The Relationship between Teenage Drug Use and Suicide

The Relationship between Teenage Drug Use and Suicide

This week is suicide prevention week. Suicide is the third leading cause of deaths for children 10 to 24 years old. One thing that contributes to teenage suicide is drug use. Specifically, the use of pain killers and heroin. In this article I attempt to describe both issues for parents. It is important for parents to be aware of these issues if we are going to stop them.

ABC 20/20 did a very good show the other night about the epidemic of heroin use in the United States. If you did not see it, you can probably find it on their website. Parents this is a show you need to see because many teenagers I work with are not afraid or concerned about how dangerous heroin can be.

According to ABC 20/20, 129 people die every year from a heroin overdose. A majority of these deaths are teens and people in their twenties. Heroin is used by people in the lower income level and by people who are the wealthiest in the country. It is used by whites, blacks, Hispanics basically every ethnic group. It is also used by males and females. Therefore, for the families in Lafayette, Walnut Creek and Danville who say we don’t have that problem here, yes you do. Also for parents and educators who think that if their child is in a private school they are less likely to use, you are wrong too. Heroin crosses all ethnic and economic boundaries. The epidemic is so severe some schools are teaching children in the 6th grade how to use Narcan. This drug can reverse an overdose of heroin if administered in time.

Therefore, parents in the Bay Area, you need to pay attention to this issue and these facts. You might be saving the life of your child or someone else you love.

As stated Heroin use to to be a drug of the past but it is now very popular with teens. Heroin is a cheaper alternative to many other drugs. For $10 a teenager can buy a capsule of heroin. This is much cheaper than other drugs.

Heroin is still mainly snorted or injected. Because it is injected teens are exposing themselves to HIV and Hepatitis C. Both are life threatening conditions with no cure. Also many girls who use heroin get pregnant but don’t realize they are pregnant until the 4th or 5th month. The girls stop but it is too late. The babies will be born drug addicted and if they live through withdrawals, these children will have on going health issues and learning disabilities. In addition to exposing themselves to diseases most teens use Heroin with other drugs such as alcohol. This makes the probability of overdosing on Heroin even higher. Heroin lowers a persons breathing rate and the drugs they are combining it with lower the breathing rate even more making an accidental over dose more likely. The rate of overdosing from Heroin has quadrupled over the years.

Why is Heroin coming back and very popular with teens? Heroin is very similar to the Opioid based pain killers that teens have been using for years. However, with the cost of pain killers rising on the streets and becoming harder to get due to new prescription laws, heroin is easier to get and cheaper. Also teens tend to like the high better. It is not uncommon for someone to get addicted after using heroin one time.

In the last few years heroin use has doubled in teenagers. What teens are at the highest risk? Those who have been using Opioid pain killers, those abusing marijuana and males. Remember it is very common for teens to combine heroin with other drugs and they are unaware of the impact it has on their breathing. They may collapse and not know why and by the time their friends get them to an emergency room it’s too late. Also teens may go to sleep after using and their breathing rate is so shallow they never wake up.

This is a very dangerous drug. If it doesn’t kill when the teen uses it the drug can kill when the teen contracts HIV or Hepatitis C. The rate of teens using this drug has doubled and the amount of people dying from an overdose has quadrupled over the last few years. Again, parents you cannot ignore this issue. Heroin is being used by upper class children and poor children, athletes, and all races. So it is impacting all teens.

The other major issue with this drug is stopping. Someone cannot just go off heroin. People can die from withdraw. However, finding a treatment center that is affordable or with an open space is very difficult. They may have to wait four months to get into a rehab center. This is very dangerous. When someone decides to stop heroin, they need to enter rehab immediately. If they have to wait even 2 days, they may not make it because they cannot stand the withdrawal symptoms.

If we get involved we can hopefully stop teens from using this highly addictive killer. I have attached a link to a handout by the CDC with facts, warning signs and suggestions to help your son if you think he is using heroin. http://www.cdc.gov/vitalsigns/heroin/
http://www.cdc.gov/vitalsigns/heroin/

In addition to these issues, Heroin and drug abuse is linked to teenage suicide. These drugs besides creating a high, create depression. At times a depression so severe that a teenager decides they would be better off dead and they commit suicide. For the age group 10 to 24 years old, suicide is the third leading cause of death. Therefore, we need to pay attention to the pain killers and other drugs kids are using. And yes 10 year old kids are using these drugs too.

Many times the teen has decided they want to get clean and stop using the drug. However, as I mentioned above, finding an affordable treatment program with an open bed can be very difficult. Some teenagers may need to wait 2 months. This can be two months two long. The teenager may be so depressed and tired of living the drug life that they decide to kill themselves rather than endure the emotional and physical pain of waiting two months.

Another point is for some teenagers they have to try four or five times in rehab before they are successful. Again most teenagers are usually dealing with severe depression at this point. For them the thought of trying again and not succeeding is to much to tolerate. Therefore, they chose the option of suicide to eliminate their pain.

Finally, I mentioned a number of teenagers can overdose by accident, however it may not be an accident. These teens know these drugs very well so they know how to stage what will look like an accidental overdose. Therefore, we really don’t know how many teenagers are committing suicide due to being sick and tired of using drugs and living a drug life. Many of the accidental overdosages could really be suicides. There is no way to tell.

What we know is drug use and suicide are at an epidemic rate for teenagers. It is at a point where we need to get aggressive and provide better access to rehabilitation programs and better access to psychotherapy so the depression can be treated. We need a multi-disciplinary approach to this issue and we need to make it easy for teenagers and parents to use it.

Dr. Michael Rubino is a psychotherapist who has been working with teens for over 19 years and he is considered an expert in this field. For more information about Dr. Michael Rubino and his private practice visit his website at http://www.rcs-ca.com

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How We Can Stop Bullying

How We Can Stop Bullying

We all have heard about kids being bullied at school and about the anti-bullying programs being developed to stop bullying. However, do we really know how severe the problem is? Research shows that 1 in 4 children are bullied at school. It also shows that children who are bullied are more likely to do poorly in school, are more likely to become depressed or suicidal, more likely to develop eating disorders and tend not to tell anyone (CDC). The statistics also indicate that children who are teased in school are more likely to develop emotional problems as an adult (CDC). One surprising statistic is that if another student intervenes while someone is being teased the bullying is likely to end by 51% (CDC).

While we know bullying effects the student being teased, there are interesting statistics about bullies. Students who bully are more likely to have emotional problems and school problems too (CDC). The research also shows that students who bully are also more likely to become depressed, suicidal or be involved with violent acts as an adult (CDC). As we can see the person being bullied and the person bullying are both at higher risk for significant problems as a child and as an adult. Therefore, it makes sense that we do stop bullying in childhood as soon as it starts.

One statistic I would like to go back to is 51% of bullying tends to stop if another student intervenes. However, this does not happen often. I hear many of the children I work with who are bullied tell me that no one ever helps them. They say that none of their friends or other students get involved. They tell me the other kids look the other way and ignore it. These children also tell me that they often receive little assistance from their teachers. They say that if they say something to the teacher often the teacher often ignores what the student reported or blames both students for the problem which provides no help.

This is what I hear from the children who decide to tell someone. Most children I work with decide not to tell anyone. They are afraid of people thinking they are weak, “a cry baby”, things getting worse and letting their parents down. They feel their parents will think they should know how to handle the situation and if they don’t they will disappoint their parents. This helps no one and it only helps to perpetuate stereotypes such as all boys and men need to be big and strong physically and fight to prove their manhood. This type of thinking hurts boys and it hurts girls too who have to grow up with boys who act on this stereotype. Often girls become the victims of the stereotype such as date rape.

There is another issue involved in the bullying situation. It is called the Bystander Effect. It was first widely described when we were focusing on “road rage,” where people felt the permission to be rude or felt no responsibility to get involved in a situation they witnessed. With “road rage,” since the person’s identity was protected by their car they felt safe swearing at people or running the person off the road. In the other situation, people felt like no one could positively identify them it was alright not to speak up when they witnessed someone hurting someone or committing a crime in public.

We have part of this happening in schools. Students feel that since no one else is saying anything it is okay for them not to say anything. After all no one else is getting in trouble for not saying anything so how could they get in trouble, therefore it’s better to say nothing.

The other factor fueling this lack of students speaking up against bullies is the “typical male stereotype.” According to this stereotype if you speak up and tell a teacher you are a “tattle tale” and you might get beat up. Another part of the stereotype is if you speak up then you just made yourself the same as the kid being teased so you will be teased. Students who are being teased are usually viewed as the “weird kid” and no one wants to be labeled the “weird kid” so most kids will say nothing about another student who is being teased.

Think back to when you were in school. There was that one kid who was labeled “weird” and teased, but did you say anything? Most likely not. You did not want to be associated with the “weird kid” and risk getting teased, getting beat up or losing friends. So instead of saying anything, you did what most other kids did, you said and did nothing. All this did was help keep the male stereotype alive and allowing bullying to continue.

Therefore, in my opinion if we want to eliminate bullying, we need to start working with are children. We need to teach boys and girls that this old “male stereotype” is wrong and to ignore it. We need to teach our children if you notice or are aware of someone doing something to hurt someone else or someone else’s property, they have an obligation to speak up and if you don’t you are as guilty as the person who did it. You need to explain that they are just as guilty because by not saying anything you are allowing the bullying to happen and continue. Some parents may say I am going to far, but if you are aware of a crime such as an assault and saying nothing, you can be charged as an a compliance. By not saying anything, you allowed a crime to occur and you can be punished. Therefore it’s good to teach our children this lesson early.

As I started this article out with various statistics about bullying, it is obvious bullying is very serious. It is something that we need to address and to address it and help everyone, we need to work together.

Dr. Michael Rubino specializes as a psychotherapist for children and teenagers with over 19 years experience. For more information about Dr. Michael Rubino’s work or his private practice visit his website at http://www.rcs-ca.com or on Twitter at @RubinoTherapy

Concussions and Teenagers

Concussions and Teenagers

Schools are back in session and high school students are either trying out or getting ready for try outs for their sport. Parents are learning that “basic” Concussions in teenagers are more common than people think and can create more problems that people think. A concussion can cause physical impairment such as not being able to walk or emotional issues such as a teenager suddenly having anger problems or depression.

Many teenagers develop Post Concussion Syndrome after a concussion. Teenagers can have violent mood swings, difficulties concentrating and with memory. This can cause problems at school and with family and friends. I have seen teenagers who get so depressed by these changes that they become suicidal. Post Concussion Syndrome can last a year and often physicians do not warn parents or teenagers about this syndrome. This makes matters worse because they feel like they are crazy because they don’t understand why they have the symptoms.

We have been hearing more and more about concussion in professional sports in recent years. We have also seen professional athletes walk away from their careers because they are not willing to risk the after effects of multiple concussions. A fact that some in professional sports do not want to be publicized. Will Smith stared in a movie regarding a professional football player and how his life significantly changed after several concussions. The National Football League tried to stop this movie from being made and shown, but they lost.

However, we do have examples. Mohammad Ali is the most notable example of how multiple concussions can change a person and leave them disabled. Also a news anchor for ABC News documented how his life changed after receiving a traumatic brain injury while covering the war in Afghanistan.

Concussions and Traumatic Brain Injuries also occur in teenagers. Teen athletes such as football players routinely suffer concussions. Many of these athletes suffer permanent brain damage such as difficulty remembering things or emotional issues such as mood swings. Also a number of high school athletes do die from concussions every year.

High school athletes are not the only teenagers at risk for concussions. Teens in general are at risk because teens are willing to engage in risky behavior such as jumping off something or racing cars. Many teens feel they are safe. They hear about these issues but think it would never happen to them. However we never know who it will happen to. Therefore, parents you need to educate and monitor your teenager’s behavior. If you have a teen athlete, you may need to make the decision to stop them from playing a sport if they have suffered a couple concussions. This is not easy but you must think of their lives after high school.

I have included a link to a YouTube video where a physician describes the basic information about what happens to a brain during a concussion and the process of recovery from a concussion. This is a must see for any parent https://youtu.be/zCCD52Pty4A.

In addition to this video I have included a fact sheet from the CDC regarding information about concussions for you to review http://www.cdc.gov/headsup/pdfs/schools/tbi_factsheets_parents-508-a.pdf.

I have also included this link from the CDC which helps parents, coaches and schools https://www.cdc.gov/headsup/

Dr. Michael Rubino has over 19 years experience working with teenagers and their families. For more information on Dr. Rubino or his work please visit his website at http://www.rcs-ca.com or follow him on Twitter @RubinoTherapy.

An Important Note From Alive and Free

An Important Note From Alive and Free

Parents pay attention to your options and have your teenager listen to this program

How can we make police and community relations better? We’ll dive into this topic on Street Soldiers Radio this Sunday night during a LIVE town hall discussion including the following panelists:
Allwyn Brown, Chief of Police Richmond
Capt. Ersie Joyner, Oakland PD
Jennifer Tejada, Chief of Police Emeryville
Toney Chaplin, Interim Chief of Police San Francisco
Over 40 youth and staff members from local organizations East Oakland Youth Development Center, Mo’ Magic, Ryse Center and Bay Area Peacekeepers
I hope you can tune in! Here are the ways you can listen this Sunday night:
Tune in to 106.1 on your radio from 8-10pm
Download the iHeart Radio app and listen from your smartphone
Livestream from your computer from 8-10pm
Listen anytime next week on iTunes Podcast
Thanks,
Dr. Marshall

Dr. Joseph E. Marshall Jr. | EXECUTIVE DIRECTOR

Bullying and Suicide

Bullying and Suicide

I have had many teenagers and children talk about being bullied at school. I have seen them cry and talk about how bad their lives are because of the bullying. Sometimes they even talk about killing themselves. This is really hard to hear a child at 10 years old saying their life is so bad due to the bullying that they want to kill themselves.

I offer to help and often the kids say there is no point – no one will help. The sad thing is many times the children are right. I tell the parents who contact the school, but the school does nothing. Often the school doesn’t take it seriously or they claim both children are at fault. Other times they talk to the bully which makes the bully mad and the bullying increases. The problem is the school never follows up on what happens after they spoke to the bully. They assume the problem is solved.

If the parents go back to the school the school often claims they have done all they can do. We encourage the child to tell the teacher, the yard duty or the principal about the bullying. An adult is supposed to help. However, many times the child claims he is ignored and no one listens to him.

What can happen at this point? The child becomes so depressed they think of suicide. They feel death is better than the teasing they have to endure daily. We need to remember that suicide is the third leading cause of death for children. So when a child talks about suicide, they often are serious. This is why we must act to stop bullying.

Read a suicide note from a 13 year old boy who could no longer tolerate the bullying he was experiencing. Read it and learn what bullying can do to a person & why it must be stopped. The life you save might be the life of your own child, you never know. http://nypost.com/2016/08/13/staten-island-boy-takes-his-own-life-after-ripping-school-bullies-in-suicide-note/

Dr. Michael Rubino specializes in treating children and teenagers. He has over 19 years experience and is considered an expert in treating suicidal children and teens. For more information about Dr. Rubino’s work and private practice visit his website at http://www.rcs-ca.com or his Facebook page http://www.Facebook.com/drrubino3

Parents information about IEPs

Parents information about IEPs

WHAT EVERY PARENT NEEDS TO KNOW ABOUT AN IEP and A 504 PLAN

By
Dr Michael Rubino

School is starting soon and many parents may need to decide between an IEP or a 504 plan for their child. Parents here is important information about Individualized Education Plans (IEP) and 504 agreements. Besides ensuring that your child receives a good education, you do not need to pay for items such as special computer programs that the school district should be paying for not you. If your child has an IEP the school district is responsible for most educational expenses even a private school if necessary. Please read this article so you understand your rights and your child’s rights.

The beginning of the school year is fast approaching. Besides the mad dash to get ready for school and schools are going to start assessing students to determine if they qualify for an Individualized Educational Program (IEP). I am already hearing from parents how school districts are misleading them and pressuring them to sign an agreement for a 504 before the parents clearly understand the difference between an IEP and 504 plan. The definition for both is further down in this article. An IEP and 504 are not the same. An IEP is legally enforceable and has legal guidelines and time frames. An IEP follows a student from school to school or state to state. A 504 is not legally enforceable and doesn’t follow a child nor are there legal guidelines.

An IEP will not stop your child from getting a job or from getting into college. In fact and college because they still would be entitled to assistance and the State of California may pay for their books. Also educational records are confidential therefore, no one would know your child had an IEP in school.

Many schools say your child must be two grades below in order to qualify for an IEP. If you said your child had a math or reading disability this is true. However, if they have ADHD, Bipolar, school anxiety etc. they can qualify under OTHER HEALTH IMPAIRMENTS. All your child needs is a diagnosis such as ADHD which would interfere with their ability to fully benefit from their learning experience in the classroom. The 2 grade below level qualification doesn’t apply to this category.

Also if you have a child in private school and they would benefit from additional assistance, contact your child’s public school district. Even though they attend private school the public school district is legally obligated to provide your child with services.

One more issue, never pay for outside testing before the school district tests your child. They have the right not to accept any outside testing until they test the child. If you disagree with the district’s testing then you can request an objective testing from an outside professional and you can request that the school district pays for the testing and you can select the evaluator.

An IEP or an Individualized Education Plan is a document that outlines the specialized education services that a student will receive due to their disability. It ensures the student will receive the assistance necessary so they will receive an education.
When most parents hear disability, they usually think of a person in a wheelchair or a student wIth a learning disability. There are various condItions that can qualify as a disability. Depression, Bipolar Disorder or even diabetes. The disability is any condition that will interfere in the student receiving the same education as other students. The students who qualify for an IEP need accommodations which meet the criteria of needing specialized education. As I stated above their are numerous conditions which may qualify a student for an IEP.
if a student does qualify for an IEP, they also qualify for Special Education. Many parents hear this and are afraid or embassies. There is nothing to be afraid of or embossed about. If a student qualifies for Special Education, if the student needs speech therapy or special computer programs, the school district is obligated to provide the services to the student at no expense to the student’s family.
There is also an option called a 504 Plan. This was established in the Rehabilitation Act of 1973. The 504 plan ensures that a student with a disability will receive accommodations so they will receive the same education as other students. However, the 504 plan does not qualify a student for Special Education services and It is not overseen as closely as an IEP plan.
Currently, many districts are telling parents that their child does not need or qualify for an IEP and a 504 plan is just a good. This is not true. Many school districts are telling parents that their child does not qualify for an IEP because the IEP is more expensive for the district and most districts are trying to save money.The districts take advantage of the fact that as parents, you do not know all the differences between an IEP and a 504 so they can talk a family into a 504 plan easily.
If you find that your child is having difficulties at school due to a learning disability, health issue or emotional issue, consult an outside professional before you automatically assume that the school is giving you the appropriate recommendation.
I see many parents who have been told that their child is better with a 504 plan and that is not the truth. You can consult an educational consultant or a therapist who works with children. You can contact me at via my website http://www.rcs-ca.com. I help many families at their child’s IEP meeting. The main thing is, do not be afraid to ask if your child should have a 504 or an IEP. Also don’t let the district make you feel guilty because you want time to think and investigate the options. This is your child and you should never sign anything until you are sure it is in your child’s best interest.
I have added a link to a chart that will help you compare the two and understand the differences.

504 Plan vs. IEP – Education Centerwww.ed-center.com/504This pages lists the differences between an IEP and a 504 plan.

I have also added a link to a video which helps to explain the differences between an IEP and 504 plan.

Dr. Michael Rubino has over 18 years experience working with children and teens. He also has over 19 years experience working with children in Special Education and was an Intern for the AB3632 program which works with children in Special Ed and IEPs. For more information about Dr. Rubino’s practice visit his website at http://www.rcs-ca.com or his new website that deals specifically with IEPs, lucascenter.org.

Head Injuries in Teenagers

Head Injuries in Teenagers

Parents are learning that Concussions in teenagers are more common than people think and can create more problems that people think. A concussion can cause physical impairment such as not being able to walk or emotional issues such as a teenager suddenly having anger problems or depression. This can result is teenagers turning towards drugs as away to self-medicate or suicide due to the depression they are experiencing.

We have been hearing more and more about concussions in professional sports in recent years. We have also seen professional athletes walk away from their careers because they are not willing to risk the after effects of multiple concussions. A fact that some in professional sports do not want to be publicized. Will Smith stared in a movie regarding a professional football player and how his life significantly changed after several concussions. The National Football League tried to stop this movie from being made and shown, but they lost.

However, we do have examples. Mohammad Ali is the most notable example of how multiple concussions can change a person and leave them disabled. Also a news anchor for ABC News documented how his life changed after receiving a traumatic brain injury while covering the war in Afghanistan.

Concussions and Traumatic Brain Injuries also occur in teenagers. Teen athletes such as football players routinely suffer concussions. Many of these athletes suffer permanent brain damage such as difficulty remembering things or emotional issues such as mood swings. Also a number of high school athletes do die from concussions every year.

High school athletes are not the only teenagers at risk for concussions. Teens in general are at risk because teens are willing to engage in risky behavior such as jumping off something or racing cars. Many teens feel they are safe. They hear about these issues but think it would never happen to them. However we never know who it will happen to. Therefore, parents you need to educate and monitor your teenager’s behavior. If you have a teen athlete, you may need to make the decision to stop them from playing a sport if they have suffered a couple concussions. This is not easy but you must think of their lives after high school.

I have included a link to a YouTube video where a physician describes the basic information about what happens to a brain during a concussion and the process of recovery from a concussion. This is a must see for any parent https://youtu.be/zCCD52Pty4A.

In addition to this video I have included a fact sheet from the CDC regarding information about concussions for you to review http://www.cdc.gov/headsup/pdfs/schools/tbi_factsheets_parents-508-a.pdf.

Dr. Michael Rubino has over 18 years experience working with teenagers and their families. For more information on Dr. Rubino or his work please visit his website at http://www.rcs-ca.com or follow him on Twitter @RubinoTherapy.