Adolescent health issues

Self harm and suicide

Deliberate self harm

Deliberate self harm is not necessarily a prelude to suicide; however it is a serious problem which can result in disability or death regardless of the young person's intention. If a young person is engaging in deliberate self harm it is important to assess their risk of serious harm and/or suicide, and to provide the support and encouragement they need in order to access any medical help they require.

Suicidal ideation

People who feel suicidal or a desire to end their life may want to do so in response to problems which seem unsolvable or overwhelming.

For some it may remain just an idea, but for others it may appear like a real alternative to a seemingly hopeless ongoing situation (e.g. break ups, family or financial problems, substance abuse). If a young person is expressing suicidal ideation it is important to assess their risk, and if you believe they are at risk of harming themselves, seek professional help immediately. 

Important risk factors to look for include:

  • Do they have a plan?
  • Do they have the means to carry out the plan?
  • Have they attempted suicide in the past?
  • Do they have family members or friends who have committed suicide?

If there is an immediate risk it is important to ensure the person is not left alone and that their access to any means of harming themselves is removed until you are able to access professional support.

Warning signs

Some warning signs of risk of suicide include:

  • Signs of depression
  • Recurring suicidal thoughts dreams or fantasies
  • Signs of sadness and hopelessness
  • Loss of interest in usual activities
  • Loss of energy
  • Changes in appetite or weight
  • Changes in behaviour
  • Change in sleep patterns
  • Negative comments about themselves
  • Previous suicide attempts
  • Talking, writing or giving hints about suicide
  • Clearing the air from past personal incidents
  • Giving away personal possessions, and
  • Checking and putting in order wills or insurance policies.

For resources you can use with your students check out the links to fact sheets and young people's stories available on the ReachOut.com website.

Suicide

ReachOut website

This section of the ReachOut website provides information on how to seek help and personal stories from young people dealing with suicide.

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Sometimes I want to die

Fact sheet

This fact sheet gives you a range of coping strategies which you can use when you're feeling suicidal or when things feel hopeless.

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Self harm

ReachOut website

People self-harm for a lot of different reasons and there's no one reason why people do it. It's not just physical stuff like cutting, it can also be hurting yourself on the inside or depriving yourself of something. There are other ways of coping rather than hurting yourself and the stuff here can help you work through your problems and learn how to deal with them differently.

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Self harm

Fact sheet

This fact sheet supplied by Orygen Youth Health Service in Victoria, gives insight into the signs of self harm and how to deal with it.

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