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Average Teenage Behavior or Warning Sign?

Average Teenage Behavior or Warning Sign?

by | Mar 10, 2020 | Anxiety, Mental Health, Parenting, Podcast

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How do you know what is average teenage behavior or a red flag that should cause concern?

Adolescents are constantly changing and it is difficult to know when to ask questions and how to recognize warning signs. In this podcast episode, Chris and Karlie discuss symptoms of mental illness that also closely resemble typical teen development, like withdrawal, need for privacy, and change in interests.

Join the conversation on how we can encourage and talk to our teenagers about mental illness and signs of concerns. As a caring adult in the life of a teenager, you will find practical tips and questions to engage teenagers in a positive conversation about life changes. This is an episode you won’t want to miss as Chris and Karlie tackle a topic that so many young people face today.

 

Symptoms of mental illness can often appear similar to average teen development.
The Yellow Tulip Project

Resources on teen mental illness:

Have a question?

If you have a question about something you heard or just want to give us some feedback, please leave us a comment below.  We would love to hear from you!
Karlie Duke
Karlie Duke

Communications Director

Chris Robey
Chris Robey

Former CEO

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3 Ways to Help Prevent Suicide

3 Ways to Help Prevent Suicide

by | Sep 23, 2019 | Blog, Mental Health, Resources

Recently, I learned of a death by suicide by a prominent pastor – on the eve of National Suicide Awareness Day of all days. It was especially tragic because he was quite vocal about the topic from his writings and the pulpit, even going so far as to establish a non-profit promoting mental health and suicide prevention. He struggled quite publicly with his own depression and mental health and tried to keep the topic front-and-center, especially on social media.

Yet, he still died by suicide.

This was a tough one as I have a lot of friends in the clergy and have some unique insight into the stressors they face daily. I can understand the pressures that might bring someone to contemplate such a horrible outcome. But the question is, how does someone who is so vocal to the point of founding a non-profit still succumb to suicide? Is it just inevitable? Is it even preventable?

After tragedies like this one and so many other high-profile suicides the common refrain is to urge people to ask for help or call the national suicide prevention hotline. These are definitely worthy actions to encourage. Yet, my guess is those who died by suicide likely gave that same advice at some point.

So, are we missing something here?

First of all, like most tragedies, suicide is not 100% preventable. Despite our best efforts, those in extreme darkness will choose this outcome no matter the best intentions of those who love them. Yet as those who love students, it would be good for us to understand what might drive someone to take their life.

Numerous studies have shown the actual act of taking one’s life comes by impulse more than we think. Often, we perceive suicide as being planned out meticulously like in “13 Reason’s Why”. Yet as survivors of suicide are interviewed, almost half in some cases report the attempt coming after a crisis less than 24 hours before. However, 1 in 4 survivors reported their suicide attempt within 10 minutes of the impulse!

Often these suicide attempts are aided by substance use and deteriorating mental health as well. But the bottom line is this – even though some suicides are long-planned out, many more are an act of impulse in the immediate aftermath of a personal crisis!

So, as we talk about suicide, we also need to talk honestly about what is going on with the victim and what we can do to help. We need to understand that suicide can be (but not always) prevented by actual intervention on behalf of the one doing the outcry.

While we can encourage the potential victim of suicide to act (i.e. ask for help, call a hotline), there are some tangible things we can do as helpers to intervene.

• If you suspect someone might be contemplating suicide – ASK THEM. You won’t be putting any ideas into their head that are not already there.
• Never let someone you suspect is suicidal to be alone. Keep doors open and conversations ongoing.
• Remove any means that could complete suicide. Remove any guns, ammo, pills, rope, sharp objects, or anything that the potential victim could  use to inflict self-harm.

Why?
Because 90% of suicide survivors do not make another attempt! When we as helpers take basic actions like being present, asking good questions, and recognizing the impulsivity of suicide, we can save lives!

It is time we recognize our roles as helpers to those who are genuinely struggling to find their own voice. We have a role to play for our family and friends who have lost hope. To step into this role demands courage and action.

I highly encourage you to follow some of the research at Means Matter – a study out of Harvard working through the question of impulsivity and the means of suicide. This work has been formative for me as a helper of students to understand more tangible ways to help those contemplating suicide.

Chris Robey
Chris Robey

Former CEO

A Common Sense Intervention That Saves Lives

A Common Sense Intervention That Saves Lives

by | Mar 21, 2019 | Blog, Mental Health, Parenting

Growing up in a rather sheltered environment and experiencing the “military brat” existence of moving every 3-4 years, I never really understood or heard a lot about mental health issues amongst my peers as a teenager. We didn’t watch a ton of TV or movies, and most of the music I listened to was pretty tame compared to what was out there at the time. Plus, when you move a lot, most of your time involves getting to know new people – not necessarily understanding the challenges and stresses facing your friends. I didn’t really understand what depression or anxiety looked like, nor really cared much to talk about it. I was too busy trying to keep up and worrying about myself.

It wasn’t until I started learning how to play guitar that I heard much at all about depression and suicide. There was a ’90s Christian band called “Caedmon’s Call” that featured a dark (by Christian music standards) song called “Center Aisle” lamenting a friend’s suicide. I remember being enamored by the complexity of the chords as I was learning guitar, but I was more struck by the intense emotions of the chorus line:

 “What crimes have you committed, demanding such a penance?

Could have waited for five more minutes and a cry for help.” 

This was the first time I had ever considered that suicide could become an option for a person feeling distraught or out of options.

It made me wonder if any of my friends had ever considered suicide as an option. While I have experienced seasonal depression, I haven’t ever gotten to the point where I wanted to end it all. But, the more I learned, the more I understood the dark places people go to when they feel there are no other options available.

The World Health Organization estimates suicide as the second leading cause of death of people 15-19 years of age. As someone who works with and loves teenagers, that isn’t just maddening – it’s a mandate for us to take action. For those so young in life to think there is nothing else to live for is an indictment on so many things. But instead of pointing fingers, let’s look at what could be some very promising research with a surprisingly simple conclusion.

In a recent JAMA Psychiatry article, research was outlined on a study of 448 adolescents admitted to a psychiatric hospital for suicidal thoughts and tendencies. Within that group, they formed a control group (this group received no treatment other than hospitalization) and a treatment group. The treatment group was asked to identify four adults in their lives that they perceived love and support from moving forward. Those four adults were then trained in suicide education and support measures and asked to check in on the teens after they left the hospital. These adults also received coaching and support from the study writers throughout the process.

After ten years, the study checked back in on the control and treatment groups and while statistically small, the results were impressive. The control group had 13 deaths while the treatment group only had two. When you break the numbers down, even conservatively, the death rate drops by over 50 percent!

I have to stress again that the numbers are way too small to draw any definitive conclusions, but for me it speaks to something incredibly important about our (yours and mine) work with teenagers – ADULTS MATTER.

I think this study important for the following reasons:

  1. The students selected the supportive adults
    • It is so easy to feel alone as you struggle through depression and suicidal thoughts. To be prompted to identify people who care in and of itself is a healing exercise. And by selecting these adults, a connection is made that cannot be easily broken.
  2. The adults accept the invitation
    • No one is forcing these adults to participate. But, if a struggling teen asked you to be a part of their recovery, wouldn’t you help?
  3. The adults learned how to support the teenager
    • So many adults feel like they know what is best for a teenager. We were teenagers once, right? But a learner is a leader in this case. The presence of an adult who is willing to do what it takes to support the struggling teenager has significant influence.

To me this isn’t just about suicide, though if it saved more lives, I would be screaming this from every platform I have. But, if the presence of a caring, informed adult can potentially save a life, how much more can it help a struggling teenager? The life of a teenager can be overwhelming and full of pressures. If more adults looked and saw the opportunity to learn and ask good questions, imagine what an encouragement we could be!

I encourage you to read further on this study and the implications here and consider partnering with organizations who are putting volunteers out in the field like Teen Life here.

Chris Robey
Chris Robey

Former CEO

ACEs

ACEs

by | Feb 14, 2019 | Mental Health, Personal Development, Resources

ACE –

Does that mean anything to you? For some it might conjure up the lyrics of an old George Straight song that says, “You’ve got to have an ace in the hole.” For others it brings images of poker games and winning hands. For others, names of all-star professional baseball pitchers. For others, the experience of serving in tennis and never getting a volley back. Maybe for you, it’s the terminology for someone who is always seemingly ahead – “He’s holding all the aces.”

But how many of you saw ACE and thought about difficult childhood experiences? I’m guessing not very many of you. This past week I had the opportunity to sit in a training which discussed trauma informed care. As part of that discussion, the ACEs were mentioned.

So, what are the ACEs?

ACEs in this context stands for Adverse Childhood Experiences. These are experiences that occur before the age of 18 that have a dramatic impact on how we live, function, and make decisions as an adult. The CDC-Kaiser Permanente Adverse Childhood Experiences (ACE) Study began in the mid-1990s and continued through 2015 and has consistently shown the impact of childhood experiences on adult functioning. Let’s take a minute to look at what was studied and the major findings.

The ACE Study looked at the occurrence of 10 major childhood experiences, which are typically divided into 3 main categories.

Source: https://www.npr.org/sections/health-shots/2015/03/02/387007941/take-the-ace-quiz-and-learn-what-it-does-and-doesnt-mean

 

What It Said 

According to the CDC, Adverse Childhood Experiences (ACEs) are common. So common that almost 2/3 of participants reported at least one ACE, and more than 20% reported three or more ACEs. – Pause for a minute – that is statistically the majority of people that you meet every day. That is 1 in 5 who have had multiple significant experiences – most of which we don’t like to talk about.

So what does that mean? Per the CDC, as the number of ACEs increases, so does likelihood of the risk for the following:

  • Alcoholism and alcohol abuse
  • Chronic obstructive pulmonary disease
  • Depression
  • Health-related quality of life
  • Illicit drug use
  • Heart disease
  • Liver disease
  • Poor work performance
  • Financial stress
  • Risk for intimate partner violence
  • Multiple sexual partners
  • Sexually transmitted diseases
  • Smoking
  • Suicide attempts
  • Unintended pregnancies
  • Early initiation of smoking
  • Early initiation of sexual activity
  • Adolescent pregnancy
  • Risk for sexual violence
  • Poor academic achievement

 

It covers it all – health problems, increased risky behaviors and a decreased life potential. It also leads to an increase likelihood of premature death.

Look at the list above again and let’s talk about students – especially high school students. Often, we as parents, youth workers, teachers, and Teen Life Facilitators spend a great deal of time talking about poor grades, teenage pregnancy, suicide attempts, self-injury behaviors, depression, anxiety, drug and alcohol use/abuse. But do we stop to take the time to think about what experiences might have contributed to these decisions? When we are feeling frustrated, do we see the behavior as defiance or a coping skill?

So now that we know what the ACEs are and what the research shows, what in the world do we do?

Build relationships.

According to Dr. Karyn Purvis, “The child with a history of loss, trauma, or abuse has no hope of healing without a nurturing relationship.” The presence of safe, stable, and nurturing relationships can greatly increase resiliency among children and youth who have experienced multiple ACEs.

Are you willing to look past the hard choices, to look past the mistakes, in order to see the experiences that have impacted the students in our lives? And when you do, are you willing to stick it out to connect and empower youth to overcome?

 

***For More Information about The CDC ACE Study can be found here and here. More information about the ACEs in general can be found here. More information about Dr. Karyn Purvis and her Trust Based Relational Intervention can be found here.

Beth Nichols is Teen Life’s Program Director. With her background in social work and experience as a mom of 4, her perspective is invaluable.
5 Conversations to Have As School Starts

5 Conversations to Have As School Starts

by | Aug 23, 2018 | Blog, Mental Health, Parenting, Personal Development, School, Sports

It’s nearly time for back-to-school and I can hear the cheers and tears from the Teen Life office. Whether you are looking forward to getting back to a routine, wondering how your baby has grown into a high school senior, or are trying to figure out how your youth ministry is going to hold up against football season – you have a role to play in this upcoming school year!

Before teenagers start back at their middle or high schools, or the graduates leave home to start their college adventures, take time to have bold, encouraging conversations! You have an opportunity to help students set goals and think about where they want to be at the end of the school year.

By having healthy conversations (check out this blog post), this school year can get off to a great start from the very first day.

Here are some goals to help teenagers think about as they start school:

The Grades Conversation

Grades are important. They help you graduate high school and get college scholarships. They are a reflection of what you have learned and how hard you have worked at a particular subject.

However, grades don’t define your student or their worth. Students will put pressure on themselves about what kind of grades they should be making before saying a word. Instead of starting the school year with a lecture about responsibility, finishing homework before video games, or the consequences of poor test grades…

Ask your student these questions:

  • What do you want your grades to look like at the end of this school year?
  • If you improved your grades and school work from last year, what would that look like?
  • How can I help you succeed this school year?

If you allow them to set their own goals, they will take more ownership in their school work. Instead of working toward your expectations, they will be stepping up to the standards they set for themselves – what better lesson could you teach a teenager?

Help them set realistic goals and hold them accountable throughout the year with {friendly} reminders. Don’t expect your B student to make a 4.0 this school year, but encourage them to improve and continue to grow!

Also, join these conversations on teens and grades:

The Friends Conversation

As you know, friends and peers have a huge influence during adolescence. They can impact grades, decisions, activities, and their attitude. While they are old enough to choose their friends, it is okay for you to offer adult guidance in their choices.

When it comes to friendships they have at school, start a conversation by asking these questions:

  • What relationship last year provided the most encouragement?
  • How do your friendships impact your performance at school or in extracurriculars?
  • Are there any relationships that provided drama or stress? What can you do to make that relationship healthier?

They probably aren’t going to react well if you ban them from hanging out with their best friend. But maybe you can open up the door for healthy conversation if you ask them to share first.

Teenagers are smarter than we often give them credit for!

If they are in an unhealthy relationship, let them talk through what that looks like and what they could do to either get rid of the friendship or set up healthier boundaries.

The Extracurriculars Conversation

It seems like today’s teenagers are busier than ever. Not only are they expected to go to school during the week and church on the weekends, but they also have to be involved in multiple extracurriculars, join school clubs, and complete crazy amounts of service hours.

That is what colleges expect, right?

Extracurriculars are good and character-building. However, students need to set goals, not only for bettering themselves through these activities, but also for leaving margin and rest despite their busy schedules. Especially if you are talking to a teenager who is involved in multiple sports, activities, or volunteer opportunities, encourage them to set healthy goals by asking these questions:

  • How many extracurriculars do you think you’ll have time for with school and other responsibilities?
  • How can you improve and use these experiences to help you in the future?
  • What can you do to make time for rest, friends, and fun?

Have them prioritize their activities. There may be some new opportunities that arise this year, but if it surpasses what they can handle, it is not worth taking it on. They are teenagers, but they are still allowed to have fun! Please don’t allow your teenager to live like an adult. Help them take advantage of the freedom and fun that comes with adolescence. If they feel like they need to give up an activity to better balance their time, help them make the decision that is best for them (even if it means giving up that sport you love).

 

The Physical, Mental, and Spiritual Health Conversation

Coming off the last conversation, it is so important for teenagers to take care of themselves! While culture is talking more about mental health, we cannot ignore it in our homes, churches, or schools!

Please make sure you are having these conversations with your teen. Are they aware of signs of depression or suicide in themselves or friends? Are they motivated to improve in any of these areas? This conversation could be touchy or emotional, and is really three conversations, but don’t shy away from it!

Start with these questions:

  • Do you feel like you have someone you can talk to about health? (Especially about mental and spiritual health.) Who is that person?
  • What would you do if a friend came to you with a health concern?
  • What could you do this school year to improve in each of these areas? How could we help you accomplish your goals?

Be willing to ask your teen about the current state of their physical, mental, and spiritual health. Do they want to change anything? How can you help? Can you get them a gym membership or cook healthier meals? Could you help them seek the guidance of a counselor? Does one of their friends need a trusted adult to talk to? Can you start a family Bible Study? Consider what they need for themselves and from you.

You might also like these conversations on mental, spiritual, and physical health:

The Boundaries Converation

Teenagers are trying to find identity and values at this phase of life. As the adults in their lives, it is our job to guide and teach while also giving them a safe space to try and sometimes fail. Teens won’t be perfect – I wasn’t at that age and I definitely still make plenty of mistakes! However, we can help them set some boundaries in place to protect and direct while they gain the confidence and understanding they need to truly succeed.

Maybe boundaries look like setting a curfew, or a time restraint on social media or Netflix. Maybe they want to limit how often they hang out with a certain friend or which event they want to avoid. Let them start the conversation and try not to jump in at the beginning with what you think is best.

Here are a few questions to get this final conversation started:

  • What personal boundaries would help you succeed this school year?
  • How likely are you to say, “No!” when someone crosses your boundaries?
  • How do you think the boundaries we have set could be helpful? Are there any boundaries you have concerns about?

The beginning of school is a great time to talk about boundaries and expectations for the school year. Some rules will change over the years, and some will stay consistent. Some teenagers will even have intelligent boundaries that they want to set for themselves – give them that opportunity!

Conclusion

You have the power and the opportunity to help teenagers see their future and set goals to reach it.

Ask good questions, listen with empathy, and work together to set realistic goals that will allow them to not only enjoy but also take advantage of their teenage years.

These are great conversations to have at the beginning of school, but we also encourage you to revisit these topics – ask how they are doing with their goals and if anything has changed. This is just a starting place!!

Are you willing to have these conversations? Share what goals the teenagers you talk to set! How will you help hold them accountable?

Karlie Duke

Karlie Duke

Director of Communications