Oh my child that I adore,

How can I make you love life once more?

To take all darkness from you and return it,

If I could do this it would all be worth it.

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United States Statistics on Suicide and Depression.

Depression

Only half of all Americans experiencing an episode of major depression receive treatment. (NAMI)

Treatment

80% -90% of people that seek treatment for depression are treated successfully using therapy and/or medication. (TADS study)

Death

There is one death by suicide in the US every 12 minutes. (CDC)

Suicide

At 17.3%, Suicide is the 2nd leading cause of death for those between the ages of 10-24.

Gender Disparities

Male Suicide

Suicide among males is 4x’s higher than among females. Male deaths represent 79% of all US suicides. (CDC)

Female Depression

Females experience depression at roughly 2x’s the rate of men.(SMH)

Firearms

Firearms are the most commonly used method of suicide among males (51%). (CDC)

Female Suicide Attempts

Females attempt suicide 3x’s as often as males. (CDC)

Suicidal Contagion – A troubling issue we need to be aware of.

The Contagion of Suicide

In recent years, The Woodlands has seen a drastic spike in teen suicide. Suicidal Contagion could be the cause.

A study conducted by Madelyn S. Gould, Ph.D., M.P.H. (Columbia University and New York State Psychiatric Institute) and Alison M. Lake, M.A. (New York State Psychiatric Institute) (2013)

Evidence has accumulated to support the idea that suicidal behavior is “contagious” in that it can be transmitted, directly or indirectly, from one person to another.

Impact of Media Reporting Suicide:
More than 50 studies on nonfictional stories reported in newspapers, on television, and more recently on the Internet, have yielded consistent findings. Suicide rates go up following an increase in the frequency of stories about suicide (e.g., ). Moreover, suicide rates go down following a decrease in the frequency of stories about suicide (e.g., ).

Suicide Clusters: 
A suicide cluster is an excessive number of suicides occurring in close temporal and/or geographical proximity (). Clusters occur primarily among teenagers and young adults, with between 1 percent and 5 percent of teen suicides occurring in clusters (; ; ).

Impact on Adolescents of Exposure to a Suicidal Peer:
National Longitudinal Study of Adolescent Health (ADD Health) found that “teens who know friends or family members who have attempted suicide are about three times more likely to attempt suicide than are teens who do not know someone who attempted suicide” ().

Strategies to Prevent Suicide Contagion:
It is possible to intervene to mitigate media-driven suicide contagion by implementing media guidelines for suicide reporting (; ). Media guidelines can interrupt the transmission of suicidality by identifying the types of media reporting through which suicidality is likely to be transmitted, and by modifying the volume and content of media reporting, with resultant decreases in suicide rates. For example, suicides in the Vienna subway system decreased by approximately 75 percent in 1987 following implementation of media guidelines for reporting on subway system suicides (). Applying media guidelines to new electronic media, including social networking websites, presents a new challenge to the suicide prevention community (; ).

Screening for suicide risk can also interrupt the transmission of suicidality by identifying in advance individuals who may be susceptible to suicide contagion (). In addition, suicide screening works to alleviate that susceptibility by enabling services to be directed to at-risk individuals identified by the screen. Key settings for suicide screening include schools and primary care practices. A range of school- and community-based psychosocial programs may also work to alleviate susceptibility to suicide contagion by, for example, changing adolescent peer norms through positive messaging (), or educating and empowering parents to communicate with teens (). Finally, research suggests that coordinated postvention/crisis intervention efforts following a death by suicide may minimize and contain the effects of suicide contagion (; ).

Conclusion:
While the complex etiology of suicidal behavior is recognized (), it has become increasingly apparent that suicide contagion exists and contributes to suicide risk along with psychopathology, biological vulnerability, family characteristics, and stressful life events. Strategies to prevent suicide contagion are essential and require ongoing evaluation.

References:
https://www.ncbi.nlm.nih.gov/books/NBK207262/

Substance Abuse and Mental Health.

Below are some studies covering how substance abuse affects mental health, and vice versa. 

Substance Use, Depression and Mental Health Functioning in Patients Seeking Acute Medical Care in an Inner-City ED

“Those with depression and/or poor mental health functioning are at high risk for the physical and psychological consequences of substance use.”

A Comparison of Independent Depression and Substance-Induced Depression in Cannabis, Cocaine, and Opioid Dependent Treatment Seekers

” Independent depression has been found to be more highly associated with suicidality, with a greater number of symptoms, and with a greater number of lifetime depressive episodes.”

Meta-analysis of depression and substance use among individuals with alcohol use disorders

“Results support the hypothesized positive association of depression and concurrent alcohol use and impairment and general drug use and impairment.”

Drug Addiction as Risk for Suicide Attempts

“Suicide is closely linked to the substance use.”

One suffering from depression can only compound their troubles when also abusing substances.

More than half of people who died by suicide did not have a known diagnosed mental health condition at the time of death.

Common Causes: Relationship problems or loss, substance misuse; physical health problems; and job, money, legal or housing stress often contributed to risk for suicide.

Common Method: Firearms were the most common method of suicide used by those with and without a known diagnosed mental health condition.

Everyone can help prevent suicide:
– Learn the warning signs of suicide to identify and appropriately respond to people at risk. Find out how this can save a life by visiting: www.BeThe1to.comExternal
– Reduce access to lethal means – such as medications and firearms – among people at risk of suicide.
– Contact the National Suicide Prevention Lifeline for help: 1-800-273-TALK (8255). https://suicidepreventionlifeline.orgExternal

The media can avoid increasing risk when reporting on suicide by:
– Following and sharing recommendations available at reportingonsuicide.org (for example, avoiding dramatic headlines or explicit details on suicide methods);
– Providing information on suicide warning signs and suicide prevention resources; and, sharing stories of hope and healing.

Montgomery County: 2018 had 115 suicides or attempted suicides. Marking a 44% increase from 2017.

Local Organizations dedicated to helping our community.

Montgomery County Youth Services

1600 Lake Front Circle, Suite 130
The Woodlands, TX 77380

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Memorial Hermann Mental Health Crisis Clinic

9813 Memorial Blvd., Suite A
Humble, TX 77338

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The Woodlands Behavioral Health & Wellness Center

111 Vision Park, Suite 250
Shenandoah, TX 77384

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Family and Youth Institute

25511 Budde Road
The Woodlands, TX 77380

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Psychiatric Emergency Treatment Center

706 Old Montgomery
Conroe, TX 77301

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Interfaith Community Clinic

101 Pine Manor Drive
Oak Ridge North, TX 77385

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Lone Star Family Health Center

440 Rayford Road, Ste. 150
Spring, TX 7786

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New Dimensions Day Treatment Centers

25511 Budde Rd, Ste. 2401
The Woodlands, TX 77380

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Summit Counseling

295 Sawdust Rd.
The Woodlands, Texas 77380

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New Clarity Professional Counseling Services

26314 Oak Ridge Dr.
The Woodlands, TX 77380

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Grace Point Counseling Center

9201 Grogan's Mill Rd.
The Woodlands, TX 77380

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Teen & Family Services

Scout Annex Building
11140 Greenbay ST
Houston, TX 77024

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Community Impact
Reported suicide attempts, safety checks spike in The Woodlands.
Houston Chronicle
Rise in suicides in The Woodlands attributed to several factors.
Washington Post
Suicide rates rise sharply across the United States.
CNN
Study finds: Children going to ER for suicide attempts doubles.
BBC
Why US suicide rate is on the rise.
USA Today
Suicide rate up 33% in less than 20 years.
Pacific Standard
The U.S. Suicide Rate is at its Highest in a Half-Century.
Stanford Edu
Stanford researchers explore: effect of climate change on suicide rates.