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What to do when your child has thoughts of suicide

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September 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 Outreach for the organization Focus on the Family, where she … Read More

Article 12: The Future of AI

We affirm that AI will continue to be developed in ways that we cannot currently imagine or understand, including AI that will far surpass many human abilities. God alone has the power to create life, and no future advancements in AI will usurp Him as the Creator of life. The church has a unique role in proclaiming human dignity for all and calling for the humane use of AI in all aspects of society.

We deny that AI will make us more or less human, or that AI will ever obtain a coequal level of worth, dignity, or value to image-bearers. Future advancements in AI will not ultimately fulfill our longings for a perfect world. While we are not able to comprehend or know the future, we do not fear what is to come because we know that God is omniscient and that nothing we create will be able to thwart His redemptive plan for creation or to supplant humanity as His image-bearers.

Genesis 1; Isaiah 42:8; Romans 1:20-21; 5:2; Ephesians 1:4-6; 2 Timothy 1:7-9; Revelation 5:9-10

Article 11: Public Policy

We affirm that the fundamental purposes of government are to protect human beings from harm, punish those who do evil, uphold civil liberties, and to commend those who do good. The public has a role in shaping and crafting policies concerning the use of AI in society, and these decisions should not be left to those who develop these technologies or to governments to set norms.

We deny that AI should be used by governments, corporations, or any entity to infringe upon God-given human rights. AI, even in a highly advanced state, should never be delegated the governing authority that has been granted by an all-sovereign God to human beings alone. 

Romans 13:1-7; Acts 10:35; 1 Peter 2:13-14

Article 10: War

We affirm that the use of AI in warfare should be governed by love of neighbor and the principles of just war. The use of AI may mitigate the loss of human life, provide greater protection of non-combatants, and inform better policymaking. Any lethal action conducted or substantially enabled by AI must employ 5 human oversight or review. All defense-related AI applications, such as underlying data and decision-making processes, must be subject to continual review by legitimate authorities. When these systems are deployed, human agents bear full moral responsibility for any actions taken by the system.

We deny that human agency or moral culpability in war can be delegated to AI. No nation or group has the right to use AI to carry out genocide, terrorism, torture, or other war crimes.

Genesis 4:10; Isaiah 1:16-17; Psalm 37:28; Matthew 5:44; 22:37-39; Romans 13:4

Article 9: Security

We affirm that AI has legitimate applications in policing, intelligence, surveillance, investigation, and other uses supporting the government’s responsibility to respect human rights, to protect and preserve human life, and to pursue justice in a flourishing society.

We deny that AI should be employed for safety and security applications in ways that seek to dehumanize, depersonalize, or harm our fellow human beings. We condemn the use of AI to suppress free expression or other basic human rights granted by God to all human beings.

Romans 13:1-7; 1 Peter 2:13-14

Article 8: Data & Privacy

We affirm that privacy and personal property are intertwined individual rights and choices that should not be violated by governments, corporations, nation-states, and other groups, even in the pursuit of the common good. While God knows all things, it is neither wise nor obligatory to have every detail of one’s life open to society.

We deny the manipulative and coercive uses of data and AI in ways that are inconsistent with the love of God and love of neighbor. Data collection practices should conform to ethical guidelines that uphold the dignity of all people. We further deny that consent, even informed consent, although requisite, is the only necessary ethical standard for the collection, manipulation, or exploitation of personal data—individually or in the aggregate. AI should not be employed in ways that distort truth through the use of generative applications. Data should not be mishandled, misused, or abused for sinful purposes to reinforce bias, strengthen the powerful, or demean the weak.

Exodus 20:15, Psalm 147:5; Isaiah 40:13-14; Matthew 10:16 Galatians 6:2; Hebrews 4:12-13; 1 John 1:7 

Article 7: Work

We affirm that work is part of God’s plan for human beings participating in the cultivation and stewardship of creation. The divine pattern is one of labor and rest in healthy proportion to each other. Our view of work should not be confined to commercial activity; it must also include the many ways that human beings serve each other through their efforts. AI can be used in ways that aid our work or allow us to make fuller use of our gifts. The church has a Spirit-empowered responsibility to help care for those who lose jobs and to encourage individuals, communities, employers, and governments to find ways to invest in the development of human beings and continue making vocational contributions to our lives together.

We deny that human worth and dignity is reducible to an individual’s economic contributions to society alone. Humanity should not use AI and other technological innovations as a reason to move toward lives of pure leisure even if greater social wealth creates such possibilities.

Genesis 1:27; 2:5; 2:15; Isaiah 65:21-24; Romans 12:6-8; Ephesians 4:11-16

Article 6: Sexuality

We affirm the goodness of God’s design for human sexuality which prescribes the sexual union to be an exclusive relationship between a man and a woman in the lifelong covenant of marriage.

We deny that the pursuit of sexual pleasure is a justification for the development or use of AI, and we condemn the objectification of humans that results from employing AI for sexual purposes. AI should not intrude upon or substitute for the biblical expression of sexuality between a husband and wife according to God’s design for human marriage.

Genesis 1:26-29; 2:18-25; Matthew 5:27-30; 1 Thess 4:3-4

Article 5: Bias

We affirm that, as a tool created by humans, AI will be inherently subject to bias and that these biases must be accounted for, minimized, or removed through continual human oversight and discretion. AI should be designed and used in such ways that treat all human beings as having equal worth and dignity. AI should be utilized as a tool to identify and eliminate bias inherent in human decision-making.

We deny that AI should be designed or used in ways that violate the fundamental principle of human dignity for all people. Neither should AI be used in ways that reinforce or further any ideology or agenda, seeking to subjugate human autonomy under the power of the state.

Micah 6:8; John 13:34; Galatians 3:28-29; 5:13-14; Philippians 2:3-4; Romans 12:10

Article 4: Medicine

We affirm that AI-related advances in medical technologies are expressions of God’s common grace through and for people created in His image and that these advances will increase our capacity to provide enhanced medical diagnostics and therapeutic interventions as we seek to care for all people. These advances should be guided by basic principles of medical ethics, including beneficence, non-maleficence, autonomy, and justice, which are all consistent with the biblical principle of loving our neighbor.

We deny that death and disease—effects of the Fall—can ultimately be eradicated apart from Jesus Christ. Utilitarian applications regarding healthcare distribution should not override the dignity of human life. Fur- 3 thermore, we reject the materialist and consequentialist worldview that understands medical applications of AI as a means of improving, changing, or completing human beings.

Matthew 5:45; John 11:25-26; 1 Corinthians 15:55-57; Galatians 6:2; Philippians 2:4

Article 3: Relationship of AI & Humanity

We affirm the use of AI to inform and aid human reasoning and moral decision-making because it is a tool that excels at processing data and making determinations, which often mimics or exceeds human ability. While AI excels in data-based computation, technology is incapable of possessing the capacity for moral agency or responsibility.

We deny that humans can or should cede our moral accountability or responsibilities to any form of AI that will ever be created. Only humanity will be judged by God on the basis of our actions and that of the tools we create. While technology can be created with a moral use in view, it is not a moral agent. Humans alone bear the responsibility for moral decision making.

Romans 2:6-8; Galatians 5:19-21; 2 Peter 1:5-8; 1 John 2:1

Article 2: AI as Technology

We affirm that the development of AI is a demonstration of the unique creative abilities of human beings. When AI is employed in accordance with God’s moral will, it is an example of man’s obedience to the divine command to steward creation and to honor Him. We believe in innovation for the glory of God, the sake of human flourishing, and the love of neighbor. While we acknowledge the reality of the Fall and its consequences on human nature and human innovation, technology can be used in society to uphold human dignity. As a part of our God-given creative nature, human beings should develop and harness technology in ways that lead to greater flourishing and the alleviation of human suffering.

We deny that the use of AI is morally neutral. It is not worthy of man’s hope, worship, or love. Since the Lord Jesus alone can atone for sin and reconcile humanity to its Creator, technology such as AI cannot fulfill humanity’s ultimate needs. We further deny the goodness and benefit of any application of AI that devalues or degrades the dignity and worth of another human being. 

Genesis 2:25; Exodus 20:3; 31:1-11; Proverbs 16:4; Matthew 22:37-40; Romans 3:23

Article 1: Image of God

We affirm that God created each human being in His image with intrinsic and equal worth, dignity, and moral agency, distinct from all creation, and that humanity’s creativity is intended to reflect God’s creative pattern.

We deny that any part of creation, including any form of technology, should ever be used to usurp or subvert the dominion and stewardship which has been entrusted solely to humanity by God; nor should technology be assigned a level of human identity, worth, dignity, or moral agency.

Genesis 1:26-28; 5:1-2; Isaiah 43:6-7; Jeremiah 1:5; John 13:34; Colossians 1:16; 3:10; Ephesians 4:24