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Lives of Youngsters Stolen by Suicide
Trish Riley, Miami Herald
It has been two years since Jennifer Palacio slashed her
wrists, drawing blood that continued to spill from her arms and legs the next
day at school.
Luckily she confided her sadness and desperation to a
classmate, who urged her to seek help from her high school counselor. That
intervention may have saved Jennifer's life.
``Everyone has depressing moments in their lives, but now I
don't even remember what the depression was about,'' Jennifer says. ``My mind
was totally blank when I did it.''
Suicide is the third leading cause of death for youth ages
15 to 24 in the United States. In Broward County, six youngsters 18 and younger
were suicide victims last year. One has died in 2001. All were white males, the
youngest 9 years old. The most recent statistics available from Miami-Dade
County show six children ages 14 to 17 died by suicide, 4 boys and 2 girls, half
of them Hispanic, in 1999. Miami-Dade Public Schools reports losing its youngest
child ever to suicide this year, a 10-year-old.
From 1980 to 1996, the rate of suicide among 10- to
14-year-olds increased by 100 percent in the United States; among
African-American males ages 15 to 19 by 105 percent. Typically hidden from view
by cultural inhibitions, taboo, shame and fear, suicide is coming out of the
closet with the release this month of a National Suicide Prevention Strategy.
Goal No. 1 of the 11-point plan is to promote awareness that suicide is a public
health problem that is preventable.
``It's estimated that for every suicide, there are 25
suicide attempts,'' says Pam Harrington of Jacksonville, whose daughter died of
suicide four years ago and whose subsequent activism helped inspire Gov. Jeb
Bush to establish a state-level suicide-prevention task force. More than twice
as many people died by suicide in 1998 than by homicide in Florida.
``We need to acknowledge it so we can prevent it,''
Harrington says. ``It's been a silent killer in our communities.''
The American Foundation for Suicide Prevention reports that
more than 90 percent of suicide victims have a significant psychiatric problem,
and that 30 percent of all depressed patients attempt suicide. But treatment for
people with depressive disorders has alleviated symptoms more than 80 percent of
the time.
Programs to teach the skills considered vital to protecting
children -- and adults -- from sinking into suicidal behavior are active in
Miami-Dade and Broward schools. The suicide-prevention foundation trained
Broward peer-counseling teachers to provide its Solutions Unlimited Now (SUN), a
10-unit program about working together with others, problem solving, developing
empathy and recognizing warning signs of depression or suicidal behavior.
``We've been trying to teach life skills to children so
they can better cope later in life,'' says Rene Barrett of Coral Springs,
executive director of the foundation's Florida chapter.
``The value of the SUN program,'' says chapter board member
Victoria Mallow of Weston, ``is that it teaches kids to be friends, how to have
compassion for one another. If you can teach that at this level, you can reach
the world.''
The pilot programs in Orange, Broward and Palm Beach
counties are returning positive results, Barrett says, and the foundation hopes
to introduce the program on a national level.
Miami-Dade public schools have provided the TRUST (To Reach
Ultimate Success Together) program since 1987, when 321 attempts and 19 suicides
were reported among students in the district, along with 784.3 ideations --
distress calls regarding students discussing or thinking about suicide. Within
one year the number of completed suicides had dropped to seven, although
attempts and ideations remained high. In 1999, the number of suicides dropped to
6 and attempts dropped to 55, although students still reported 687 incidents of
thinking about suicide. Of those who discussed their distress with counselors,
only two have died in 10 years, said school psychologist Frank Zenere. Clearly,
the program is effective at helping students cope with the depressive and
fearful feelings that can lead to suicide.
``We're making an impact; we are saving people,'' said
Zenere, one of three members of the crisis management team at Miami-Dade Public
Schools.
It was a TRUST counselor who came to Jennifer's aid. The
counselor helped Jennifer's family admit her to a psychiatric hospital unit,
where she spent a few weeks for treatment.
COPING SKILLS
``You just sit in there and you actually think about how to
cope and how to solve the problems instead of taking your own life,'' says
Jennifer, now an 18-year-old honor student who plans to study veterinary
medicine. ``I was helped to realize that I was really screwing up my life.''
Jennifer's mother, Ethia Burkhardt, encourages Jennifer to
share her story with others, even though it's difficult. ``It's a way to help
other kids,'' Burkhardt said. ``It's very private, but if it can help somebody
else, it's great. Parents don't deserve to go through all this.''
One of the biggest roadblocks to preventing suicide is the
stigma against mental illness. ``Mental illness is every bit as important as
physical illness,'' said Zenere. ``The stigma is why people are not seeking
help.'' In fact, mental illness is a physical condition. Recent genetic research
is finding correlations between certain genes and bipolar depressive illness,
violent and suicidal behaviors.
Science is discovering that there can be a hereditary
predisposition to mental illness. Awareness of family histories can help alert
individuals to watch for signs of similar illnesses, but that can be difficult
when mental disorders and addictions are cloaked in secrecy.
IMPORTANT INFO
``We've swept it under the rug and not talked about it --
called these people crazy and stuffed them in institutions,'' says Mallow, who
never knew her own mother had spent weeks in a sanitarium for mental illness
until after one of her children required emergency hospitalization for a severe
depressive attack.
Mallow realized her child needed help when she discovered
that prized personal belongings were being given away to friends -- a sign that
a person is saying goodbye.
``Imagine how much easier it would have been for me to help
my child if I had known this was in my family. We've got to change how they're
thought of -- it's just like any other illness -- you get medication, you need
people's help with it. Getting balanced on medication is something that has to
be constantly monitored for the rest of your life.''
Jennifer credits her boyfriend with helping her to break
old habits and maintain a positive outlook. A musician and member of an
underground peer group called Straight Edge, Manny Carvallo, 19, says no to
drugs, premarital sex, alcohol and meat. ``It's a philosophy of life that tells
you we don't have to take any poison into our bodies,'' Carvallo says. His
friends in underground rock bands helped him see the light when his own life was
in tatters. Carvallo, of Miami, says he lived on the streets for about nine
months at age 16, thinking about nothing but using drugs, until friends helped
him.
Another method of suicide prevention recommended by U.S.
Surgeon General David Satcher in his National Suicide Prevention Strategy is to
reduce access to lethal means and methods of self harm. Guns are used in 57
percent of suicides. The Centers for Disease Control reports that the death rate
of individuals exhibiting suicidal behavior doubles when a gun is kept in the
home. Physicians for Social Responsibility say that a gun in the home is 11
times more likely to be used against oneself in a suicide attempt than in
self-defense.
GET RID OF GUN
``If a kid is in crisis and you've got a gun in the house,
you are going to increase the likelihood of tragedy,'' says Harrington, who
wishes her own daughter, who died at 15, had recognized her own depression and
known help was available. ``Get the gun out of the house, at least until the
crisis has passed,'' Harrington says.
Recognizing the symptoms of illness and getting help is the
key to suicide prevention. ``What a great difference it makes when your child
gets the proper help,'' says Mallow. ``What a relief it is to know that your
child can live the life that you want them to live -- to be normal and happy
like everyone else.''
Trish Riley is a South Florida freelancer who writes about
children, health and the environment.
http://www.trishriley.com/mhsuicide.htm


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