Teen Suicide On The Rise

Mark-

I saw on the news last night that teen suicide is on the rise. Do you know whether or not this is really the case, and if so, why?

T.T.

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Hi T.,

Two reports released this week show significant increases in youth suicide rates between 2003 and 2004, following a consistent drop since the 1990s. A study released in the September issue of The American Journal of Psychiatry, shows a 14 percent increase in suicide rates for children and adolescents under the age of 19 from 2003 to 2004. The second study, published in the Centers For Disease Control and Prevention's Morbidity and Mortality Weekly Report, shows an eight percent increase in suicide rates for individuals between the ages of 10 and 24 in 2004, following a 28 percent decrease over the last 15 years. This is the largest escalation in this group since the agency began collecting suicide data in 1979.

Unfortunately, child and adolescent suicide is at the highest rate in 15 years.

According to the Centers for Disease Control and Prevention's report, the decline took place from 1990 to 2003 (from 9.48 to 6.78 per 100,000 people), and the increase took place from 2003 to 2004, (from 6.78 to 7.32).

Whether this is a short-term spike or the start of a trend, we, as parents, must do everything in our power to prevent more teen suicides from occurring.

The U.S. Food and Drug Administration placed a black box warning on antidepressants for pediatric use in 2004, which was followed by pervasive media coverage and a 22 percent decrease in the prescription of antidepressant medications from 2003 to children and adolescents. The American Academy of Child and Adolescent Psychiatry advised the FDA's Pediatric Advisory Committee against placing a black box warning on antidepressant medications.

More research is needed to find out whether there is a correlation between the black box warning and this increase in teen suicide. My concern is that the FDA's warning has made families fearful of obtaining help. This is a tragedy as treatment works.

Antidepressant medications, when monitored and paired with talk therapy like cognitive behavioral therapy can be an effective component of treating youth depression. The National Institute of Mental Health's (NIMH) Treatment of Adolescents with Depression Study (TADS) reports that a combination of Fluoxetine (Prozac®) and cognitive behavior (talk) therapy led to significant clinical improvement in 71 percent of moderately-to-severely depressed adolescents.

For more information on antidepressant medications, visit www.parentsmedguide.com or www.physiciansmedguide.com.

Online Parent Support


Vitamin B12 Injections for Autism

Mark,

Have you heard anything about vitamin B12 shots for autism? And if so, do you know about it's effectiveness?

C.W.

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Hi C.,

Unfortunately, preliminary results of a small ongoing study of vitamin B12 injections for children with autism showed no signs of significant benefit, but researchers remain hopeful.

Hope is derived from anecdotal reports of remarkable clinical improvements using subcutaneous vitamin B12 (methyl cobalamin), although there have been no supporting published studies. Vitamin B12 is an antioxidant involved in metabolism pathways for cellular methylation, which has been implicated in other neurological disorders like schizophrenia and Alzheimer's Disease.

The researchers reported that no significant benefits have turned up yet for the 14 patients who have completed three months in the current double-blind crossover study. They found no significant differences with active versus placebo treatment for the following measures:

· Clinical Global Impression Scale Improvement (P=0.4129),
· Peabody Picture Vocabulary Test scores (P=0.2895), and
· Social Communication Questionnaire verbal results (P=0.4211).

A significant improvement found for nonverbal Social Communication Questionnaire scores in the vitamin B12 group compared to placebo (P=0.0309) disappeared after adjusting for multiple testing.

The researchers randomized half of the participants to six weeks of 64.5 ug/kg of subcutaneous methyl cobalamin injections every three days and the other half to a similar schedule of saline injections disguised to maintain the double-blind. For the following six weeks, the children were crossed over to the opposite group.

Diagnosis of autism was confirmed using several clinical measures including the Vineland Adaptive Behavior Scales, Autism Diagnostic Observation Schedule, and Mullen Scales of Early Learning. Patients could stay on all other treatment modalities they entered with but no additions were allowed during the trial.

Interestingly, several of the children seemed to respond well. Three of the eight participants who subsequently completed three months of open-label therapy and two of the five who have completed six months were rated "much improved" on the Clinical Global Impression Improvement scale.

While there is a general trend toward improvement in several of the subjects, this trend does not reach group significance with this small sample size.

Autism is so heterogeneous - you can't expect one treatment is going to work for all kids with autism.

The real usefulness of the study may be to indicate which patients will respond to the treatment, which is generally thought to have few side effects.

The study does not have a traditional design and will likely be scrutinized critically. It is a wonderful bridge between research and the complimentary and alternative medicine that so many patients are using where ground needs to be broken.

The researchers said they plan to enroll at least 42 children in the study, which was supported by the University of California at Davis.

Online Parent Support

Too Much T.V.!?


Mark,

Thanks for your time. I have another questions. What can you do when your son is addicted to t.v. Do I take that privilege away, limit it...? He doesn't do homework or chores becasue he is always glued to the T.V. It's becoming a real problem. It's like the more t.v. he watches, the more problems we are having. Can T.V affect a child's behavior?

J.C.

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Hi J.,

American children watch an average of three to fours hours of television daily. Television can be a powerful influence in developing value systems and shaping behavior. Unfortunately, much of today's television programming is violent. Hundreds of studies of the effects of TV violence on children and teenagers have found that children may:

· become "immune" or numb to the horror of violence
· gradually accept violence as a way to solve problems
· identify with certain characters, victims and/or victimizers
· imitate the violence they observe on television; and

Children with emotional, behavioral, learning or impulse control problems may be more easily influenced by TV violence. The impact of TV violence may be immediately evident in the child's behavior or may surface years later. Young people can even be affected when the family atmosphere shows no tendency toward violence.

Extensive viewing of television violence by children causes greater aggressiveness. Sometimes, watching a single violent program can increase aggressiveness. Children who view shows in which violence is very realistic, frequently repeated or unpunished, are more likely to imitate what they see.

While TV violence is not the only cause of aggressive or violent behavior, it is clearly a significant factor. Parents can protect children from excessive TV violence in the following ways:

·disapprove of the violent episodes in front of the children, stressing the belief that such behavior is not the best way to resolve a problem
·pay attention to the programs their children are watching and watch some with them
·point out that although the actor has not actually been hurt or killed, such violence in real life results in pain or death
·refuse to let the children see shows known to be violent, and change the channel or turn off the TV set when offensive material comes on, with an explanation of what is wrong with the program
·set limits on the amount of time they spend with the television; consider removing the TV set from the child=s bedroom
·to offset peer pressure among friends and classmates, contact other parents and agree to enforce similar rules about the length of time and type of program the children may watch

Parents can also use these measures to prevent harmful effects from television in other areas such as racial or sexual stereotyping. The amount of time children watch TV, regardless of content, should be moderated because it decreases time spent on more beneficial activities such as reading, playing with friends, and developing hobbies.

More tips…

Be conscious of what your teen is watching away from home.

1.Casually ask them what they did at a friend's house and use open-ended questions. This will give you some insight into what they may be watching away from home.
2.Encourage your teen not to watch inappropriate shows away from home.
3.Talk to your teen's friends and their parents about your beliefs on TV viewing.

Cut down the amount of time your teen watches TV - Involve your teen in other activities he enjoys.

1.Designate certain evenings for special family activities, like a family bike ride or a game.
2.Encourage your teen take part in sports, games, hobbies, and music.
3.Put books, magazines, and board games in the family room to provide your teen the opportunity to do something other than watch television.

Want your teen to rethink his TV viewing habits? Go without TV for a week.

1.Be creative in finding alternatives to TV like scavenger hunts around the house.
2.Get the whole family involved and find activities you can do together.

Tips to keeping your teen from watching violence on TV:

1.Be aware of what your teen is seeing on the news. Often the news can include graphic violence and other adult material that may not be suitable for children.
2.Do not allow your teen to watch violence on television. To help monitor his viewing habits when you are gone, consider installing parental controls.
3.Share your beliefs and values when it comes to watching TV, and set a good example.

Tips to Encouraging Your Teen to Watch Less TV:

1.Keep the TV off during family mealtimes.
2.Limit your children's daily and weekend TV viewing time. For instance, no TV before school, during homework, or late at night.
3.Limit your teen's ability to watch shows that contain adult content or violence by using parental controls available on most televisions.

Set a good example for your teen's TV viewing habits. Be a role model.

1.Spend your free time reading, exercising, or interacting with your family.
2.Turn off the TV when a particular show is over.
3.Watch adult programs when your teen is not present.

Mark

Online Parent Support

I am making a presentation to my class on ODD...

Thanks Mark,

I am a student studying Masters in Counselling at Wesley Institute, Sydney, Australia. I am making a presentation to my class on ODD - assessments etc., and my opinions and their downfalls. I also have at least one client that has been labelled ODD so far and find it greatly challenging with him. Your site is great and encouraging to a beginner in this field.

J.W.

MyOutOfControlTeen.com

The last straw...


hi mark,

I am contacting you with the hope that you can maybe put me in the right direction to help my teen. Firstly i need some advice. don't know what to do. He is not conforming at all …he struggles to maintain any education program. There always seems to be a problem with the teacher. lack of organization, motivation. Its always somebody elses fault. He lacks motivation always late has no idea of time. He refuses to take any responsibility for his actions and does not see that he has any problems or how his behaviour affects his family members. He is lazy It is always a battle to get him to clean up after himself to be honest he is utterly disgusting i never thought that anybody can be so nasty and uncaring. his bedroom floor is a dustbin he has constant mood swings. He only seems happy when he is left alone to do what ever he wants. I am completely worried for him and for his future.

He has had brushes with the law and it is the grace of god that he has not ended up in prison. He is only 17. I often felt he had a form of aspergers. He attended a few consultations but the consultant does not want to label him. Also my son does not want to attend any more sessions. He finds it very hard to open up and talk about what is happening inside his head. I have got to a stage where i cannot take any more of his behaviour it has caused so many problems in the household. he thinks completely different and has an answer to everything but never straight answers. the last straw came when i found some cannabis in his room he completely denied any knowledge of it but we know that he does smoke it. He says he was looking after it for a friend, but he could not see that he was disrespecting our family values and home. I think this seems to be a big issue that he does not see the consequences of things or think about other peoples feelings. Does not sleep much always restless at nighttime will often spend up to 3 to 4 hours on the phone.

Sorry to have to write you a negative letter. But I need help to try and help this teen to be a good person in society and to get some kind of education. I am probably one of many that has said I have tried everything!!!!! He is very talented in music and sport but he cant even be bothered to get him self ready or turn up on time.


help !!!

B.

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Hi B.,

You’ve mentioned quite a few problems here:

· poor academic performance
· time management difficulties
· lacks motivation
· mood swings
· brushes w/law
· possible cannabis abuse
· sleep problems

Not that this will be any consolation to you, but you just described all the other teens I work with.

Going on what you’ve told me, his behavior doesn’t seem to be reminiscent of Aspergers, rather ADHD.

Please review THIS PAGE re: poor academic performance and drug abuse. Also, I think the power point presentation FOUND HERE will be of some benefit.

In addition, CLICK HERE for a complete rundown on ADHD symptoms and treatment.

I trust that the above will shed some light on things,

Mark

Things are running more smoothly...

Hi Mark,
It has been a couple of months since I have emailed you. I went back over the e-book and got some clarification. I must admit, though, I feel some things are still not presented clearly. However, in genera, things are running more smoothly. The kids have more jobs to do (nothing for free) and don't complain when I ask them to help out (well, most of the time!). They actually offer to help more now, which I find amazing. For the most part, we have pleasant dinners and car rides now. A couple of weeks ago the kids got a 3 day grounding for a major fight in the car. It took 7 days to work through it, but finally they managed to spend 3 days being pleasant to each other and everyone else. It was the most peaceful, consecutive 3 days we have ever had with our kids! Truly wonderful!
However, my daughter B___ (11) is complaining that we are being grossly unfair when her 3 day groundings start over, so I would like to run this by you. Maybe we are being too harsh. This is the latest scenario. 5 days ago B___ was angry at me regarding something I was going to do with her brother (7 yo) and came into his room while I was there and gave him a full force kick and punch. I sent her to her room to calm down and told her that she was grounded for 3 days. (If the kids just get into a little physical fight they only get 1 day. But this was an unprovoked and brutal attack, I felt). She felt this was grossly unfair, screamed/yelled, clawed/scratched her neck, choked herself, threw something at me etc. I stayed calm, she eventually calmed down but accused me of not caring about her because I let her hurt herself. We didn't give her very much sympathy, just said it must really hurt.
(To get off grounding for physical violence my kids have to 1. get their jobs done on time; 2. no physical/verbal violence to each other; 3. no physical/verbal violence or disrespectful talk to parents and 4. do what they are told. Any infringement is cause for restarting the 3 day grounding. For 2 and 3, I do not give warnings, the grounding just starts over. )
For the past 5 days they have had some small fights which have resulted in Eric getting a couple of one day groundings and B___ having to restart her 3 day grounding. Tonight she had one day left of the 3. Eric was playing on the floor. She walked over and picked up a piece of what he was playing with; he told her to put it back, she did nothing, he started yelling at her and tried to grab it; she still said/did nothing but did not give it to him. He finally started punching her. He got a one day grounding and she started her 3 days over. (I did not give them a warning to stop) B___ said she was doing 'nothing'. They were sent to their rooms to cool off for a few minutes until supper time. 15 minutes later I went to get B for supper, and she told me that to restart her 3 days was very unfair. She said she did nothing wrong. I told her that I understood that she felt that way, but that I disagreed. I asked her if she could think of something that she could have done differently to prevent the blow up. She couldn't. I said that it was a matter of timing. She could have chosen to give the toy back right when Eric first asked for it. I agreed that he did overreact. I said, calmly, that that was the way the rule worked. B___ got very upset, started yelling, pulling her hair out and scratching at her neck. I said I was going to eat and she could come up later and eat after we were done. She accused me of not caring b/c I was leaving her when she was hurt.
I am concerned about this self-mutilation she has started to do. She often threatens to cut herself with scissors but has not. But to be honest, I am wondering if I am being too hard with this grounding. I would appreciate it if you could tell me if any part of the above is unreasonable or unfair, or if I should handle it a different way.
Thanks,
L.
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Hi L.,

Re: things are not presented clearly.

If parents read the entire eBook and listen to all the audio files, the strategies are usually fairly clear. If you haven't viewed all the power points and listened to all the audio, you may benefit from doing so.

Please read this page re: cutting ==> click here.

Re: 3-day-discipline. I think these emails from parents with similar questions will help clarify:

How Do They Earn Their Way Off Discipline?

How do you eat an elephant?


I hope this helps. Stay in touch.

Mark

I feel like we're leading a secret life...

Hi Mark,

My husband and I have been reading your info online and find it very helpful and educational.

Our son, has been out of school for 2 weeks. We kept him home for one week before he was hospitalized. He was in a depression and had hit his low. This week he checked in to a very nice facility in Pasadena and has been out. He has a teacher, nurse, doctors, support groups etc.

My problem is talking to people to ask where he is or the attendance office at school. My husband and I usually say, "He was under some stress and needed some time off." Last night my husband and I went to our first session with him with his psychologist (Who he likes and listens to). It was a tough but good session.

Tonight is back to school night. My husband will stay home with our 9 year old and I will go and meet his teachers whom we have been in contact with. He is a bright student in the honors program. They move very fast in class. He is a Junior. I have asked for another homework packet for the week for our son to work on while he is not at school. What do I say tonight at the "Back to School Night"?

I did send a letter to his teachers saying: upon his return to school if the teachers would ease him into the schoolwork, so as not to stress or overwhelm him. His water polo coach is the one we will have the most trouble with. We have left 2 messages for him and he has not returned either one. He is going to ride our son upon his return.

They are trying our son on Depacote 250mg. twice a day. With this we need him to exercise. Our son is very good water polo player and need to return for exercise so as not to have a weight gain. He can tend to get a little overweight w/o exercise.
I feel like we're leading a secret life in what to tell people and not to be too honest, for they will judge him or label him later.

AAAhhhhhhhh.....

Any help or suggestions would be greatly appreciated.

Thank you,

D. and C.

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This is easier said than done, but don’t try to cover-up anything. I’m concerned that will create more problems than it prevents. And do NOT attempt to get teachers to pamper your son. This too may cause more problems than it solves.

Are you taking on too much responsibility for your son, and are you trying to save him from uncomfortable emotions? If so, this goes against the grain of the parenting program you are currently working.

Mark

Online Parent Support

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