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Report: Suicide Now the Second-Leading Cause of Death Among America’s Teenagers

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Risk Factors Include Abuse, Bullying, Being LGBT – Firearms Are the Second Leading Method of Suicide

Editor’s note: This article is being published to help our readers become more aware of the risk factors associated with suicide in the hope of helping reduce and prevent it. See the list of resources at the bottom for more.

Suicide is now the second leading cause of death among teenagers, according to a new report from the American Academy of Pediatrics (AAP) released Monday, which updates guidelines to pediatricians for helping teens manage risk factors for suicide. In 2007, suicide was the third leading cause of death among teens.

A USA Today article also published Monday, “Pediatricians urged to screen for suicide risks among teens,” notes, “Christine Moutier, chief medical officer at the American Foundation for Suicide Prevention, the nation’s largest suicide prevention network, commends the report for shining light on the pediatricians’ role in having the right conversations with patients about mental health and providing practical examples of how to ask the right questions that keep adolescents engaged.”

Suicide risk factors listed include a history of physical or sexual abuse, mood disorders, drug and alcohol use, self-harm, being LGBT, and bullying, including cyberbullying.

Firearms in the home may also increase risk of suicide, and the AAP recommends that the families of at-risk teenagers remove any guns stored in the house. Firearms were the second leading method of suicide, increasing risk of completed suicide attempts no matter how they are stored.

USA Today adds, “Ben Shain, author of the report and head of the Division of Child and Adolescent Psychiatry at NorthShore University HealthSystem, says suicide rates may have increased due to the stresses and anger levels induced by electronic media and a reluctance to use antidepressant medication.”

In fact, frequent internet use was also strongly associated with a higher risk of suicide. Staying online more than five hours per day correlates with an increased risk for depression and suicidal thoughts and actions, although social networking sites mitigate this risk by providing greater social support.

Pediatricians should be looking for other health concerns, including typical symptoms of mental health issues like negative feelings, fatigue, and insomnia, as well as behavioral problems and physical symptoms like chest pain, headaches, weight loss, and lack of energy.

Additionally, learning about another person’s suicide can be a risk factor for people already at risk.

Adolescent girls have a higher rate of attempted suicide than boys, but boys have a success rate nearly three times as high as girls. According to the AAP, this is because girls choose less lethal methods than boys do.

The report also gives guidelines for doctors to help struggling teens. Suicide screening should include questions about symptoms of depression, as well as asking about risk factors and past attempts. Screening was not found to correlate with suicidal thoughts; in other words, asking teenagers about suicidal thoughts does not cause them to have suicidal thoughts, even if they are already at risk. Screening should also be done without a parent present, although parents should be given information to help their child if they are at risk.

The AAP also addresses the black box warning associated with antidepressant medications. The FDA requires labels on medications that were found to lead to an increased risk in suicidal thoughts and behavior through clinical trials. Although, as the AAP report says, “Subsequent studies have addressed the validity of the black-box warning and suggest that, for appropriate youth, the risk of not prescribing antidepressant medication is significantly higher than the risk of prescribing.” The FDA has not changed its guidelines on the black box warning, and the AAP guidelines say that the warning should be discussed when medication is prescribed.

 

If you or someone you know is considering suicide, there are many people available to help. Call 911 if there is an immediate risk. 

You can contact the National Suicide Prevention Lifeline, or call them at 1-800-273-TALK (8255).

States offer federally-funded free or low-cost mental health services. Use the SAMSHA locator or call 1-800-662-4357.

The Trevor Project helps LGBTQ young people 13-24. Visit them online or call 1-866-488-7386. The Trevor Project is also on Twitter and Facebook.

 

Image by justine-reyes via Flickr and a CC license

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‘Pre-Crime’: Hundreds of National Security Experts Warn Trump Order Threatens Democracy

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A coalition of hundreds of former senior national security and law enforcement officials is expressing “deep alarm” in condemning President Donald Trump’s executive order designating Antifa as a domestic terrorist organization, and calling it “a signal that the foundations of American democracy itself are under threat.”

The group likens the order to “pre-crime,” a concept from the film “Minority Report” in which people are arrested for crimes they have not yet committed — where thought itself, ahead of action, becomes criminalized.

The Steady State, a group that includes more than 330 former ambassadors, inspectors general, flag officers, defense and Homeland Security officials, and senior intelligence officers, warns that the Trump executive order is “dangerously broad,” as it calls “for scrutiny of ‘networks’ and ‘organizations’ that may ‘foment political violence,’ and even of ‘potential’ crimes.”

READ MORE: ‘The Ground Has Shifted’: Experts Warn After Trump’s ‘Gnat’ Speech to U.S. Navy

“This pre-crime approach,” The Steady State explained, “invites surveillance and targeting based not on evidence of criminal acts but on associations, ideologies, or mere suspicion. American history teaches that such preventive policing sweeps up bystanders, political opponents, and peaceful activists, eroding due process and equal protection.”

The signatories also express concern over the “troubling” use of vague ideological “indicia,” including, as the memo stated, “anti-Americanism, anti-capitalism, and anti-Christianity; extremism on migration, race, and gender; and hostility toward those who hold traditional American views on family, religion, and morality.”

The group says that these “undefined categories give sweeping discretion to enforcers. Advocacy for LGBTQ rights, criticism of government policy, or support for progressive reforms could easily be miscast as falling within them—even though such advocacy is protected by the Constitution.”

READ MORE: ‘I Don’t Negotiate With Terrorists’: GOP Congressman Targets Democrats in Outrageous Rant

The Trump memo specifically offers as an example: “Charlie Kirk’s alleged assassin engraved the bullets used in the murder with so-called ‘anti-fascist’ rhetoric.”

The Steady State explained that the U.S. Department of Justice and the FBI “may investigate crimes—arson, conspiracy, violence—but not constitutionally protected views or associations. The President’s order erases that distinction, treating a diffuse, decentralized ideology—anti-fascism—as if it were a formal organization subject to designation and criminalization. No federal statute grants the president authority to designate domestic groups or movements as terrorist organizations.”

The group’s members include Richard Danzig, the 71st Secretary of the Navy under President Bill Clinton; Asha Rangappa, a former FBI Special Agent; Alexander Vershbow, a former U.S. Ambassador to NATO, Russia, and South Korea and a former Assistant Secretary of Defense; and Edward “Ned” Price, a former State Department official.

READ MORE: ‘Literally What’s Happening’: White House Blasted for Raging at Military Takeover Talk

 

Image via Reuters

 

 

 

 

 

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‘Literally What’s Happening’: White House Blasted for Raging at Military Takeover Talk

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The White House appears to be telegraphing President Donald Trump’s plans to expand the domestic deployment of military forces across U.S. cities — defying opposition from local leaders — while attacking the press for reporting it.

Describing the President’s deployment of the National Guard and U.S. military, ostensibly to protect ICE agents, federal buildings, and patrol city streets, as a “proven formula” to curb crime — which FBI data show was already declining nationwide — Leavitt rebuked the press for “framing this like the president wants to take over the American cities with the military.”

Asked at Monday’s briefing if Democrats have “reason to be concerned that there are long-term plans by this administration to keep U.S. military or the National Guard in American cities, like what we’re seeing here in Washington,” White House Press Secretary Karoline Leavitt told reporters, “Why should they be concerned about the federal government offering help to make their cities a safer place?”

READ MORE: ‘The Ground Has Shifted’: Experts Warn After Trump’s ‘Gnat’ Speech to U.S. Navy

Aside from Washington, D.C., no mayor who has been notified of possible federal troops on their streets has supported the idea. Mayor Bowser has taken a reserved stance, given the District’s federal constraints. Federal law, in most cases, requires the governor to ask the President for troops.

“They should be concerned about the fact that people in their cities right now are being gunned down every single night, and the president, all he’s trying to do is fix it,” Leavitt insisted, despite troops largely being unwelcome.

She decried what she alleged was a “complete smear campaign by the Democrats and the media, quite frankly.”

“I was reading Politico Playbook this morning — one of the most inside the Beltway newsletters you can find — and you guys are framing this, like the president wants to take over the American cities with the military. The president wants to help these local leaders who have been completely ineffective in securing their own cities,” Leavitt claimed, before suggesting plans for further militarization.

“And we have already seen, there’s a positive formula for that. Look at Washington, D.C. The murder rate has declined significantly. Our streets are safer. People who live here feel safer. All of you in this room, I know you do. You just won’t admit it.”

READ MORE: ‘I Don’t Negotiate With Terrorists’: GOP Congressman Targets Democrats in Outrageous Rant

“And it’s a proven system that works, and the president wants to make America’s cities safe again,” Leavitt added. “And I don’t think there’s anything wrong with that.”

Critics blasted Leavitt’s remarks.

“Troops are being deployed to US cities where the crime rate has plummeted—against the wishes of states, cities, and local residents. It IS a takeover. No other way to frame it,” wrote political strategist Sawyer Hackett.

Democratic activist and strategist Olivia Julianna pointed to a headline that read: “Trump says military should use U.S. cities as ‘training grounds’.” She commented, “This was LAST WEEK btw.”

Author and political commentator Brian Tylor Cohen remarked: “Probably because that is *quite literally* what’s happening.”

READ MORE: ‘Intolerable Abuse of Power’: Top Democrat Rages at Trump’s ‘MAGA Propaganda’ Scheme

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‘I Don’t Negotiate With Terrorists’: GOP Congressman Targets Democrats in Outrageous Rant

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U.S. Rep. Randy Fine is under fire for remarks he made on Monday likening Democrats to “terrorists.”

Speaking to the right-wing media outlet Newsmax about the federal government shutdown, Fine, a MAGA Republican from Florida, said: “I don’t negotiate with terrorists. And what we’re learned in whether it’s dealing with Muslim terrorists or Democrats, you’ve gotta stand and you’ve gotta do the right thing.”

Fine also said he hopes Republicans “stand firm” against Democrats, “and tell them, ‘No, we’re not gonna retreat on giving free healthcare to illegal immigrants. We’re just not gonna do it.'”

“And hopefully, the American people will rise up and tell them to stop the clown show and get the government reopened,” he added.

READ MORE: ‘The Ground Has Shifted’: Experts Warn After Trump’s ‘Gnat’ Speech to U.S. Navy

Democrats are not asking to give “free healthcare to illegal immigrants,” although the President and the Republican Party continue to make that false claim. A 1986 federal law requires most hospitals to triage and treat anyone who needs medical attention regardless of citizenship status or ability to pay.

Fine’s remarks come just after President Donald Trump labeled Democrats “gnats,” a common insect, on Sunday, in remarks made to about ten thousand Navy sailors and service members. He also on Sunday claimed that “insurrectionists” are “all over” Portland, Oregon.

Last week President Trump labeled Democrats “the party of hate, evil, and Satan.”

In response to Congressman Fine’s remarks, veteran journalist John Harwood wrote: “lunatic.”

READ MORE: ‘Intolerable Abuse of Power’: Top Democrat Rages at Trump’s ‘MAGA Propaganda’ Scheme

 

Image: Wikimedia Commons/ Public domain

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