Sue Scheff: Help Prevent Teen Violence

It comes to a point where you are almost afraid to turn on the news. Kids with guns, teens shooting teens, threats, bullying and more - it is time for parents to take the time and learn more. Talk to your kids - open those lines of communication. Raising kids today has become more challenging than ever. I hear from parents almost on a daily basis and I am stunned at what these kids are learning and doing at such a young age.

Source: Connect with Kids

Can Students Prevent Violence by Telling?

“He was saying ‘I’m gonna kill people,’ everyone took it as a joke. I can’t say that I would take it any differently.”

– Joanna, 15, talking about the school shooting in Santee, California

A student who seems strange, a comment that sounds frightening … how can students tell who’s serious and who isn’t, what’s a joke and what’s a real threat?

The problem is students say those kinds of ‘jokes’ are made all the time.

“I’ve had friends who were just like, ‘man I just want to kill that teacher’ or ‘I just hate it here and want to blow up the school,’” says Tara-Lynn, a high school junior, “I’ve probably said things like that myself.”

“I mean I hear people say that all the time. I don’t take it seriously,” adds Joanna, a freshman.

When should students take it seriously? They’re in a bind. If they tell on someone, they’re called a rat or a snitch. If they don’t tell, someone could die or be injured. Always in the back of their mind, what if they tell on someone… and they’re wrong?

“How do you know you’re not gonna just end up crying ‘wolf’ all the time, every time a kid makes a threat,” says Cliff, a junior.

How should kids evaluate a threat? Experts say first, kids should follow their instincts. If something another student says doesn’t feel right, even just a little bit, it probably isn’t.

“Either afraid, or guilty, or this is just going against my values, it doesn’t feel right,” says psychologist Dr. Wendy Blumenthal.

Then find an adult you trust. Someone you can trust to protect your anonymity. Someone you can trust not to panic when you tell them you’re worried.

Maybe that’s your parents, but it could also be a school counselor, a minister from your church or a coach.

Because if a disaster happens and you stay silent about what you heard, just think how that would make you feel.

“Because if we take everything for granted,” says Crystal, a junior, “this (the school shooting in California) is what can happen.”


Tips for Parents
Police have been able to prevent several ‘Columbine-like’ massacres at US schools recently–thanks to tips from students. Students notified school officials after learning that other students planned to carry out violent acts. And while kids are more willing to report threats of violence after Columbine, experts say parents should explain to their children that there is a difference between ‘telling’ and ‘tattling.’

According to the National Education Association (NEA):

Children ‘tattle’ to get their own way or to get someone else in trouble.
Children should be encouraged to ‘tell’ an adult when someone is in danger of getting hurt.
Some schools have started anonymous hotlines so that parents or children can provide information that could alert authorities to potential problems.

According to the American Psychological Association one in 12 high schoolers is threatened or injured with a weapon each year. To reduce that risk, the APA lists several ‘warning signs’ that kids need to recognize in other students, indications that violence is a “serious possibility”:

Loss of temper on a daily basis
Frequent physical fighting
Significant vandalism or property damage
Increase in use of drugs or alcohol
Increase in risk-taking behavior
Detailed plans to commit acts of violence
Announcing threats or plans for hurting others
Enjoying hurting animals
Carrying a weapon
Once students recognize a warning sign, the APA says there are things they can do. Hoping that someone else will deal with the problem is “the easy way out.” The advice for students:

Above all, be safe. Don’t spend time alone with people who show warning signs.
Tell someone you trust and respect about your concerns and ask for help (a family member, guidance counselor, teacher, school psychologist, coach, clergy, or friend).
If you are worried about becoming a victim of violence, get someone to protect you. Do not resort to violence or use a weapon to protect yourself.
The key to preventing violent behavior, according to the APA, is asking an experienced professional for help. The important thing to remember is, don’t go it alone.


References
National Education Association
American Psychological Association

Sue Scheff: Teens and Eating Disorders

Especially young girls today, the peer pressure can encourage your young teen/tween that being “thin” is in. Teen body image can lead to other concerns, whether your child is suffering with some depression, not being able to fit in at school, or just plain feeling fat and ugly - we need to talk to them and explain about Teens and Eating Disorders, including anorexic. Teen Obesity is another issue parents need to learn more about.

Source: Connect with Kids

“I think that it definitely had something to do with my mom and my sister talking about different diets, and at that age …you don’t understand everything that they are discussing and the way that they’re discussing it, and in my head I blew it up as something bigger.”
– Shay Fuell, recovering anorexic

About 2.5 million Americans suffer from anorexia. Shay Fuell was only nine years old when the fixation began.

“(I) was starting to have body-image issues and looking in the mirror sideways and just pinching my skin seeing if there was fat there,” she says.

A few years later, she was 5-feet-2 and weighed 78 pounds.

“Literally, it becomes [a part of] every thought … in your head,” she says. “You can’t think about anything else. You can’t concentrate on anything. You can’t even hold a conversation with somebody because you are thinking about the last meal that you ate or what you should be doing to work out or how you’re going to be able to throw up without anybody knowing.”

According to the Agency for Healthcare Research and Quality, the number of girls under the age of 12 hospitalized for eating disorders has more than doubled since 1999.

“I don’t know if they’re actually developing them younger or if it’s that parents are having a greater awareness of what’s going on with their children,” says Brigette Bellott, Ph.D., a psychologist and eating disorder specialist.

What’s going on, typically, is depression, children obsessed with eating or overly anxious about their weight and their appearance.

“Things to watch,” says Bellott, “what do they believe about their own body? I mean I would ask that: “What do you think about your body, how do you feel about it?”
Experts say it’s crucial for parents to catch the first signs of an eating disorder because the fatality rate for anorexic women is 10 to 15 percent.

“Some of them [die] through malnourishment, some through suicide,” says Mary Weber-Young, L.P.C. “It is the highest mortality rate of any psychiatric illness.”

Shay wasn’t diagnosed until she was 14. It took five difficult years of treatment before she had fully recovered.
“It was an addiction,” she admits. “It was an obsession.”

Tips for Parents
The American Academy of Family Physicians (AAFP) describes an eating disorder as “an obsession with food and weight.” The two main eating disorders are anorexia nervosa (an obsession with being thin) and bulimia (eating a lot of food at once and then throwing up or using laxatives; also known as ‘binging and purging’). Who has eating disorders? According to the National Association of Anorexia Nervosa and Associated Disorders:
Eight million or more people in the US have an eating disorder.

Ninety percent are women
Victims may be rich or poor
Eating disorders usually start in the teens
Eighty-six percent of victims report onset by age 20
Eating disorders may begin as early as age 8
Seventy-seven percent report duration of one to 15 years
Six percent of serious cases end in death

It’s not always easy for parents to determine if their daughter or son is suffering from an eating disorder. But the AAFP does list the following warning signs for anorexia and bulimia:

Unnatural concern about body weight (even if the person is not overweight)
Obsession with calories, fat grams and food
Use of any medicines to keep from gaining weight (diet pills, laxatives, water pills)
The more serious warning signs can be more difficult to notice because people with eating disorders often try to hide the symptoms:
Throwing up after meals
Refusing to eat or lying about how much was eaten
Fainting
Over-exercising
Not having periods
Increased anxiety about weight
Calluses or scars on the knuckle (from forced throwing up)
Denying that there is anything wrong

If left untreated, people with eating disorders can suffer some health problems, including disorders of the stomach, heart and kidneys; irregular periods or no periods at all; fine hair all over the body, including the face; dry scaly skin; dental problems (from throwing up stomach acid); dehydration.

Eating disorders can be treated. The first step is getting back to a normal weight, or at least to the lower limits of the normal weight range, according to Dr. Rex Forehand, a psychologist at the Institute for behavioral Research at the University of Georgia. But more needs to be done, Dr. Forehand says. “Attitudes and beliefs about body weight and eating patterns must also be changed. A comprehensive intervention may be necessary.”

Treatment may require hospitalization. The physician may recommend a dietician. For both anorexics and bulimics, family and individual counseling may be helpful.

References
Agency for Healthcare Research and Quality
American Academy of Family Physicians
National Association of Anorexia Nervosa and Associated Disorders

Sue Scheff: Cell Phones, Teens and Fatalities

Source: Connect with Kids

“Three days later I woke up out of a coma, just for my husband to tell me that Ryan wasn’t gonna make it.”
– Lisa Duffner, mother

Ryan Duffner’s second birthday was memorable for the Lisa and Rorry Duffner. There were balloons, a cake and wishes for many more, but, unfortunately, it was Ryan’s last birthday. Two months later Ryan and Lisa, while on their daily walk, were hit by a car. The driver was a sixteen-year-old who was dialing her cell phone. The impact threw Ryan thirty feet and Lisa sixty feet. Lisa was knocked unconscious.

“Three days later I woke up out of a coma, just for my husband to tell me that Ryan wasn’t going to make it,” Lisa says, while fighting back tears.

Duffner was in such critical condition that doctors wouldn’t allow her to hold her son in the moments before his death.

“Not to say goodbye to my own baby—that was hard,” she says.

A study by the Harvard Center for Risk Analysis estimates that 6 percent of crashes are due to cell phones, resulting in 2,600 deaths and 12,000 serious injuries per year.

Seventeen-year-old Edgar admits that talking on the phone is often distracting. “When I’m dialing a number or something like that, I’ve caught myself kind of drifting off,” he says.
Edgar uses the cell phone while driving, in spite of his mom’s strict rules. “She’s always freaking out telling me, ‘Don’t be using your cell phone while you’re driving. ‘” Pull over if you have to,’” he says.

Though Lisa Duffner thinks that cell phones are necessary, she doesn’t have much patience for people that can’t take the time to pull over and make the call. “My biggest thing is just to pull over to make your phone call. Are you so self-important that you endanger everybody else’s lives?” she says.

Experts say that looking at a detailed phone bill is a way of checking up on kids’ phone usage. “You can look at that, and you can tell if they’re spending a lot of time on the phone coming from school to home. Then obviously they’re doing it,” says Captain Tommy Brown, Department of Public Safety.

But for teenagers, seeing the effects of what can happen, like the death of a two-year-old, may be the strongest tool for convincing them to hang up and drive.
Ryan’s absence reminds Duffner every day of the dangers of driving-while-distracted. “He was just that happy-go-lucky, jump-off-of-everything, friendly little kid. He just loved life.”

Tips for Parents

It is very likely that your teenager will pick up the majority of his/her driving habits from watching you. According to a survey by Liberty Mutual and Students Against Destructive Decisions (SADD), nearly two-thirds of teenagers polled say their parents talk on the cell phone while driving, almost half say their parents speed, and just under one-third say their parents don’t wear seatbelts. The following statistics, therefore, shouldn’t be very surprising:
Sixty-two percent of high school drivers say they talk on a cell phone while driving, and approximately half of high school teens who do not yet drive (52 percent) and middle school students (47 percent) expect they will engage in this behavior when they begin driving.
Sixty-seven percent of high school drivers say they speed.

Thirty-three percent of high school drivers say they do not wear their seatbelt while driving.
Cell phones have been transformed from status symbols into everyday accessories. In fact, cell phones are so prevalent among teenagers that a recent study found that they viewed talking on the phone nearly the same as talking to someone face-to-face. And with the latest studies showing that at least 56 percent of 13- to 17-year-olds own cell phones, the issue of cell phone usage is more pertinent than ever.

If you believe your teen should have a cell phone, it is important to lay down a few ground rules. The National Institute on Media and the Family suggests the following guidelines for setting limits on your teen’s cell phone use:
Choose a plan that puts some reasonable limits on your teen’s phone time. Make sure he or she knows what the limits are so he or she can do some budgeting.

Let your teen know that the two of you will be reviewing the bill together so you will have some idea of how the phone is being used.

If use exceeds the plan limits, the charges can mount very quickly. Make sure your teen has some consequences, financial or otherwise, if limits are exceeded.

Teach your child about the dangers of using the cell phone while driving and the distractions it can cause.

Find out what the school’s policies are regarding cell phone use and let your teen know that you will completely support the school’s standards.

Agree on some cell phone etiquette. For example, no phone calling during meals or when it is bothersome or rude to other people.

Conversely, let your teen know that any “phone bullying” or cheating via text messaging will not be tolerated.

Let your teen know that his or her use of the cell phone is contingent on following the ground rules. No compliance, no phone.

References
Harvard Center for Risk Analysis
Liberty Mutual
Rutgers University
Students Against Destructive Decisions- SADD

Sue Scheff: Which Battles Should you Pick with your Teens?

Doesn’t this sound familiar? I always remember when my kids were teens my friend would say to me, you have to pick and choose your battles - some issues are just not worth the battle. Years later, Connect with Kids offers some great parenting tips on doing exactly that!

Source: Connect with Kids

“I love shocking [people], because I’m something somebody will remember.”

– Sara Jackson, 16 years old

Teenagers are freedom seekers, risk-takers and rule breakers. Pushing limits is just what teenagers do. “I love the rush. I love the freedom,” says 17-year-old Alan Oliver.

Sixteen-year-old Sara Jackson agrees that breaking rules and taking chances is a rush. “It’s something I take great pride in. I love shocking [people], because I’m something somebody will remember.”

When kids become teens, they start breaking away, trying new things and taking chances. For Sara, that means wearing funky clothes and crazy hairdos. People, especially adults, notice Sara’s wild style.

“They come up to me and say you’re looking kind of crazy today. What’s going on with the whole style thing?” she says.

But some kids find other, more dangerous ways to show their independence. They take risks. Dan O’brien got involved in drugs and alcohol. “I mean, every time I drank, I drank to get drunk,” he says.

Ed Drury, age 17, gets his rush from speeding. Standing around with friends at his favorite Friday night hangout, Ed admits why he likes to come here. “There’s always a lot of racing, a lot of speeding.”

Experts confirm what most of us already know. Teenagers oftentimes don’t think about the consequences of their actions. Says Dr. Nancy Macgarrah: “It’s this whole sense of invulnerability tied with the lack of maturity. “

Since we know teenagers are going to take chances, experts say it’s wise to be strict on the issues that reallymatter.

“You know, it’s not so much … is your hair orange or purple or do you have two earrings or three earrings. I mean, those aren’t life-ending decisions, but whether you wear seatbelts or not, whether you drink and drive or not, you know whether you drive 20 miles over the speed limit. And those all can be life-ending decisions,” Dr. Macgarrah says.

For kids like Sara, dressing funky, doing wild things with their hair and just being a little different all satisfy the need for independence.

“When I spike my hair, it makes me feel good about myself. I like it. It’s something different. It lets people know what kind of person I am,” Sara says.


Tips for Parents
The most difficult challenges many parents face, according to the American Psychological Association, come during their children’s teenage years. Teenagers, dealing with a complex world and hormonal changes, may feel that no one can understand their feelings, least of all their parents. Teens and parents alike may be left feeling angry, frustrated and confused. The APA says methods of discipline that worked well in earlier years no longer seem to be effective. As a result, the teen years are “ripe” for producing conflict in the family. Typical areas of conflict may include:

Disputes over curfew
Choice of friends
Spending time with family instead of friends
School and work performance
Cars and driving privileges
Dating and sexuality
Clothing, hair styles and makeup
Self-destructive behaviors, such as smoking, drinking and using drugs
The teen years are tough, but most families seem to be successful at helping their children accomplish their developmental goals: reducing dependence on parents while becoming increasingly responsible and independent. However, the APA does list some warning signs that things are not going well and that the family may want to seek outside help:

Aggressive behavior or violence by the teen
Drug or alcohol abuse
Promiscuity
School truancy
Brushes with the law or runaway behavior
Parents resorting to hitting or other violence in an attempt to maintain discipline
There are different styles and approaches to parenting. According to the American Academy of Child and Adolescent Psychiatry, research shows that effective parents raise well-adjusted children who are more self-reliant, self-controlled and positively curious than children raised by parents who are punitive, overly strict (authoritarian) or permissive. Effective parents demonstrate the following behaviors:

Believe that both the child and the parents have certain rights and that the needs of both are important
Rule out the use physical force to discipline the child
Set clear rules and explain why these rules are important
Reason with the child and consider the child’s point of view even though they may not agree with it
Tips for effective discipline:

Trust your child to do the right thing within the limits of your child’s age and stage of development.
Make sure what you ask for is reasonable.
Speak to your child as you would want to be spoken to if someone were reprimanding you. Don’t resort to name-calling, yelling or other disrespectful behavior.
Be clear about what you mean. Be firm and specific.
Model positive behavior. “Do as I say, not as I do” seldom works.
Allow for negotiation and flexibility, which can help build your child’s social skills.
Let your child experience the consequences of his or her behavior.
Whenever possible, consequences should be delivered immediately, should relate to the rule broken and be short enough in duration that you can move on again to emphasize the positives.
Consequences should be fair and appropriate to the situation and the child’s age.

References
American Academy of Child and Adolescent Psychiatry
American Psychological Association
Temple University

Sue Scheff: Rise of Prescription Drug Abuse

Source: Connect with Kids

“I was a bum, I had slept outside, I mean all the stuff that you hear … and I always pictured a drug addict to be somebody that sleeps under a bridge … and it happened before I even knew it.”

– Andrew Theriot, 21 years old

Andrew Theriot first tried the prescription painkiller OxyContin when he was 17. Within a month, he turned into someone nobody liked. Andrew says, “My friends, nobody trusted me. My family pretty much told me to get out after a long period of time … I would steal things.”

Experts say OxyContin gives an instant feeling of euphoria. Sue Rusche, President of the anti-drug group National Families in Action, says, “I think we have to be honest about drugs. I think we have to tell kids that the reason people use drugs is that drugs make you feel great … at first. And you gotta have that ‘at first’ part.”

Next comes addiction. Andrew spent every minute looking for drugs. He says, “I would wake up every day and I would just be miserable. And the only thing I would look forward to that day would be getting high.”

Addiction brought misery, and so did withdrawal when Andrew was in rehab. He says, “You get sick, you get the cold sweats, throwing up, stomach problems, you can’t eat. I mean I was down to 125 pounds.”

Andrew is now in college. He’s been drug free for two years, and has some advice to parents. “I mean, don’t be enablers. Don’t bail them out of jail. Don’t pay their fines. Don’t give them money. You know, if they want money, get a job. Don’t be the cause of them killing themselves.”

Tips for Parents

OxyContin is a controlled-release pain reliever that can drive away pain for up to 12 hours when used properly. When used improperly, however, OxyContin is a highly addictive opioid closely related to morphine. As individuals abuse the drug, the effects lessen over time, leading to higher dosage use.

Consider the following:

The supply of OxyContin is soaring. Sales of OxyContin, first marketed in 1996, hit $1.2 billion in 2003.
The FDA reports that OxyContin may have played a role in 464 deaths across the country in 2000 to 2001.
In 2000, 43 percent of those who ended up in hospital emergency rooms from drug overdoses – nearly 500,000 people – were there because of misusing or abusing prescription drugs.
In seven cities in 2000 (Atlanta, Chicago, Los Angeles, Miami, New York, Seattle, and Washington, D.C.) 626 people died from overdose of painkillers and tranquilizers. By 2001, such deaths had increased in Miami and Chicago by 20 percent.
From 1998 to 2000, the number of people entering an emergency room because of misusing or abusing oxycodone (OxyContin) rose 108 percent. The rates are intensifying … from mid-2000 to mid-2001, oxycodone went up in emergency room visits 44 percent.
OxyContin is typically abused in one of three ways …

By removing the outer coating and chewing the tablet.
By dissolving the tablet in water and injecting the fluid intravenously.
By crushing the tablet and snorting the powder.
Because the U.S. Food and Drug Administration puts its seal of approval on prescription drugs, many teens mistakenly believe that using these drugs – even if they are not prescribed to them – is safe. However, this practice can, in fact, lead to addiction and severe side effects. How can you determine if your teen is abusing drugs? The American Academy of Child & Adolescent

Psychiatry suggests looking for the following warning signs and symptoms in your teen:

Physical: Fatigue, repeated health complaints, red and glazed eyes and a lasting cough

Emotional: Personality change, sudden mood changes, irritability, irresponsible behavior, low self-esteem, poor judgment, depression and a general lack of interest

Familial: Starting arguments, breaking rules or withdrawing from the family

School-related: Decreased interest, negative attitude, drop in grades, many absences, truancy and discipline problems

Social: having new friends who are less interested in standard home and school activities, problems with the law, and changes to less conventional styles in dress and music
If you believe your teen has a problem with drug abuse, you can take several steps to get the help he or she needs. The American Academy of Family Physicians suggests contacting your health-care provider so that he or she can perform an adequate medical evaluation in order to match the right treatment or intervention program with your teen. You can also contact a support group in your community dedicated to helping families coping with addiction.

Substance abuse can be an overwhelming issue with which to deal, but it doesn’t have to be. The Partnership for a Drug-Free America offers the following strategies to put into practice so that your teen can reap the rewards of a healthy, drug-free life:

Be your teen’s greatest fan. Compliment him or her on all of his or her efforts, strength of character and individuality.

Encourage your teen to get involved in adult-supervised after-school activities. Ask him or her what types of activities he or she is interested in and contact the school principal or guidance counselor to find out what activities are available. Sometimes it takes a bit of experimenting to find out which activities your teen is best suited for, but it’s worth the effort – feeling competent makes children much less likely to use drugs.

Help your teen develop tools he can use to get out of drug-related situations. Let him or her know he or she can use you as an excuse: “My mom would kill me if I smoked marijuana!”

Get to know your teen’s friends and their parents. Set appointments for yourself to call them and check-in to make sure they share your views on alcohol, tobacco and other drugs. Steer your teen away from any friends who use drugs.

Call teens’ parents if their home is to be used for a party. Make sure that the party will be drug-free and supervised by adults.

Set curfews and enforce them. Let your teen know the consequences of breaking curfew.
Set a no-use rule for alcohol, tobacco and other drugs.

Sit down for dinner with your teen at least once a week. Use the time to talk – don’t eat in front of the television.

Get – and stay – involved in your teen’s life.

References
American Academy of Child & Adolescent Psychiatry
American Academy of Family Physicians
Partnership for a Drug-Free America
National Institute on Drug Abuse
U.S. Food & Drug Administration

Sue Scheff - Where Do Teen Turn for Medical Advice

Source: Connect with Kids

“I had irritation in my special ‘no-no’ place. And that was a question that I wasn’t going to ask my mom.”

– Sheaele, Age 17

So where do teenagers like Sheaele turn when they want a health question answered? Sometimes friends, sometimes teachers… and according to a new survey, nearly half of teens are now going to the Internet to look for medical information.

“If it was a personal problem that I didn’t feel comfortable talking to anybody about, I would probably just look it up online,” says 18-year-old Joe.

But the information teens find on web sites may not always be accurate. Experts say to help a child avoid bad information, parents should do their own search of teen-friendly medical web sites.

Check them out. Then suggest the ones you like to your teen.

“Internet sites that do that, just give clear health information … I think that would be probably a good idea,” says Dr. Dawn Swaby-Ellis, a pediatrician.

But experts have an even better idea for parents: Find a real-life doctor their teen can trust.

“The best guarantee for growing up a healthy, secure, communicative adolescent is for that adolescent to have a constant relationship with a health practitioner over time,” says Dr. Swaby-Ellis.

Because while a doctor can promise teens the privacy they want, unlike the Internet, a doctor can also alert parents in the case of a serious health issue.

“If there’s anything at all that we hear, during an interview with a child alone that sounds like they’re in trouble,” says Swaby-Ellis, then we’ll certainly let (the parent) know.”

Tips for Parents
Previous studies have found that over 60 million Americans use the Internet for health and medical information. Teens make up a sizeable portion of this number; the Project estimates 45% of all children under the age of 18 have Internet access.

Health-related web sites that targeted teens are appearing on the Internet. Sites such as:


iEmily.com
Zaphealth
THINK (Teenage Health Interactive Network)
Teen Growth
These sites are like interactive magazines written specifically for teens. Headlines from a recent ZapHealth page include: “My Friend's Acne” and “Guilt about Drinking.” Other topics on the site include “getting the dirt on important issues like kissing, piercing and buying condoms.”

In addition to articles, these web sites offer:


Information and advice on general, sexual and emotional health
Information on fitness and sports
Family issues
Chat rooms where teens can talk with others with similar concerns
Bulletin boards where teens can post questions and receive answers from health care professionals
Links to other resources

It’s easy, quick and convenient. An added appeal of these sites is that teens can get information anonymously, without having to talk to anyone. The Pew Project says that 16% of web health seekers do so to get information about a sensitive health topic that is difficult to talk about.

Although a teen can get answers to some questions on these sites, the sites caution teens that they are not a substitute for regular healthcare; teens should see their healthcare providers as needed.

ZapHealth also urges children under 18 to talk with their parents or guardians about any health or emotional issues.


References
The Pew Internet and American Life Project
ZapHealth

Sue Scheff: Counseling Cuts Down on Youth Drinking

Source: Connect with Kids

“If it comes from me, I’m the objective observer. I’m interested in the child, and I try to let them know that. I want what’s best for them, but yet it’s not Mom or Dad saying that.”

– Rhonda Jeffries, M.D., Pediatrician

It’s a troubling fact of life: some kids drink.

“Especially the older they get,” says Dr. Rhonda Jeffries, a pediatrician. “And by senior year, 50 percent or more of kids are drinking. And in fact, by 12th grade, usually 80 percent of the kids have tried alcohol.”

But can a doctor persuade kids not to drink? Kids seem to think so.

“I think coming from somebody besides, maybe, just the parents for some people it will help,” says 18-year-old Andrew Scott, a high school senior.

Lars Thrasher, 17, agrees. “I would think it would be more helpful from a doctor,” he says.

And Christine Terrell, calls doctors advice on drinking and other potentially touchy subjects “extremely beneficial.”

According to a study published in the Annals of Family Medicine, when a physician spends just a few minutes talking to kids about the dangers of alcohol, those kids are 50 percent less likely to drink.

Dr. Jeffries says: “If it comes from me, I’m the objective observer. I’m interested in the child, and I try to let them know that. I want what’s best for them, but yet it’s not Mom or Dad saying that.”

The study reports when kids talked with their doctor, they had 55 percent fewer traffic accidents, 42 percent less emergency room visits and fewer arrests for underage drinking. It seems that when doctors warn kids about alcohol, they listen.

Christine Terrell explains: “They’re not invested in you as their child. They’re invested in you for your health, for your interests, for your sake. And I would definitely listen to a doctor, and I have listened to doctors who have talked to me about subjects like that.”

The study suggests it’s a good idea to ask your doctor to talk with your children about alcohol. Of course, experts add, parents should bring up the subject as well. “They need to be open to discussion and to bringing these issues up with their kids,” says Dr. Jeffries. “And I think that parents who are in touch with their kids and connected to them are really helpful in getting their children though adolescence without negative effects.”

LaShauna Pellman, 17, sums it up best. “If my parents tell me something,” she says, “then I listen to them even more.”

Tips for Parents

Alcohol-related fatalities are a leading cause of death among young adults in the United States. In the United States, 70.8 percent of all deaths among persons aged 10 to 24 result from only four causes – motor-vehicle crashes, other unintentional injuries, homicide and suicide.

Should your family doctor take just a few moments to counsel your child about the risks of alcohol, there is great potential for positive outcome. Just a few minutes of a doctor's counseling helped young adults reduce their high-risk drinking and the number of traffic crashes, emergency room visits, and arrests for substance or liquor violations, says a study in the Annals of Family Medicine. Consider the following:

Underage drinking causes over $53 billion in criminal, social and health problems.
Alcohol is a leading factor in the three leading causes of death for 15- to 24-year-olds:

automobile crashes, homicide and suicide.

Primary-care doctors should make it a priority to counsel young adults about high-risk drinking. Young adults, ages 18 to 30, who received counseling about reducing their use of alcohol:

Experienced a 40 to 50 percent decrease in alcohol use.
Reported 42 percent fewer visits to the emergency room.
Were involved in 55 percent fewer motor vehicle crashes.

The ways a parent can influence his or her teen’s drinking habits is complex. A universal method regarding what works best in preventing underage drinking may not exist. A study published in the Journal of Adolescent Health found that a parent’s attitude toward drinking influences a child's behavior in various ways. One controversial finding was that teens who drank with their parents were less likely than others to have binged or used alcohol at all in recent weeks. Others, of course, argue passionately that parents who drink with their underage children are not only breaking the law but encouraging dangerous behavior that can lead to life-long consequences.

The Journal study also found that strict parenting can curb kids' drinking. Teens who said they feared they would have their privileges taken away if they got caught drinking were half as likely to drink as those who thought their parents would not punish them. In addition, consider the following:

The average girl takes her first sip of alcohol at age 13. The average boy takes his first sip of alcohol at age 11.

Teenagers who said their parents or their friends' parents had provided alcohol for a party during the past year were twice as likely as their peers to have used alcohol or binged during the previous month.

Nearly 75 percent of teens surveyed said they had never used alcohol.

About 25 percent of teens in the study said they'd been at party in the past year where parents supplied alcohol.

Fourteen percent of teens surveyed said they were with their parents the last time they drank.

References
The Centers for Disease Control and Prevention (CDC)
Focus Adolescent Services
Health Day
National Youth Violence Prevention Center
Reuters
U.S. Department of Health and Human Services
University of California, Irvine

Sue Scheff - Mistreated Depression

Source: Connect with Kids

“Basically, psychiatrists are pretty busy. They don’t want to spend a lot of time with people. They want to get people in and out, maybe two or three an hour. … It pays better to do that than spending an hour doing psychotherapy.”

– David Gore, Ph.D., clinical psychologist

Fifteen-year-old Sarah McMenamin suffers from depression. It started a year ago with the death of her father.

“I was just like, ‘I just want to die,’” she says, describing her feeling before seeing a therapist. “I would never kill myself, but I just wish I was dead, I just wish I was never going to wake up.”

For depressed teens, experts at the American Academy of Child and Adolescent Psychiatry say what can help is medicine – combined with talk therapy.

“I think the therapist helped me,” explains Sarah, “’cause it was talking, you know, I got it out. I didn’t bottle everything up.”

“The advantage to getting some therapy along with medication is that you get to the root of the problem,” explains Dr. David Gore, clinical psychologist. “You get to see why you’re feeling that way. And if you start understanding why you’re feeling that way, chances are pretty good you’ll stop feeling that way.”

But according to a new study from Thomson-Reuters, more teens than ever are getting medication without psychotherapy. Why? Gore has an answer.

“Basically, psychiatrists are pretty busy,” Dr. Gore says. “They don’t want to spend a lot of time with people. They want to get people in and out, maybe two or three an hour. … It pays better to do that than spending an hour doing psychotherapy.”

Three months ago, Sarah started seeing a new doctor.

“Right away he put me on Zoloft,” she says. “He didn’t even know me for an hour and he put me on it.”

But psychologists say medicine alone just won’t work as well.

“You take your pill, you’ll get some immediate relief,” explains Dr. Gore, “but the problem’s going to crop up again in two months or four months or six months. You’ve got to get to the root of the problem.”

Sarah will resume talk therapy again in a few months. She says she is looking forward to it.

“You get it out on the table and you know your feelings’” she says, “and you go in thinking it’s one thing and you come out finding out it’s like 10 different things and you’re like, ‘Wow.’”

Tips for Parents
All teens experience ups and downs. Every day poses a new test of their emotional stability – fighting with a friend, feeling peer pressure to “fit in” with a particular crowd or experiencing anxiety over a failed quiz – all of which can lead to normal feelings of sadness or grief. These feelings are usually brief and subside with time, unlike depression, which is more than feeling blue, sad or down in the dumps once in a while.

According to the Nemours Foundation, depression is a strong mood involving sadness, discouragement, despair or hopelessness that lasts for weeks, months or even longer. It also interferes with a person’s ability to participate in normal activities. Often, depression in teens is overlooked because parents and teachers feel that unhappiness or “moodiness” is typical in young people. They blame hormones or other factors for teens’ feelings of sadness or grief, which leaves many teens undiagnosed and untreated for their illness.

The Mayo Clinic reports that sometimes a stressful life event triggers depression. Other times, it seems to occur spontaneously, with no identifiable specific cause. However, certain risk factors may be associated with developing the disorder. Johns Hopkins University cites the following risk factors for becoming depressed:

Children under stress who have experienced loss or who suffer attention, learning or conduct disorders are more susceptible to depression.

Girls are more likely than boys to develop depression.

Youth, particularly younger children, who develop depression are likely to have a family history of the disorder.

If you suspect that your teen is clinically depressed, it is important to evaluate his or her symptoms and signs as soon as possible. The National Depressive and Manic-Depressive Association cites the following warning signs indicating that your teen may suffer from depression:

Prolonged sadness or unexplained crying spells
Significant changes in appetite and sleep patterns
Irritability, anger, worry, agitation or anxiety
Pessimism or indifference
Loss of energy or persistent lethargy
Feelings of guilt and worthlessness
Inability to concentrate and indecisiveness
Inability to take pleasure in former interests or social withdrawal
Unexplained aches and pains
Recurring thoughts of death or suicide

It is important to acknowledge that teens may experiment with drugs or alcohol or become sexually promiscuous to avoid feelings of depression. According to the National Mental Health Association, teens may also express their depression through other hostile, aggressive, risk-taking behaviors. These behaviors will only lead to new problems, deeper levels of depression and destroyed relationships with friends and family, as well as difficulties with law enforcement or school officials.

The development of newer antidepressant medications and mood-stabilizing drugs in the last 20 years has revolutionized the treatment of depression. According to the Mayo Clinic, medication can relieve the symptoms of depression, and it has become the first line of treatment for most types of the disorder. Psychotherapy may also help teens cope with ongoing problems that trigger or contribute to their depression. A combination of medications and a brief course of psychotherapy are usually effective if a teen suffers from mild to moderate depression. For severely depressed teens, initial treatment usually includes medications. Once they improve, psychotherapy can be more effective.

Immediate treatment of your teen’s depression is crucial. Adolescents and children suffering from depression may turn to suicide if they do not receive proper treatment. Suicide is the third leading cause of death for Americans aged 10-24. The National Association of School Psychologists suggests looking for the following warning signs that may indicate your depressed teen if contemplating suicide:

Suicide notes: Notes or journal entries are a very real sign of danger and should be taken seriously.

Threats: Threats may be direct statements (“I want to die.” “I am going to kill myself”) or, unfortunately, indirect comments (“The world would be better without me.” “Nobody will miss me anyway”). Among teens, indirect clues could be offered through joking or through comments in school assignments, particularly creative writing or artwork.

Previous attempts: If your child or teen has attempted suicide in the past, a greater likelihood that he or she will try again exists. Be very observant of any friends who have tried suicide before.

Depression (helplessness/hopelessness): When symptoms of depression include strong thoughts of helplessness and hopelessness, your teen is possibly at greater risk for suicide. Watch out for behaviors or comments that indicate your teen is feeling overwhelmed by sadness or pessimistic views of his or her future.

“Masked” depression: Sometimes risk-taking behaviors can include acts of aggression, gunplay and alcohol or substance abuse. While your teen does not act “depressed,” his or her behavior suggests that he or she is not concerned about his or her own safety.

Final arrangements: This behavior may take many forms. In adolescents, it might be giving away prized possessions, such as jewelry, clothing, journals or pictures.

Efforts to hurt himself or herself: Self-injury behaviors are warning signs for young children as well as teens. Common self-destructive behaviors include running into traffic, jumping from heights and scratching, cutting or marking his or her body.

Changes in physical habits and appearance: Changes include inability to sleep or sleeping all the time, sudden weight gain or loss and disinterest in appearance or hygiene.

Sudden changes in personality, friends or behaviors: Changes can include withdrawing from friends and family, skipping school or classes, loss of involvement in activities that were once important and avoiding friends.

Plan/method/access: A suicidal child or adolescent may show an increased interest in guns and other weapons, may seem to have increased access to guns, pills, etc., and/or may talk about or hint at a suicide plan. The greater the planning, the greater the potential for suicide.
Death and suicidal themes: These themes might appear in classroom drawings, work samples, journals or homework.

If you suspect suicide, it is important to contact a medical professional immediately. A counselor or psychologist can also help offer additional support.

References
American Academy of Child and Adolescent Psychiatry
American Foundation for Suicidal Prevention
Johns Hopkins University
Mayo Clinic
National Association of School Psychologists
National Depressive and Manic-Depressive Association
National Institute of Mental Health
National Mental Health Association
Nemours Foundation
Thomson-Reuters

Inactive Teens

By Connect with Kids

“Make time for [exercise] because once you get out of it, it’s so hard to get back in.”

– Tori, 16 years old

They run and play and participate in all sorts of sports. But what happens when little kids become teens?

“After a while, you just become like a couch potato,” says Tori, 16.

When she was a cheerleader in middle school, Tori got plenty of exercise. Now she’s 16, and she admits she hasn’t exercised regularly in years.

“I’m not physically fit,” she says. “I mean, I’m skinny, but I guess it’s just because I have a fast metabolism. But physically fit? Noooo!”

A study in the Journal of the American Medical Association followed more than one thousand children aged 9 to 15.

97% were active when they were 9-years-old, but by the time they were 15, only 31% of teens were meeting the recommended sixty minutes of vigorous physical activity during the week. And only 17% met that target on the weekend.

The older they got, the less they exercised!

Experts speculate, for some it’s just laziness, for other, interests change, or they’re simply too busy.

Tori agrees: “School starts to get harder, and you get more homework, and you want to spend more time with your friends and you need more sleep.”

Still, experts warn that teens must find a way to remain active otherwise they risk becoming obese or sick later in life. Parents can help by getting involved in activities with their children.

“Whether it’s running and pulling a kite in the wind or going out throwing a Frisbee or going for a walk with your dog, if you incorporate those things, you’re just gonna have a better quality of life,” says Jon Crosby, an Atlanta-based sports and fitness trainer.

Tori’s advice to fellow teens: “Make time for [exercise] because once you get out of it, it’s so hard to get back in.”

Tips for Parents

Many studies have found similar results to the UC- San Diego study. University of Pittsburgh researchers report that as girls age, they increasingly get less and less exercise. In their study, published in The New England Journal of Medicine, the researchers evaluated the exercise habits of 1,213 black girls and 1,166 white girls for 10 years, beginning at age 9 or 10. By the time the girls were 16 or 17, nearly 56% of the black girls and nearly 31% of the white girls reported no regular exercise participation at all outside of school.

While this study focused on teenage girls, other research shows that participation in physical activity is decreasing among all American children. The National Association for Sport & Physical Education reports that only 25% of all U.S. kids are physically active. And while most parents believe that their children are getting enough exercise during school hours, the President’s Council on Physical Fitness and Sports (PCPFS) says that only 17% of middle or junior high schools and 2% of senior high schools require daily physical activity for all students.

As a result of this physical inactivity, more and more children are becoming obese. According to the Centers for Disease Control and Prevention, 13% of children aged 6 to 11 and 18% of teens aged 12 to 19 are overweight. These same overweight adolescents also have a 70% chance of becoming overweight or obese adults and are at an increased risk for developing health problems, such as heart disease, type 2 diabetes, high blood pressure and some forms of cancer. In fact, the PCPFS reports that physical inactivity contributes to 300,000 preventable deaths a year in the United States.

Besides preventing the onset of certain diseases, regular physical exercise can also help your child in the following ways, according to the Centers for Disease Control and Prevention:

Helps control weight
Helps build and maintain healthy bones, muscles and joints
Improves flexibility
Helps burn off stress
Promotes psychological well-being
Reduces feelings of depression and anxiety
As a parent, you need to emphasize to your child the importance of physical activity. This can often be a difficult task, as you may encounter some resistance from a child who enjoys sedentary activities like watching television and surfing the Internet. The American Council on Exercise (ACE) recommends the following guidelines for easing your child into an active lifestyle:

Don’t just tell your child that exercise is fun; show him or her! Get off the couch and go biking, rock climbing or inline skating with your child. Skip rope or shoot baskets with him or her.
Invite your child to participate in vigorous household tasks, such as tending the garden, washing the car or raking leaves. Demonstrate the value of these chores as quality physical activity.
Plan outings and activities that involve some walking, like a trip to the zoo, a nature hike or even a trip to the mall.
Set an example for your child and treat exercise as something to be done on a regular basis, like brushing your teeth or cleaning your room.
Concentrate on the positive aspects of exercise. It can be a chance for your family to have some fun together. Avoid competition, discipline and embarrassment, which can turn good times into bad times. Praise your child for trying and doing.
Keep in mind that your child is not always naturally limber. His or her muscles may be tight and vulnerable to injury during growth spurts. Be sure to include stretching as part of your child’s fitness activities.
Exercise and nutrition go hand in hand. Instead of high-calorie foods and snacks, turn your child on to fruits and low- or non-fat foods.
If you discover that your teen is having trouble staying motivated to exercise, the American Academy of Family Physicians suggests these strategies:

Choose an activity that your child likes to do. Make sure it suits him or her physically, too.
Encourage your child to get a partner. Exercising with a friend can make it more fun.
Tell your child to vary his or her routine. Your child may be less likely to get bored or injured if he or she changes his or her exercise routine. Your child could walk one day and bicycle the next.
Ensure that your child is active during a comfortable time of day. Don’t allow him or her to work out too soon after eating or when it’s too hot or cold outside. And make sure your child drinks plenty of fluids to stay hydrated during physical activity.
Remind your child not to get discouraged. It can take weeks or months before he or she notices some of the changes from and benefits of exercise.
Tell your child to forget “no pain, no gain.” While a little soreness is normal after your child first starts exercising, pain isn’t. He or she should stop if hurt.
With a little encouragement and help from you, your child will be up and moving in no time!

References
American Academy of Family Physicians
American Council on Exercise
Centers for Disease Control and Prevention
National Association for Sport & Physical Education
Office of the Surgeon General
President’s Council on Physical Fitness and Sports
The New England Journal of Medicine

Sue Scheff - Binge Drinking and Teens

By Connect with Kids

“There’s this idea that drinking, getting drunk, being a part of a group … is somehow a part of our growing up, and everybody’s going to do it.”

– Robert Margolis, Ph.D., clinical psychologist

Binge drinking is considered to be a rite of passage for teenagers across the country. “I drank a liter of tequila in an hour, and I went to this pizza place, and I passed out in the parking lot. I woke up the next morning,” remembers Cleophus Randolph, a 22-year-old college student.

Suzanne Graham had a similar experience: “This summer I went kind of crazy, the summer after senior year, I passed out in someone’s backyard. It was not good, and I was throwing up pretty heavily the next day and all that night.”

The consequences can range from sickness to far worse — “where they don’t get a second chance because they get alcohol poisoning. Their heart rate and their body metabolism slows down and, for whatever reason, they don’t recover from it. If you drink enough alcohol you die,” explains Dr. Robert Margolis, clinical psychologist.

His advice is to set clear boundaries for your children. Tell them what to expect, teach them how to say no, and, most of all, start early. He says middle school is the perfect time. “Those are the years when you really need to start talking about those messages, so you can help them form appropriate expectations about drinking, particularly in regard to important issues like, you can be accepted without having to drink.”

Dr. Margolis empathizes with parents who feel they’re standing alone against a part of the culture that believes teenage drinking is inevitable. “There’s this idea that drinking, getting drunk, being a part of a group, that we’re all gonna go out and get drunk, is somehow a part of our growing up, and everybody’s going to do it.”

And, sadly every year some kids die — an estimated 1,400 students die from alcohol related causes. Another 500,000 suffer serious injuries. In fact, getting “wasted” is so common that some kids even think it’s funny, like 18-year-old Jason Morgan: “I’ve had friends just outside the door, heaving. It wasn’t bad, it was a good time for most, and entertaining for the sober people to laugh at them, so it was pretty fun.”

Tips for Parents

Research defines binge drinking as having five or more drinks in a row. Reasons adolescents give for binge drinking include: to get drunk, the status associated with drinking, the culture of drinking on campus, peer pressure and academic stress. Binge drinkers are 21 times more likely to: miss class, fall behind in schoolwork, damage property, injure themselves, engage in unplanned and/or unprotected sex, get in trouble with the police, and drink and drive.

Young people who binge drink could be risking serious damage to their brains now and increasing memory loss later in adulthood. Adolescents may be even more vulnerable to brain damage from excessive drinking than older drinkers. Consider the following:

The average girl takes her first sip of alcohol at age 13. The average boy takes his first sip of alcohol at age 11.

Underage drinking causes over $53 billion in criminal, social and health problems.

Seventy-seven percent of young drinkers get their liquor at home, with or without permission.

Students who are binge drinkers in high school are three times more likely to binge drink in college.

Nearly 25 percent of college students report frequent binge drinking, that is, they binged three or more times in a two-week period.

Autopsies show that patients with a history of chronic alcohol abuse have smaller, less massive and more shrunken brains.

Alcohol abstinence can lead to functional and structural recovery of alcohol-damaged brains.
Alcohol is America’s biggest drug problem. Make sure your child understands that alcohol is a drug and that it can kill him/her. Binge drinking is far more pervasive and dangerous than boutique pills and other illicit substances in the news. About 1,400 students will die of alcohol-related causes this year. An additional 500,000 will suffer injuries.

A study by the Harvard School of Public Health showed that 51 percent of male college students and 40 percent of female college students engaged in binge drinking in the previous two weeks. Half of these drinkers binged frequently (more than three times per week). College students who binge drink report:

Interruptions in sleep or study habits (71 percent).
Caring for an intoxicated student (57 percent).
Being insulted or humiliated (36 percent).
An unwanted sexual experience (23 percent).
A serious argument (23 percent).
Damaging property (16 percent).
Being pushed, hit or assaulted (11 percent).
Being the victim of a sexual advance assault or date rape (1 percent).

Students must arrive on college campuses with the ability to resist peer pressure and knowing how to say no to alcohol. For many youngsters away from home for the first time, it is difficult to find the courage to resist peer pressure and the strength to answer peer pressure with resounding no. Parents should foster such ability in their child's early years and nurture it throughout adolescence. Today’s youth needs constant care from parents and community support to make the best decisions for their wellbeing.

References
Centers for Disease Control and Prevention
Harvard School of Public Health
National Youth Violence Prevention Center

Parents Universal Resource Experts (Sue Scheff) Gun Violence

By Connect with Kids

“One thing about him—he thought no one would hurt him. He thought, ‘no enemies.’”

– Mickye McGuire-Rush, Gregory’s Mother

Mickye McGuire-Rush sits in her living room and remembers her only son, Gregory. “One thing about him—he thought no one would hurt him. He thought, ‘no enemies,’” she says.

Gregory had no enemies and no protection from random violence. At age 15, he was shot to death by another kid didn’t even know.

“Mistaken identity—Gregory lost his life over something he didn’t even know was going on,” Mickye says.

Violence is killing our kids. Murder is the second leading cause of death among teenagers.

“I saw my friend in the hospital die with a nine millimeter, with a bible over it and we had a prayer before he died. Things change from that,” says one teen.

Changing the violence is exactly what a group of fourth and fifth graders are hoping to do. Some of the girls are step dancing for peace.

“We want the world to be a safe place to live,” says Ebony.

They’re part of a program at school that teaches non-violence as a way of life.

Experts say parents may not be able to prevent their children from becoming victims of violence, but they can teach kids how to handle disagreements peacefully in their own lives.

“It has to do with what you control and what you do not control. You control your own behavior. You control what you do inside that relationship with the people inside that household,” says Dr. John Jenson, psychologist.

“Clearly something is not working and I think to conclude that it’s the kids that aren’t working is inappropriate. We first must look at the environment that we have created as adults for kids to live in,” says Dr. Stephen Thomas, psychologist.

An environment that, so far, has claimed too many lives, including Gregory.

Mickye McGuire-Rush says, “He was my best friend.”

Tips for Parents

After a decade of decline, the number of children killed by gun fire has increased, according to the report Protect Children, Not Guns. This report from the Children’s Defense Fund, used data from the Center for Disease Control and Prevention, to compile this list of statistics:

3,006 children and teens died from gunfire in the United States in 2005—one child or teen every three hours, eight every day, 58 children and teens every week.
1,972 were homicide victims
822 committed suicide
212 died in accidental or undetermined circumstances
2,654 were boys
352 were girls
404 were under age 15
131 were under age 10
69 were under age 5
1,624 were White
1,271 were Black
614 were Latino*
60 were Asian or Pacific Islander
51 were American Indian or Alaska Native


The number of children and teens in America killed by guns in 2005 would fill 120 public school classrooms of 25 students each.
In 2005, 69 preschoolers were killed by firearms compared to 53 law enforcement officers killed in the line of duty.
Since 1979, gun violence has snuffed out the lives of 104,419 children and teens in America. Sixty percent of them were White; 37 percent were Black.
The number of Black children and teens killed by gunfire since 1979 is more than 10 times the number of Black citizens of all ages lynched in American history.
The number of children and teens killed by guns since 1979 would fill 4,177 public school classrooms of 25 students each.
More than five times as many children and teens suffered non-fatal gun injuries.
181 more children and teens died from firearms in 2005 than in 2004—the first annual increase since 1994.
68 more children and teens died from homicide in 2005 than in 2004.
56 more White, 122 more Black, 40 more Hispanic, and 9 more Asian and Pacific Islander children and teens died in 2005 than in 2004.
More 10- to 19-year-olds die from gunshot wounds than from any other cause except motor vehicle accidents.
Almost 90 percent of the children and teens killed by firearms in 2005 were boys.
Black children and teens are more likely to be victims of firearm homicide. White children and teens are more likely to commit suicide.
The firearm death rate for Black males ages 15 to 19 is more than four times that of comparable White males.
A Black male has a 1 in 72 chance of being killed by a firearm before his 30th birthday; a White male has a 1 in 344 chance.
Eight times as many White children and teens committed suicide by gun as Black children and teens.
Males ages 15 to 19 are almost eight times as likely as females that age to commit suicide with a firearm.
The following behaviors and actions may be viewed as risk factors indicative of the potential for the initiation of violence by a child or adolescent:


Has a history of tantrums or uncontrollable angry outbursts
Uses abusive language or calls people names
Makes violent threats when angry
Has brought a weapon to school
Has serious disciplinary problems at school or in the community
Abuses drugs, alcohol or other substances
Has few or no close friends
Is preoccupied with weapons or explosives
Has been suspended or expelled from school
Is cruel to animals
Has little or no supervision and support from parents or a caring adult
Has witnessed or been a victim of abuse or neglect
Has been bullied and/or bullies or intimidates other kids
Prefers TV shows, movies or music with violent themes
Is involved with a gang or an antisocial group
Is depressed or has significant mood swings
Has threatened or attempted suicide

What Parents Can Do

The following are suggestions of ways to help your child or adolescent deal with feelings and/or situations that might lead them to participate in violent behaviors:

Give your children consistent love and attention. Every child needs a strong, loving, relationship with a parent or other adult to feel safe and secure and to develop a sense of trust.

Children learn by example, so show your children appropriate behavior by the way you act. Settle arguments with calm words, not with yelling, hitting, slapping, or spanking. If you punish children by hitting, slapping, or spanking them, you are showing them that it is okay to hit others.

Talk with your children about the violence they see on TV, in video games, at school, at home, or in the neighborhood. Discuss why violence exists in these contexts and what the consequences of this violence are.

Try to keep your children from seeing too much violence: limit their TV time, and screen the programs they watch. Seeing a lot of violence can lead children to behave aggressively.

Make sure your children do not have access to guns. If you own firearms or other weapons, unload them and lock them up separately from the bullets. Never store firearms where children can find them, even if unloaded. Also, talk with your children about how dangerous weapons can be.

Involve your children in setting rules for appropriate behavior at home; this will help them understand why the rules should be followed. Also ask your children what they think an appropriate punishment would be if a rule were broken.

Teach your children nonaggressive ways to solve problems by discussing problems with them, asking them to consider what might happen if they use violence to solve problems, and talking about what might happen if they solve problems without violence.

Listen to your children and respect them. They will be more likely to listen and respect others if they are listened to and treated with respect.

Note any disturbing behaviors in your child such as angry outbursts, excessive fighting, cruelty to animals, fire setting, lack of friends, or alcohol/drug use. These can be signs of serious problems.

Don't be afraid to get help for your child if such behaviors exist, and talk with a trusted professional in the community.

References
National Center for Injury Prevention and Control
National Safety Council
SafeUSA - National Center for Injury Prevention and Control
Centers for Disease Control and Prevention
Children’s Defense Fund

Gambling Addiction with Kids

By Connect with Kids

“I think if someone had asked me if I had wanted to go out with a beautiful girl or sit at home and play poker, I probably would have said I’d play poker.”

– Daniel Gushue, 22 years old

Daniel was a compulsive gambler.

Over the course of two years he racked up 18 thousand dollars of credit card debt.

“So on a typical night, my gambling at its worst, say here Oct. 25th,” Daniel says looking at his bank statement, “I deposited $50, I deposited another 50, another 50, a 100, another 100, 50, and then 200. So all-in-all that’s 6- $600.”

A survey by the University of Buffalo found that over two percent of teens admit to having a gambling problem. That’s a small number, but that represents 750 thousand teens.

And some are stealing or selling possessions to continue gambling.

Experts blame accessibility.

“So whereas 15-20 years ago you have to get into a car, drive to a casino, might take you an hour or two hours or three hours to get there, now you can just pick up your cell phone and be gambling while you are waiting in the doctor’s office, or while you’re waiting at the bus stop,” explains Dr. Timothy Fong, Addiction Psychiatrist.

That’s why, experts say, parents need to be proactive.

According to psychologist Dr. Larry Rosen that means, “Familiarize yourself with what potential problems your kids might come up against, and sit them down and talk to them.”

Daniel doesn’t play online poker anymore, but he does gamble on sports.

That makes his girlfriend, Carlee Schaper, nervous. “When it comes to watching him online, sports betting and things like that, I don’t like to see him doing that, because I feel like it’s a slippery slope, and, um, it’s possible for him to go back to his old ways.”

“Should I be gambling?” says Daniel, “Probably not. But for the time being I’m in a good place.”

Tips for Parents

The numbers from a University of Buffalo study are staggering. Three-quarters of a million teens have a serious gambling problem. That includes stealing money to gamble, gambling more money then initially planned, or selling possessions to gamble more. Another 11 percent of teens admit to gambling at least twice a week. Evidence shows that individuals who begin gambling at an early age run a much higher lifetime risk of developing a gambling problem.

Some individuals and organizations support teaching poker to adolescents as a real-life means of instructing on critical reasoning, mathematics and probability. They say teaching the probability of winning is the most important aspect of the game and that the mathematics behind the reasoning that will show kids they won’t win in the long run.

The legal gambling age in the United States is 21. Poker sites enable minors to play by clicking a box to verify that they are the legal age and entering a credit card number. Age is verified further only if suspicions are raised.

Some researchers call gambling the fastest-growing teenage addiction. Teens are especially vulnerable to gambling because of the excitement, the risk and their belief that skill is involved. The Arizona Council on Compulsive Gambling and the Connecticut Council on Problem Gambling lists the following warning signs that a teen may be struggling with a gambling problem:

Unexplained need for money: Valuables missing from the home and frequently borrowing money
Withdrawal from the family: Changes in personality, impatience, criticism, sarcasm, increased hostility, irritability, making late-night calls, fewer outside activities, a drop in grades and unaccountable time away from home
Interest in sports teams with no prior allegiance: Watching televised sports excessively, exhibiting an unusual interest in sports reports, viewing multiple games at one time, running up charges to 900 sports phone numbers and showing hostility over the outcome of a game
Gambling paraphernalia: Betting slips, IOUs, lottery tickets, frequent card and dice games at home and the overuse of gambling language, such as “bet,” in conversation
Coming to parents to pay gambling debts
Using lunch or bus money to gamble
Ask yourself the following questions if you suspect your child has a gambling addiction:

Is your child out of the house or confined to a room with a computer for long, unexplained periods of time?
Does your child miss work, school or extra-curricular activities?
Can your child be trusted with money?
Does your child borrow money to gamble with or to pay gambling debts?
Does your child hide his or her money?
Have you noticed a personality change in your child?
Does your child consistently lie to cover up or deny his or her gambling activities?
Compulsive gambling is an illness, progressive in nature. There is no cure, but with help the addiction can be suppressed. Many who gamble live in a dream world to satisfy emotional needs. The gambler dreams of a life filled with friends, new cars, furs, penthouses, yachts, etc. However, a gambler usually will return to win more, so no amount of winning is sufficient to reach these dreams.

The compulsion to gamble can easily lead to self-destructive behavior, especially for teens. If you are concerned that a young person you care about has a gambling problem, encourage him or her to contact a gambling help line in your area or to seek professional help at a gambling treatment facility.

References
American Family Association
Arizona Council on Compulsive Gambling
Connecticut Council on Problem Gambling
National Gambling Impact Study Commission
Student Affairs Administrators in Higher Education
University of Buffalo's Research Institute on Addictions

Sue Scheff: Norms aren't Normal

By Connect with Kids

“If you grow up listening to that stereotype, that you’re gonna grow up and do drugs, that you’re gonna grow up and have sex, then yeah … you’re gonna believe that.”

– Ryan Hentz, 18

What do teens think other teens are doing on a Friday night?

“If you want to be cool, you have to drink and go out … ,” says Leah Conover, 18.

“Partying, having sex … weed, smoking, stuff like that,” 17-year-old Latricia Smith adds.

Tad Kulanko, 18, agrees: “Drinking or all smoking pot; doing drugs all the time.”

Experts say that idea – that everyone is doing it – can be a powerful, self-fulfilling prophecy.

“Teenagers are often trying to find themselves. They want to fit in [and] they want to be part of the crowd,” says Dr. Sherry Blake, a psychologist.

“If you grow up listening to that stereotype, that you’re gonna grow up and do drugs, that you’re gonna grow up and have sex, then yeah, it’s gonna be implanted in your head and you’re gonna believe that,” says Ryan Hentz, 18.

But the stereotype is a myth, according to a movement called “social norming.” This movement’s message is that what’s “normal” for most teens isn’t getting drunk or high, having sex, getting pregnant or vandalizing property.

“The adolescent will realize that, ‘I have choices, and guess what, everybody is not doing this and I don’t have to be drunk or I don’t have to be high to be cool,’” Dr. Blake says.

“Social norming” has caught on at about 40 college campuses nationwide. But experts say parents can use the same concept with their own children well before college age.

Blake says to let them know that “there are a lot of teenagers doing positive things … the norm is not where we have to go out and party and drink.”

Tips for Parents

‘Social Norming’ Latest Trend to Curb Risk-taking

For years, study after study has focused on the number of teens who take negative health risks like smoking, drinking alcohol and abusing drugs. These widespread statistics lead the public to believe that bad behavior among today’s youth is at an all-time high, yet the opposite seems to be the case. Consider these statistics from the Centers for Disease Control and Prevention (CDC) 2005 Youth Risk Behavior Survey:

About 56.7% of high school students said they had not consumed an alcoholic beverage within the past 30 days.

An estimated 90.1% had not driven a car while under the influence of alcohol within the past 30 days.

Only 13.4% of students had smoked one cigarette a day for the last 30 days.
Nearly 61.6% have never tried marijuana.

About 87.6% have never sniffed glue, breathed the contents of aerosol spray cans or inhaled any paints to get high.

An estimated 96% have never taken steroids with or without a doctor’s prescription.

Several colleges are now finding that if the general impression is that most kids don’t drink alcohol, then those who do drink will drink less, and fewer will start drinking in the first place.

This philosophy to curb unhealthy habits, called “social norming,” is also catching on in high schools and middle schools across the country. Officials hope that as they promote the general good health of students, more parents and teens will recognize that taking less health risks is now the “norm.”

While you can’t protect your child or teen from taking a bad health risk, you can become a strong and positive influence in his or her life. The National PTA offers these tips for staying involved in your child’s life so that you can minimize the risks he or she takes:

Keep the lines of communication open. You need to have regular conversations with your teen and supply him or her with honest and accurate information on the many issues he or she faces. Start important discussions with your teen – about smoking, drugs, sex or drinking – even if the topics are difficult or embarrassing. Don’t wait for your teen to come to you.

Set fair and consistent rules. You need to set boundaries that help your teen learn that with his or her new independence comes responsibility. You and your child can work together to set appropriate limits. Be sure that your child understands the purpose behind the rules.

Support your child’s future. Even if you don’t feel you can help with homework, you need to demonstrate that education is important to you and your child’s future. It’s important to you’re your child’s teachers and to create a home environment that supports learning.

Be an example. You need to demonstrate appropriate behaviors. Show concern for and be involved in the community and at school. Maintain regularly scheduled family time to share mutual interests, such as attending movies, concerts, sporting events, plays or museum exhibits. Your teen will often “do as you do,” so don’t take negative health risks, such as drinking or smoking.

If your adolescent does cross the boundaries you have set in order to take a negative health risk, the American Academy of Child & Adolescent Psychiatry suggests you keep in mind the following points about discipline:

Trust your child to do the right thing within the limits of your child’s age and stage of development.

Make sure what you ask for is reasonable.

Speak to your child as you would want to be spoken to if someone were reprimanding you. Don’t resort to name-calling, yelling or disrespect.

Be clear about what you mean. Be firm and specific.

Model positive behavior. “Do as I say, not as I do” seldom works.

Whenever possible, consequences should be delivered immediately, should relate to the rule broken and be short enough in duration that you can move on again to emphasize the positives.
Consequences should be fair and appropriate to the situation and the child’s age.

References
American Academy of Child & Adolescent Psychiatry
Centers for Disease Control and Prevention
National PTA

Sue Scheff: Teen Drug - Salvia

By Connect with Kids

“They feel very out of control; it’s very scary. They will literally have blackouts, and what we are seeing is a lot of people having accidents because they lose their coordination. They aren’t able to think clearly, so we are seeing people fall, stumble, hurt themselves, and have driving accidents.”

– Heather Hayes, LPC, drug counselor

Today, more teenagers are smoking a powerful hallucinogenic herb that is native to Mexico. It is a potent drug, the effects are almost instantaneous, and because it is legal in most states, it has caught the attention of lawmakers around the country.

Henri and Thomas say they have a friend who’s tried it. It’s called Salvia.

“He smoked it, and then went to scratch his head … and can’t remember anything after that,” says Henri Hollis, 18.

Add Thomas Steed, 18, “His friend said he was just going like this [flailing his arms] for like 20 minutes straight.”

In most states, salvia is legal. However, the Drug Enforcement Agency (DEA) has salvia on its list of “Drugs and Chemicals of Concern.” On the streets and in head shops, salvia is also referred to as “magic mint,” “sally-d” and “diviner’s sage.”

“My friend just brought some over one day, and I was like, ‘Alright!’ says Nick Nehf, 18. “I mean, I’d never heard of it before, but he said he had bought it down the street at the head shop and I was like, ‘Alright, whatever.’”

“Salvia divinorum is a perennial herb that grows wild in Mexico. It’s a hallucinogenic. It’s what back in the 60s we used to call a psychedelic,” says Heather Hayes, licensed professional counselor (LPC) and drug counselor.

Experts say that salvia affects the brain nearly 10 times faster than cocaine, and targets the parts of the brain responsible for motor function.

“They feel very out of control; it’s very scary. They will literally have blackouts, and what we are seeing is a lot of people having accidents because they lose their coordination. They aren’t able to think clearly, so we are seeing people fall, stumble, hurt themselves, and have driving accidents,” says Hayes.

Many states are now considering legislation to ban salvia.

In the meantime, experts say, explain to your kids that just because something is temporarily legal doesn’t mean it is safe.

“Initially, when the drug Ecstasy was developed it was not illegal, but shortly after it was,” says Hayes. “And now we know that Ecstasy is extremely damaging to the brain -- we have people who die after one use. So that would be the analogy I’d give.”

“Anybody who I’ve talked to who has done it says they are never going to try it again because it was too much for them,” says Steed.

Tips for Parents

Partnership for a Drug-Free America and the Media Awareness Program offer these tips to help keep kids from using drugs:

It sounds simple, but one of the best ways to keep your kids drug-free is to show them you care. Simple gestures like an unexpected hug or saying ‘I love you" everyday can help kids gain the confidence to say no to drugs.

Look for teachable moments. Talk about a recent drug or alcohol-related incident in your family or community.

Explain the principles of "why" and not just "what" to do or not do.

Teach real-world coping skills: drug prevention can start by building a teen's confidence for a job interview or teaching a child how to rebuff a schoolmate who wants to copy homework.

Parents remain one of the strongest moral influences on kids, and they need to send a clear anti-drug message. Studies show that parental ambivalence increases a child's risk for drug use.
Focus on one drug at a time: there's strong evidence that media attention to harmful effects of specific drugs has made a difference.

For instance, a 1995 ad campaign about abuse of inhalants, such as paint thinners and glues, precipitated a drastic drop in use.

In 1986, cocaine use fell after extensive news reports on the death of Len Bias, a college-basketball star who died after using cocaine.

(Currently, Heath Ledger’s death has prompted drug rehabilitation for other celebrities as well as the general population.)

These examples illustrate the life cycle of a drug. Word of a drug's “benefits” spreads rapidly, but there is a lag time before kids learn about the dangers. Once the risks become apparent, occasional users drop the drug and potential new users don't try it. Parents and educators can make a difference if they pay attention to the life cycle of a newly popular drug and work to quickly spread the word about harmful effects.

Don't lecture: the use of lecturing is often cited as the single biggest flaw in the best-known and most popular anti-drug programs. Get kids more involved in the lesson, such as asking them to discuss how they'd react at a party where kids were drinking.

Repeat the message: the most successful anti-drug classes are those that are presented over the course of a child's school career.

References

Partnership for a Drug-Free America
Media Awareness Program

Sue Scheff - Why Kids Lie?

By Connect with Kids http://www.connectwithkids.com/

“When parents lie about their kids being a certain age so they get a cheaper price for the movies – that is a small, simple thing, but there are a lot of little examples like that, where kids see that adults fudge.”

– Dr. Tim Jordan, M.D., pediatrician

A survey by Penn State finds that 98 percent of teens say that lying is morally wrong. But in the very same survey, 98 percent say they’ve lied to their parents. Why do the same kids, who know lying is wrong, do it anyway?

“When I lie, I usually mainly lie to get out of something,” says Eric, 13.

“It’s like human nature. You can’t really stop yourself from lying sometimes,” says Annie, 12.

“I think in some cases, it’s okay. Like, I think if you don’t want to tell your parents, then that’s really none of their business,” says Caroline, 17.

Researchers at Penn State surveyed teens about lying on 36 different topics. Teens responded that they lied to their parents about 12 of these topics, including how they spent their money, what movie they went to, what they did after school, and whether they rode in cars with a drunk driver.

“I think in some ways they’re saying, ‘I need to have some secrets, I need to have some of my own private life, it’s important,’” says Dr. Tim Jordan, M.D., pediatrician.

Experts say that kids learn about lying from each other, and from adults.

“Like when parents lie about their kids being a certain age so they get a cheaper price for the movies, that is a small, simple thing, but there are a lot of little examples like that, where kids see that adults fudge,” says Jordan.

But if parents will repeat the right message over and over, says Jordan, eventually kids will learn about lying and right and wrong. In time, they’ll no longer hear just their parents’ voices, they’ll hear their own.

“I want kids to be able to think through things internally, because when they’re out in the world, that’s when they do most of their mischief,” says Jordan. “They have to have their own internal justice system established and I think that comes from inside the home, having a series of conversations over many, many years about right and wrong.”

Tips for Parents

All children lie once in a while – it’s part of growing up. Toddlers lie as a way to create their own fantasy world (i.e. “I have an imaginary friend.”); adolescents lie to re-invent themselves or to get out of trouble. Experts offer the following tips to help you talk to your children about honesty:

Set clear expectations and strive to meet them yourself.

Explain to the child that he will be respected more if he tells the truth than if he lies, even if the truth might make him feel uncomfortable or get him in trouble.

Talk to children about the difference between make-believe and reality, and about alternatives to lying.

Give children examples of why honesty is important. Show how lying has consequences.
When a child is caught lying, talk about the consequences, how she might have acted differently, and how she should act going forward.

Avoid browbeating and punishing when broaching the subject of dishonesty. Be firm but understanding, and let them know you expect the truth no matter what.

If it appears that a child has a serious problem with lying, seek professional help from a counselor, psychologist or psychiatrist.

Help your children practice being honest so that lying is not comfortable for them and is not a part of who they are.

References
Parenthood.com
American Academy of Child and Adolescent Psychiatry