There are many risk factors for suicide and both individuals and mental health professionals need to be aware of some of the likely reasons why people will consider death by suicide. One factor that can play a role in increasing the risk of suicide is domestic violence.

Mental health professionals should know that a person who has experienced domestic violence or intimate partner violence is at greater risk of death by suicide. If a counselor or care professional fails to recognize risk factors of suicide, a suicide attorney should be consulted for assistance in pursuing a claim for compensation.

The Link Between Domestic Violence and Suicide

As Overcoming the Darkness reports, victims of domestic violence have a higher risk of suicide not only while the violence is occurring but over the course of the rest of their lives. For example, a woman who experiences violence at the hands of an intimate partner is 12 times as likely to die by suicide as compared with someone who is not a victim of domestic violence. The increased risk of suicide is so strong that more domestic violence victims actually die by suicide than are killed by the person who is committing the abuse.

People who are themselves victimized by domestic violence are not the only ones who face an increased risk of suicide. Children who are exposed to domestic violence in the home are more likely to have suicidal tendencies and to die from suicide.

UMN reports on additional research showing a link between suicide and domestic violence. One study showed that 29 percent of all women in the United States who attempted suicide had been battered by an intimate partner. Reports prompted UNICEF to state that “a close correlation between domestic violence and suicide has been established based on studies in the United States” as well as in at least seven other countries.

Victims of domestic violence may feel trapped in a situation they cannot get out of and may feel as if they have no choice but to escape by taking their own life. Unfortunately, both suicide and domestic violence are also stigmatized in society. People avoid talking about domestic violence and they avoid talking about the fact that they are having thoughts of suicide because they are ashamed or because they fear social stigma.

Open communication is the key to preventing deaths by suicide among domestic violence victims. A change in public perception could help to make it easier for people who are being victimized and considering suicide to get the help that they need. Healthcare professionals need to be better trained and better informed on the link between domestic violence and suicide, and screening should be encouraged so that intervention is more likely to occur.

A large-scale study conducted by the United States Air Force shows that integrating suicide prevention policies and de-stigmatizing the process of seeking help can make a major difference in reducing the suicide rate. Not only that, but homicide and family-violence rates also decreased along with the number of people who died by suicide.

A suicide attorney at the Law Offices of Skip Simpson can help. Call (214) 618-8222 or visit http://www.skipsimpson.com to schedule a free case consultation.

Many different risk factors can increase the likelihood of a young person having suicidal thoughts or attempting to die by suicide. While most parents and counselors are familiar with the potential impact that bullying and depression can have on the likelihood of a teen attempting death by suicide, there is also another danger that may not be so apparent. Emerging research indicates that a teenager who has suffered a traumatic brain injury (TBI) may have a greater risk of taking his or her own life.

Mental health professionals need to be aware of factors that increase a teen’s likelihood of death by suicide and must act to protect their patients. A suicide attorney should be consulted in situations where a mental health counselor has potentially failed to live up to his obligations with teens.

The Link Between TBI and Suicidal Thoughts or Attempts

According to Psych Central, a traumatic brain injury can result in “significantly greater odds” that a teenager will make an attempt. This is true even if the TBI was a simple concussion. Teens with a TBI had three times the chances of attempting suicide, and twice the chances of being bullied either at school or online.

Researchers identified this link by reviewing data collected as part of the 2011 Ontario Student Drug Use and Health Survey. The survey initially began as a method of studying drug use but has been broadened to ask questions about adolescent well-being and health. It is one of the longest ongoing school studies worldwide and almost 9,000 students participate. The students range from grade seven to grade 12.

In 2011, questions about traumatic brain injury were added to the study for the first time. Prior research shows that as many as 20 percent of adolescents in Ontario had experienced a TBI over the course of their lives.

The comprehensive nature of the new study allowed for connections to be drawn between a history of TBI and an attempt to die by suicide.  Mental health experts know that TBIs can exacerbate both mental health and behavioral problems, so it is important to understand this link.

Research revealed that a teenager who had a prior TBI was more likely to become a bully or to be bullied; and was also more likely to have been prescribed medication for anxiety, for depression or both. Teens with a prior TBI also had greater odds of breaking and entering; selling drugs; running away from home; damaging property; getting into fights at school; carrying weapons and setting fires.

Because of the far-reaching consequences of a TBI, prevention should always be the top goal, especially as many traumatic brain injuries are suffered during recreational or athletic activities and could be prevented by the use of helmets.

Unfortunately, once a brain injury has occurred, the only option is to watch carefully for signs of problems. It is essential for “primary physicians, schools, parents, and coaches” to be vigilant in monitoring adolescents who have suffered a brain injury.  Counselors should also provide the assistance these teens need to cope and avoid behavioral problems or thoughts of suicide.

A suicide attorney at the Law Offices of Skip Simpson can help. Call (214) 618-8222 to schedule a free case consultation.

If your loved one is about to be admitted to a psychiatric hospital because he or she is suicidal, this is a blog you should print out and take with you to the hospital. It could save your loved one’s life.

When a loved one is in the hospital, we assume that the care is high quality and, most of all, safe. We feel relieved that our loved one is finally being properly protected while he or she is enduring a suicidal crisis.  We expect constant and safe round-the-clock trained nurses or psychiatric techs properly watching our loved ones to make sure all is well. We expect a properly trained psychiatrist giving hospital staff proper orders to protect our loved ones. We expect hospital leadership working hard to make the hospital safe.

Sadly, inpatient suicide—when a person takes his own life in a hospital or kills herself in a healthcare facility—is all too common. In fact, inpatient suicides occur six times a day every day of the year.

This is particularly egregious because the reason the patient is hospitalized is to keep the patient safe from suicide.

Sadly, unless hospitals abide by proper safety rules, the psychiatric hospital can be dangerous for suicidal patients … not as dangerous as not being hospitalized, but the hospital danger is a needless danger.  The mental health literature has clearly set forth safety rules for psychiatric hospitals for over 20 years, but many hospitals are turning a blind eye to the lessons of the literature primarily because of greed. There are obvious exceptions like Johns Hopkins in Baltimore, but the exceptions are rare.  The hospitals do not want to spend money on properly training staff or making sure the hospital is environmentally safe for a suicidal patient.  In addition, hospitals are understaffed so that the nurses and techs cannot keep up with properly protecting their patients.

What Families Can Do to Foster Suicide Prevention Awareness

Texas suicide lawyer Skip Simpson knows how vulnerable certain patients can be during their stay in a healthcare facility due to improper suicide watch and broken safety rules. He believes it is important for families to be aware of the statistics in order to foster as much suicide prevention awareness as possible.

Suicidality is the most common reason for inpatient psychiatric hospitalization. When a patient is admitted to the hospital because of thoughts of suicide, the clinician and hospital is on notice that the patient is at an increased risk for suicidal behavior. To be extra clear, the hospital knows it is likely a suicidal patient will attempt suicide in the hospital if the patient is not properly protected.

When hospital staff members are aware of a patient’s suicidal risks, the hospital assumes the duty to take reasonable steps to prevent the patient from inflicting harm. Obviously if the hospital staff does not know the proper safety rules or does not want to spend the money to learn them, the “reasonable steps” concept is ditched and the chief executive and finance officer just hopes for the best … just rolls the dice with patient safety.

An inpatient suicide may occur under varying types of circumstances. These circumstances all relate to violations of safety rules from inadequate suicide assessment, negligent suicide watch, an unsafe environment, inadequate policies and procedures regarding dangerous contraband like shoe laces or belts (to mention only a few).

What can the loved one do when their loved one is being admitted to a hospital for protection from suicide?

1) Make sure hospital staff knows exactly what your loved one has said about suicide or what steps your loved one has taken towards ending his or her life. You can ask your loved one before getting to hospital if he or she has thought about suicide. If yes, ask how he thought about doing it. Ask what steps he or she has taken, like buying a gun, getting a rope, hoarding pills, thinking of jumping from a bridge, or jumping in front of a car.

Make sure the hospital staff knows the answers to these questions.  Why? Because you cannot be sure hospital staff will ask them!

Make sure you see staff document what you say.

2) Ask who will be assessing your loved one for suicide and what their qualifications are to do so.  Don’t be embarrassed to be proactive. Be nice but be firm. You want your loved one protected…the more you are showing your concern the more concern your loved one will receive hopefully.

3) Tell the staff you want to be a part of the treatment team.  If there is a decision about your loved one’s care you want to be a part of that decision.

4) Encourage your loved one to sign a waiver of confidentiality so you can be kept informed by the staff of what your loved one is saying about suicide.  Patients often demand to be released and claim they are not suicidal so they can get out of the hospital…frequently so they can attempt suicide. Pressing for discharge can be a risk factor for suicide.

5) Tell staff you want to know what was learned in the suicide risk assessment. You may be able to shed light on what your loved one is telling the psychiatrist or nurse.  There are many reasons why your loved one may not “tell all” and your knowledge can make a big difference.

6) Determine how often the psychiatrist will visit with your loved one in the hospital.  Tell the psychiatrist you would like a brief call updating you on your loved one’s condition and the plans for your loved one.

7) Determine what level of observation your loved one will be on. In other words, will he or she be watched constantly? If not, how often? If you are told your loved one will be watched every 15 minutes, remind the staff that if your loved one attempts suicide by hanging, it only takes 2-3 minutes to have irreversible brain damage and 6-7 minutes to be dead.  Then ask, “How 15 minutes is protective?” Again, be firm and be an advocate for your loved one. The hospital patient’s advocate is employed by the hospital. You are the only true advocate for your loved one.

8) Ask if there is a bathroom door inside the patient’s room. If so this is where patients hang themselves using a sheet or clothing to hang over the door wrapped as a noose.

9) Ask how often your loved one will be properly assessed for suicidal thinking.

10) Ask how the staff monitors for behavioral signs and symptoms of suicide.

11)  If the staff or psychiatrist wants to relax suicide precautions to less than constant tell the staff you want to be notified to discuss this with staff.  You will want to know if there has been significant, stable, and reliable change in your loved one to warrant a step down in protection. Remind the staff that hanging is the number one way patients die by suicide in a hospital. Remind staff that ordinarily this is done in the privacy of the patient’s room or bathroom.

12) If a staff member acts rude with you or to your loved one, insist to see the staff member’s supervisor and explain you concern. Suboptimal staff-patient relationships are a risk factor for suicide. You want your loved one to have hope and not to feel like he is a burden or no one cares.

13)  When it comes time for discharge from the hospital, again make sure you are part of the discharge process. If you don’t feel like your loved one is ready for discharge say so and tell staff why. Again, make sure you see staff document your disapproval in the chart.

If staff insists on discharging your loved one ask to speak to the CEO of the hospital. If all else fails, call 911 and report that your loved one who you believe is still suicidal is being discharged from a psychiatric unit.

14) If you feel your loved one is safe for discharge make sure your loved one’s transition to outpatient care is smooth and immediate. Why? Post discharge of psychiatric patients admitted to a hospital for suicidal protection, is a very dangerous high risk time for a suicide attempt.

15) Very important: Make sure all guns are removed from your home, your car (check carefully under the seats, glove compartment, trunk… think like a police officer who is checking for drugs), your relatives and friends homes and cars, and anywhere in sheds or other hiding places around the home or apartment.   Skip Simpson, in making this list, has handled cases where guns were hidden and used post discharge.

16) Ask hospital staff how many suicides have occurred in the hospital in the last 5 years. Get an answer from someone.

17)  Ask staff what they do to ensure the hospital is safe for your loved one.  Do they have suicide prevention committee meetings? Do they utilize a Failure Mode and Effect Analysis? This analysis thinks of ways that patients could suicide in a hospital and fixes what needs to be fixed before a suicide occurs.

Patients, Families Suffer When Safety Rules Are Ignored by Hospitals

The hospital has lots of patients. You have one loved one who needs protecting. Make sure your loved one is on the top of the hospital’s list to protect.

The suicide prevention literature makes the who, what, where, why and how of inpatient suicide very clear. There is no guess work in making psychiatric hospitals safe.  When the safety rules are not followed, only the patients and their loved ones suffer the consequences.  Not the financial statement of the hospitals or the hospital leaders.

If you lost a loved one due to inpatient suicide, you may be able to pursue insufficient suicide watch compensation or recover damages for suicide in a hospital. For a free and confidential consultation, contact a tough yet understanding lawyer who can help you seek the justice you deserve. Contact Skip Simpson Attorneys and Counselors by calling 214-618-8222 or completing online contact form.

How many times, when you were extremely anxious, depressed, overwhelmed, and suicidal, did you call your primary care physician after hours? Remember the recording, “If this is an emergency, call 911 or go to your nearest emergency room?”  You muster up the courage to go to the Emergency Room, only to endure a wait, perhaps for hours. You might conclude the wait is making you more stressed and leave (wrong choice) or you might wait to be seen by the ER staff. Is the ER staff competent to help?  Maybe not. If you are overwhelmed will you need a family member or a friend to help you negotiate the ER? Absolutely.

Emergency rooms are recognized as an important component of suicide prevention … if the ER is competently staffed. Studies indicate that on average 412,000 ER visits per year are related to intentional self-harm or suicide attempts. Thousands more go the ER seeking help for mental health concerns including increased anxiety, depression, and thoughts of suicide. Many visits to the ER are by folks who have not yet attempted suicide but are in a suicidal crisis and need an intervention to prevent an attempted suicide. Now for the rub.

For effective treatment to occur in the ER, the ER staff must detect, assess, and manage the suicide risk before suicidal individuals choose that most desperate and final act. In those situations in which suicidal people have made it to the emergency room, most of us believe they are safe and will be protected.  Not so! Most emergency room staff, including the doctors, are poorly trained – or not trained at all – in the detection, assessment, management, and treatment of suicidal persons.

Steps to Take to Get the Help You Need

A recent report in Academic Emergency Medicine, the official journal for the Society for Academic Emergency Medicine, concludes “…suicide screening for adults in the [emergency department] (ED) is far from universal, which is concerning as many individuals at risk for suicidal behavior seek treatment in the ED.” The report states that many patients presenting with suicide risk factors were not screened for suicide. In a nutshell, a suicidal patient is going to need assistance from a friend or loved one in the ER to enhance the chances of the patient getting better help.

What can you do to get the help you need?

1. First understand that the ER may not be as good as we would like it in assessing and treating suicidal patients, but it is clearly the best choice when there is a suicidal crisis.  The likelihood is that if you, and your loved one or friend follows these steps, the ER, with your help, will make better decisions.
2. If you are suicidal, tell a family member or friend you are having suicidal thoughts and need help. Tell the family member or friend you would like them to take you to the emergency room. Trying to handle a suicide crisis without professional help is like flying a plane without a license.
3. After you arrive at the ER tell the first person working at the ER you see that you are suicidal and need help and now.
4. If you are a friend or family member helping the suicidal patient, make sure the ER staff knows your friend or loved one is suicidal and needs help now.
5. Make sure you see the intake person write in the records that the presenting patient is stating they are suicidal and needs help. If they don’t write it in the charts, ask them to do so. ER staff will have second thoughts on prematurely discharging a patient when the records state the patient is suicidal and thinking of killing themselves if not helped.
6. Make sure the intake nurse knows clearly the last time you thought about suicide and what it is you thought. If you thought about shooting yourself, say so. If overdosing, say so. If hanging yourself, say so. If you are helping the suicidal patient make sure you understand the answers to these questions and tell the intake nurse if the patient does not.
7. Understand that the point of this exercise is to get the protection you need. If protected and the underlying reasons for the suicidal thinking are properly treated with the correct counseling and medication, things WILL get better.
8. If the ER staff makes the suicidal patient wait in the ER, make sure you don’t let them leave the waiting room if possible. Don’t be afraid to speak out loud and clear if the suicidal patient is leaving. Silence or being embarrassed to speak out could be a deadly decision.  Remember you are with your spouse, child, or friend for a reason: getting them help & keeping them safe.
9. If the ER staff makes a decision to discharge the suicidal patient, ask the staff if they assessed the patient for suicide.
10. Ask the staff why they think the patient is safe?
11. Ask the staff if the patient can safely be left alone?  If the answer is no, ask why not?  Get the name of the ER staff member who says your loved one or friend is safe. Ask the staff member for a safety plan. Insist on the safety plan.
12. If you don’t get a safety plan ask to speak to the ER physician for an explanation of why no plan?
13. Ask the staff for the specific reason your loved one is not being admitted inpatient. If admitted they will likely only be in the hospital for 3-5 days … a small price in time to have many more years of life.
14. Listen to the reasons for not admitting inpatient. If you believe your loved one or friend is in danger for hurting themselves if not helped, tell the staff why you think that. Again, tell the staff to record in the patient’s records your concern.
15. Remember the squeaky wheel gets the oil.
16. Patients and their loved ones and friends can’t count on the ER to get it right.  You must make it clear, even to the untrained, that your loved one and friend need to be properly assessed and managed.

At the Law Offices of Skip Simpson, we understand how devastating it is to lose a family member or friend to suicide. If you lost a loved one, you will need a compassionate lawyer who works hard to hold mental health professionals accountable. Contact a Dallas attorney with a highly successful track record who represents clients nationally. Call 214-618-8222 or fill out our online contact form.

The link between bullying and suicidal thoughts among teenagers has long been established, with early medical journals dating back as far as 1910 addressing the impact of harassment or teasing behavior on suicidal ideation.

Now, a new study published in the medical journal JAMA Pediatrics takes a closer look at how bullying can affect young people in today’s world. The study confirmed that victims of all types of bullying had an increased risk of suicidal thoughts, but that new forms of bullying in a digital age have exacerbated the problem.

Understanding the risk factors for suicidal thoughts among teens is important as parents, family members and other caregivers can be more alert for potential signs of problems at times when the teen is at the greatest risk. When a professional is providing therapy or treatment to a teen who is the victim of cyber bullying or other denigrating behavior, it is essential that the teen has adequate support. A suicide attorney can help families affected by a death by suicide to take legal action against a mental health counselor or other party who failed to provide appropriate treatment and/or who failed to provide a correct diagnosis for a teen experiencing suicidal thoughts.

Risk Factors for Suicidal Thoughts Among Teens

Suicide is one of the leading causes of teen deaths worldwide, and between five and eight percent of teenagers in the U.S. attempt to die by suicide annually. Bullying is also common among young people. As many as one out of every five teens is involved in some type of bullying.

Researchers decided to take a closer look at how this widespread bullying is affecting rates of death by suicide. A total of 34 different studies on suicidal ideation and peer victimization were reviewed. In total, the studies provided data on 284,375 young people between the ages of nine and 21.

The researchers found that children who had experienced bullying were 2.23 times as likely to have suicidal thoughts as those children who had not been victimized by abusive or aggressive behavior. In situations where the children had both been a bully and been bullied by others, there was a slightly greater risk of suicidal thoughts. These children were 2.35 times as likely to consider death by suicide than young people who had not had any involvement with bullying at all.

The greatest risk-factor, however, was cyber-bullying, or bullying that takes place on the Internet. A young person who had been bullied via text message, via email or via an online video was 3.12 more likely to consider death by suicide than someone who had not been victimized.

There were many possible reasons why online cyber bulling is a bigger risk factor than traditional bullying. For one thing, material may be stored online and accessed repeatedly, resulting in the victim relieving the denigrating experience more frequently. Being bullied on the Internet could also cause a young person to feel as if he or she had been humiliated in front of a wider audience. The added risk factor existed across all age groups as well as for both boys and girls. Parents, teachers and mental health professionals should be aware of the risks and help to prevent teen bullying online and off.

A suicide attorney at the Law Offices of Skip Simpson can help. Call (214) 618-8222 to schedule a free case consultation.

Many people believe that the holiday season is a time when there is a higher rate of death by suicide.  The reality, however, is that this is largely an urban myth that is based on movies like It’s a Wonderful Life, which is based on a belief that people get more depressed around the holidays.

An experienced suicide attorney in Dallas knows that the time of the year has some impact on predicting whether someone is likely to die by suicide. However, a person’s own actions and behaviors are the biggest signs when someone is considering death by suicide. Thus, while it is important to know when the highest risk times are for fatalities caused by suicide, it is most important to know what red flags to watch out for at any time of the year.

The Highest Risks of Death by Suicide

Contrary to popular belief, the month of November and the month of December actually have the lowest suicide rates of any months of the year. Scientific American reports that the lower rates over the course of these two months can be partly explained by the fact that there is usually increased emotional and familial support available during holiday times as families and friends come together more often around this time of year. This feeling of goodwill and the benefits that can come from the added support during the holidays can result in a phenomenon called a “depressive calm” that lasts through the winter.

Once the holiday season is over, however, and the months of spring approach, the risk of suicide goes up significantly as the “depressive calm” gives way to an “energized despair.” As a result, the highest rate of deaths by suicide actually occurs during the springtime.

The phenomenon of higher suicide fatalities in spring was first observed in 1897 and has persisted through to this date. Data shows that getting more sunshine, a change to warmer temperatures, allergens and viruses, inflammation, extra vitamin D and melatonin can all jump-start an energized despair that can prompt suicidal thoughts. As Scientific America explains: “as winter thaws into spring, there is the hope for renewal that if not delivered can set into motion agitation and despair.”

Watching for Signs

Although the holidays may not be the highest-risk time, an average of 105 people die by suicide each day in the United States. This means that anyone could experience the loss of a family member at any time. Watching for warning signs and taking action to provide help can be the best way to reduce the chances of death by suicide. You can watch for the “energized despair” that could be experienced in early spring, and you can also watch for:

• A sense of perceived burdensomeness to family, friends and people considered significant.
• A feeling of thwarted belongingness.
• An acquired capability for self-harm.
• A preoccupation with death.
• A focus on tying up loose ends and getting affairs in order.
• Sudden calm after a period of agitation or depression.
• Withdrawing from friends, family or activities.
• Self-destructive behavior.
• Comments like “you would be better off without me, ”I just need to disappear,”  or I am so sorry for making your life miserable.”  These comments in conjunction with sadness and depression require further inquiry

Family members and mental health professionals should all be on the lookout for these indicators that someone is at risk of dying by suicide.  A very helpful book for detecting a suicidal family member and taking action to prevent suicide is The Suicide Lawyers: Exposing Lethal Secrets, by C.C. Risenhoover.  The author interviews Skip Simpson who has seen suicide from every angle.  It is an easy read and can prevent a loved one from an attempted suicide.

If you lost a loved one to suicide, contact a suicide attorney in Dallas at the Law Offices of Skip Simpson, dedicated to holding mental health counselors accountable. Call  214-618-8222.

An experienced suicide attorney in Dallas knows that there are many risk factors that can increase the chances a teen will die by suicide, including a history of depression, substance abuse, or an experience of being repeatedly bullied as a few examples.  Now, however, a new study indicates that teenagers who have family members in the military who are deployed multiple times also face an increased risk of death by suicide.

This information is important to ensure that those who counsel or care for teens with deployed family members are aware of the risk factors, can identify signs that a teen is considering suicide and can get a young person the help that he needs to manage his emotions.

Military Deployments Linked to Suicide in Teens

According to the Los Angeles Times, researchers analyzed survey data from 14,299 secondary school students in California. More than 1,900 of those students had either parents or siblings who were in the military. Based on this analysis, researchers identified a link between a family member’s deployment history and a variety of different mental health issues including suicidal thoughts.

The researcher’s published a study revealing their findings in the Journal of Adolescent Health. The survey was unique because the majority of existing research to-date about the mental health of military children has focused on kids who are either already in treatment or who are attending special summer camps for military children. This study took a different approach by adding questions onto a statewide survey of California public school students in 2011. The researchers added questions for students from four Southern California school districts located near military basis. Seventh, ninth and 11^th graders were all asked about the deployment history of their parents and their siblings as well as being asked about their mental states.

Based on the information that the study revealed, simply having a close relative in the military did not increase the chances that the young person would experience mental health issues or have thoughts of suicide. However, kids whose relatives had been deployed during the previous decade had a surprisingly high rate of mental health concerns. Just one deployment over the past 10 years raised the rate of students reporting extended periods of feeling sad or hopeless in the prior year from 29 percent among all students to 35 percent. Multiple deployments pushed this number even higher to 38 percent. When asked about symptoms of depression, there was also an increase. While 22 percent of all kids surveyed said they had experienced symptoms of depression in the prior month, 24 percent of military kids with family members who had been deployed said they were depressed. When asked specifically about suicidal thoughts, 18 percent of teens who had not had relatives deployed said yes, but 25 percent of teens with relatives who had multiple deployments answered that they had experienced these thoughts.

Knowing that military kids are more likely to face these struggles means that caregivers and mental health professionals should be especially vigilant for identifying signs that someone is having suicidal thoughts.

If you lost a loved one to suicide, contact a suicide attorney in Dallas at the Law Offices of Skip Simpson, dedicated to holding mental health counselors accountable. Call  214-618-8222.

According to a recent study conducted by the Royal College of Surgeons in Dublin, Ireland, a link might have been found between adolescents who show psychotic symptoms – particularly those with existing psychopathology – and an increased suicide risk.

At the Law Office of Skip Simpson, our experienced Dallas suicide attorneys understand that the link between treatable mental illness and suicide is well-known. With a strong clinical marker found that links together certain psychological symptoms suicidal thoughts and behaviors, it’s possible that mental health professionals can better serve their patients.

Psychotic Symptoms Found To Indicate Increased Suicidal Thoughts & Behaviors

According to Medscape, the study involved 1,112 school-based adolescents aged 13-16 years and investigated whether the co-occurrence of psychotic symptoms at the start of the study predicted an increase in suicide attempts at 3- and 12-month follow-ups.

What the study found was startling. Teens who reported acute psychotic symptoms had a “10- to 11-fold increased risk for attempted suicide” compared to counterparts who had no psychotic symptoms.

Furthermore, when these psychotic symptoms – hallucinations, delusions, disturbances in thought – are concurrent with existing psychopathologies such as depression and anxiety, the risk further increases. The study reports that adolescents with psychopathology who report psychotic symptoms had nearly a 70-fold increase in their odds of suicidal thoughts, behaviors, and attempts.

With depression and anxiety a major risk factor for suicide, researchers said its prevalence in the population is too high to identify it as a “meaningful group.” Because a much smaller percentage of the population suffering from acute psychotic symptoms and an even smaller percentage suffering from a full-blown psychotic disorder, researchers have suggested that these symptoms are an “under-recognized marker for risk of suicidal behavior.”

New Opportunities For Prevention

Suicide is one of the leading causes of death across the world. With that being said, researchers estimate that a staggering 50% of all patients who die by suicide have contact with a primary care provider within a month before their final attempt. This offers many opportunities for suicide prevention.

This important study illustrates that mental health professionals need to more carefully assess the presence of psychotic symptoms in their patients. When somebody shows signs of psychotic symptoms, they might be at risk to experience increased suicidal thoughts and behaviors.

As the study has shown, when this is the case, help cannot wait.

If you’ve lost a loved one due to suicide, contact the Law Offices of Skip Simpson, dedicated to holding mental health counselors accountable. Call today at (214) 618-8222 for a free case consultation.

Children, teenagers, and other adolescents can be at an especially high risk for suicidal thoughts and behaviors. When kids are at school, it’s the responsibility of school officials to detect warning signs of suicide in students and take preventative measures in the event of a crisis.

According to attorney Skip Simpson, an experienced suicide negligence lawyer, failure to do so could yield tragic results. As a recent Delaware Supreme Court ruling indicated, it can also result in a lawsuit against a school district.

Delaware Supreme Court: School District Might Be Negligent

As a Delaware Online news story recent reported, the Delaware Supreme Court ruled that the grandparents of a 16-year-old who died by suicide in 2009 have sufficient grounds to sue their grandchild’s school district. The Superior Court initially dismissed the case.

In 2009, the 16-year-old boy had spoken with a school counselor about his suicidal thoughts and other problems he was having. Merely hours later, after coming home from school, the boy died by suicide.

His grandparents then filed a lawsuit against the school, saying not only that the school should have notified them about the boy’s crisis so that they could respond accordingly, but that the district failed to follow essential procedures that could have saved his life.

While the Supreme Court and Superior Court agreed that the school could not be held liable for something he did at home, the Supreme Court accepted the argument from the boy’s grandparents parents that the district, school, and counselor were negligent because there were specific rules on how to handle an adolescent in a crisis.

School District Suicide Protocol Designed To Help Students In Crisis

Often, school districts have particular protocols that they must follow if an adolescent shows signs of suicidal thoughts or behaviors. When a student shows these signs, it’s the moral and often legal obligation of teachers, counselors, and other school officials to address the situation immediately and follow necessary protocol.

In this instance, district protocol mandates that a school official must stay with the student, assess the situation, contact parents, get help, document the file and follow up – something the school might have failed to do.

At the Law Office of Skip Simpson, we understand that these safety protocols are designed to prevent adolescents in crisis from dying by suicide. Even the smallest steps taken by guidance counselors, teachers, and other school officials could go a long way in preventing a tragedy.

While it remains to be seen if the Superior Court, which is now hearing the trial again, will agree, this case should serve as a reminder to all school districts that when an adolescent shows suicidal thoughts or behaviors, the decisions they make immediately afterward can change lives forever.

If you’ve lost a loved one due to suicide, contact the Law Offices of Skip Simpson, dedicated to holding mental health counselors accountable. Call today at (214) 618-8222 for a free case consultation.

Teenagers often have to cope with hormonal issues, issues of bullying, and self-esteem problems that could cause them to consider suicide. For teens who are LGBT — lesbian, gay, bisexual and transexual — they may be subject to additional bullying and concerns about their identity. Because of the added challenges they face, it may come as no surprise that one recent study shows that LGBT teens are at a greater risk of suicide than their heterosexual peers.

Suicide malpractice lawyer Skip Simpson is concerned that these young people are often in situations where they feel suicide is the only way out. He believes it is important to recognize the challenges that LGBT teens face and urges mental health professionals and care providers to be aware of the high risk of suicide and take any necessary steps to prevent their teenage patients from harming themselves.

LGBT Teens at Greater Risk of Suicide

According to the Independent Record, teenagers who identify as lesbian, gay, bisexual and transgendered in middle school or in high school are often subject to verbal harassment; physical harassment and assault. Six of ten LGBT students who participated in a CDC survey reported that they felt unsafe in school and eight in ten had been subject to some type of harassment. In Texas in early March, one of many examples of such bullying was reported. The Huffington Post indicated that a Texas lesbian was beaten unconscious on a playground after defending a bullied child. The man who attacked her shouted anti-gay slurs.

With incidents like these, it should come as no surprise that teens who identify as LGBT are at greater risk of suicide than their peers. In addition to dealing with bullying, they may also be concerned that their identity makes them outsiders and may fear losing the approval of their families or social communities. This can exacerbate suicidal tendencies and is just another factor that makes a difference in explaining the higher suicide rates among LGBT teens.

The difference in suicide rates is striking, with the Independent Record reporting that a national study of adolescents had revealed that LGBT teens were more than twice as likely as their heterosexual peers to have tried to kill themselves. In Montana, where there are a high number of suicides throughout the state, the data also indicates that 15 percent of young people who reported suicide attempts also reported that they had been involved in a same-sex relationship or felt attractions to members of their own sex.

A licensed mental health counselor who is executive director of an outreach program targeted toward LGBT teens and college students indicated that most of his teen and young adult clients had considered suicide. According to his statement to the Independent Record, the counselor believes that the thoughts of suicide may be driven by concern that they cannot have a good life and that getting through high school seems insurmountable.

As long as discrimination and bullying continue, the sad fact is that LGBT teens may continue to be plagued by these thoughts. It is very important for all healthcare providers to be aware of the increased risk of suicide faced by lesbian, gay, bisexual or transgender teens and to take appropriate steps to get them the help they need.

If you lost a loved  one to suicide, contact the Dallas Law Offices of Skip Simpson, dedicated to holding mental health counselors accountable. Call  214-618-8222.