Hello, and welcome
to "Wonderfully Made"
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Our topic today is
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"Crisis Intervention
for Teens and Young Adults"
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My name is Dr. Stephen Campbell
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and I will be your
host for this program today
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This program is very
important for parents, teachers,
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and those who
work with young adults
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We know that our world
is in a state of crisis
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and our children and young
adults are also experiencing
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a lot of stress that
is forcing them to look at
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many different
alternatives for coping.
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You would recall that 3% of
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children between the ages
of 14 to 24 have tried suicide
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at some point in their lives.
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It is one of the highest
suicide rates in the country
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As a matter of fact, it
is the 3rd leading cause of
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death for adolescents.
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Over 700,000 students or
children, attempt suicide
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and unfortunately, about
5,000 end up losing their lives
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in the United States alone.
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Most parents are not aware
of the emotional hurdles that
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their children go through.
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Most parents are more
concerned with being parents
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which, in and of itself, is
a very difficult role to take
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and may not
understand the changes that
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the adolescent goes through
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As the result of that, many
of them miss very subtle clues
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that their children may be
experiencing emotional stress
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Children, at
present, in our society...
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they are bombarded with so
much material from the media,
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from their friends, and
also from their communities
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And since adolescence is
one of the most difficult
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periods in life, these
children are exposed to
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an awful lot of stress
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That period of adolescence
which is known as the period of
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"stress and storm" is
one in which the child
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goes through many
psychological changes
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They are confused at times
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They feel overwhelmed
with the stress to achieve
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Sometimes these
pressures come from parents,
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and other environmental factors,
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and many times, they end up
getting depressed because of
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the inability to cope
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When that happens, the child
may feel that suicide may be a
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solution to their problem...
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And this is why this topic
is very important for parents,
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teachers, and also
those who are caretakers
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If you think about the role
and responsibility of parents,
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it is very easy to take care
of the colds and the fevers,
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and also the different aches
and pains that the children
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experience every day...
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and most parents feel
comfortable in that role
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However, when the child starts
to experience emotional crisis,
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most parents are not
ready and able to handle those
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It behooves them, however,
to make sure that they get
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professional help when they feel
that it is out of their control
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Depression is a major
issue with adolescents
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and many times, those
symptoms are ruled out as being
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unimportant because most
adolescents have a lot of
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mood swings...
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They tend to have more
conflicts with their parents
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and so parents can ignore
subtle signs that they may be
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struggling with
an emotional crisis
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It is crucial that
those of you who are viewing
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keep in mind the many
children who may be at risk
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in your communities,
and also in your countries
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For example, American
Indians and Alaskan natives
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have the highest suicide
rate between the ages of 15-24
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in the United States.
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Taken into consideration the
fact that boys are 4 times more
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likely to commit
suicide than girls,
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it behooves us that we
should pay strict attention
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to many of these
teens and young adults
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with the hope that
we can prevent them from
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taking their lives.
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There are many risk
factors associated with suicide,
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and I would like to spend
a few minutes talking to you
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about these risk factors...
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As you can see, these
factors are very important
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for parents to be aware of...
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especially when it
comes to loneliness.
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A lot of teens depend on their
friends for emotional support
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And when they're
ostracized from their friends,
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in school, in
their neighborhoods,
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or even among family members,
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it does cause them to
feel depressed at times.
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Psychopathology in
terms of mental illness that a
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person may have is
also a risk factor...
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However, suffering
with a mental depression,
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or having a mood disorder, is
much more significant for teens
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...since most of the
time teens will experience
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feelings of hopelessness,
helplessness, worthlessness,
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and these can also
lead them to become more
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at risk for committing suicide.
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Let us look at
some more factors...
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These are also
crucial in terms of presenting
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as risk factors for teenagers.
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Substance abuse is a
significant factor because
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this is the age where
most teens tend to experiment
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with drugs and alcohol.
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Once the teen tries any
of these, their judgment
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becomes impaired.
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They may become more impulsive,
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and as a result,
may make bad decisions
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which puts them at risk.
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Physical and sexual abuse
is also another crucial factor
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Most individuals who have been
physically or sexually abused,
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end up feeling somewhat
worthless about themselves...
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And feelings of worthlessness
is definitely a risk factor.
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Also, bullying and harassment
must be taken seriously
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when we start looking
at risk factors for teens.
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Many times teenagers are afraid
to go to school because of the
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pain and suffering
they experience from having
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to deal with
bullies in their classes.
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Let us look at some of the
other factors at this point...
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These are crucial risk factors
because if the child is unable
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to deal with these,
they're certainly going to be at
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additional risk.
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Having to be in an environment
where they are unable
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to feel a sense of family...
with parents and other siblings
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is certainly a
major risk factor.
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Many times, teens who find
themselves in these situations
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feel rejected and abandoned
and usually turn to others
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for some sort of comfort.
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This is a crucial point
in terms of getting involved
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with gang
activities, and other types of
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self-destructive behavior.
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I want you to keep in mind
that all of these risk factors
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do not necessarily mean
that teens and young adults
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who have these
will commit suicide.
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It all depends on how the
child deals with these factors
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will determine
if they're at risk.
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There are also a
number of protective factors
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that have been shown to
prevent teens and young adults
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from committing suicide,
and I would like us to spend
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a few minutes looking at
some of these protective factors
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that have been
substantiated with literature,
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and the field in general...
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Let us spend a few minutes
talking about these first
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protective factors.
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It is so important for children
to feel as though they're
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part of the family, and
there's a certain amount of
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connection between
siblings, between parents,
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and a sense of connectedness.
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Also, if the child feels as
though they are experiencing
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a certain amount of warmth,
and caring from their loved ones
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and that there's enough
culture and religious beliefs
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built into their life...
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These are the types of
things that will prevent them
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from looking at
suicide as an alternative.
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Let us spend some more
time looking at the next set of
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factors that are considered
protective as we continue
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to talk about this topic...
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Let us spend some time
clarifying this particular issue
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The ability to resolve
conflicts in a positive way
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is very crucial as
a protective factor.
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The child who is
able to see a problem...
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look at it objectively,
look at the alternatives,
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and come with a positive result,
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will always be able to
look at life in a meaningful way
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and make good decisions.
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The child who also has social
skills, and feels as though
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they can interact with
people in a reasonable way
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and that they can be
communicative with others
00:14:14.15\00:14:17.27
also will be able to
handle stress a lot better.
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There are some additional
protective factors that
00:14:22.76\00:14:25.12
we'd like to talk
about at this time...
00:14:25.15\00:14:28.07
As you can see, being
responsible for others
00:14:50.13\00:14:54.48
or pets, would give the
person's life additional meaning
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and as a result of
that, they would put others
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in front of themselves at times,
00:15:04.46\00:15:06.31
and that becomes
a protective factor.
00:15:06.34\00:15:09.89
It is also important to
be able to seek help when
00:15:09.92\00:15:14.33
one is in trouble.
00:15:14.36\00:15:16.42
Not everyone may
have access to treatment,
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or can afford to
pay for these kinds of
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mental health services.
00:15:22.56\00:15:24.46
However, if services are
available, and the parents
00:15:24.49\00:15:30.66
and the child can reach
out and get these services,
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it certainly will protect
them from taking the drastic
00:15:33.48\00:15:37.23
means as far as
having suicide ideation...
00:15:37.26\00:15:41.18
which would be seen as
a negative way of coping.
00:15:41.21\00:15:44.28
There are also a number
of warning signs and symptoms
00:15:44.31\00:15:49.04
that parents and
others must take seriously.
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Let's look at some of these
signs and symptoms at this time
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Let us talk about
these for a few minutes...
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Once the child starts to
withdraw from family, friends,
00:16:26.61\00:16:31.11
and activities
that are pleasurable,
00:16:31.14\00:16:34.38
it is obvious that
something is going on
00:16:34.41\00:16:38.14
that is causing them
to withdraw from life
00:16:38.17\00:16:40.53
because life may not be
meaningful at that time.
00:16:40.56\00:16:44.47
This certainly can result in
their eating habits changing,
00:16:44.48\00:16:49.02
and their
sleeping habits changing...
00:16:49.03\00:16:51.45
It may also result in
the child being neglectful
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as far as their
appearance is concerned.
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As you know, most teenagers
are really obsessed with beauty
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and when they start coming
to you disheveled, and unkempt,
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that certainly is a
warning sign that things are not
00:17:06.54\00:17:09.77
going very well.
00:17:09.80\00:17:11.44
Let's continue to look at
that list of warning signs...
00:17:11.47\00:17:15.62
There are some additional ones
that we can see at this time
00:17:37.98\00:17:41.72
that are also important that we
should take into consideration..
00:17:41.73\00:17:46.01
Let's talk about
these for a while...
00:18:01.16\00:18:05.76
Once the child starts
to give you clues that life
00:18:05.79\00:18:11.84
is no longer exciting...
00:18:11.87\00:18:14.71
that friends are
no longer exciting...
00:18:14.74\00:18:17.33
and they start feeling as
though life is not worth it...
00:18:17.36\00:18:23.24
these are true signals
that the child is having
00:18:23.27\00:18:27.79
some suicide ideation.
00:18:27.80\00:18:30.58
As we look at the next set of
risk factors, and warning signs,
00:18:30.61\00:18:35.89
what you're going to see
is an increment in terms of
00:18:35.92\00:18:38.99
danger signals that I
think we all need to be aware of
00:18:39.02\00:18:43.13
once they are presented...
00:18:43.14\00:18:44.78
Let's look at some of these...
00:18:44.81\00:18:47.13
Let's elaborate on
this for a minute...
00:19:25.95\00:19:29.72
When a child starts giving
away important belongings,
00:19:29.75\00:19:34.18
and cleaning their rooms,
and making sure everything is
00:19:34.21\00:19:38.75
placed in order, it is obvious
00:19:38.78\00:19:42.29
that they're
planning something serious...
00:19:42.32\00:19:45.13
And once these types
of signs are presented,
00:19:45.16\00:19:49.02
parents and adults
who work with teens,
00:19:49.03\00:19:53.83
need to take
these very seriously.
00:19:53.86\00:19:56.66
As a matter of fact, it
is as though they're making
00:19:56.69\00:19:59.71
preparation for
their last events.
00:19:59.74\00:20:03.01
Let's look at some
more warning signs...
00:20:03.04\00:20:07.30
Let's talk about
these for a moment...
00:20:26.08\00:20:31.95
When a child starts
to talk about going away,
00:20:31.98\00:20:40.04
saying goodbye, it is obvious
00:20:40.07\00:20:45.20
that they're not
planning to be around...
00:20:45.21\00:20:49.03
And this is definitely a
clue for parents to intervene...
00:20:49.06\00:20:55.89
also getting
professional help if needed.
00:20:55.92\00:21:01.72
Now once a child starts
making these types of remarks,
00:21:01.73\00:21:05.36
we should always
take them seriously.
00:21:05.37\00:21:09.87
There is a tendency to believe
that children will act out
00:21:09.90\00:21:13.15
to get attention.
00:21:13.18\00:21:15.39
But these signs and symptoms
that we just discussed are truly
00:21:15.42\00:21:20.21
the kind of symptoms
that we must pay attention to
00:21:20.24\00:21:23.32
if we are going to saves lives.
00:21:23.33\00:21:25.63
Now you may be wondering
how can I help a child who
00:21:25.66\00:21:28.53
is experiencing this
crisis, especially if you're not
00:21:28.56\00:21:32.07
a professional.
00:21:32.10\00:21:33.64
Well the first
thing you have to do...
00:21:33.67\00:21:36.69
is to find a quiet place
where there is no distraction
00:21:36.72\00:21:41.92
and that you can sit
and talk with that child
00:21:41.95\00:21:44.66
to find out exactly what they're
experiencing as far as their
00:21:44.69\00:21:48.16
thoughts and
feelings are concerned.
00:21:48.19\00:21:50.80
If they should express to
you that they are depressed
00:21:50.81\00:21:54.97
and they're thinking of suicide,
00:21:55.00\00:21:56.88
then you need to make
sure you listen carefully
00:21:56.91\00:22:02.46
try and not to panic,
00:22:02.49\00:22:04.48
listen to what they have to say
00:22:04.51\00:22:07.92
and not to be judgmental.
00:22:07.95\00:22:10.79
Sometimes people feel
that they have to tell children
00:22:10.82\00:22:16.18
that they should
not feel that way...
00:22:16.21\00:22:18.51
They may even use
guilt trips by saying...
00:22:18.54\00:22:22.46
"How can you do such a terrible
thing like this to your parents"
00:22:22.49\00:22:26.77
We have to avoid
making statements like that.
00:22:26.80\00:22:30.03
We HAVE to make sure that we
give the signals to the child
00:22:30.04\00:22:34.65
that we really care about them
00:22:34.68\00:22:37.46
and that we want them
to get through this crisis
00:22:37.49\00:22:40.54
in a positive way.
00:22:40.57\00:22:43.24
You should AVOID
trying to minimize or maximize
00:22:43.27\00:22:48.55
the child's problem.
00:22:48.58\00:22:51.65
You want to avoid
trying to make promises
00:22:51.68\00:22:55.34
that you cannot upheld.
00:22:55.37\00:22:59.05
You'll want to make sure
that you let the child know
00:22:59.08\00:23:04.04
that you are going
to do the best you can,
00:23:04.07\00:23:06.12
but that you cannot do things
that are out of your powers.
00:23:06.15\00:23:15.22
Try and be in control...
00:23:15.25\00:23:17.44
The more control that you have,
00:23:17.47\00:23:20.25
the more secure the child
would feel in talking about
00:23:20.28\00:23:24.20
their feelings.
00:23:24.23\00:23:26.14
Encourage the child to talk
about their feelings because
00:23:26.17\00:23:28.84
it is CRUCIAL that you know
exactly what they are thinking
00:23:28.85\00:23:34.42
and what action they
may take because of the
00:23:34.45\00:23:37.91
feelings that they have.
00:23:37.94\00:23:40.51
It is very important
that you spend some time
00:23:40.54\00:23:44.60
assessing lethality...
00:23:44.63\00:23:47.39
Sometimes the child may have
a plan, and it's not imminent...
00:23:47.42\00:23:52.58
And at other times,
when the plan is imminent,
00:23:52.59\00:23:55.64
an action must be
taken immediately.
00:23:55.67\00:23:59.59
Do not try to tell
a child how to feel...
00:23:59.60\00:24:02.99
Feelings are private.
00:24:03.02\00:24:05.08
We should also try and avoid
telling the child that he or she
00:24:05.09\00:24:12.61
would be okay
not knowing exactly
00:24:12.64\00:24:15.71
what they are going through.
00:24:15.72\00:24:18.29
If, when talking to the child,
you realize that things are
00:24:18.32\00:24:21.87
out of control, you want to
make sure that the child is safe
00:24:21.90\00:24:26.73
You may have to get
help professionally,
00:24:26.76\00:24:30.78
or you may have to make
sure that steps are taken
00:24:30.79\00:24:34.37
to prevent a child
from hurting his or herself.
00:24:34.38\00:24:38.22
As you can see, most of the
things that we have discussed
00:24:38.25\00:24:41.90
so far, are things that mostly
a person is not aware of...
00:24:41.93\00:24:49.12
The warning signs that we
see in teenagers are very subtle
00:24:49.15\00:24:53.81
at times, and
most will miss them
00:24:53.84\00:24:57.90
But the ones that are
more serious, are quite obvious
00:24:57.93\00:25:02.04
and attention
should be paid to make sure
00:25:02.07\00:25:04.38
that we heed these warnings.
00:25:04.41\00:25:07.48
In summary, I'd like to re-cap
what we talked about today
00:25:07.51\00:25:10.32
because this is a
very, very important topic.
00:25:10.35\00:25:13.48
As I mentioned, parents
should be aware of these things
00:25:13.51\00:25:16.83
as well as caretakers.
00:25:16.86\00:25:19.85
Always take statements
about suicide seriously.
00:25:19.88\00:25:25.81
Do not assume that a
child is doing or saying things
00:25:25.84\00:25:29.26
for attention.
00:25:29.29\00:25:31.11
You have to be able to
differentiate the difference
00:25:31.12\00:25:34.38
between the period
of stress and storm that
00:25:34.41\00:25:37.42
most adolescents go through
00:25:37.45\00:25:39.41
where there are moments of
depression, conflicts, anxiety,
00:25:39.44\00:25:44.82
and fights between
parents and children
00:25:44.85\00:25:48.14
and what we consider a
serious emotional lapse where
00:25:48.17\00:25:54.87
the person starts
to think about suicide.
00:25:54.90\00:25:58.52
If parents and loved ones
are unable to differentiate
00:25:58.55\00:26:01.84
a difference between those 2,
00:26:01.87\00:26:03.73
they certainly should
seek professional help.
00:26:03.76\00:26:07.20
Keep in mind that parents
are not always able to see
00:26:07.23\00:26:12.05
the warning signs that
their teens may present.
00:26:12.06\00:26:15.69
So loved ones and friends
need to make sure that they
00:26:15.70\00:26:20.11
keep close tabs on the
young ones to make sure that
00:26:20.14\00:26:24.28
someone is watching
what's taking place.
00:26:24.31\00:26:28.69
It is also
important to remember that the
00:26:28.72\00:26:31.33
positive factors are
there to prevent children from
00:26:31.34\00:26:35.06
hurting themselves...
00:26:35.09\00:26:37.07
Making sure that there
is warmth and connectedness
00:26:37.10\00:26:39.92
in the family...
00:26:39.95\00:26:41.51
Making sure that they are
spiritually and culturally
00:26:41.54\00:26:44.36
enriched.
00:26:44.37\00:26:46.07
Making sure that they
have good friends that they can
00:26:46.10\00:26:49.31
spend time with, and
feel a sense of togetherness
00:26:49.34\00:26:53.40
and prevent them from feeling
isolated, and being left out.
00:26:53.43\00:26:58.38
Loneliness is a big
factor for children as well.
00:26:58.41\00:27:02.28
We are all social beings,
and need to be able to enjoy
00:27:02.29\00:27:05.65
each other's company...
00:27:05.68\00:27:07.60
so that if a child
is totally withdrawn,
00:27:07.63\00:27:10.44
keeps making statements
about not having friends,
00:27:10.47\00:27:13.66
we should do
whatever we can to make sure
00:27:13.69\00:27:17.15
we help these children
get the social enrichment
00:27:17.18\00:27:20.32
that they need.
00:27:20.35\00:27:22.54
In closing, I want
parents and loved ones to pay
00:27:22.57\00:27:26.75
strict attention to their
teens because the period of
00:27:26.78\00:27:30.76
stress and storm which
is adolescence, is something
00:27:30.79\00:27:35.20
that most of us
seems to miss in terms of
00:27:35.23\00:27:39.66
human growth and development.
00:27:39.69\00:27:41.99
We all love our children.
00:27:42.00\00:27:43.91
We want to see them do well...
00:27:43.94\00:27:45.77
And we have to make sure
that we keep a very close eye
00:27:45.80\00:27:49.75
on what they do, how they do it,
00:27:49.78\00:27:52.12
and when they do it.
00:27:52.15\00:27:54.55
I encourage you to
work with your teens,
00:27:54.58\00:27:58.34
work with your loved ones,
00:27:58.35\00:28:00.44
keep in touch
with their friends...
00:28:00.47\00:28:02.80
Make sure that too much
pressure is spent on them
00:28:02.83\00:28:06.42
that they can achieve their
goals without too much pain
00:28:06.45\00:28:10.39
and suffering...
00:28:10.42\00:28:11.63
And I thank you for
listening. God bless you!
00:28:12.86\00:28:13.86