“ Many are giving up heart for the battle of life. . . as the showdown between good and evil approaches Depression with its accompanying trials and tribulations. Satan is increasingly striving to overcome the Saints with despair, discouragement, despondency, and depression. ” Gregory A. Hudnall President Ezra Taft Benson Associate Superintendent Provo School District What is depression? What does depression look like in children? What does depression look like in children? At Home: At School: ! A medical disorder that causes a person to feel persistently sad, low or disinterested in daily ! Difficulty concentrating - forgetfulness ! Persistent sadness, downcast expression, low mood activities. ! Persistently decreased interest in activities ! Impaired ability to plan or use abstract reasoning ! Feeling sad or blue continues over an extended ! Sleep & appetite disturbances ! Social isolation period of time. ! Feelings of worthlessness ! Problem behaviors ! Increased fatigue & irritability ! Symptoms are caused by an illness with complex ! Heightened sensitivity to perceived criticism genetic and environmental origins - not by flawed ! Increased physical complaints ! Anxiety disorders attitude or personality. ! Preoccupation with death or hurting oneself ! Learning disorders ! Experimentation with alcohol or drugs 2007 Top 15 States for Suicide – All Ages Depressed individuals who exhibit the Rate per 100,000 Population Depression & Suicide following are high risk for suicide: Rank State Age-adjusted Rate 1 Alaska 21.8 2 Montana 20.5 ! Major depression is the psychiatric diagnosis most ! Extreme hopelessness 3 New Mexico 20.40 commonly associated with suicide. ! Lack of interest in activities that were previously enjoyed 4 Wyoming 19.3 5 Nevada 18.4 ! Heightened anxiety - panic attacks 6 Colorado 16.7 ! About 2/3 of people who complete suicide are 7 West Virginia 16.6 ! Insomnia depressed at the time of their death. 8 Arizona 16 ! Talks about suicide - history of attempts 9 Oregon 15.9 10 Kentucky 15.3 American Association of Suicidology ! Irritability - agitation 11 Idaho 14.9 11 North Dakota 14.9 13 Oklahoma 14.7 14 Maine 14.5 15 Utah 14.3
2007 Suicides in US – All Ages 2007 Youth Suicides by States Rates per 100,000 population Ages 15 -24 years Rate per 100,000 population Rank State Rate Rank State Rate Ranking States Deaths Rate Ranking States Deaths Rate 1 Alaska 30.0 26 Indiana 11.2 School problems, family history of suicidal behavior ! "#$%&$ !'( )!*+ ), -./0$.$ ,(1 !)*2 2 Idaho 21.5 27 Ohio 10.8 ) 34.5$.$ !(6 )1*2 )+ 7480%0$.$ 2)) !)*) 3 New Mexico 21.0 28 Louisiana 10.5 9 :;<=3;>0?4 '1! )1*' )( :;<=@$AB%C0D; !2+ !) and poor parent/child communication were the 4 South Dakota 20.5 29 Arkansas 10.4 ' EF4A0.G !1! !(*9 )( H485C=I$D4#0.$ 291 !) 5 Wyoming 19.8 29 Iowa 10.4 2 :;J$/$ ',! !+*' 9! :4D5C=I$D4#0.$ !K1,, !!*( 6 Maine 18.6 31 Tennessee 10.3 most notable among adolescent completers. 6 I4#4D$/4 +!! !6*, 9) L;..%F#J$.0$ !K''! !!*6 7 North Dakota 16.6 32 Texas 10.1 , E;%5=M0DG0.0$ 911 !6*6 Z.05;/=H5$5;% 9'K2(+ !!*2 8 Arizona 15.7 33 Florida 9.9 + "D0N4.$ !K1!6 !6 99 M0DG0.0$ ++1 !!*' 9 Utah 15.4 34 Pennsylvania 9.7 ( OD;G4. 2(' !2*( 9' OC04 !K)(2 !!*9 10 Montana 14.8 35 North Carolina 9.5 !1 P;.58?&F 6'( !2*9 92 30?C0G$. !K!9! !!*) 11 West Virginia 14.5 36 Michigan 9.3 !! -/$C4 ))9 !'*( 96 Q;#$<$D; (2 !! 12 Kansas 14.4 37 Virginia 9.0 !! :4D5C=Q$&45$ (2 !'*( 96 30..;%45$ 2,) !! 13 Nevada 13.6 38 Illinois 8.8 !9 O&#$C4A$ 29! !'*, 9+ -4<$ 9)) !1*+ 14 Colorado 13.4 39 Maryland 8.6 !' 3$0.; !(! !'*2 9( R;4DG0$ ((, !1*' 14 Wisconsin 13.4 39 Hawaii 8.6 !" #$%& '() !*+' 9( @$<$00 !99 !1*' 16 Kentucky 12.9 39 New Hampshire 8.6 !2 M;DA4.5 +( !'*9 '! :;SD$%&$ !+! !1*) 17 Washington 12.2 39 South Carolina 8.6 !, "D&$.%$% '1) !'*) '! T;>$% )K'99 !1*) 18 Oregon 11.9 43 Delaware 8.3 !, U#4D0/$ )K2+, !'*) '9 I$#0V4D.0$ 9K61) (*( 19 Nebraska 11.8 44 Georgia 7.9 !( P$.%$% 9+) !9*+ '' 3$DF#$./ 2!+ (*) 20 Alabama 11.5 45 Connecticut 7.0 )1 30%%48D0 +1+ !9*, '2 WC4/;=-%#$./ (6 (*! 21 Mississippi 11.4 45 Rhode Island 7.0 )1 T;..;%%;; +'' !9*, '6 -##0.40% !K!1+ +*6 21 Minnesota 11.4 47 California 6.9 )) 30%%0%%0BB0 9(6 !9*6 ', 3$%%$?C8%;55% 2!6 + 21 Vermont 11.4 48 New Jersey 5.3 )9 E$%C0.G54. +62 !9*' '+ I4..;?50?85 ),! ,*, 24 Missouri 11.3 49 Massachusetts 5.6 )' E0%?4.%0. ,)( !9 '( :;<=X4D& !K9(6 , 24 Oklahoma 11.3 50 New York 5.3 )2 "#$S$A$ 2() !)*+ 21 :;<=Y;D%;F 2(6 6*( 51 District of Columbia 2.1 )2 H485C=Q$&45$ !1) !)*+ 2! Q0%5D0?5=4V=I4#8AS0$ 96 6*! Many adolescent suicides occur in the context of a “ Suicide is a sin - a very grievous one, What to watch for: Is Path Warm yet the Lord will not judge the person who commits stressful life event, such as a loss, that sin strictly by the act itself. a disciplinary action or romantic breakup. I Ideation: threatening to hurt self; seeking access to !!!!!!!!!!!! weapons; writing, talking or drawing about death The Lord will look at that person’s circumstances S Substance abuse: increased While these stressors are experienced by most and the degree of his accountability P Purposelessness: no reason for living at the time of the act. ” teens, they may be the final straw for teens A Anxiety: agitation, too much/little sleep at risk for suicide. Elder M. Russell Ballard T Trapped: there’s no way out !! Ensign, Oct. 1987 H Hopelessness W Withdrawal: from friends, family & society A Anger: rage, uncontrolled anger, seeking revenge R Recklessness: engaging in risk activities M Mood Change: dramatic mood changes Provo City School District Statistics Provo City School District Statistics Verbal Warnings Year Attempts & Threats Hospitalized Completions Year Attempts & Threats Hospitalized Completions Elementary 8 1999-2000 75 9th grade student & 1 male teacher 2005-2006 Middle 18 8 No completions ! “ I don’t want to be a burden. ” Secondary 30 Elementary 3 2000-2001 Middle 46 No completions Elementary 19 Secondary 62 2006-2007 Middle 8 7 No completions ! “ I’m going to end it all. ” Secondary 43 Elementary 16 2001-2002 Middle 33 4th grade student & 8th grade student Elementary 10 Secondary 61 2007-2008 Middle 6 5 No completions Secondary 16 ! “ I can’t stand it any longer. ” Elementary 13 Elementary 0 2002-2003 Middle 7 12 No completions 2008-2009 Middle 8 2 No completions Secondary 23 Secondary 16 ! “ People would be better off without me. ” Elementary 15 Elementary 6 2003-2004 Middle 17 6 9th grade student & 11th grade student 2009-2010 Middle 3 5 No completions Secondary 21 Secondary 14 Elementary 33 Elementary 2 2004-2005 Middle 13 9 9th grade student Middle 7 2010-2011 9 No completions Secondary 88 Secondary 30
When to get help… Utah County HOPE Task Force Where to get help… Support Programs Call 9-1-1 or seek immediate help from a mental health provider when you hear, say or see any one of these behaviors: ! Educational presentations ! School Counselor/Psychologist ! ! Someone threatening to hurt themselves ! School programs - HOPE Squads • Family Doctor ! Survivor group ! Someone looking for ways to kill themselves: seeking access to pills, weapons, or other means • Local Therapist ! Nondenominational clergy training ! Someone talking or writing about death, dying or suicide ! Statewide suicide prevention conference • Clergy ! Annual suicide awareness walk • Emergency Room ! Media training Call 1-800-273-TALK (8255) • Wasatch Mental Health for a referral if person exhibits one or more behaviors. What is Utah doing? Cont. What is Utah doing? ! Implemented mental health assessment pilot ! program • Developed statewide plan to deal with suicide ! prevention at Juvenile Court in Davis County • Organized state task force to implement plan and provide ! Community-based training statewide training and support ! Annual statewide suicide prevention conference for ! professionals working with adolescents • Organized statewide crisis team to respond to school suicides or shootings ! Support groups for families affected by suicide • Researched national school-based programs and ! Mental health groups for adolescents who have ! implemented: attempted suicide • Peer to peer school-based program – HOPE Squads • Mental health school-based program – Hope for Tomorrow ! Statewide blood test and hair follicle sample collected on completers
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