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Teen Suicide Prevention: How To Prevent Teen Suicide

Updated 21 September 2021
Halcey Driskell explains IOP
What You Need to Know About Suicide
How to prevent suicide in Teens

What Are The Potential Causes Of Teen Suicide?

The potential causes of teen suicide can be varied and complicated.

According to the National Institutes of Health (NIH), “The rate of teen suicide has increased over the last decade. Suicide is now the second leading cause of death for teens and young adults in the United States. Experts don’t know why this rate has been rising.”

Teens might feel suicidal for a number of reasons ranging from failing a class to going through a breakup. The reasons why a teenager might have suicidal thoughts or behaviors can depend on what is occurring right now and how well the teen can cope with stressors.

Teenagers go through several changes as they grow into young adults that can feel overwhelming to them. 

They might not be emotionally equipped to handle stress, change, disappointment, rejection, grief, or other negative emotions. Otherisk factors, like mental health and substance use disorders, can compound any of these emotional experiences.

According to Dr. Jane Pearson, a mental health expert at NIH, “Teens don’t have the life experience to know that these things will be temporary, that they’ll get through it.”

They also feel like they’d rather die than feel this way. For teens, they don’t yet understand the options they have to cope with these issues. They might feel like they only have two ways of getting over these things: live unhappily ever after or die.

Teenagers might feel like there is no other way out of a tough situation. 

They might think that negative feelings will last forever. They don’t have the experience to see that their current stressors are temporary, and they don’t have the skills to cope with these challenges.

While all teens deal with stress and negative emotions, not all teens have suicidal thoughts or behaviors. What might cause suicidal behaviors in one teen might not bother another teen.

It’s important to understand that suicidal behaviors, thoughts, gestures, and speech are not just a cry for attention.

Many people believe a myth that teens say things like, “I wish I was dead” or “I’ll just kill myself!” to get attention. If your teen is saying things like this, they might be struggling with something causing them significant stress in life.

Understanding the risk factors and warning signs of teen suicide can help prevent teens from considering suicide as a way out of their problems.

A stressed person laying down on a couch

What Are Some Risk Factors For Teen Suicide?

Youth.gov lists several risk factors for teen suicide, including:

  • Underlying mental health issues
    • Depression
    • Anxiety
    • Trauma
    • Borderline personality disorder (BPD)
    • Bipolar disorder
    • Schizophrenia and other psychotic disorders
  • Substance abuse
  • Family history of suicide or violence
  • Low self-esteem
  • Having parents or caregivers with mental health disorders
  • Dysfunctional home environments
  • Lack of friendships or rejection by peers
  • Being physically, emotionally, or sexually abused
  • Conflicts with family members

These underlying factors combined with a stressful event can trigger suicidal thoughts or behaviors in teens and young people. In addition, girls are at a higher risk of suicidal behavior than boys, as well as teens who go through puberty early.

Another risk factor, according to Youth.gov, is that “LGBT youth are more likely to attempt suicide than their peers.”

With the presence of some of these factors mixed with a triggering event like a breakup or problems at school, a teen might be at a higher risk of suicide.

However, some teens might cope in healthy ways. Understanding warning signs of suicide can help you know how well your teen is coping with stressors.

Possible warning signs infographic with an illustration of a boy reading a white paper Possible side effects infographic with an illustration of a boy reading a white paper and pills behind himand pills behind him

What Are The Warning Signs Of Teen Suicide?

Many potential warning signs of teen suicide can help you in preventing suicide from occurring.

Warning signs of youth suicide occur after a teen or young person is triggered by some stressor or underlying issue. When these warning signs are present, you can get your child help before things continue to get worse.

According to the National Institute of Mental Health (NIMH), warning signs of suicide include:

  • Expressing things like:
    • Wanting to die
    • Feeling like a burden to others
    • Significant shame or guilt
  • Feeling hopeless, trapped, empty, or having no reason to live
  • Extremely sad and other unbearable emotional pain
  • Highly anxious and agitated
  • Irritable and quick to anger
  • Chronic physical pain
  • Changes in eating or sleeping habits
  • Displaying suicidal behaviors, like:
    • Creating a plan for suicide
    • Looking up ways to die
    • Withdrawing from friends, family, and loved ones
    • Drafting a will or giving away prized possessions
    • Risky behaviors, like driving fast, promiscuity, self-harm, and alcohol or substance abuse
    • Extreme mood swings
A person looking down while putting her hand behind her neck

The presence of these events, especially expressing suicidal thoughts and creating a plan, are warning signs of suicide. Suicidal ideations are also a symptom of underlying mental health issues, like depression.

If you see these warning signs, get your child help immediately by calling 911, contacting a mental health crisis team, or going to the emergency room for an evaluation.

For teens, the warning signs of suicide might appear like some of the following:

  • Writing in a journal or on social media about suicide or wanting to die
  • Decrease in academic performance
  • Suddenly being mean to siblings or friends
  • Collecting lethal means of suicide (keeping knives or guns in their cars, rooms, lockers, or other personal spaces)
  • Loss of interest in preferred activities
  • Isolation and sudden changes in friendships
  • Appearing pre-occupied or unable to focus on schoolwork or hobbies
  • Self-harm, like cutting, burning, or scratching

Teen suicide prevention involves catching these warning signs before things get worse. You can also help your teen develop healthy coping skills and increase other protective factors that will yield positive mental health outcomes.

An illustration of a sad girl looking down surrounded by a standing friend and a friend hugging her

Can We Prevent Youth Suicide?

You can take proactive measures and actions to prevent youth suicide.

Teen suicide prevention involves understanding both the warning signs and risk factors, along with taking steps to protect the mental health of teens.

Teens and young adults are vulnerable to suicidal thoughts because their developing brains might not understand that many problems have solutions. The brain continues to develop structures responsible for long-term planning and decision-making.

For teens, their current state of mind might feel like it will last forever or that there is no hope for things to get better.

Teens lack the experience and brain development to see an end to their current problems, especially if they feel alone or lost in their suffering. By shielding your child with protective factors, you can help prevent teen suicide.

The Centers for Disease Control and Prevention (CDC) states that although there is less research on protective factors than risk factors of suicide, “There are some individual characteristics and things we can do” to “help protect people from suicidal thoughts and behavior.”

Protective factors to prevent suicide include:

  • Developing coping and problem-solving skills
  • Learning to regulate emotions
  • Cultural and religious discouragement of suicide
  • Engagement and healthy connections with family members, friends, peers, loved ones, school, and the community
  • Access to physical and mental health care
  • Supportive and helpful relationships with health care providers
  • Limiting access to lethal means of suicide, like guns, poisons, and sharp objects
  • Building a healthy and positive self-esteem
  • Structured home environments with clear expectations for behaviors and values
  • Having positive role models and mentors

These protective factors can help teens cope with stressors in a healthy way. When teens understand that they have options to deal with negative events, they are less likely to consider suicide.

When teens develop a healthy sense of self-worth, manage underlying mental health issues, have meaningful hobbies, and have positive connections with others, they can develop the skills needed to cope with negative events in life.

Having a happy, healthy home environment with coping skills for stress will minimize the risk of suicide among teens.

Unfortunately, you can’t be around for everything or with your child all day long. While a healthy and structured home life will help prevent teens from developing mental health issues or feeling suicidal, their life at school might be much different than at home.

A teen girl sitting alone in the locker room sadly

Are Schools Doing Enough To Prevent Teen Suicide?

There is currently some debate over whether or not schools are doing enough to prevent teen suicide.

While it is difficult to determine whether or not schools are doing enough, the current suicide rate among teens is alarming.

According to the CDC, the data on suicidal ideations and behaviors among high school students in 2019 showed that:

  • 18.8% had seriously considered a suicide attempt
  • 15.7% created a suicide plan
  • 8.9% had made an attempt
  • 2.5% had made a suicide attempt that required medical care

As the numbers rise among high school-aged students, schools can enact measures to prevent suicide from occurring and provide greater outreach for young people with mental health issues.

Blue colored school illustration on a dark navy background with flower decorations

How Can Schools Prevent Teen Suicide?

Schools can play a critical role in preventing teen suicide.

According to Youth.gov, “Schools, where youth spend the majority of their time, are a natural setting to support mental health.”

In addition, “No one person (parent, teacher, counselor, administrator, mentor, etc.) can implement suicide prevention efforts on their own. The participation, support, and active involvement of families, schools, and communities are essential.”

Teen suicide prevention can take the effort of both parents, schools, and the community at large.

While schools can be an excellent setting to identify kids with emotional needs, parents and mental health professionals must also be involved. A school might be able to make a referral or recommendation for mental health services to parents.

Schools can also provide education to teens on mental health and teach healthy coping skills during health classes. They might consider having a trained social worker or school psychologist on staff in addition to a guidance counselor.

The school setting can be a good place for students to learn what to do when a friend or loved one is in distress. Teachers and school support staff could have mental health professionals provide training on what to look for when kids are struggling.

When more people, including peers, are looking out for one another and know who to go to when someone is struggling, kids who struggle with suicidal thoughts and behaviors can get the help they need before it’s too late.

Group of adults sitting around in a circle listening to a therapist

How Can Psychologists Work With Communities In Preventing Teen Suicide?

Psychologists and other mental health professionals can work with communities to help prevent teen suicide.

Mental health professionals can partner with schools to train teachers and staff or even teach students about caring for their mental health. They can teach kids what to do when they feel suicidal or are concerned about a friend’s mental health.

Psychologists can offer to provide counseling following tragic events at the school and in the community, such as the death of students or school staff, school shootings, natural disasters, or other events that impact the lives of many students at once.

Mental and behavioral health professionals can help communities prevent teen suicide by partnering with community members to provide suicide prevention programs.

Professionals can teach social workers, police officers, emergency medical staff, coaches, church leaders, and others about the signs of suicidal behavior and other mental health problems.

Educating others on warning signs, dispelling myths, and teaching what actions can be taken are some ways that mental health professionals can help prevent teen suicide.

Two teens holding LGBT letters

How Can We Prevent LGBTQ Teens From Committing Suicide?

Preventing LGBTQ teens from committing suicide involves helping these teens feel accepted.

According to Youth.gov, “reported rates of suicide attempts for high school students who identify as LGBT are two to seven times higher than . . . high school students who describe themselves as heterosexual. LGBT youth are also twice as likely to have thoughts about suicide.”

LGBTQ teens are at a higher risk of suicide, substance abuse, and mental health problems than heterosexual teens. Many LGBTQ teens struggle due to negative stigma and a lack of acceptance.

Safe and accepting homes and communities are critical to prevent suicide among LGBTQ teens.

If you have child identifying as LGBTQ, be aware of the increased risk of suicide among teens in this group. You might need to consider how they are treated by other family members, siblings, peers, and the community.

While you cannot protect your child every day of their lives, you can help them build a healthy sense of identity and self-esteem. 

Parents of LGBTQ teens might not understand what their teen is going through. This lack of understanding can cause communication issues between teens and parents.

If your teen identifies in the LGBTQ community, you can do some of the following to show them unconditional acceptance to lower risk factors of suicide:

  • When your child comes out, be mindful of your reaction. Being shocked or upset can send your teen the wrong message.
  • Try saying something like, “I am honored that you are sharing this with me.” For teens coming out, they are in a vulnerable position and are probably worried about your reaction. You can start out by simply thanking them for trusting you enough to tell you.
  • Learn more about the LGBTQ community and the struggles that they go through.
  • Many believe that they need to understand before they can accept. However, it is best to think the other way: acceptance comes before understanding.
  • You can ask your child about what their identity means to them and to teach you more about what they are going through.
  • Be your child’s ally. The world might stigmatize and discriminate your child for their identity. You can be their ally by accepting them and advocating for them.
  • Consider distancing yourself from others who have negative views of the LGBTQ community. You might need to limit time with relatives and other family members who reject your child’s identity.
  • Look out for signs of mental health issues, suicidal behaviors and thoughts, substance abuse, and other concerns. Your child is at a higher risk of these issues. Learn the warning signs to make sure they stay healthy and safe.
Teen looking away while leaning against a brick wall

What Can Prevent Suicide In African American Teens?

Preventing suicide among African American teens involves understanding the risk factors unique to African American teens compared to white teens.

According to the National Institute of Mental Health (NIMH), “As of 2018, suicide became the second leading cause of death in Black children aged 10-14, and the third leading cause of death in Black adolescents aged 15-19.”

According to the US Department of Health and Human Services: Office of Minority Health, “Black females, grades 9-12, were 60 percent more likely to attempt suicide in 2019, as compared to non-Hispanic white females of the same age.”

In addition from NIMH, “researchers . . . found that Black children were more likely to die by suicide than their White peers.” While minority groups “have historically had relatively low rates of suicide . . . this has been changing recently, especially for Black youth.”

NIMH director Joshua Gordon says that “[m]ore research is needed on how suicide risk develops among Black youth, and how it can be best prevented.” Understanding risk factors can help prevent suicide among African-American teens.

Ring the Alarm: The Crisis of Black Youth Suicide in America “describes key research findings related to suicide among Black youth” and “provides research, policy, and practice recommendations to address this issue.”

Some of the following risk factors might put African-American youth at a higher risk of suicide than white youth:

  • Experiences of racism and discrimination
  • Higher rates of unemployment
  • Financial and food insecurity
  • Limited access to health care services
  • Less likely to be diagnosed with a mental illness or receive outpatient mental health treatment after a suicide attempt
  • Less likely to receive treatment for mental health problems, like depression
  • Access to lethal means, such as firearms

Black youths’ lives matter. Increased access to mental health services, improved economic disparities, and targeted efforts to enhance the lives of African-American teens can help to prevent suicide among these teens.

Knowing the early warning signs and risk factors of suicidal behavior can help prevent teen suicide. Sandstone Care is here to support teens and young adults with mental health and substance use disorders. Call (888) 850-1890,

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