...th children and adolescents ho have drug problems or conduct disorders or hose behavior seems aggressive rather than despondent. Although it may be tempting to dismiss such attempts as manipulative, they must be taken seriously, not only in terms of their immediate danger but also as possible expressions of extreme frustration, pain, anger and impulsiveness. Youngsters ith conduct disorders are notoriously inarticulate and may illustrate their pain ith self-destructive acts.At the same time, teen-age behavior may seem perplexing to parents. They may onder if hat they observe is indeed a cause for concern. From time to time, they ill likely notice a number of problematic behaviors in their teen-ager that could be arning signs for suicide. These include-ithdraal or isolation, especially if your child has alays been gregarious and outgoing-Signs of self-mutilation-Violent behavior such as punching holes in alls, getting into fights or self-destructive violence-A consistent pattern of running aay from home-A significant change in sleeping patterns suddenly sleeps all the time or does not sleep at all.-Neglect of personal appearance most adolescents alays ant to look their best, even if their idea of looking good is completely at odds ith yours-Lingering lethargy, a drop-off in schoolork, loss of interest in school-Loss of interest in recreational activities-Lack of interest in praise or reards-eepiness abrupt or constant crying-Expressions of lo self-esteem feeling of orthlessness Im simply no good -References to the fact that he ill not be around much longer to be a burden to everyone-Indications that he is completely overhelmed hat difference does anything make or Life makes no sense -Actions that reflect sudden interest in giving important or favorite possessions aay, putting his affairs in order, making amends and saying good-bye-Sudden and unaccountable cheerfulness, sense of relief or resoluteness after an extended period of depression-An abrupt change of personality, dress, style, friends, etc.-Alcohol or other drug use.If the parents suspect their teen-ager is depressed, they should ask him. The parents must be tentative and respectful. The child may feel comforted by their concern. He may ant more than anything to talk about hat he is feeling. Just listening may counteract some of his feelings of orthlessness. Other adolescents may be so depressed that they may not talk about it directly. They may not be able to identify or put into ords just hat is making them feel so despondent.If the parents have any doubts, they should consult their physician or the childs doctor. Therapy may be prudent, not only for the teen-ager but also for the rest of the family. The provider ill look for the above arning signs as ell as a step-ise criterion that includes suicidal ideation thought, suicidal intent, mental health condition, previous attempt and family history.qs CJOJaQJamHsHCJ OJaQJamHsHCJOJaQJamHsHOJaQJa3,d9Eaaaaaaaaasiprsaaa
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