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Talking about Suicide

Talking about Suicide

This morning our little community of Stone Oak in San Antonio, Texas was devastated by the news of an 8th grade boy who, last night, took his own life.

I am a trauma-informed trained crisis counselor who works with many of the youth in our community. This one hits particularly close to home. While I don’t know the family personally, I know many people who are connected with them or to them in some way or another. The kids in our community, whether they are ours or friends of our children, are all of our kids. 

As our community grieves, I want to give parents and kids some resources and ways to open up dialogue and communication in your own home about this often-silent topic. 

Here are some tips for parents to talk with your kids about suicide:

Use the word: When you talk about it, use the words “suicide” and “killing yourself.” Be direct with your child. Don’t circumvent the issue. Don’t say, “Have you ever thought about, you know, doing something to yourself?” Say it out loud. The words make it real for everyone. 

Ask: The National Suicide Prevention Lifeline recommends the following questions be asked to address current suicide ideation or intent (commanly referred to as S/I): Are you thinking of suicide? Have you thought about suicide in the last two months? Have you ever attempted to kill yourself? As uncomfortable as these questions can be to ask, they are important ones. It’s also important to ask if they know of people or friends that talk about suicide or ending their lives. 

Be prepared: If your child answers “yes” to any of the three questions, take it seriously. It is not a ploy or gimmick for attention. I can’t tell you how many parents I have had call me over the years tell me “I think they are just attention-seeking.” If your child tells you they have thought about killing themselves, believe them. 

Check-In Often: Things change on a dime in a child or teenager’s life – friendships shift or end, romantic relationships go awry, pressure for grades can mount, peer-pressure, feeling like they don’t fit in or have a purpose…..there’s a litany of things that can pile on, and fast. Talk with your child about their goals, how they feel about the changes in their life, and what pressures or stress they are currently feeling.

Seek Help: If you think your child is depressed or has changes in behavior, contact a professional immediately. Don’t wait to see if it “blows over” or “is just a phase.” A counselor that specializes in depression, self-injury and one that has crisis and suicide experience is important. 

Listen: Someone asked me today what the signs are for someone in trouble. The answer to that is……there is no perfect formula or way to know exactly. Sometimes there are whispers. Sometimes there are screams. Often there is silence. Watch for all three, along with the below warning signs.  

The National Suicide Prevention Lifeline has the following list of warning signs to help determine if a loved one is at risk for suicide:

– Talking about wanting to die or kill themselves

– Looking for a way to kill themselves, such as searching online or buying a gun

– Talking about feeling hopeless or having no reason to live

– Talking about feeling trapped or in unbearable pain

– Talking about being a burden to others

– Increasing their use of alcohol or drugs

– Acting anxious or agitated; behaving recklessly

– Sleeping too little or too much

– Withdrawing or isolating themselves

– Showing rage or talking about seeking revenge

– Displaying extreme mood swings

I give my clients (teenage and otherwise) the following resources to plug into their phones:

National Suicide Prevention Lifeline: 800-273-8255

24/7 Crisis Text Line: Type “Hello” or “Hi” or “I’m Here” to 741741 and a Trained Crisis Professional will respond instantly. 

Keep the dialogue in your home open. Let’s reach out to those that feel alone, hopeless and desperate. Talking about suicide is uncomfortable and painful, but necessary. And could save someone’s life. 

Blog Post: Boundaries

Blog Post: Boundaries

What do the following topics have in common?

  • a mother who has a child consistently breaking curfew – and she has found pot in the child’s room
  • a parent insisting on random UAs for their child who has been dabbling in various substances
  • a couple assigning tasks to their blended large family which include household chores and limits on when they will drive and pick-up kids from unplanned or spontaneous plans
  • a client being reminded to be on time for appointments, or they will be charged for a full hour

They all involve boundaries – either lack thereof or the need to enforce them. Lately, I’ve been discussing boundaries at length with clients, co-workers and friends.

Mention the word “boundaries” to anyone and people usually cringe. For some reason, the word has a negative connotation and sometimes, reaction. The opposite is, in fact, true. Boundaries, when reasonable and clear, set expectations and limits within all of our relationships – be it romantic, work, friend or parent/child. Boundaries set a standard and ensure a baseline of trust, which is a necessary component for any successful relationship.

One thing that makes me simply nash my teeth to powder is when a parent tells me, when discussing boundries, is, “Well, they’re over 18, I have no say,” or “They’re an adult, I can’t do anything about it.”

Um, huh? What? Did you really just say that? You can and need to do everything about it.

So parents, I ask you this: do they live in your house? Yes? Then set boundaries.

Are you paying for their living expenses? Yes? Then set boundaries.

Are they going down a path that is high-risk? Yes? Then set boundaries. Now.

A father recently came to my clinic to talk about his oldest child, an adult, who moved back home after years of heroin use. The child has been in and out of rehab. Nothing is sticking, and the using is getting worse. The child stayed clean for a bit of time, but recently relapsed. The child was stealing from his parents and lying to cover up the substance use. We discussed treatment options. I suggested that based on the current status of things, it was probably time for an intervention to take place.

“Well, I don’t want to kick a dog when it’s down,” the father said. “I’m not sure now is the time for that.”

Boundaries are severely lacking in all aspects of this child’s life. We talked about boundaries as a gift, not a punishment. I added to the father that if this didn’t happen, his child might not have another chance to steal money from him – because the child most likely will succumb to his addiction. In this case, boundaries will more likely than not serve as a life-saver.

I struggled with boundaries soon after opening my private practice.  I had clients that would text me at all hours of the night and if I was up, I would usually engage in texting with them. But it was taking an emotional toll on me. I can’t be available 24/7, and I wasn’t doing my clients any favors. So, I stopped answering texts and calls after a certain time at night and let those clients know that I was not available during those times. It was a boundary I needed to set, one they respected, and it benefitted us both in the long run.

So set your boundaries, and never apologize for doing so. Your relationships will thrive – not suffer.