Mclean Hospital

13 Reasons Why We Should Be Talking About Teen Suicide

By Ralph J. Buonopane, PhD

May 30, 2017

The Netflix series 13 Reasons Why has created a lot of social media buzz and has brought the topic of teen suicide to the forefront—in good ways and bad ways—since its release.

The series graphically depicts the events surrounding a fictional teen’s suicide. It is indeed engaging, and the first few episodes draw the viewer in—but as the storyline unfolds, the glamorized and graphic depictions of suicide and revenge only reinforce popular misconceptions about suicide and the stigma of mental illness.

The premise—in which the suicide has already been completed when the series begins—imparts a mistaken sense of inevitability to suicide, despite evidence that suicide is preventable, and its causes are treatable. Schools and professionals across the nation have warned parents against letting teenagers view the show alone, and have pointed out that, for some vulnerable viewers, seeing graphic depictions of suicide may increase the risk that they will act on suicidal thoughts.

Nevertheless, the series is the most talked about series of the year on Twitter, and we are faced with a critical opportunity to open up the discussion and deepen the understanding of teen suicide. The loss of a young person to suicide is a tragedy. As a parent, my heart aches at the painful truth that more than a dozen families in the U.S. will lose a loved one under the age of 25 tomorrow.

As a professional, I know that teen suicide is preventable. We can all learn to better recognize the problem, learn the warning signs, and get help—and approach teen suicide with compassionate understanding and facts, rather than blame and misconceptions.

Treatment at McLean
Talking about suicide is the best way to prevent it. Learn more about what to do if you or someone you know needs help.

Suicide ranked as the second leading cause of death for youth last year (American Foundation Suicide Prevention, 2016). For every completed suicide by a young person, it is estimated that 100 to 200 attempts are made. Within a typical high school classroom, it is likely that three students (one boy and two girls) have made a suicide attempt in the past year.

McLean Hospital offers comprehensive mental health services for children, adolescents, adults, and older adults with a range of psychiatric diagnosis.

So, why do people die by suicide? There is never a single cause for suicide. Suicide is the result of many factors that come together. While most adolescent suicide attempts may be precipitated by interpersonal conflicts, 90% of the time suicidal teens are already coping with the pain of a treatable mental health condition—most commonly depression or anxiety. A recent nationwide survey of students found that rates of depression in youth are rising, with more than 1 in 10 youth in Massachusetts reporting at least one episode of depression in the past year. But more than half of those teens did not receive any treatment (Mental Health America, 2016).

What can be done to help prevent suicide? First, know the warning signs. Courtesy of the National Suicide Prevention Lifeline, here are some of the most common warning signs:

  • Talking about wanting to die or to kill themselves
  • Looking for a way to kill themselves, like searching online or buying a gun
  • Talking about feeling hopeless or having no reason to live
  • Talking about feeling trapped or in unbearable pain
  • Talking about being a burden to others
  • Increasing the use of alcohol or drugs
  • Acting anxious or agitated; behaving recklessly
  • Sleeping too little or too much
  • Withdrawing or isolating themselves
  • Showing rage or talking about seeking revenge
  • Extreme mood swings

Get outside help if you notice any of these signs. If you believe your child is in crisis, call 911 immediately and stay with them while help is on the way. If you feel that you are at risk, and you want to talk to someone right away, call the National Suicide Prevention Lifeline at 1.800.273.8255 (TALK). If you are concerned about your own well-being or that of a loved one, you can take an anonymous and confidential mental health screening online.

To get peer support, please consider the parent and youth support groups offered by the Massachusetts Parent/Professional Advocacy League and the National Alliance on Mental Illness. For examples of resilience in the face of emotional challenges, please visit

This article can also be found on the HuffPost.

Ralph J. Buonopane, PhD, is the program director of the McLean-Franciscan Child and Adolescent Inpatient Program, a joint effort between McLean Hospital and Franciscan Children’s to provide acute stabilization and treatment for children and adolescents ages 3 to 19 who are in psychiatric crisis. Dr. Buonopane is also an instructor in psychology in the Department of Psychiatry at Harvard Medical School.

If you or someone you know needs help, call 1.800.273.8255 for the National Suicide Prevention Lifeline. You can also text HELLO to 741-741 for free, 24-hour support from the Crisis Text Line. Outside of the U.S., please visit the International Association for Suicide Prevention for a database of resources.

May 30, 2017

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