Article

What to do when your child has thoughts of suicide

Sep 19, 2019

September is Suicide Prevention Awareness Month. Suicide is not something anyone wants to think about, much less become familiar with. I have spoken often with despondent parents whose worst nightmare has become reality—their child has expressed thoughts of suicide. They are terrified, and no one they know talks about it. And when it happens to us as parents, we often have no idea what to do. Because we’re scared in the moment, our decision-making is clouded.

Caring for your child

This article is simply the parent-to-parent support I wish I’d had when those moments presented themselves. I share this with full permission of my kids who have experienced suicidal ideation and, thankfully, survived. Three of our four children have experienced these horrible thoughts. The combination of early trauma and mental illness takes a devastating and debilitating toll on their brains. But we nevertheless share a fierce conviction that we want these experiences to be able to comfort others with the comfort God gave us (2 Cor.). Here are a few things we’ve learned along the way: 

First, take this seriously. You will likely feel terrified, but the most important thing is to project love and nurture for your child like never before. Please show up for them in the most nurturing and loving way you can, even if you feel like they are being dramatic, seeking attention, or not counting their blessings. Beg God to help you; he will. Don’t minimize their pain, sermonize to them, or try to reason with them. Instead, be compassionate, tender, and fully attentive. 

The second most important thing is to be calm and confident with your child. On the inside, you will likely feel anything but. You can say something like, “Sweetheart, I’m so glad you shared this with me, everything is going to be OK. We’re going to get you the help you need, and we’ll be right there with you every step of the way. You won’t always feel this terrible.”

Third, get professional help ASAP. Christian brothers and sisters, unless your pastor is a licensed clinical mental health provider, professional help is not the pastor or youth pastor. By all means, inform them later for prayer and practical support, but right now your child needs professional help. Don’t let fear prevent you from getting them what they need.   

If your child has thought about a suicide plan, keep them in the line of sight at all times, even if that “feels excessive.” If your child is a danger to himself or anyone else, call 911 immediately. You may feel like you’re overreacting, but the old adage exists for a reason: better safe than sorry. If it’s safe to (for example, you have another person to sit with your despairing child while you drive, and you have safety locks on the doors), go ahead and drive straight to an ER to start the process of a behavioral health assessment and evaluation. Before this situation happens, know the behavioral health crisis lines, walk-in centers, or psychiatric hospitals in your city. 

If your child’s suicidal condition meets criteria, he or she might be put on an involuntary hold for his or her own safety. This means that for a short period of time, the hospital has the legal authority to ensure the safety of your child. It’s always best to authorize your child’s admittance voluntarily if the professionals deem it’s warranted so they don’t have to exercise the legal option of an involuntary hold. 

Parents, if this happens, it may feel like the world is coming to an end. I have spent literally hundreds of days in psychiatric hospitals. I have wept in their halls outside the view of my child. It isn’t as horrible as it feels. Your world is not coming to an end, and neither is your child’s. Your child is getting the professional help he or she needs, and you, as their loving and responsible parents, are making sure of that. Stay nurturing, calm, and confident for and around your child.  

If your child is admitted, assure him that while it’s scary, it’s good that he is getting help and that he’ll be back home just as soon as he is healthy and ready. Assure him you’ll talk on the phone and visit often. 

And repeat often how proud you are of her for voicing her feelings; how brave she is for receiving help; how, while she can’t know this now, you know she’ll not always feel this way. Tell her it’s okay if she doesn’t have hope—she can borrow yours. 

Caring for yourself 

Once you know your child is safe in a professional setting, go ahead and fall apart away from his or her view. Weep, wail, scream, but do not try to keep this inside because of shame, stoicism, or other reasons. You’ll eventually get physically sick if you do, and your child(ren) needs you. Remember, parents, you just safely led your child through a nightmare. 

Take one day at a time, and don’t borrow tomorrow’s troubles. Keep it simple. Cherish beauty. Rest in Jesus.

Sleep. Take off work if you can. If you have family leave, use it all at once or intermittently in order to set your mind at rest so that you won’t lose your job. If you find yourself barely able to function, abide noise or light, that’s normal. 

Be kind and gentle toward yourself and your spouse, and get people praying for all of you. I’d recommend a good Christian counselor for yourself when you have capacity. God is with you. He is near to your broken heart and your child’s whether you can feel him or not.

Find people who love you and will just listen, not offer suggestions or try to fix things. This can be very difficult, but is important. You need those who will mourn with you as you mourn and help you bear your burdens. It’s important that you draw healthy boundaries to protect yourself and your child. You don’t have the capacity to take care of your friends or family who are emotional about what has happened. This might feel mean or rude or different from your usual family dynamics, but you need to prioritize this, or it will crush you, rendering you unable to care for your child in the time of her greatest need.  

Please don’t be either reflexively anti-medicine or anti-therapy. There’s always a spiritual component to our lives, so embrace the spiritual but not to the exclusion of the other aspects. And please don’t put this burden and yoke on your suffering child, expecting them to simply pray harder and trust God. If you’ve done that already, just gently and with great love tell them you were wrong and that God loves them and will never leave them alone in their pain.

Don’t be thrown off that the professionals you deal with don’t seem too worked up about your child’s suicidal thoughts. This is their job. Cooperate kindly with them. They have hard jobs. Continue to be your child’s advocate. Be open and willing to hear the counsel the professionals want to give you. Just because you’re a mature Christian who walks with Jesus doesn’t mean you have all the answers for this. Be humble and grateful to them for the work they do. 

Once your child has stabilized, make sure to access the step-down care that he or she will need. This may be therapy and psychiatry through either day treatment or outpatient care. Find what’s available, and ask questions. And as much as you’d like to forget this whole episode as a bad dream and get back to life as you know it, don’t minimize it or try to sweep everything under the rug. 

Communicate openly with your child and emphasize how smart and brave it is to continue to get the help he needs. Resist the urge to “fix” your child with easy answers. Keep nurturing and loving him. If your child tells you hard things, be unfazed, assuring him that there’s nothing that can push you or God away from him. 

This could be a one-time event, or it could be a feature of your child’s serious mental illness. Whatever it is, walk with the One who loves you all, and keep getting professional help. If the help you have isn’t working, keep trying. You may need supernatural endurance and perseverance. I truly can’t count the number of doctors and medicines we’ve gone through in our nearly 10 years of dealing with these issues. It’s exhausting. Take one day at a time, and don’t borrow tomorrow’s troubles. Keep it simple. Cherish beauty. Rest in Jesus. Rest in bed. Be outside. Walk. Consider dogs and horses (God does some beautiful therapy for us through them.) 

Don’t be surprised if you fall apart physically, emotionally, or relationally when the crisis passes. It’s typical. Be patient with yourself and your family, and get the help you need. This is imperative for survival. Keep taking care of yourself so you can take care of your children.

And be proud that, with God’s grace and wisdom, you just navigated one of life’s toughest situations. You’ll have much to offer the next parent who needs your help walking through this crisis. God never wastes our pain. He won’t waste what you’ve just been through, and he will never leave or forsake you.

If you or someone you know is struggling with thoughts of suicide, you can call the National Suicide Prevention Lifeline 24/7: 1-800-273-8255

Kelly Rosati

Kelly Rosati is the CEO of KMR Consulting. Rosati’s firm offers clients innovative, practical insights and action steps to achieve their strategic goals in communications and community and government relations. Prior to this role, Rosati was the vice president of Community... Read More