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    What’s behind the crisis in teen mental health? With Kathleen Ethier, PhD

    enMarch 22, 2023

    Podcast Summary

    • Mental health crisis among US teen girlsOne in three teen girls have considered suicide, half reported feeling sad or hopeless, and one in five LGBQ+ teens attempted suicide in the past year. The pandemic worsened these trends, and it's essential to support teens' mental health and wellbeing.

      The Centers for Disease Control and Prevention's (CDC) latest report reveals alarming mental health statistics among teen girls in the US. Nearly one in three teen girls have considered suicide, and over half reported feeling persistently sad or hopeless. Additionally, one in five LGBQ+ teens attempted suicide in the prior year, and over half reported poor mental health. These numbers represent a worsening trend, with mental health moving in the wrong direction even before the pandemic. Doctor Kathleen Ethier, director of the CDC's division of adolescent and school health, expressed surprise and alarm at these findings. The report indicates that teen girls and LGBQ+ teens are at higher risk, and the pandemic has only exacerbated the crisis. It's crucial for parents, peers, schools, and communities to take action to help teens cope and stay safe and healthy in the face of such widespread distress.

    • Alarming trends in substance use, violence, mental health, and suicidal thoughts among girlsOne in ten teenage girls has experienced rape, a significant increase in forced sex and mental health issues among girls compared to boys, requiring further investigation and effective strategies to address these trends.

      The latest Youth Risk Behavior Surveys report revealed alarming trends in substance use, experiences of violence, and mental health and suicidal thoughts among girls compared to boys. The consistency of these increases across multiple measures was unexpected. For instance, the proportion of girls reporting forced sex had remained constant for years but saw a significant increase between 2011 and 2021. The speakers expressed concern, emphasizing that one in ten teenage girls has experienced rape, a statistic that has now changed. While it's possible that girls are more open about discussing these issues, the speakers believe it's more likely that they are better equipped to describe their mental health due to reduced stigma. The next steps include understanding the root causes of these trends and developing effective strategies to address them.

    • Discussing mental health with anonymous surveys, ensuring help is accessibleThe Youth Risk Behavior Survey, involving thousands of teens, helps identify mental health risks while ensuring access to help.

      While we're providing young people with the language to discuss their mental health through anonymous surveys, we need to ensure they have the necessary pathways to seek help from adults or professionals. The Youth Risk Behavior Survey, which involves over 17,000 9th to 12th graders across the country, is part of a larger system of surveys and is designed to be nationally representative. Social media is a complex issue, as it presents both risks and opportunities for teens. While it can harm mental health, it also offers opportunities for connection and access to information. It's essential to strike a balance between these aspects and find ways to protect young people while preserving the benefits.

    • Impact of Social Isolation on Young People's Mental Health40% of students reported persistent sadness and hopelessness, girls and LGBTQ+ teens faced worse mental health issues, and 25% of LGBTQ+ teens attempted suicide in the year prior to the survey.

      Social isolation, exacerbated by the pandemic, has negatively impacted the mental health, substance use, and suicidality of young people, particularly girls and LGBTQ+ teens. Social media can provide some connection but may not be enough to protect their health and well-being. The report showed that 40% of students, regardless of gender or ethnicity, reported persistent sadness and hopelessness. Girls and LGBTQ+ teens were doing significantly worse than their counterparts prior to the pandemic, with 25% of the latter attempting suicide in the year prior to the survey. While progress has been made in supporting LGBTQ+ students, there is still a long way to go. The conversation around trans youth, which was not included in the sample, further highlights the need for continued efforts to address the unique challenges faced by these individuals. Overall, the report underscores the importance of fostering real, fulfilling connections for young people to protect their mental and emotional well-being.

    • Impact of social environment on LGBTQ+ teens' mental healthSupportive conversations and policies benefit LGBTQ+ teens, reducing mental health issues and suicidal thoughts. Unsupportive environments harm everyone's well-being.

      The social environment significantly impacts the mental health and suicidal thoughts of LGBTQ+ teens. Conversations and policies that are unsupportive can negatively affect this vulnerable group, but making schools less toxic for LGBTQ+ students can benefit everyone. The recent Youth Risk Behavior Survey showed some improvements, such as decreasing sexual and substance use disparities between races and ethnicities, possibly due to education and awareness. However, the overall trend of poor mental health and suicidal thoughts among all youth is concerning, and making schools more toxic for any group is detrimental to everyone's well-being.

    • Schools promoting health and inclusivity lead to positive student outcomesSchools prioritizing health education, connecting students to services, and promoting inclusivity for LGBTQ youth result in decreased sexual behavior, substance use, absences, improved mental health, and decreased suicidality for all students.

      When schools implement quality health education programs, connect students to needed health services, and create safe and supportive environments, it leads to positive outcomes for students. This includes decreases in sexual behavior, substance use, and absences due to safety concerns. Additionally, schools that prioritize inclusivity for LGBTQ youth see significant improvements in mental health and decreases in suicidality for both LGBTQ and heterosexual students. The Centers for Disease Control and Prevention (CDC) offers resources and guidance through their "What Works in Schools" program, currently implemented in 28 large urban districts, and is set to expand with the recent White House budget announcement. Interested schools can access the program's recommendations and guidance on the CDC's website.

    • Empowering parents and teens to address mental health issuesParents should monitor their teens, foster open communication, and support peer-to-peer interventions, while teens can learn to recognize signs of distress and contribute to creating supportive school environments.

      Addressing mental health issues among teens requires a multi-faceted approach. This includes effective programs for identifying and supporting teens in need, as well as engaging teens themselves in creating solutions. The Centers for Disease Control and Prevention (CDC) has valuable resources for parents, such as promoting parental monitoring and open communication. Parents should be proactive in knowing their children's whereabouts, friends, and activities, while also fostering trust and open dialogue. Additionally, the CDC supports peer-to-peer interventions and youth advisory boards to empower teens to recognize signs of distress in their peers and contribute to creating supportive school environments. By combining these strategies, we can work towards preventing mental health crises among teens and ensuring they have the necessary resources and support.

    • Talking to kids about mental health from a young ageStarting conversations about mental health and emotions early promotes emotional intelligence, builds family connections, and positively impacts children's long-term health and well-being.

      Parents should start talking to their children about mental health and emotions from a young age to promote emotional intelligence and build strong family connections. These conversations can have long-term positive impacts on their children's mental and physical health, as well as reduce the likelihood of substance use and suicidal thoughts. For parents of teenagers, it's essential to be attentive to any changes in behavior, appetite, or sleep patterns and start conversations about mental health if they haven't already. Resources can be found online, and primary care providers can also provide guidance on accessing local services. Research shows that family connectedness, which includes a sense of bond, trust, and closeness, is crucial for long-term health and well-being. Despite the challenges, teenagers want to be connected to their families, so parents should keep trying to build and maintain that connection. The Youth Risk Behavior Survey report discussed is just one part of the research, and more detailed reports on various outcomes will be released at the end of April.

    • CDC's YRBS Releases Data for AnalysisThe YRBS, a CDC survey system, provides data on health-risk behaviors among US youth and young adults. Researchers and interested individuals can request datasets for analysis, with new data released annually.

      The Youth Risk Behavior Surveillance System (YRBS) will soon release all of its data, including national and state/local data, for anyone interested in further analysis. The YRBS is an ongoing survey system conducted by the Centers for Disease Control and Prevention (CDC) to monitor six types of health-risk behaviors among youth and young adults in the United States. Researchers and interested individuals can request public youth use datasets to conduct their own analyses. Additionally, there are numerous papers based on the YRBS data that are in the works and will be released in the future. The 2023 survey is currently being conducted and will be available in about a year and a half. For students and data enthusiasts, links to request the datasets and previous episodes of the Speaking of Psychology podcast discussing the YRBS will be provided in the show notes.

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    National Suicide Prevention Lifeline

    800-273-TALK [800-273-8255]

    1-800-SUICIDE [800-784-2433]


    Teen Line (Los Angeles)

    800-852-8336


    The Trevor Project (LGBTQ Youth Hotline)

    866-488-7386


    National Domestic Violence Hotline

    800-799-SAFE [800-799-7233]


    Crisis Text Line

    Text "Connect" to 741741 in the USA


    Lifeline Chat

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    International Suicide Hotlines: 

    http://www.suicide.org/international-suicide-hotlines.html


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