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Be observant
As a teacher, you are in a key role to observe students. You, perhaps more than parents, can assess what is typical or "normal" adolescent behavior and what is out of the norm, because you interact with hundreds of students every day.
 
When you observe atypical behaviors - from acting out to withdrawing, destructive or aggressive acts toward themselves or others, or a fixation with death or morbid themes - take note and take action.   Consult with your school counselor, principal, or other professional within the school to ensure appropriate and quick assessment and treatment.

Reach out

It takes time and courage to reach out to your students on a personal level. But your interest can mean the world to a child in crisis. Youth - especially troubled or mentally ill youth - need a caring and compassionate community to support them. And school is a vital part of that community.
 
Encourage a troubled student to open up about what is going on in their lives. Look beyond their questionable behavior or decision making to try to identify the root cause. While it is easy to label some children as manipulative or unmotivated, it is more of a challenge to consider why they are this way. Perhaps the cause is mental illness.

Be open-minded

It is tough for adults to accept that adolescents can have clinical depression or thoughts about suicide. And that depression is a true mental illness, more than just the "diagnosis of the day" among our stressed-out society.
 
Even more so, it is horrific to consider that a youngster could attempt to take their life. Your first reaction may be shock or denial. Yet over 3,500 teens will complete suicide this year. And it is estimated that a majority of these young people have depression or another mental illness, whether diagnosed or not (Reference 5).

Be persistent

Your student may feel threatened or violated by your observations if they become upset or deny they are having problems.   Be persistent and make sure that the student gets that services that they may need.  

Connect with parents or guardians

If a troubled student opens up to you, contact their parents or legal guardian. Do not promise confidentiality to a child when it comes to issues regarding their safety and well being. Remember that mental illness can impact a student's decision making skills and choices. But always talk privately with a student before letting others know about the student and your concerns. Otherwise you risk the student's trust if you talk about them without their knowledge.

Tap support systems

School districts typically have crisis policies for working with a suicidal or violent student. Many youngsters who are not in this acute state of crisis still need support to stay in school and stay healthy. Your school may have policies and programs that address at-risk students. Be sure to use them.  

 

Additionally, do not be afraid to call your school psychologist, social worker or nurse if a child's mental health is in question. Do not assume your health care staff or administration will do this. Take the initiative yourself. You can also help connect a student and their family members with local mental health resources. Call your local mental health association for more information.
 
Be respectful of the sensitivity of the information shared regarding a troubled student, however, do not be afraid to connect with other teachers or staff to "compare notes" on a student to better assess what may be going on or to determine if a student's behaviors are consistent across settings. Remember that a picture is complete only when all pieces of a puzzle are in place.

Ask the tough question

Have the courage to ask a student if they have ever thought that life is not worth living or if they have ever thought that they would be better off dead. Countless research studies have shown time and again that asking someone if they have contemplated self-harm or suicide will NOT place the idea in their head and make them act on it. On the contrary, studies have shown that a person in mental distress is most often relieved that someone cared enough to inquire. Your concern can counter their sense of hopelessness.
 
You are very likely wondering, "What if they say yes, then what do I say or do?" Any talk about wanting to die or attempting suicide should be a red flag to teachers and parents alike. Follow school policy. Contact your counseling office immediately.

Also, it is important that you do not judge the student, nor attempt to minimize or try to "fix" their situation. Here are suggestions on what to say to someone who thinks that life may not be worth living.

 

  • “I can hear that things feel very overwhelming right now, and I am going to stay with you and find some help”
  • “I understand that you are feeling very troubled, and I am going to help you find someone who can help”
  • “Thank you for being honest about your feelings, I am going to stay with you and find someone who can help”

Be patient

A child who is grappling with stress or mental illness requires patience on the part of adults.   All children need compassion and understanding, but if a diagnosis of mental illness is also involved, they will require extra understanding as they work their way through diagnosis, medication and reoccurring bouts of the illness. Your flexibility and assistance with missed assignments, classroom participation, and keeping a facilitative classroom environment can do much to keep them hopeful and moving in the right direction.

 

Teachers have the opportunity to make a difference in students' lives by proactively attending to cues and messages, getting help, and ensuring appropriate treatment.   Teachers can help to prevent suicide.
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