Psych/Mental Health Case-of-the-Month: Suicidal Child

Sarah is a 13-year-old girl who has recently begun showing significant changes in her behavior. Over the past few months, she has withdrawn from social activities, stopped engaging in her favorite hobbies like painting, and her grades have drastically fallen.
Psych/Mental Health Case-of-the-Month: Suicidal Child
Like

Share this post

Choose a social network to share with, or copy the URL to share elsewhere

This is a representation of how your post may appear on social media. The actual post will vary between social networks

Sarah has been increasingly irritable, and often cries for reasons she can't explain. Her parents recently found troubling entries in her journal, where Sarah expressed feelings of hopelessness and mentioned that life "isn't worth living anymore." Alarmed by these signs, Sarah's parents immediately sought professional help.

Sarah’s school counselor, Mrs. Collins, began meeting with Sarah regularly. During their conversations, Sarah revealed that she has been feeling extremely overwhelmed by academic pressure, bullying from peers, and a sense of not belonging at school. She shared thoughts of self-harm and mentioned that she sometimes wishes she could "just disappear." Sarah's emotional struggles were further compounded by a strained relationship with her older brother, who often teased her, leaving her feeling even more isolated.

After consulting with a mental health professional, Sarah’s parents were advised to take her to a child psychologist specializing in adolescent mental health. The psychologist conducted a comprehensive evaluation and diagnosed Sarah with depression and anxiety. Together with Sarah's family, a treatment plan was developed that included cognitive-behavioral therapy (CBT), family counseling, and medication to manage her symptoms.

The family was also educated on the warning signs of suicide and the importance of creating a supportive, non-judgmental environment at home. Sarah's parents were encouraged to communicate openly with her, validate her feelings, and ensure she has a safe space to express her emotions. At school, the counselor worked with Sarah's teachers to reduce academic pressure and address the bullying issue with the appropriate measures.

Questions:

1.      What were some of the initial warning signs that Sarah might be struggling emotionally?

o    A) Sudden improvement in grades

o    B) Withdrawing from social activities and hobbies

o    C) Spending more time with friends

o    D) Slowly decreased involvement in sports

2.   Why is it important for Sarah's family to create a supportive, non-judgmental environment?

o    A) It prevents Sarah from crying

o    B) It reduces the likelihood of Sarah skipping school

o    C) It helps Sarah feel safe and supported in expressing her emotions

o    D) It allows Sarah to avoid doing homework

3.  Which of the following is a key sign of suicidal ideation that Sarah expressed?

o    A) Interest in learning new hobbies

o    B) Expressing thoughts of disappearing

o    C) Planning for future social events

o    D) Increased interaction with her brother

Answers:

                       1. B) Withdrawing from social activities and hobbies

     2. C) It helps Sarah feel safe and supported in expressing her emotions

     3. B) Expressing thoughts of disappearing

Create a Free MyAccess Profile

AccessMedicine Network is the place to keep up on new releases for the Access products, get short form didactic content, read up on practice impacting highlights, and watch video featuring authors of your favorite books in medicine. Create a MyAccess profile and follow our contributors to stay informed via email updates.