Saturday, December 27, 2008

Sue Scheff - Parenting Teens - What Video Games do you kids play?

Source: Connect with Kids

Violent Video Games

“You can do anything. Just try to kill him.”

– T.J Trimmer, 12-year-old video game player

12-year-old T. J. Trimmer is playing one of his favorite video games- Mortal Kombat.

The goal, he says simply, is to beat your opponent. “You can do anything,” T.J. says, his fingers frantically manipulating dials and buttons. “Just try to kill him. Like right now I’m attacking this guy with, like, punches and kicks. There are all these special moves that you can use…You attack your opponent….it’ll do more damage to him when you have one of (these) weapons.”

But according to new research from Iowa State University, T.J. isn’t just hurting his opponents.

Researchers studies over 1,500 kids and found that the children who played violent video games were more aggressive afterwards than those who did not.

“They’re not just releasing aggression,” says child psychiatrist Dr. Adolph Casal. “They’re practicing aggression. When we practice something, we get good at it. If we don’t practice something, we don’t get good at it. So spending a considerable amount of time in an aggressive, violent situation on a daily basis, is going to improve our aggression skills.”

Of course, T.J. disagrees. “Like this way, you take your anger out on someone else, but you don’t really take it out on someone. You can take it out on this.”

Experts say parents need to set rules about which games they will allow their children to play and for how long.

Tips for Parents
The video-game industry has undergone a dramatic change since the birth of Super Mario, the happy acrobat who once thrilled children for hours as they played with their Nintendo systems. Today, dark and adult-themed games like Grand Theft Auto and Mortal Kombat are outselling kids’ games. Even Nintendo has switched gears by offering games with edgier subjects like the zombies featured in Resident Evil.

Why has the landscape of the video-game industry undergone such drastic change? Consider these statistics from the Entertainment Software Association:

The average game player is 35 years old and has been playing games for 13 years.
The average age of the most frequent game purchaser is 40 years old.
Forty percent of all game players are women. In fact, women over the age of 18 represent a significantly greater portion of the game-playing population (33 percent) than boys age 17 or younger (18 percent).
In 2008, 26 percent of Americans over the age of 50 played video games, an increase from nine percent in 1999.
Thirty-six percent of heads of households play games on a wireless device, such as a cell phone or PDA, up from 20 percent in 2002.
In its annual report at the end of 2008, the consumer watchdog organization the National Institute on Media and the Family (NIMF) gave the video-game industry nearly straight-A’s, with particularly high grades in the rating system and retail policies.

Parents, on the other hand, scored an “incomplete” by NIMF, due mainly to their lack of attention to the ratings system and because most don’t use the parental control features on game consoles.

As a parent, how can you prevent your child from becoming exposed to violent or sexually explicit media? You can start by familiarizing yourself with the video game rating system. The Entertainment Software Rating Board (ESRB) rates every video and computer game for age appropriateness (located on the front of the packaging) and, when appropriate, labels games with content descriptions. The ESRB’s current rating standard is as follows:

E: Everyone
T: Teens (13 and older)
M: Mature audiences (17 and older)
AO: Adults only
Children Now, a research and action organization, offers these additional tips for helping you to choose the right video games for your child:

Know your child. Different children handle situations differently. Regardless of age, if your child becomes aggressive or unsettled after playing violent video games, don’t buy games with violence in them. Likewise, if your child likes playing games with characters that look like her or him, purchase games with characters that fit the bill.
Read more than the ratings. While the ESRB ratings can be helpful, they do not tell the whole story. Some features that you may consider violent or sexual may not be labeled as such by the ESRB. In addition, the ESRB does not rate games for the positive inclusion of females or characters of color. The language on the packaging may give you a better idea of the amount and significance of violence and sexuality and the presence of gender and racial diversity or stereotypes in the game.
Go online. The ESRB website provides game ratings as well as definitions of the rating system. In addition, you can visit game maker and distributor websites to learn more about the contents of a game. Some have reviews that will provide even more information about the game.
Rent before you buy. Many video rental stores also rent video games and consoles. Take a trial run before you purchase a game.
Talk to other parents. Find out which games other parents like and dislike as well as which games they let your child play when he or she visits their house. This is a good way to learn about the games that your child enjoys and those that other parents approve of, and to let other parents know which games you do not want your child playing.
Play the games with your child. Know what your child is being exposed to and how he or she reacts to different features in the games.
Talk about what you see. If your child discovers material that he or she finds disturbing or that you find inappropriate, talk about it. This is a great opportunity to let your child know what your values are as well as to help him or her deal with images that may be troubling.
Set limits. If you are worried that your child spends too much time playing video games, limit the amount of time or specify the times of day that video games can be played.
Put the games in a public space. Just as with the Internet, keep your game consoles and computers in public family space so that you can be aware of the material your child is viewing.
Contact the game makers. If you find material that you think is offensive or inappropriate, let the people who make and sell the games know about it. Likewise, let game makers know if you think that a game provides healthy messages or images. They do care what you think!
To make your search easier, the NIMF cites the following video games that are either positive for children or contain negative images for children to avoid:

Positive games for your child:

Guitar Hero World Tour
Rock Band 2
Rock Revolution
Spider-Man: Web of Shadows
Shaun White Snowboard
Games that are inappropriate for your child:

Blitz: The League II
Dead Space
Fallout 3
Far Cry 2
Gears of War 2
Legendary
Left 4 Dead
Resistance 2
Saints Row 2
Silent Hill: Homecoming
References
Children Now
Entertainment Software Rating Board
Federal Trade Commission
Interactive Digital Software Association
Iowa State University
National Institute on Media and the Family

Friday, December 19, 2008

Sue Scheff - Parenting Troubled Teens- Teen Mischief


Today is the last day of school for many kids around the country. It is important to keep your kids busy in constructive and positive ways. Bored teens can sometimes lead to trouble. Teen Shoplifting, vandelism and more may haunt your homes - be an educated parent, take the time to create activities for the entire family.


Criminal Activity and Your Teen


For many kids, adolescence is a trying phase of life. Body changes, school pressures, and personality changes can be very overwhelming to your teen when occurring all at once. Because of these pressures, adolescents can be more susceptible to things like peer pressure. Whether it’s out of a desire to fit in or stand out, your normally levelheaded teen can be easily pressured into committing dangerous and illegal acts they might never otherwise consider.


Sometimes, these activities are relatively harmless, and can include things like dying their hair a bold color, or cutting a class or two. But often, many teens find the desire to fit in so strong they are willing to compromise their own morals to be part of the ‘in’ crowd. They may be more likely to experiment with drugs or alcohol, or commit other criminal activities, all for the sake of ‘fitting in’.


Though there are many dangers your teen may encounter, this site deals specifically with teenagers and criminal activity, like shoplifting, vandalism, and violent crime. Teens can partake in these activities for many reasons- peer pressure being just one of a long list of possibilities.
My name is Sue Scheff™, and I am not only a parent, but the founder of the Parents Universal Resource Experts (P.U.R.E.)™. P.U.R.E™ came about after I found myself feeling alone and scared when my then-teenage daughter began experiencing troubles of her own. Those of us at P.U.R.E.™ know what many parents go through. We are here for you and want to provide you with resources, advice and the support you’ll need to get through trying times.


Click here for my website on Teen Mischief.

Sunday, December 7, 2008

Sue Scheff: Parenting Difficult Teens

It stems back to "children need to have their self-esteem built up to make good decisions." Today most families are either single parent or both parents are working full time. This is not the fault of the teen, nor is it the fault of the parents. It is today's world and we must try to find the middle. Troubled teens, rebellious teens, angry teens, problem teens, difficult teens, depressed teens; unfortunately are part of the society of adolescents today.


Communication is always the first to go when people get busy. We have seen this over and over again. We have also experienced it and feel that our children shut us out; this can lead to difficult teens and teens with problems. Although we are tired and exhausted, along with the stress of today's life, we need to stop and take a moment for our kids.

Talk and LISTEN to them. Ask lots of questions, get to know their friends and their friend’s parents, take part in their interests, be supportive if they are having a hard time, even if you can't understand it; be there for them.


This all sounds so easy and so simple, but take it from parents that have walked this path, it is not easy. When a parent works a full day, has stress from the job along with household chores, not to mention the bills, it is hard to find that moment. We are all guilty of neglect at one time or another after all, we are only human and can only do so much. We feel the exhaustion mounting watching our teens grow more out of control, yet we are too tired to address it. Out of control teens can completely disrupt a family and cause marriages to break up as well as emotional breakdowns.We know many feel it is just a stage, and with some, it may be. However most times it does escalate to where we are today. Researching for help; PURE is here for you, as we have been where you are today.

Do you have a difficult teen, struggling teen, defiant teen, out of control teen, rebellious teen, angry teen, depressed teen? Do you feel hopeless, at your wits end?

Visit http://www.helpyourteens.com/.

Monday, December 1, 2008

Parents Universal Resource Experts - Sue Scheff - Teens: Sex in the Media

Source: Connect with Kids

“Every TV show now has like at least one character who is like a slut.”

– Katie Seewald, 14 years old

Parents have heard a thousand times that sex is all over the media. But is the sheer volume of sexual images harming our children? Or is it something else?

A recent movie, “A Guy Thing,” begins with a bachelor (played by Jason Lee) hurrying a woman (Julia Stiles) out of bed after a drunken one-night stand.

The scene is typical of how casual sex is portrayed on television and in the movies.

14-year-old Katie Seewald says, “Every TV show now has like at least one character who is like a slut.”

A study by the Rand Corporation finds that teens who watch shows with heavy sexual content are twice as likely to get pregnant or get someone pregnant compared to kids who don’t watch those shows. Still, while the study demonstrates a correlation between teenage sexual behavior and television content, it does not prove a cause. Are the higher pregnancy rates the result of TV viewing, or is it simply that kids who take sexual risks and end up pregnant are more likely to watch sexual content on TV? It is not clear.

Experts say one problem with television content is that sex seldom has consequences.

“If they see sex without negative consequences…they may think that having, or engaging in sex, may not have negative consequences,” explains Dr. Gina Wingood, Associate Professor at Emory University.

Bo Brewer, 17, agrees, “You never see abortion in movies or on t-v.”

So does 17-year-old Elizabeth Green, “They want everything to be in the heat of the moment, to flow, and having to stop to go put on a condom doesn’t really flow with the storyline.”

The experts’ advice?

Limit the amount of sexual content your kids are allowed to watch and talk with your children about the sexy scenes they see on TV.

Studies show children are much less likely to be influenced by what they see if they know their parents strongly disagree.

“Teens and young people do care what their parents think. And they do care what their parents’ feelings are,” says psychologist Betsy Gard. “And if a parent expresses very strong dislike of a program and explains their reasons, that’s going to have an impact on the teen.”

“And I think it’s kind of up to parents or some figure like that to say ‘well that’s not the way it is, that’s just the way that it is on that t-v show,” says 16-year-old Mary Cloud.

Tips for Parents

The American Academy of Pediatrics has suggested that portrayals of sex on entertainment television may contribute to precocious adolescent sex. Approximately two-thirds of television programs contain sexual content, and adolescents who viewed more sexual content were more likely to initiate intercourse and progress to more advanced non-coital sexual activities. Youths in the top 10th percentile of television sex viewing were twice as likely to have sex as those youths who were in the bottom 10th percentile of viewing.

Adolescence is a key period of sexual exploration and development. This is the time when teens begin to consider which sexual behaviors are enjoyable, moral and appropriate for their age group. Many teens become sexually active during this period; currently, 46 percent of high school students in the United States admit to having had sexual intercourse. Consider the following:

By ninth grade, 34 percent of teens have had sexual intercourse. By 12th grade, this figure increases to 60 percent.

On average, teens watch three hours of television every day.

Watching a program that talked about sex was associated with the same risks as exposure to a program that depicted sexual behavior.

Approximately one in seven television programs includes a portrayal of sexual intercourse.

Television programs with sexual content have an average of 4.4 scenes per hour containing sexually related material.

Youths who watched more depictions of sexual risks or safety were less likely to initiate intercourse.
Watching sex on television predicts and may hasten adolescent sexual initiation. Reducing the amount of sexual content in entertainment programming, reducing adolescent exposure to this content, or increasing references to and depictions of the possible negative consequences of sexual activity could delay when teens embark on sexual activities. A quarter of all sexually active teens will contract a sexually transmitted disease each year. According to 57 percent of adults and 72 percent of teens, the media has given "more attention" to teen pregnancy prevention in recent years.

Remember that as a parent you may be able to reduce the effects of sexual content in the media by watching television with your teenagers and discussing your own beliefs about sex and the behaviors being portrayed. Most parents say they have discussed sex with their teenagers, but far fewer teenagers say they had such talks with their parents. Sixty-nine percent of teens report that it would be "much easier" to postpone sexual activity if they could have "more open, honest conversations" about sex with their parents. In addition:

About 60 percent of teens have a television in their bedroom. The only way to keep parental control of television viewing is to not let your teen have a television in the bedroom.

Unplanned pregnancies and sexually transmitted diseases are more common among those who begin sexual activity earlier.

Two-thirds of sexually experienced teens wish they had waited longer to have intercourse.
Seventy-nine percent of teenage virgins are not embarrassed to tell others they have not had sex.
Youngsters who receive little parental supervision may have more time and freedom to watch sexually based programming and more opportunities to engage in sexual activity.

References
The Henry J. Kaiser Family Foundation
Medical News Today
Pediatrics
Rand Corporation
Talk With Your Kids
USA Today

Monday, November 17, 2008

Sue Scheff: Counseling Cuts Down on Youth Drinking




“If it comes from me, I’m the objective observer. I’m interested in the child, and I try to let them know that. I want what’s best for them, but yet it’s not Mom or Dad saying that.”

– Rhonda Jeffries, M.D., Pediatrician

It’s a troubling fact of life: some kids drink.

“Especially the older they get,” says Dr. Rhonda Jeffries, a pediatrician. “And by senior year, 50 percent or more of kids are drinking. And in fact, by 12th grade, usually 80 percent of the kids have tried alcohol.”

But can a doctor persuade kids not to drink? Kids seem to think so.

“I think coming from somebody besides, maybe, just the parents for some people it will help,” says 18-year-old Andrew Scott, a high school senior.

Lars Thrasher, 17, agrees. “I would think it would be more helpful from a doctor,” he says.

And Christine Terrell, calls doctors advice on drinking and other potentially touchy subjects “extremely beneficial.”

According to a study published in the Annals of Family Medicine, when a physician spends just a few minutes talking to kids about the dangers of alcohol, those kids are 50 percent less likely to drink.

Dr. Jeffries says: “If it comes from me, I’m the objective observer. I’m interested in the child, and I try to let them know that. I want what’s best for them, but yet it’s not Mom or Dad saying that.”

The study reports when kids talked with their doctor, they had 55 percent fewer traffic accidents, 42 percent less emergency room visits and fewer arrests for underage drinking. It seems that when doctors warn kids about alcohol, they listen.

Christine Terrell explains: “They’re not invested in you as their child. They’re invested in you for your health, for your interests, for your sake. And I would definitely listen to a doctor, and I have listened to doctors who have talked to me about subjects like that.”

The study suggests it’s a good idea to ask your doctor to talk with your children about alcohol. Of course, experts add, parents should bring up the subject as well. “They need to be open to discussion and to bringing these issues up with their kids,” says Dr. Jeffries. “And I think that parents who are in touch with their kids and connected to them are really helpful in getting their children though adolescence without negative effects.”

LaShauna Pellman, 17, sums it up best. “If my parents tell me something,” she says, “then I listen to them even more.”

Tips for Parents

Alcohol-related fatalities are a leading cause of death among young adults in the United States. In the United States, 70.8 percent of all deaths among persons aged 10 to 24 result from only four causes – motor-vehicle crashes, other unintentional injuries, homicide and suicide.

Should your family doctor take just a few moments to counsel your child about the risks of alcohol, there is great potential for positive outcome. Just a few minutes of a doctor's counseling helped young adults reduce their high-risk drinking and the number of traffic crashes, emergency room visits, and arrests for substance or liquor violations, says a study in the Annals of Family Medicine. Consider the following:

Underage drinking causes over $53 billion in criminal, social and health problems.
Alcohol is a leading factor in the three leading causes of death for 15- to 24-year-olds: automobile crashes, homicide and suicide.

Primary-care doctors should make it a priority to counsel young adults about high-risk drinking. Young adults, ages 18 to 30, who received counseling about reducing their use of alcohol:

Experienced a 40 to 50 percent decrease in alcohol use.
Reported 42 percent fewer visits to the emergency room.
Were involved in 55 percent fewer motor vehicle crashes.

The ways a parent can influence his or her teen’s drinking habits is complex. A universal method regarding what works best in preventing underage drinking may not exist. A study published in the Journal of Adolescent Health found that a parent’s attitude toward drinking influences a child's behavior in various ways. One controversial finding was that teens who drank with their parents were less likely than others to have binged or used alcohol at all in recent weeks. Others, of course, argue passionately that parents who drink with their underage children are not only breaking the law but encouraging dangerous behavior that can lead to life-long consequences.

The Journal study also found that strict parenting can curb kids' drinking. Teens who said they feared they would have their privileges taken away if they got caught drinking were half as likely to drink as those who thought their parents would not punish them. In addition, consider the following:

The average girl takes her first sip of alcohol at age 13. The average boy takes his first sip of alcohol at age 11.

Teenagers who said their parents or their friends' parents had provided alcohol for a party during the past year were twice as likely as their peers to have used alcohol or binged during the previous month.

Nearly 75 percent of teens surveyed said they had never used alcohol.

About 25 percent of teens in the study said they'd been at party in the past year where parents supplied alcohol.

Fourteen percent of teens surveyed said they were with their parents the last time they drank.

References
The Centers for Disease Control and Prevention (CDC)
Focus Adolescent Services
Health Day
National Youth Violence Prevention Center
Reuters
U.S. Department of Health and Human Services
University of California, Irvine

Sunday, November 9, 2008

Parents Universal Resource Experts - Sue Scheff - Alliance for Consumer Education




Welcome to the Alliance for Consumer Education's (ACE) inhalant abuse prevention site! ACE is a nonprofit organization dedicated to advancing community health and well-being.


Did you know 1 in 5 children will abuse inhalants by the 8th grade? Inhalant abuse refers to the deliberate inhalation or sniffing of fumes, vapors or gases from common household products for the purpose of "getting high".

This site is designed to assist you in learning more about inhalant abuse prevention and giving you tools to help raise the awareness of others. While here be sure to check out our free printable resources, and post any comments or questions on ACE’s community message board.

Thursday, October 30, 2008

Sue Scheff: Mistreated Depression




“Basically, psychiatrists are pretty busy. They don’t want to spend a lot of time with people. They want to get people in and out, maybe two or three an hour. … It pays better to do that than spending an hour doing psychotherapy.”

– David Gore, Ph.D., clinical psychologist

Fifteen-year-old Sarah McMenamin suffers from depression. It started a year ago with the death of her father.

“I was just like, ‘I just want to die,’” she says, describing her feeling before seeing a therapist. “I would never kill myself, but I just wish I was dead, I just wish I was never going to wake up.”

For depressed teens, experts at the American Academy of Child and Adolescent Psychiatry say what can help is medicine – combined with talk therapy.

“I think the therapist helped me,” explains Sarah, “’cause it was talking, you know, I got it out. I didn’t bottle everything up.”

“The advantage to getting some therapy along with medication is that you get to the root of the problem,” explains Dr. David Gore, clinical psychologist. “You get to see why you’re feeling that way. And if you start understanding why you’re feeling that way, chances are pretty good you’ll stop feeling that way.”

But according to a new study from Thomson-Reuters, more teens than ever are getting medication without psychotherapy. Why? Gore has an answer.

“Basically, psychiatrists are pretty busy,” Dr. Gore says. “They don’t want to spend a lot of time with people. They want to get people in and out, maybe two or three an hour. … It pays better to do that than spending an hour doing psychotherapy.”

Three months ago, Sarah started seeing a new doctor.

“Right away he put me on Zoloft,” she says. “He didn’t even know me for an hour and he put me on it.”

But psychologists say medicine alone just won’t work as well.

“You take your pill, you’ll get some immediate relief,” explains Dr. Gore, “but the problem’s going to crop up again in two months or four months or six months. You’ve got to get to the root of the problem.”

Sarah will resume talk therapy again in a few months. She says she is looking forward to it.

“You get it out on the table and you know your feelings’” she says, “and you go in thinking it’s one thing and you come out finding out it’s like 10 different things and you’re like, ‘Wow.’”

Tips for Parents

All teens experience ups and downs. Every day poses a new test of their emotional stability – fighting with a friend, feeling peer pressure to “fit in” with a particular crowd or experiencing anxiety over a failed quiz – all of which can lead to normal feelings of sadness or grief. These feelings are usually brief and subside with time, unlike depression, which is more than feeling blue, sad or down in the dumps once in a while.

According to the Nemours Foundation, depression is a strong mood involving sadness, discouragement, despair or hopelessness that lasts for weeks, months or even longer. It also interferes with a person’s ability to participate in normal activities. Often, depression in teens is overlooked because parents and teachers feel that unhappiness or “moodiness” is typical in young people. They blame hormones or other factors for teens’ feelings of sadness or grief, which leaves many teens undiagnosed and untreated for their illness.

The Mayo Clinic reports that sometimes a stressful life event triggers depression. Other times, it seems to occur spontaneously, with no identifiable specific cause. However, certain risk factors may be associated with developing the disorder. Johns Hopkins University cites the following risk factors for becoming depressed:

Children under stress who have experienced loss or who suffer attention, learning or conduct disorders are more susceptible to depression.
Girls are more likely than boys to develop depression.
Youth, particularly younger children, who develop depression are likely to have a family history of the disorder.
If you suspect that your teen is clinically depressed, it is important to evaluate his or her symptoms and signs as soon as possible. The National Depressive and Manic-Depressive Association cites the following warning signs indicating that your teen may suffer from depression:

Prolonged sadness or unexplained crying spells
Significant changes in appetite and sleep patterns
Irritability, anger, worry, agitation or anxiety
Pessimism or indifference
Loss of energy or persistent lethargy
Feelings of guilt and worthlessness
Inability to concentrate and indecisiveness
Inability to take pleasure in former interests or social withdrawal
Unexplained aches and pains
Recurring thoughts of death or suicide

It is important to acknowledge that teens may experiment with drugs or alcohol or become sexually promiscuous to avoid feelings of depression. According to the National Mental Health Association, teens may also express their depression through other hostile, aggressive, risk-taking behaviors. These behaviors will only lead to new problems, deeper levels of depression and destroyed relationships with friends and family, as well as difficulties with law enforcement or school officials.

The development of newer antidepressant medications and mood-stabilizing drugs in the last 20 years has revolutionized the treatment of depression. According to the Mayo Clinic, medication can relieve the symptoms of depression, and it has become the first line of treatment for most types of the disorder. Psychotherapy may also help teens cope with ongoing problems that trigger or contribute to their depression. A combination of medications and a brief course of psychotherapy are usually effective if a teen suffers from mild to moderate depression. For severely depressed teens, initial treatment usually includes medications. Once they improve, psychotherapy can be more effective.

Immediate treatment of your teen’s depression is crucial. Adolescents and children suffering from depression may turn to suicide if they do not receive proper treatment. Suicide is the third leading cause of death for Americans aged 10-24. The National Association of School Psychologists suggests looking for the following warning signs that may indicate your depressed teen if contemplating suicide:

Suicide notes: Notes or journal entries are a very real sign of danger and should be taken seriously.

Threats: Threats may be direct statements (“I want to die.” “I am going to kill myself”) or, unfortunately, indirect comments (“The world would be better without me.” “Nobody will miss me anyway”). Among teens, indirect clues could be offered through joking or through comments in school assignments, particularly creative writing or artwork.

Previous attempts: If your child or teen has attempted suicide in the past, a greater likelihood that he or she will try again exists. Be very observant of any friends who have tried suicide before.

Depression (helplessness/hopelessness): When symptoms of depression include strong thoughts of helplessness and hopelessness, your teen is possibly at greater risk for suicide. Watch out for behaviors or comments that indicate your teen is feeling overwhelmed by sadness or pessimistic views of his or her future.

“Masked” depression: Sometimes risk-taking behaviors can include acts of aggression, gunplay and alcohol or substance abuse. While your teen does not act “depressed,” his or her behavior suggests that he or she is not concerned about his or her own safety.

Final arrangements: This behavior may take many forms. In adolescents, it might be giving away prized possessions, such as jewelry, clothing, journals or pictures.

Efforts to hurt himself or herself: Self-injury behaviors are warning signs for young children as well as teens. Common self-destructive behaviors include running into traffic, jumping from heights and scratching, cutting or marking his or her body.

Changes in physical habits and appearance: Changes include inability to sleep or sleeping all the time, sudden weight gain or loss and disinterest in appearance or hygiene.

Sudden changes in personality, friends or behaviors: Changes can include withdrawing from friends and family, skipping school or classes, loss of involvement in activities that were once important and avoiding friends.

Plan/method/access: A suicidal child or adolescent may show an increased interest in guns and other weapons, may seem to have increased access to guns, pills, etc., and/or may talk about or hint at a suicide plan. The greater the planning, the greater the potential for suicide.

Death and suicidal themes: These themes might appear in classroom drawings, work samples, journals or homework.

If you suspect suicide, it is important to contact a medical professional immediately. A counselor or psychologist can also help offer additional support.

References
American Academy of Child and Adolescent Psychiatry
American Foundation for Suicidal Prevention
Johns Hopkins University
Mayo Clinic
National Association of School Psychologists
National Depressive and Manic-Depressive Association
National Institute of Mental Health
National Mental Health Association
Nemours Foundation
Thomson-Reuters