Depression and anxiety among teenagers can lead to suicide and physical injuries. Researchers singles out different causes of suicide among teens but personal problems and social relations with the outside world are the main drivers of suicidal attempts. Sometimes the combination goes bad and a person comes under the sway of the dehumanizing influences of society, influences that make life meaningless for many people. The causes of suicide are loss of social supports, depression, loss of a job or loved one, pressure in school, a false accusation, or a personal sacrifice for the greater good. Behind the reasons, in the last analysis, is the self, that hard-to-define collection of neurochemicals, thoughts, sensations, and emotions that give us our character, our individuality, our identity — in short, all of those "inner" things that make us feel and behave the way we do. Alcohol is the drug most often linked to suicide and other forms of violent behavior, and it is the drug of choice among teenagers. Its effects must not be ignored.

Suicide among teems is a direct result of psychological distress and such conditions as neuroses and depression. Neuroses stop a person from acting and thinking in the usual way; they remove him or her from contact with the real world, and they force him or her to see things through a distorting mirror (Empfield and Bakalar 2001). Teens with a psychosis like schizophrenia lose control of their impulses and may experience hallucinations and delusions; sometimes they kill themselves, so confused is their view of the world (Peebles, 2009). Manic-depression is another psychosis that can play a part in suicide. The manic-depressive experiences dramatic swings in mood, from extreme elation to melancholy so deep that suicidal thoughts begin to take over. Many teems act impulsively; they do not intend to fail, yet their methods are not arranged carefully enough to succeed. Caught in a bind, they leave the chance of surviving strictly up to fate, gambling, in effect, with their lives. In cases like this, the nearness of other people who are willing to help is crucial to the outcome.

The social issues are a potpourri of the life, welfare, and relationships of human beings in a community. Most of the time, that combination is a winning one that makes for fairly happy and comfortable individuals, people who work and play and dream of the future. It should be easy to see how, when defense mechanisms go awry, or when a major psychosis warps thinking, people can lose control of their emotions and do themselves harm. Consider, for example, the ego. When a person is unable to deal with disturbances in that social status or deal with personal mistakes, suicide might well be his or her way out. There is another psychological explanation for suicide in Japan that also involves the ego. It is believed that the Japanese have an innate desire for dependency (Empfield and Bakalar 2001).  This desire is fed by the indulgent and consuming love of the mother, and is strengthened by stories of cruelty in the outside world. The need for dependency, the theory goes, is further enhanced by the stern, group-oriented social structure that demands strict adherence to the rules and selflessness. Such dependency contributes to weak ego-structure in the personality, and this makes a person give in to society's demand for conformity and selflessness. The life instinct drives us toward love and pleasure and goodness; the death instinct, toward death and destruction. These instincts, Freud said, were hidden in the unconscious id, and could be prevented from surfacing in the consciousness by the superego. At times, though, teens are capable of influencing behavior (Peebles, 2009).

Critics admit that a suicidal gesture must be taken seriously because so many teens do exhibit the various symptoms listed, they cannot be ignored, however. If you see that a friend is demonstrating more than one of the signs on the list, your friend may be in trouble and you may be able to help. Depression and hopelessness are direct causes of suicide. Some of the personality changes already mentioned fit the pattern of depression. But there are a whole range of other signals. Among them: complaints of loneliness, sadness, crying, pessimism, terrifying dreams, difficulty carrying out everyday tasks or making conversation, inability to concentrate, feelings of worthlessness. The importance of heeding the warning signs of suicide cannot be overstated. What it all comes down to, really, is befriending, lending a compassionate ear to a friend who is hopeless and feeling helpless (Ciffone 2007). Organizations that are committed to helping those in deep despair, despair deep enough to bring on suicide, continually emphasize the value of befriending as a guiding rule. Research studies find that friends of a suicidal person ignore warning signals because they truly care for that person, and cannot bear to think that he or she is hurting, or they might ignore the signals because they feel they cannot help. Those who are very seriously distressed and mean to solve their troubles in what they believe will be an effective and final way (Empfield and Bakalar 2001).

In sum, there is a close link between depression in teens and suicide attempts. Social and psychological explanations are certainly a major step toward understanding the occurrence of suicide. Personal and psychological theories think about suicide when they are angry and because they feel that by saying they will kill themselves they will get what they want. Any distinction is now more a point of academic debate than of practical importance the intention is to die. An individual is also entitled to refuse remedial treatment of a primary suicidal attempt. Clearly, he is in a moral dilemma of outstanding proportions. He may accept that he has a legal justification to 'pass by on the other side'. On the other hand, in an effort to salve his own conscience, and the greater part of ethical medical practice is founded upon conscience he well pleads necessity; a person may reasonably assume that the patient is, in fact, not competent and so adopt the cover of therapeutic privilege. Parents, school administration and friends should pay attention to changes n mood and depressive signs in teens in order to recognize and prevent suicide.

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