a parent, can explain this behavior to your child.
Statistics
- According to the American Foundation for Suicide Prevention, 42,773 Americans die by suicide each year. That’s 117 people every day.
- 90% of children and adolescents who die by suicide live with a mental health condition.
- Suicide is the second leading cause of death for ages 10-24. (2016 CDC WISQARS)
- Each day in our nation, there is an average of over 3,041 attempts by young people in grades 9-12.
Myths
“Talking about suicide may give someone the idea.”
One of the most significant myths about suicide is that if you talk about the topic, it may give someone the idea.
Here’s the truth, if your child doesn’t know about suicide, you have the opportunity to share with them the finality and sadness associated with the topic. You can discuss the other options they have for dealing with emotional pain and hardships.
If your child already knows about the topic of suicide, you then have the opportunity to discuss their thoughts and what it means.
“People who talk about suicide won’t really do it.”
Think about the Bible verse – Proverbs 4:23 Above all else, guard your heart, for everything you do flows from it.
When something is on your mind or has become a focus, you tend to talk about it. Ponder it. Spend time finding out more about it.
The same is true for suicide. Some individuals will be blatant about the topic and others will talk more in themes about death, dying, and potentially the after-life.
“If a person is determined to kill him/herself, nothing is going to stop him/her.”
Everyone who kills themselves presents warning signs before completing the act. The point of prevention is to understand those risk factors and warning signs before the idea of suicide becomes too resolved.
Risk Factors for Suicide
The reason a person contemplates, attempts, or completes suicide is to alleviate pain. It may be an emotional pain due to trauma, past abuse, or current situations. Or it may be a physical pain due to chronic or severe illness.
Hopelessness
Hopelessness is the belief that nothing will get better. That life will always be bad, difficult, and traumatic.
Isolation – Real or Perceived
A person who is contemplating suicide often feels isolated. They may feel like no one understands them or they are different. The result is often to pull-back from other, thus increasing the experience of loneliness.
Lack of Future Thinking/Planning
A person who is at risk for suicide often struggles to see themselves in the future. They feel stuck in their current distress and can’t image or plan for life outside of that situation.
Believe There is No Other Option to Alleviate Pain
Of the four risk factors, this is the most effective one to alter and the starting point for any therapist. The goal is to help the person understand that there are other ways to alleviate their pain.
Suicide Warning Signs
If a person talks about:
- Killing themselves
- Feeling hopeless
- Having no reason to live
- Being a burden to others
- Feeling trapped
- Unbearable pain
Increase or change in the following behaviors:
- Increased use of alcohol or drugs
- Looking for a way to end their lives, such as searching online for methods
- Withdrawing from activities
- Isolating from family and friends
- Sleeping too much or too little
- Visiting or calling people to say goodbye
- Giving away prized possessions
- Aggression
- Fatigue
Increase or change in the following moods:
- Depression
- Anxiety
- Loss of interest
- Irritability
- Humiliation/Shame
- Agitation/Anger
- Relief/Sudden Improvement
The Difference Between Suicidal Ideation and a Suicide Attempt
Suicide Ideation
Suicide ideation is having thoughts about suicide and the end of their life. This is very common and not necessarily a sign that a person is going to attempt suicide.
Fleeting suicidal thoughts – “Life is hard, and I wish I didn’t have to do it.” If we are honest, that is a thought that each of us has had at some time or another. But that doesn’t mean we are suicidal. While having these thoughts can be disconcerting, by themselves, they don’t suggest a suicide attempt.
Suicide Plans – A suicidal plan ranges from vague with no access to detailed and specific in time and place, plus access. These are the details that I am focusing on when I am assessing for risk and a potential need for hospitalization.
Suicide Intent – Intent is resolved or determined to do something. In this case, complete suicide. The level of suicide intent is a significant risk factor.
Suicide Rehearsal – A rehearsal is not the same as a suicide attempt. The point of a rehearsal is to ensure that when a person chooses to commit suicide, the plan will work. (Testing the weight of a rope for hanging. Practicing cutting to be comfortable with the feeling and sight of blood. *Different than self-harming behavior.)
The presence of a suicide rehearsal is a significant risk factor for follow-through of a suicide attempt.
Suicide Attempt
A suicide attempt is an actual act of trying to end your life. The result is either death or a failed attempt.
Failed attempts may happen for three reasons.
- Someone or something interrupted the attempt.
- During the attempt, the person experienced regret, shame, or fear, and sought help.
- The attempt wasn’t lethal enough to end their life.
Secondary Gain – “Attention-Seeking”
Often the discussion is that if a person talks about suicide, they are just “attention-seeking.” That is a dangerous line of thinking and not entirely accurate.
Again, the reason for suicide is to eliminate and alleviate the current experience of pain. However, sometimes the source of pain feels as if no one cares, likes/loves them or wants them around.
The pain is real. The secondary gain of discussing suicide may be increased interactions and affirmations. That may become their way of alleviating their suffering. The dangerous aspect of not believing the person is “actually” suicidal is that they may receive confirmation that no one does love or care.
How to talk to your kids about Suicide
- Be proactive and upfront.
- Share with them the finality of death.
- Let them know your love and desire always to support them. No matter what!
- Ask how suicide is viewed at their school or group of friends.
- Ask if they know anyone or have any friends who are suicidal or talk about suicide.
I pray this post helps you to understand better why suicide happens and for you to feel better equipped to talk to your child about this ‘tough stuff topic.’
Also please let me know in the comments below of any other ‘tough stuff’ topic you would like me to address to help you have discussions with your children.
God bless!
Melissa
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Stacey Pardoe
This is such an important topic, Melissa. Thank you for addressing it! We have close friends who walked through this terrible loss with their teen, and it opened my eyes to the importance of keeping an open dialogue with our children. I’m saving this to share with friends!
Melissa
Thank you, Stacey! It’s a topic that we don’t often want to opening talk about because of the fear and tragedy surrounding it but our children need to know there is no topic off limits for us to share and discuss. Thank you for stopping by and God bless!
Ronja
This is an important topic to talk about, Melissa. So thank you for doing that, and for doing it so well! We really need to talk about these hard topics with our children.
Melissa
Thank you, Ronja! It is important that our children know they have the ability to talk to us about anything and everything – not matter how hard the topic is.
Char
It is so important to talk honestly with her children about suicide. Sadly it seems to be more and more prevalent. Maybe were just hearing about it more. Nonetheless, I I think talking openly and honestly about it with our children is a must! Great article Melissa.
Melissa
Thank you, Char! It is more prevalent and we are hearing about it more so it’s not a topic we can or should brush under the rug. Thank you for stopping by and sharing your thoughts. God bless!
Debbie Wilson
Melissa, this has become common in our area. I’m glad you have brought it out and addressed it and informed us on this subject. I believe our children are in a spiritual battle. I like Neil Anderson’s books on Victory Over the Darkness and the Bondage Breaker. For those who are struggling with self-defeating thoughts and feeling worthless, he provides great resources.
Melissa
Unfortunately, it has become common in most areas. I’m glad you found the post beneficial and thank you for the recommendations. God bless!
Alyson | WriteThemOnMyHeart
Hi Melissa, Thank you for this thoughtful and insightful post on this difficult topic. I agree that our kids need to know that no topic is off limits for discussion. If they feel comfortable talking to us, then they hopefully won’t feel all alone (one of the symptoms).
Melissa
Yes, the perceived view of isolation and loneliness is a huge proponent of suicidal ideation. Breaking down that wall and helping our kids to know they don’t have to deal with issues alone can be so protective. Thank you for stopping by and sharing your thoughts. God bless!
Carla
Such good advice and dispels so many misconceptions about suicide,
Melissa
Thank you, Carla. God bless!
Ryan @ SpiritualParent.org
Thanks for this practical information on such an important topic, Melissa. I found the questions to ask your children particularly useful.
Melissa
Thank you, Ryan. I’m glad you found the post beneficial. God bless!
Sunshyne Gray
Melissa, Thank you for covering a topic that is seldom discussed. Looking forward to part 2. ~Sunshyne
Melissa
Thank you, Sunshyne. You’re right, it’s not often discussed because of the gravity of the topic, but it’s one we can’t shy away from. Thank you for stopping and God bless!
Rebecca Jones
Last week I had someone talk to me, I gave her my best advice and told her to seek professional help if she needed to, when I checked back with her, she appeared better. I got a prayer request but the boy died after hanging himself and then I heard of a pastor’s suicide. The only attempt I was close to did involve overwork and caregiving, thankfully he survived but His workload and mother’s death, pushed him to the brink. Iti s a talk that people should have with children and adults and the church needs to step up to battle this spirit.
Melissa
Unfortunately, suicide has become an “option” for far too many people. We live in a society that doesn’t know how to handle distress and suicide has become a way to solve the problem. Thank you for stopping by and sharing your situation. God bless!
Jill
Thank you for this article, Melissa! It really hit all the bases (without hitting us over the head . . . well, an article about suicide should do that to some point, but I’m left feeling motivated rather than overwhelmed). I’ll be passing this on!
Melissa
Thank you so much, Jill, for your support and encouragement. Suicide is not an easy topic to discuss and not be too depressing. Thank you for stopping by and sharing your thoughts. God bless!
Mary Geisen
Thank you for addressing this timely topic. You provide such good insight and knowledge.
Melissa
Thank you, Mary. God bless!