A confluence of topics dealing with mental health, substance abuse, health, public health, Social Work, education, politics, the humanities, and spirituality at the micro, mezzo, and macro levels. In short, this blog is devoted to the improvement of the quality of life of human beings in the universe.
The new report shows that the prevalence of serious suicidal thoughts in 12-to-17-year-olds fell from nearly 13% in 2021 to 10% in 2024. And the prevalence of suicide attempts by teens also fell slightly — from 3.6% to 2.7%. -------------- The report also found that the share of teens with an episode of major depression in the past year fell during this time — from 21% to 15%. But only about 60% of teens with a recent episode of depression got treatment.
And 2.6 million teens still had thoughts of suicide in 2024, notes Hannah Wesolowski, chief of advocacy with the National Alliance on Mental Illness.
"That's 1 in 10 kids, which is still far too high in this country," she adds. "So we're making progress, but we're not making progress fast enough."
The report also found that 700,000 adolescents did attempt suicide in the past year.
Access to treatment is still very difficult for most families due to lack of providers, poor insurance coverage, high co-pays.
I would hypothesize that the suicide rate will continue to decline due to the heightened awareness of the negative impacts of smart phone social media addiction and the limiting of smart phones in schools.
Anna Quindlen's Object Lessonsis a coming-of-age novel set in suburban New York City during the 1960s. It tells the story of twelve-year-old Maggie Scanlan as she navigates a pivotal summer marked by significant changes within her large, Irish-Catholic family and in her own life.
Summary of Object Lessons
The novel centers on the Scanlan family, dominated by the wealthy and imposing patriarch, John Scanlan. Maggie is particularly close to her grandfather, who attempts to impart "object lessons" – life lessons – to her. However, Maggie's world is in flux. Her family dynamic is strained by her Italian-American mother, Connie, who feels like an outsider within the Irish clan and struggles with isolation and a distant relationship with her husband, Tommy (John Scanlan's son).
As the summer progresses, several events challenge Maggie's perception of her seemingly stable world. Her powerful grandfather suffers a stroke, leading to his eventual death, which deeply impacts the family's hierarchy and emotional landscape. Maggie witnesses her parents' struggles, discovers uncomfortable truths about her own conception, and grapples with the unraveling of her friendship with her best friend, Debbie, as they drift into different social circles and confront challenging adolescent experiences, including peer pressure and even a brush with delinquency. Through these experiences, Maggie begins to shed her childhood innocence and gain a more complex understanding of family, identity, and the adult world.
Therapeutic Benefits of Reading Object Lessons
Reading Object Lessons can offer several therapeutic benefits, particularly for those reflecting on their own coming-of-age or family dynamics:
Validation of Adolescent Experiences: The novel realistically portrays the often confusing and emotionally charged period of adolescence. Readers, especially those who experienced similar transitions, can find validation in Maggie's struggles with identity, shifting friendships, and the growing awareness of adult complexities. This can foster a sense of "I am not alone," which, as Anna Quindlen herself has noted, is a significant benefit of reading.
Exploration of Family Dynamics: Quindlen's keen observation of family relationships, particularly the complexities of a multi-generational, somewhat dysfunctional family, can be cathartic. Readers might recognize echoes of their own family challenges, power struggles, and unspoken tensions. This can lead to greater understanding and empathy for their own family members and their past.
Processing Change and Loss: A central theme is the impact of change and loss, particularly with the grandfather's illness and death. The novel demonstrates how individuals and families cope with grief, shifts in power, and the redefinition of relationships. This can be beneficial for readers who are experiencing or have experienced similar losses, offering a fictional space to process these emotions.
Understanding Intergenerational Conflict and Cultural Differences: The novel subtly explores the tensions between Irish and Italian cultural backgrounds, particularly through Connie's experience as an outsider. This can provide insight into the challenges of navigating different cultural expectations within a family and the impact of prejudice, even within seemingly homogenous communities.
Empathy and Perspective-Taking: By immersing themselves in Maggie's perspective, readers develop empathy for the characters and their struggles. Seeing events through a young girl's eyes, while simultaneously understanding the adult world around her, can broaden one's perspective on human behavior and motivations.
Reflection on Personal Growth and Resilience: Maggie's journey is one of self-discovery and resilience. Despite the unsettling changes, she finds her voice and begins to forge her own identity. This can inspire readers to reflect on their own journeys of growth and the strength they've found in overcoming challenges.
This book might be of help to parents of adolescents and to people interested in and working with family systems.
David Markham argues that lax gun control policies, promoted by groups like the NRA, contribute to high rates of gun deaths, particularly among children and teens, in the United States. He contends that this stems from a lack of understanding regarding the long-term consequences of such policies and a societal embrace of guns as a means of protection, despite evidence showing this to be false. Markham emphasizes the need for increased public awareness and improved gun safety legislation. A commenter suggests that mental health issues are the root cause of violence, regardless of the weapon used.
The Uvalde and Buffalo mass shootings in May 2022 had at least two things in common: The shooters were 18 years old, and they had both legally purchased their own assault rifles.
The relatively young age of most mass shooters has ignited conversations about the minimum legal age for purchasing firearms.
When it comes to gun laws, there is clearly a legal debate about how to define adulthood. But there is also a complex history of how societies determine adulthood, as I’ve examined in my work on the age of marriage and sexual consent.
Considering someone an adult once they turn 18 is a relatively recent trend, and it’s not clear that it can stand up to public scrutiny as a meaningful threshold for legally purchasing firearms.
Following the Uvalde massacre, Democratic Texas state senators called for an emergency legislative session to raise the minimum age to purchase firearms in the state from from 18 to 21, which Governor Greg Abbott has resisted.
On June 2, President Joe Biden also called for a ban on assault rifles – or for raising the age when someone is allowed to purchase one.
On the other side of the issue, the National Rifle Association has challenged state laws in Florida and California that restrict people under 21 from buying rifles.
When adulthood begins
Several news outlets, including The Associated Press and The New York Times, called the mass shooters in Buffalo and Uvalde “men” and “gunmen” in their coverage. Some observers argued that these terms were accurate because the age of the shooters was 18.
But there is no single, cohesive legal answer to whether 18-year-olds are actually adults, in every respect.
In most U.S. states, 18 is the legal age of majority – this is the age when people are no longer entitled to parental support, can be emancipated from their parents or foster care, tried as adults for crimes, and enlist for military service. But not all states follow this age standard – in a few states, the age is 19 or 21.
Adulthood wasn’t always set at 18 in the U.S., either. The legal age of adulthood was 21 for several centuries in the U.S., a holdover from colonial rule reflecting a British feudal custom relating to when knighthood was possible.
In the early 1970s, following a congressional push to make the voting age consistent with the age of compulsory enlistment in the army, the 26th Amendment lowered the voting age from 21 to 18. In the following years, most states classified someone as an adult at the age of 18, aligning with the voting age.
This age does not rigidly define adulthood across every legal context, though.
Generally, at 18, a person can participate in activities that require a certain amount of cognitive independence, such as voting, consent to medical treatment and the right to sue someone.
Most states set the age of sexual consent between 16 to 18 years. The federal age of marriage is 18, but most states set a lower age for marriage with parental consent. Even in other parts of the globe, as I note in my book about the transnational history of marriage laws, parental consent determines the legal age standards for marriage.
A higher limit
On the other hand, some activities that can directly harm others and oneself have a higher age threshold.
The federal minimum legal drinking age is 21 because, after being dropped to 18 in the 1970s, an increase in drunken driving fatalities pushed states to raise it again to age 21 in the 1980s.
Government studies showed that states with the minimum drinking age of 18 had higher motor vehicle fatalities.
Drivers below the age of 25 also find it either difficult or more expensive to rent a car, given the higher risks of accidents for the car, the driver and others on the road.
The age threshold is also higher for activities involving financial risk.
Researchers who study adolescent brain development argue that different types of maturity develop along distinct timelines. They offer nuanced distinctions between the ability to reason in a systematic way, which typically happens around age 16, and decision-making that involves emotion and risk assessment. This can take many more years to develop.
Such cognitive growth in fact continues until around age 25.
For these reasons, some legal scholars argue strongly against an absolute single standard for adulthood – one that holds across all activities.
The series of recent mass shootings by teenagers is challenging legal standards about when someone is an adult and can legally purchase firearms. Emotional maturity – the ability to recognize and process one’s fear, to control impulses – should ideally be a facet of gun ownership, if civilians are to have access to guns at all. The decision to pull a trigger requires exactly the kind of forethought that neuroscientists argue develops slowly.
In most legal contexts, activities that can put others at risk are not permissible at age 18. Adult status is actually granted in phases, depending on the activities in question. There is a strong case to be made on both historical and scientific grounds that 18-year-olds should not be allowed to purchase firearms.
During the pandemic with school closure teens are getting more sleep which is a good thing because it makes them more communicative, family friendly, less moody while at home. It is important though to stick to regular sleep schedule. Staying up all night playing video games and messaging with friends is not conducive to a regular sleep schedule which is necessary to reduce inflamation and enhance physical and mental health.
I hear in my psychotherapy sessions about teen's symptoms of anxiety, depression, and irritability. I ask about their sleep. Almost always the answer is that it is disturbed and irregular in some way. This leads to an interesting observation. Is it the anxiety and the depression interfering with the sleep or the lack of sleep contributing to the symptoms? Which comes first the chicken or the egg? However you answer the question, improving the sleep cycle goes a long way in enhancing the feeling of well being.
Fortunately, with the right type of support from health care providers and others, children and their parents can find the resources they need to heal and prevent mental health crises in the future. If you are a parent whose child has attempted suicide, hope and help are available—and creating a plan to move forward is an important place to start.
Over the course of my career I have done over 15,000 suicide evaluations. It is a myth that if you talk about it the suicidal person will be triggered to engage in suicidal behavior. Just the opposite is the case. Talking with a caring, concerned, trusted person decreases the liklihood of suicidal behavior.
Evaluation by a trained professional is always appropriate. This is best done in person. Calling a "crisis hot line" or "support line" can be helpful but is no substitute for personal clinical evaluation and care.
Children and adolescents with obsessive-compulsive disorder (OCD) who respond to cognitive-behavioral therapy (CBT) appear to continue to experience benefits from the therapy even after their initial course of treatment ends, according to a study published Wednesday in theJournal of the American Academy of Child and Adolescent Psychiatry.
Other research has suggested that CBT for pediatric OCD is a durable therapy, but these studies had been limited by either small samples sizes or having CBT combined with other treatments. For more click here.
Heightened newspaper coverage after a suicide might have a significant impact on the initiation of some teenage suicide clusters, according to new research published in The Lancet Psychiatry journal. The study reveals that the content of media reports is also important, with more prominent stories (ie, published on the front page) and those that describe the suicide in considerable detail more likely to be associated with so-called copycat suicides.
"Our findings indicate that the more sensational the coverage of the suicides, and the more details the story provides, then the more likely there are to be more suicides," explains lead author Dr Madelyn Gould from the New York State Psychiatric Institute in the USA.
Editor's note:
When I do a risk assessment on a client who is suicidal I always ask if they know someone, or is there someone in their family who has committed suicide. If the answer is "yes" this increases the risk.
Because of the phenomenon of copy cat suicide there has been a lot of controversy over Netflix TV series, 13 reasons why, which some people say make teenage suicide justifiable. For more information click here.
According to a meta-analysis of antidepressant treatment for adolescents with depression published in the Lancet, the English medical journal in June, 2016, only Prozac (Fluoxetine) seemed to provide benefits which outweighed the risks.
You can access the journal article abstract by clicking here.
There are many studies which show the benefits of psychotherapy however.
