Teen Suicide Risk Factors: Parents Are Too Often Clueless

By Nancy Shute

Suicide is the third leading cause of death among teenagers, and it's a tragedy that can be prevented. Given that almost 15 percent of high school students say they've seriously considered suicide in the past year, parents and friends need to know how to recognize when a teenager is in trouble and how to help.

Parents can be clueless when it comes to recognizing suicide risk factors, or at least more clueless than teens. In a new survey of teenagers and parents in Chicago and in the Kansas City, Kan., area, which appears online in Pediatrics, both parents and teenagers said that teen suicide was a problem, but not in their community. Alas, teen suicide is a universal problem; no area is immune.

The teenagers correctly said that drug and alcohol use was a big risk factor for suicide, with some even noting that drinking and drug use could be a form of self-medication or self-harm. By contrast, many of the parents shrugged off substance abuse as acceptable adolescent behavior. As one parent told the researchers: "Some parents smoke pot with their kids or allow their kids to drink."

Both teenagers and parents said that guns should be kept away from a suicidal teen. But since parents said they didn't think they could determine when a teenager was suicidal, parents should routinely lock up firearms, the researchers suggest. That makes sense. Firearms are used in 43.1 percent of teen suicides, according to 2006 data, while suffocation or hanging accounts for 44.9 percent.

The good news: Both parents and teenagers in this small survey (66 teenagers and 30 parents) said they'd like more help learning how to know when someone is at risk of committing suicide and what to do. Schools and pediatricians should be able to help, but we can all become better educated through reliable resources on the Web. These authoritative sites list typical signs of suicide risk, and they also provide questions a parent or a friend can ask a teenager to find out if he is considering killing himself. Here are good places to start:

The American Academy of Child and Adolescent Psychiatry lists signs and symptoms of suicidal thinking, such as saying things like "I won't be a problem for you much longer."

The American Academy of Pediatrics urges parents to ask the child directly about suicide. "Getting the word out in the open may help your teenager think someone has heard his cries for help."

The National Suicide Prevention Lifeline provides free advice to someone considering suicide, as well as to friends and relatives, at 800-273-TALK.

The National Alliance on Mental Illness's teenage suicide page makes the point that talking with someone about suicide will not "give them the idea." "Bringing up the question of suicide and discussing it without showing shock or disapproval is one of the most helpful things you can do," the NAMI site says. "This openness shows that you are taking the individual seriously and responding to the severity of his or her distress."

TABC Joins Investigation of Stabbing at PA Nightclub

The Texas Alcohol and Beverage Commission tells 12 News they are joining the Port Arthur Police Department in investigating a weekend stabbing at a Port Arthur nightclub.
Police say workers at Club Tiffany's could face criminal charges for tampering with evidence after a 32-year-old man was stabbed overnight Saturday. The stabbing victim showed up at Christus Hospital St. Mary early Sunday morning.
Club Tiffany's is located at the 1000 Block of Houston, and workers there told police nothing happened in the club. Investigators, however, say they found evidence that the stabbing happened in the restroom.
They say that witnesses report seeing club workers clean up a large amount of blood and putting evidence in the trash.
They say charges for tampering with physical evidence are pending.

12 News Reporter Liz McKernan has more on the story.

It's a quiet Monday afternoon on Houston Avenue in Port Arthur, but residents near Club Tiffany said its anything but - when the club opens its doors.

"I know I'm not the only one in this area that is complaining about it" said a neighboring resident.

Neighbors we talked to did not want to go on-camera about the problems stemming from the club - but they said the noise alone from the business affects their lives whenever its open.

"Its very irritating. My bedroom faces and actually gets the music from the club, and you can feel the vibrating from it. I just feel that something needs to be done about it" said the concerned resident.

Police were called out to the club early Sunday morning after a stabbing victim arrived at Christus Hospital St. Mary. Authorities said around that time, they also responded to calls of a fight.

Employees of the club told officers no one had fought inside, but after talking with witnesses, police found evidence of a crime scene near the bathroom. Authorities said a large pool of blood had been cleaned up in that area. Police are now investigating whether evidence had been tampered with in the assault.

Club owner Gerald Hatch declined comment on the advice of his lawyer.

"I don't want to see anybody actually lose their business, but at the same time, you're not giving us the respect with all the noise going on" said the neighbor.

Police said they are still looking for the attacker in the stabbing. Club Tiffany employees had been accused of tampering with evidence in the past in a 2007 shooting death at the club. All charges were dropped however, after employees testified in that murder trial.

Companies tackle mess a corpse can leave behind

Published on October 1, 2009
Angie's List
by Staci Giordullo

What happens to those who die alone — and no one notices? Welcome to the business of biohazard remediation. Originally limited to crime and trauma scene cleaning, the industry's scope has grown to include decontamination of homes soiled by human waste, tissue and body fluids, and other toxins associated with a decomposing body.


Ronald Gospodarski, owner of Bio-Recovery Corp. in New York City, started his business in 1988 after spending years as a paramedic and realizing no company was offering these types of services.

"No one is prepared for this type of thing," he says. "I come in and solve the problem."

According to Gospodarski, approximately 75 percent of his business is cleaning up after decompositions.

"I get calls from family, police, landlords — a lot of times it's the property manager," he says.

Stacie Salerno of Bradford, Pa., recently hired Gospodarski to clean her brother's apartment after he was stabbed to death, reportedly by a stranger police believe he likely met online. "I never knew this kind of company even existed," Salerno says. "But they took care of everything. You never would know there was a murder in that apartment."

Like many other industries, the prerequisites to be a bio-recovery technician vary greatly by state. The federal Occupational Safety and Health Administration requires proper training in order to handle blood-borne pathogens. In addition, companies should hold the proper permits for biohazard waste disposal as well as general liability and pollution liability insurance.

What happens to those who die alone? Welcome to the business of biohazard remediation. See examples of biohazard remediation >>Dale Cillian, president of the American Bio-Recovery Association, says the lack of a nationwide standard is unnerving because there are companies that grossly overcharge customers and don't thoroughly clean or properly dispose of the waste.

"Some of these companies will rob people blind," Cillian says. "They're hurting families at the worst time of their lives." Gospodarski, who's certified with the ABRA, agrees and says his average job costs between $1,500 and $3,500. "Customers need to do their due diligence before hiring a company like mine," he says.

Industry experts recommend verifying companies with ABRA — which has 80 members — Angie's List and the BBB.

While a coroner typically removes the body before the biohazard remediation team arrives, there are a number of threats left behind — many of which go unnoticed by the untrained eye.

"We see marks of contamination affected during the removal of the body such as fluid from the body bag touching walls and furniture," says John DiGulio, co-founder of USA Decon in Houston. "Light switches and door handles are usually left unclean."

Hiring a professional to clean up such a mess can lift an emotional burden from grieving family members. "There aren't many jobs in which you can provide unimaginable relief for someone," DiGulio says.

Originally limited to crime and trauma scene cleaning, the scope of biohazard remediation has grown to include the cleanup and decontamination associated with mold, human waste, tissue and body fluids, animal waste and other toxins.

If a body is left undiscovered in a home for any period of time, a bio-recovery technician is needed to remove the unpleasant consequences of that decomposition.

Cleanup completed at Civic Association

April 5, 2009

Cleanup has been completed at the American Civic Association building in Binghamton, where a gunman killed 13 people and injured four before taking his own life Friday.

The American Bio-Recovery Association, a non-profit international association of crime and trauma scene professionals, said Sunday that the bio-recovery cleaning was complete. The Ipswich, Mass.-based group provided the service at no cost.

Two member companies, Disaster Clean Up of Endwell and the Bio-Recovery Corporation of New York City, donated labor and supplies to remediate the scene with a crew of six technicians.