What Is “High Risk” and What Are We Actually Supposed to Do About It?

The Change of Suicidal Ideation Over a 12-Week Naturalistic Treatment of Depression: Comparison Between Young People and Older Adults

“…51 They are in themselves risk factors for both adolescent depression and adolescent suicidality. 51,52 Suicidality of young people also gets impacted substantially by interpersonal stressors, such as conflicts with peers or romantic partners, bullying, and violence as well. 53 Primary diagnoses other than depression could be overlooked under the diagnosis of depression.…”

“…Moreover, two-thirds of young people with depression also have other mental disorders, such as anxiety disorder, attention-deficit/hyperactivity disorder, oppositional defiant disorder, and substance use disorder [ 51 ]. They are in themselves risk factors for both adolescent depression and adolescent suicidality [ 51 , 52 ]. Suicidality of young people also gets impacted substantially by interpersonal stressors, such as conflicts with peers or romantic partners, bullying, and violence as well [ 53 ].…”

Coloring Outside the Lines: Making Black and Brown Lives Matter in the Prevention of Youth Suicide

“…7 Nonetheless, many analyses of suicidality and underlying risk behaviors fail to use a JEDI lens and therefore are ahistorical; lack sociocultural uance; and fail to consider intersectionality, ie, the layering of risk categories due to social and personal identities. While Henderson et al 3 focused on adolescent suicidality in their careful analysis of risk factors, there is no mention of race or ethnicity and no mention of disproportionality in who is still dying. Regardless of intention, omission of race from analyses and discussions fails to account for the multifactorial picture of the lives of diverse children, and further limits our ability to contextualize their problems, which exist within ecological systems defined by racism.…”

“…In an article published in the Journal in 2019, Henderson et al 3 described the limitations in assessing suicide risk, highlighting current research. Notably, however, this article lacked focus on Black, Indigenous, and People of Color (BIPOC) communities and young children, 4 which is surprising in light of the well-documented persistent vulnerability of young Black children.…”

Toy soldier syndrome: A consequence of parental cognitive dissonance

“…Calculating risks based on an intuitive approach is flawed because doing so is based on beliefs and emotions that originated in the limbic system ("I feel that"…) and are neither precise nor accurate. 6 Teaching our youth in the school system how to think (eg, the science of logic and history of science) vs what to think (ie, indoctrination) is a key to healthy cognitive development. Furthermore, children need to have the time, space, and opportunities (learning moments) to develop this capacity.…”