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Tips for talking to kids about suicide

Although kids cannot relate to Kate Spade and Anthony Bourdain, they'll definitely have questions about suicide when they hear about it. If your child is old enough to understand the permanence of death, around age 7, tell the truth.

Kate Spade's and Anthony Bourdain's suicides last week – like all deaths by suicide – were shocking. They were successful, rich, beloved by fans, and left behind children and others who adored them. They were also white and middle-aged, and both with a history of mental illness—some of the major risk factors for suicide.

Although kids cannot relate to these celebrities' situations, they'll definitely have questions about suicide when they hear about it. And what should you do if your child, passing by the TV or riding in the car while the news is on, asks "What does 'suicide' mean?"  If your child is old enough to understand the permanence of death (around age 7), tell the truth.

  1. Sometimes people can get so sad that they believe they will be sad forever

  2. They aren't thinking clearly

  3. They kill themselves because they mistakenly believe this is the only way to make that sadness go away.

  4. People who die by suicide aren't bad people at all. They were ill and needed help.

For the tween or teen who already knows what suicide is, talking about it openly and calmly, as well as correcting any false assumptions, will help.

"Children tend to think single life events lead to suicide. I've heard things like 'if you are bullied, then you'll kill yourself,'" said Catherine Siciliano, Associate Area Director for Philadelphia chapter of the American Foundation for Suicide Prevention and a middle-school teacher, when I talked to her after the suicide of Robin Williams.

Say instead that suicide is more complicated than that, and no single or one-time bad experience leads a person to end their life. Repeat that it's always better to talk about – rather than conceal– suicidal feelings. Remind them that, yes, anyone can have feelings like that, even celebrities, who usually seem happy in the public spotlight. "Let children know that it is not always easy to see how sad someone is – sometimes they hide their sadness," said Siciliano.

Why do we need to talk about suicide? A report released by the Centers for Disease Control and Prevention last week showed that suicide in America has increased almost 30 percent since 1999. In 2016, nearly 45,000 Americans age 10 or older died by suicide. It is the second leading cause of death for people 10 to 34 years of age, the fourth leading cause among people 35 to 54 years of age, and the eighth leading cause among people 55 to 64 years of age. Those in middle age have shown a particularly sharp rise

There are various theories about the cause. Boomers are aging at a time when better care prevents or delays death by infections or chronic disease, leaving more people more time to commit suicide. Add stressors from the economic downturn.

And then there are those black-box warnings the U.S. Food and Drug Administration imposed about a decade ago stating that some antidepressants were linked to more suicidal behavior. The warnings led fewer doctors to prescribe those drugs and fewer people to take them. I have written about a study in the British Medical Journal that found these warnings may have resulted in an increase in suicide attempts over the last 10 years by adolescents.

Post-mortem studies have suggested that more than 90 percent of people who commit suicide are mentally ill, mostly depressed. There is effective care for depression, but not enough people can get it quickly enough to overcome those temporary feelings of hopelessness.

More chilling, research suggests that suicide rates will keep rising, even among younger people.

In other words, there's no end in sight.

That's scary. So let's learn more about it: The National Suicide Prevention Lifeline is 1-800-273-TALK; visit the American Foundation for Suicide Prevention at

How might you prevent a suicide? First, know there is no evidence that talking about the subject with a suicidal person makes him or her more likely to try. And don't accept the notion that you can't stop a person who is thinking about serious self-harm.

"Because so many suicidal people are ambivalent about it, you can help just by being there, talking about it openly, destigmatizing it," says Cory Newman, director of the Center for Cognitive Therapy at the University of Pennsylvania. "You can absolutely make a difference, especially if your care, concern, and support encourages the person to take the all-important step of seeking professional help."