1. Do Now In your own words describe depression. How would someone look, feel, and act that is depressed? What is the difference between a risk factor and a warning sign?

2. Understanding Depression and Suicide

3. What Causes Depression? -Risk Factors- Family History Major Life Changes/Transitions What are some examples? Alcohol or Drug Use

4. Symptoms of Depression Persistent sad, anxious or "empty" feelings Feelings of hopelessness and/or pessimism Irritability, restlessness Loss of interest in activities or hobbies once pleasurable Fatigue and decreased energy

5. Symptoms of Depression Difficulty concentrating, remembering details and making decisions Insomnia or excessive sleeping Overeating or appetite loss Thoughts of suicide; suicide attempts *Someone who is suicidal is typically depressed; but not all depressed individuals will have suicidal thoughts.

6. Suicidal Behavior A complex behavior caused by a combination of risk factors. PERMANENT solution to a TEMPORARY problem. Life will get better and easier with time and treatment.

7. Risk Factors Teens who have attempted suicide previously, especially if problems and other recurring concerns were not completely resolved. Teens with low self esteem Teens in trouble with the law (“Suicide by cop”) Teens who are suffering from depression

8. Risk Factors Teens who have been abused, molested, or neglected Teens who abuse drugs and/or alcohol Teens who are perfectionists Teens who are struggling with sexual orientation (gays and lesbians) Teens who are in dysfunctional families Teens who fail in school – potential dropouts

9. Warning Signs Talking or writing about suicide or death Giving direct verbal cues “I wish I were dead” and “I’m going to end it all” Giving less direct cues “You’d be better off without me” “What’s the point of living?”, “Soon you won’t have to worry about me”

10. Warning Signs Isolating him or herself from friends and family Expressing a belief that life is meaningless Giving away prized possessions Exhibiting a sudden unexplained improvement in mood after being depressed

11. Warning Signs Neglecting his or her appearance and hygiene Dropping out of school or social, athletic, and/or community activities Obtaining a weapon (such as a firearm) or another means of hurting him- herself (such as prescription medication)

12. How can I help a friend or relative who is depressed? Offer emotional support, understanding, patience and encouragement. Engage your friend or relative in conversation, and listen carefully. Never belittle feelings your friend or relative expresses, but point out realities and offer hope. Never ignore comments about suicide

13. How can I help myself if I am depressed? Exercise or engage in some form of physical activity. Reduce or eliminate the use of alcohol or drugs. Don’t expect too much of yourself. Set realistic goals and expectations. Avoid extra stress and big changes. Talk things over with a family member, friend, counselor, etc. Focus on the POSITIVE.

14. Where to get Help! In School Student Assistance Counselors Mrs. Kumpf (Room 44A) Mrs. Blake (Library) School Nurses (So. Building near So. Café) Ms. MastersonMs. Dello Russo Mrs. Kivetz Guidance Counselors ANY Teachers TRUSTED Principals ADULT!! Coaches

15. Where to get Help! Local Help Somerset County (908) 253-3160 Morris County (973) 839-2521 x228 National Suicide Hotlines 1-800-SUICIDE 1-800-273-TALK