Dr. B's Blog

Talk is cheap (and effective)

MSNBC reports on suicide in the Native American Community:

"Let's say that all your emotions are in a glass of water. When somebody bullies you, dump out a little bit. When somebody offers you drugs and you take those drugs, and then somebody tears you down because you used drugs, pour out a little bit. Eventually that glass of water is going to be empty and that's kind of like your self-esteem. You're going to be empty, so you're going to try to commit suicide," said A.J. Hollom, a 14-year-old student.

The thing that's so sad about adolescents killing themselves is that it's so readily preventable. Teens experience the entire range of emotion but don't have the entire repertoire of coping skills needed to handle them. There are very effective treatments for suicidal adolescents and my method chosen method of treatment, Dialectical Behavior Therapy, is one of them.

For parents, therapists or concerned others, I recommend Dialectical Behavior Therapy for Suicidal Adolescents. I have spoken to the authors and listened to them give lectures and it's a great resource. The book is targeted at clinicians, but it's important for caregivers to be informed, too. If you've got other suggestions for books or resources, please mention them in the comments!

Forbes.com: The Forgotten Patients

Forbes magazine has a lengthy article on suicidality and its treatment. The magazine reports:

Wixom spent the next year in group and individual sessions learning practical skills to manage her emotions so that they didn't spiral out of control. They included distress tolerance techniques like plunging her head into ice water, devising ways to distract herself when bad thoughts arose and learning not to leap to the conclusion that one bad day implies a life of misery. She has not been hospitalized since. "DBT is the best thing in the world. It changed my life," says Wixom, who got married halfway through therapy and is raising two daughters, ages 10 months and 2 years.

The article discusses the difficulty in finding support for the treatment of suicidality but does highlight the importance of not ignoring the issue. Related to the purpose of our practice, however, is the prominence of DBT in the treatment of chronic suicidality. There is help, you just have to know where to find it.