“We've definitely seen a high number of adolescent suicide attempts over the past couple of months, especially during COVID-19,” said Kia Carter, M.D., medical director of psychiatry at Cook Children’s Medical Center. “We've also seen younger kids endorse suicidal ideation.”

At Cook Children’s, the vast majority of patients treated for self-harming are girls, typically between the ages of 13 and 15. But Dr. Carter says she’s had patients in her unit as young as 4 years old talking about wanting to die.

“We've seen a huge increase with younger kids knowing what death is because of video games,” said Dr. Carter. “We have to assess their cognitive level and find out if they know what death means or do they think it’s like the video game where they die, but get a backup player.”

So far in 2020, 192 kids have been admitted to Cook Children’s for attempting suicide. Compare that to the same time period in 2015 when the hospital saw 88 patients - less than half of the current statistics.

Unfortunately, the data from Cook Children’s Behavioral Health Center is in line with a new study from the Centers for Disease Control and Prevention (CDC). The article, released Sept. 11, shows suicide rates among 10 to 24 year olds have increased 57.4% from 2007 to 2018.

"It's a real trend that has been demanding, for a while, a serious public health and research effort to understand what is happening and why," said Anna Mueller, an associate professor of sociology at Indiana University Bloomington. In an interview with USA Today, Mueller said she doesn’t buy that it’s just social media, though we do know many children express anxiety and depression linked to social media.

“Social media plays a big role in the mental health of children and teens,” said Dr. Carter. “They experience bullying online, they may not feel self-worth because they’re comparing themselves to what they see on Instagram. They’re also getting ideas on the internet about how to harm themselves.”

Dr. Carter says social media and sites like YouTube have made self-harm almost acceptable. She says children are looking to those avenues to find out how many pills to take or other ways they can attempt suicide.

“A lot of kids will research how much medication to take to not wake up,” said Dr. Carter. “I would say 99% of the overdoses we see have some over-the-counter component.”

Since January, 31 children have been admitted to Cook Children’s for ingesting too much Benadryl. At least three of the Benadryl overdoses are linked to a TikTok challenge, but the majority of cases were among patients intending to harm themselves. Other drugs commonly found in medicine cabinets such as Tylenol, aspirin and ibuprofen are also frequently used.

So why do children and teens take these drastic measures?

“When people feel like they're not going to get better and there's no way out, they tend to go to these levels,” Dr. Carter explained. “I think the biggest thing is hopelessness. When kids feel like they don't have anyone to talk to, they don’t feel like they can communicate with their parents or they’re getting bullied and they don’t have a social circle. Some kids also are struggling with gender and sexual identity.”

About 30% of the children assessed by Cook Children’s Behavioral Health Center report issues with gender or sexual orientation. Among those are patients diagnosed with gender dysphoria, a feeling of discomfort or distress that can occur when someone feels their gender identity differs from their sex.

“There are some kids who physically don't feel comfortable in the body they're in and they don't feel that they relate to the other girls or the other boys. We see this occur a lot around age 10,” said Dr. Carter. “A lot of times parents feel like it's a phase, and that might be true, but I would encourage parents to not minimize it because kids can begin to feel hopeless.”

She suggests parents keep an open mind, listen to their children and get them in to see a licensed professional counselor. And she says it’s ok to not agree with their feelings, but to share those thoughts with your spouse or a friend instead of the child.

“If you're resistant to it, your child's going to shut down and that can cause a whole realm of depression, hopelessness and not wanting to be alive anymore,” she said.

With COVID-19 and social distancing, spotting signs of depression and hopelessness can be challenging. Things that may have seemed out of the norm in the past, like avoiding social activities, may not be so odd now. But Dr. Carter says watching for changes in behavior is still key.

“Most kids still want to play video games and have their cell phones, so if they don’t want a new video game and all they want to do is sleep, you’re going to want to assess where that change is coming from,” she said.

Other signs of depression to look out for include:

• Declining grades
• Lack of concern about appearance and hygiene
• Changes in eating and/or sleep
• Self-injury such as cutting
• Less motivation
• Alcohol/drug use
• Acting highly anxious or agitated
• Recklessness

If you feel your child needs help, please talk to your pediatrician or call 682-885-3917 for a referral to Cook Children's Behavioral Health Center.

The drink is a deceptively sweet punch, powerfully spiked with alcohol and renders the girl incapacitated.

Unfortunately, this occurs far too often among college campuses across the nation and the above scenario is one favorited by serial rapists. In a 2002 study on “undetected rapists” on a college campus, researchers found that 6 percent of the college men surveyed were serial rapists with an average of six victims, and most began assaulting girls in high school.

In the first year of college, especially the first few weeks, a young female is at greatest risk of being raped or sexually assaulted. Female students ages 18-24 have a high rate of victimization, about 6 per 1,000 assaulted. In 80 percent of cases the offender is known to the victim, usually a “friend” or casual acquaintance.

That’s why rape or sexual assault usually occurs at or near the female college student’s home (38 percent) or a friend or relative (29 percent). Other area of concerns for young women are the parking lot or garage and in open areas or on public transportation.

Here’s what we know about the young men who are responsible for the bulk of rape or sexual assault:

• Men age 21-29 make up 51 percent of offenders.
• The majority (63 percent) are Caucasian.
• Ten percent of offenders used a weapon during a sexual assault.
• In about 47 percent of cases, the offender was under the influence of drugs or alcohol.

So why does this keep happening to young women?

Many of the men who commit these atrocious acts are never caught. Rape and sexual assault of female college students goes unreported an astonishing 80 percent of the time.

One important clue for women starting college is to notice how a man and his friends talk about violence against women. Stay away from men who have peer support for objectifying and victimizing women because this is a big risk factor for him to commit sexual assault.

Stay safe with these tips from RAINN:

1. Know the campus so you know safe routes to where you need to go (well-lit walkways with emergency phones). Have the campus security number in your cell phone, and know where the campus health center and police station are.
2. Stay alert when you’re walking around alone (no headphones blocking your hearing). Go with a friend, or ask campus security for an escort.
3. Keep your location private by disabling geolocation services on social media.
4. Trust no one – at least for a while. Get to know people before you let your guard down.
5. Keep your phone fully charged before going out, memorize a couple friend’s (or campus security) numbers in case your phone dies. Memorize the address to your dorm. If you drive, have a spare key hidden, a full tank of gas and emergency supplies (i.e. jumper cables).
6. Lock your door and windows when you’re asleep and when you leave a room. If the main door is propped open, tell security.
7. Watch out for your friends when you're out together.. Never leave anyone stranded..
8. Protect your drink: Watch it being made and poured, and if you have to leave the drink unattended, toss it and get another one. Don’t drink the punch – you didn’t see them make it!
9. Leave any situation where you feel more tired or drunk than you should. Seek medical help immediately because you may have been drugged. 
10. Lie or make up any excuse that will get you to safety. You are the most important person, and if you feel uncomfortable, pressured, or threatened, do whatever you have to do to get out of there.

To speak with someone who is trained to help, call the National Sexual Assault Hotline at 800.656.HOPE(4673) or chat online at online.rainn.org.

• Rape and Sexual Assault Victimization Among College-Age Females, 1995-2013, U.S. Department of Justice, Bereau of Justice Statistics, December 2014 
• Repeat Rape and Multiple Offenses Among Undetected Rapists
• Staying Safe On Campus, RAINN

We all know about Facebook, Twitter and Instagram. All three are great resources to stay updated with people and news. But even those old favorites come with concerns if your child posts something inappropriate that can be damaging to their reputation and may have forever consequences.

But what about the latest apps?

Jody Hawkins, Information Security Officer at Cook Children’s, gives his thoughts on the benefits and dangers of today’s social media, depending on the way it’s used. Below is a list of social media platforms and apps with brief explanations of what to look out for as a parent. We begin with looking at the latest app that could pose danger to your kids – Periscope.

Periscope – Hawkins calls this “possibly the next worst app for Kids.” Periscope is a new iPhone app that allows users to share real time videos on Twitter. Currently it is only available on iPhone; but Hawkins expects that to change soon. The problems are quickly rising for parents and kids.

Twitter has pushed Periscope into production to get ahead of the competition in hot pursuit. A lot of work has been done in regards to privacy, safety and keeping offensive language off the comments. By default, Periscope uses your GPS location and allows any users on Twitter to know your location while shooting video.

“Think about that, parents. Your child posts a video and every creeper in the world can suddenly see where he or she lives,” Hawkins said. “When Periscope first launched, the locator would allow others to ‘zoom in’ on the location and see an actual intersection. That feature has since been disabled; however, the location given is still in the neighborhood of where the user is located.”

Pros: Twitter is a fun and interesting app when used appropriately. The live-streaming app makes it easy for users to track broadcasts from friends, as well as streams of people from around the world. Users can watch live and recorded broadcasts and make a friend’s list and look at a global tab. You can block spam and it’s easier now to block any annoying comments.

Cons: Currently, Periscope allows anybody to say anything which could include cyber-bullying and inappropriate comments. Online, anonymity encourages juvenile behavior and brings out the worst in some people. Even if a child turns off the GPS location device, a predator familiar with the area where the child is walking will know how to locate him or her.

Hawkins says: “Through trial and error, I am sure Periscope will improve in regards to monitoring posts and better protecting user’s privacy. However, even with improvement, this app is not for kids. For now, it is what it is – another concern for parents.”

Social media apps are geared toward young adults and adults. The app creators and companies like Google, Twitter, Facebook, etc. are catering to the broadest audience possible. Too many limitations on apps like Periscope and they lose their adult users. That means it’s up to parents to monitor their children’s usage of such apps. The permanence of things posted to the Internet can be a danger for anyone; however, it is especially dangerous when in the hands of a child who hasn’t developed a more mature sense of reasoning.

As if you didn’t have enough to worry about as a parent these days, here are eight apps to be aware of that your kids may be using:

1. Hot or Not – This app allows you to upload pictures of yourself while other people in your area vote on whether you are “hot” or not. You can vote on others in your area as well.

Pros: There are no benefits for children to use this app.

Cons: If someone scores badly, this can damage a teenager’s self-esteem. Chat is available and connections can be made with strangers.

Hawkins says: He describes this app as a “game of sorts” for kids, but it can be a risky one. In an attempt to receive a higher score, users often resort to posting risqué pictures.

2. Badoo – This social/dating app promotes the idea of meeting new people, sharing interests and even dating. It’s a way to make connections with people who share similar characteristics and you can search for people nearby. Users have to pay monthly.

Pros: If you are an adult, it’s an outlet to socialize with others who share the same interests as you.

Cons: It allows you to find people nearby to chat with and leads to meeting strangers. Badoo uses GPS technology, making it easy for predators to find your child.

Hawkins says: He would not recommend this app for the under 18 aged crowd due to the risks.

3. Palringo & 4. Tango – Both of these social messaging apps allow users to meet people from all over the globe. Palringo is a group chat app that lets you create social groups based on mutual interests and allows you to send messages to the entire group or chat one-on-one. Discussions can range from topics about sports to adult content. Tango lets you talk, text, call and video chat with friends or strangers all over the world for free.

Pros: People can find like-minded friends from all over the world. Think an international, accessible pen pal.

• Palringo can lead to discussing about inappropriate topics and predators may use these apps to meet children

Hawkins says: Both apps are good for meeting people you would never otherwise meet and finding people who can talk about your interest. Younger children shouldn’t be involved and even teens who participate should only do so in groups appropriate for their age group and with careful adult supervision.

5. Tinder – This dating app allows users to connect with new and interesting people around you. This app lets people see images of other users— you swipe right to like the picture or swipe left to pass. If someone likes you back, then it’s a match. After the match is created, you have the option to chat with the individual by phone.

Pros: There are no benefits for children to use this app.

Cons: This promotes meeting other like-minded adults and bases a “match” from physical looks.

Hawkins says: “I see this as more of a dating app for people aged 18 and older and I would not recommend it for younger teens.”

6. Grindr – This social media app is aimed toward gay, bisexual and bi-curious men. This app uses your mobile’s location-based services to show you Grindr guys close in your area.

Pros: Provides an outlet for an adult male to be comfortable with his sexuality and connect with others. But the key word in the previous sentence is “adult.”

• Can lead to kids meeting with adults and all the dangers involved. This is not Ok for kids. In fact, it’s very dangerous.

Hawkins says: “If your son has this app, I suppose the closet door is open” and parents may take this opportunity to talk sexuality and risks with their children. As with all dating apps, Hawkins would not suggest this for people under 18 years old due to the likelihood of meeting up with adults.

7. Chat Roulette – This is an online chat website that pairs random people together to video chat. Every time you begin a new chat, you never know who you are going to come face-to-face with.

Pros: There are no benefits for children to use this app.

Cons: The user can encounter people eliciting inappropriate acts. You never know what will pop up on the screen.

Hawkins says: The first thing listed on the app’s download page says it all – “Warning! For adults only!” Hawkins encourages parents to be aware of what their children are viewing online and really take part in their lives, including what they are doing online. This social outlet is not recommended for the under 18 year old age group.

8. Fake-a-Text -This app allows the user to set who the text is to look like it’s from, what the text will say, and when it will be sent.

Pros: Children can impress their friends and look cool by looking like a celebrity texts them.

Cons: This can hurt reputations and upset friends by tricking them. This app also encourages lying.

Hawkins says: “This is a teen’s dream if they want to fool their friends,” Hawkins says. This “evil little app of deception” can hurt the reputation of a real person. For example: a teenage boy can convince his friends that a real girl sent a sexual text, even though she didn’t, and this can harm her reputation.

Social media has its benefits, but those benefits can come with drawbacks. Tell your child to be cautious about the information he/she is putting out there in the online world. You also might want to have the “stranger danger” talk again with a reminder to be careful about the people he/she is chatting with online. Finding the right balance with what you share online and what you keep private is key in the social media domain. Give them a certain time frame to log-in and make sure it’s on a computer that you can view.

- Article written by Amanda Burmeister

About the source

Jody S. Hawkins, Information Systems Security Officer, has been in technology for medical facilities since early 2000 and has been practicing for more than 20 years with his start in the United States Air Force. He is a part of Cook Children's Experts on Call Speakers Bureau. Hawkins specializes in privacy and technology safety and is a regular speaker at the National HIT/HIPAA Conference. He has been quoted and published in several national publications, including Health Information Management Magazine.

Hawkins' can speak on a variety of security topics facing our children & parents today, including:

• Social media
• Cyber bullying
• Sexting
• Safety online (Parents & Child)
• General home networking security
• Virtual Child (Parents)
• Internet Safety (Parents & Child)