Youth and Adolescent Suicidal behavior
Suicidal behavior is the end result of a complex interaction of psychiatric, social and familial factors. There are far more suicidal attempts and gestures than actual completed suicides. One epidemiological study estimated that there were 23 suicidal gestures and attempts for every completed suicide. However, it is important to pay close attention to those who make attempts. 10% of those who attempted suicide went on to a later completed suicide. A suicide has a powerful effect on the individual’s family, school and community. We must deal with it as a public health crisis in our schools, homes and clinics.
Social changes that might be related to the rise in adolescent suicide include an increased incidence of childhood depression, decreased family stability, and increased access to firearms.
Suicidal behaviors are often associated with depression. However, depression by itself is seldom sufficient. Other co-existing disorders, such as attention deficit hyperactivity disorder, substance abuse or anxiety can increase the risk of suicide. Recent stressful events can trigger suicidal behavior, particularly in an impulsive youth. Girls may be more likely to make suicidal attempts, but boys are more likely to make a truly lethal suicide attempt.
Risk factors for suicide include:
• Previous suicide attempts
• Close family member who has committed suicide.
• Past psychiatric hospitalization
• Recent losses: This may include the death of a relative, a family divorce, or a breakup with a girlfriend.
• Social isolation: The individual does not have social alternatives or skills to find alternatives to suicide
• Drug or alcohol abuse: Drugs decrease impulse control making impulsive suicide more likely. Additionally, some individuals try to self-medicate their depression with drugs or alcohol.
• Exposure to violence in the home or the social environment: The individual sees violent behavior as a viable solution to life problems.
• Handguns in the home, especially if loaded.
Some research suggests that there are two general types of suicidal youth. The first group is chronically or severely depressed or has Anorexia Nervosa. Their suicidal behavior is often planned and thought out. The second type is the individual who shows impulsive suicidal behavior. He or she often has behavior consistent with conduct disorder and may or may not be severely depressed. This second type of individual often also engages in impulsive aggression directed toward others.
Adolescents often will try to support a suicidal friend by themselves. They may feel bound to secrecy, or feel that adults are not to be trusted. This may delay needed treatment. If the student does commit suicide, the friends will feel a tremendous burden of guilt and failure. It is important to make students understand that one must report suicidal statements to a responsible adult. Ideally, a teenage friend should listen to the suicidal youth in an empathic way, but then insist on getting the youth immediate adult help.
Warning Signs:
• Suicidal talk
• Preoccupation with death and dying.
• Signs of depression
• Behavioral changes
• Giving away special possessions and making arrangements to take care of unfinished business.
• Difficulty with appetite and sleep
• Taking excessive risks
• Increased drug use
• Loss of interest in usual activities
management
Saturday, May 21, 2011
Wednesday, May 11, 2011
The best ways to soothe painful teething for a baby gum?
The best ways to soothe painful teething for a baby gum?
Some parents find that simply rubbing a finger over sore gums can numb the pain temporarily. Giving your baby something to bite on will have a similar effect, relieving the pressure and thereby easing the pain. The chances are that your baby will find things to chew on herself but she might find hard, unsweetened rusks, teething rings or a peeled raw carrot helpful, (though don't use carrots once she has her first tooth, as she may bite off lumps that she can then choke on). Anything cold will be particularly soothing so keep rubber teethers in the fridge or give your baby a partly-frozen wet wash cloth to gnaw on. Chilled water in a bottle or, if she prefers, a feeding cup may help to calm her gums and if she is old enough for solid foods, offer her cold apple puree or plain yogurt. There will be times, however, when your baby will reject all of these offerings and, at these moments, a cuddle is the best therapy you can supply.
Teething can begin in infants as young as 2 months of age, even though the first tooth usually does not appear until about age 6 months of age. Some dentists have noted a family pattern of "early," "average," or "late" teethers. Usually, the first tooth to erupt is one of the lower, central incisors. Some children will have a pattern of serial eruption of their teeth. Others will have multiple dental eruptions at the same time. As the tooth penetrates the gums, the area may appear slightly red or swollen over the tooth. Sometimes a fluid-filled area similar to a "blood blister" may be seen over the erupting tooth.
Some teeth may be more sensitive than others when they erupt. The first tooth to erupt may be the most sensitive. Sometimes, the larger molars cause more discomfort due to their larger surface area that can't "slice" through the gum tissue as an erupting incisor is capable of doing
Some parents find that simply rubbing a finger over sore gums can numb the pain temporarily. Giving your baby something to bite on will have a similar effect, relieving the pressure and thereby easing the pain. The chances are that your baby will find things to chew on herself but she might find hard, unsweetened rusks, teething rings or a peeled raw carrot helpful, (though don't use carrots once she has her first tooth, as she may bite off lumps that she can then choke on). Anything cold will be particularly soothing so keep rubber teethers in the fridge or give your baby a partly-frozen wet wash cloth to gnaw on. Chilled water in a bottle or, if she prefers, a feeding cup may help to calm her gums and if she is old enough for solid foods, offer her cold apple puree or plain yogurt. There will be times, however, when your baby will reject all of these offerings and, at these moments, a cuddle is the best therapy you can supply.
Teething can begin in infants as young as 2 months of age, even though the first tooth usually does not appear until about age 6 months of age. Some dentists have noted a family pattern of "early," "average," or "late" teethers. Usually, the first tooth to erupt is one of the lower, central incisors. Some children will have a pattern of serial eruption of their teeth. Others will have multiple dental eruptions at the same time. As the tooth penetrates the gums, the area may appear slightly red or swollen over the tooth. Sometimes a fluid-filled area similar to a "blood blister" may be seen over the erupting tooth.
Some teeth may be more sensitive than others when they erupt. The first tooth to erupt may be the most sensitive. Sometimes, the larger molars cause more discomfort due to their larger surface area that can't "slice" through the gum tissue as an erupting incisor is capable of doing
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