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US transitions to 988 suicide and crisis lifeline

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The United States will have a new, easier-to-remember, nationwide suicide prevention lifeline from July 16 2022

First launched in December 2004, the National Suicide Prevention Lifeline has offered support to millions of Americans seeking support and guidance during times of crisis. In 2021, Lifeline received 3.6 million calls, chats, and texts. From Saturday July 16, the National Suicide Prevention Lifeline will be transitioning from its old 10-digit number (1-800-273-TALK (8255)) to the new three-digit Suicide & Crisis Lifeline, 988.

What is changing (and why now?)

The change to Lifeline’s number is part of President Biden’s comprehensive strategy to address the nation’s mental health crisis. Identified as a top priority, since January 2021, the Biden-Harris Administration has invested $432 million (up from $24 million previously) to scale crisis centre capacity and provide specialist services, such as a sub-network for Spanish language speakers. This has helped support the transition to 988 and to ensure that all Americans can access help and support during a mental health crisis.

The National Suicide Hotline Designation Act was signed into law after the passage of bipartisan legislation in 2020. This authorised 988 as the new, shorter number for suicide and mental health crisis. By July 16 2022 at the latest, all telephone and text providers in the US and five major US territories are required to activate 988.

Secretary Becerra commented: “988 is more than a number, it is a message: we’re there for you. Through this and other actions, we are treating mental health as a priority and putting crisis care in reach for more Americans. There is still much work to do. But what matters is that we’re launching. We are looking to every governor and every state in the nation to do their part to make this a long-term success.”

FCC staff first proposed 988 in August 2019 as part of a report to Congress. FCC Chairwoman, Jessica Rosenworcel, said: “All across our country, people are hurting. They need help. The good news is that getting that help just got a lot easier. 988 will be available nationwide for individuals in crisis, and their loved ones, to reach the 988 Suicide & Crisis Lifeline more easily. This cross-government effort has been years in the making and comes at a crucial point to help address the mental health crisis in our country, especially for our young people.”

Those seeking to get through to the Veterans Crisis Line can now dial 988, then press 1.

Following the 3.6 million calls, chats and texts received by the Lifeline in 2021, it is expected that the number will double within the first full year following the transition to 988.

What is the National Suicide Prevention Lifeline?

Now called 988 Suicide & Crisis Lifeline, The National Suicide Prevention Lifeline is a network of over 200 state and local call centres across the USA. Providing free, confidential, 24/7 access through a toll-free hotline, anyone who is experiencing emotional distress or is in a suicidal crisis can call. Offering crisis resources for individuals and their loved ones, Lifeline aims to improve crisis services and advance suicide prevention through empowering individuals, advancing professional best practices, and building awareness.

Founded by the Substance Abuse and Mental Health Services Administration, a division of the Department of Health and Human Services, the Lifeline has previously had a 10-digit phone number.

Those using major search engines such as Google, Bing, and Yahoo for information about suicide or self-harm methods are instead shown the phone number and website for Lifeline.

It is hoped that 988 will help people in mental health crisis to access help more quickly from those most qualified to provide support. Through providing a more effective means of triage, this should place less burden on emergency medical services and departments.

How common are suicidal thoughts and actions in the US?

In the United States, someone dies by suicide every 11 minutes. Between 2000-18, suicide rates rose by 30% according to the CDC. The number of people thinking about, considering, or attempting suicide is thought to be even higher. One study from 2017 revealed that 4% of American adults aged 18 and over have thought about suicide.

In 2020, it was estimated that 12.2 million Americans seriously considered suicide, 3.2 million planned a suicide attempt, and 1.2 million attempted suicide.

Suicidal thoughts can take many forms. Some people may experience passive suicidal ideation – for example, you may wish you would fall asleep and not wake up, but do not have plans to complete suicide. Others may experience active suicidal ideation – where you are actively thinking about suicide and have a plan.

Suicidal thoughts can be symptoms of other mental health issues, such as severe or manic depression. Both passive and active suicidal thoughts are warning signs that you could be at risk and should seek help. Studies have shown that those who experience high levels of depression and suicidality, and thoughts of passive and active ideation, have the potential to become more severe and dangerous.

Anyone, at any age and any gender, can experience suicidal thoughts. Men can be up to three times more likely to complete suicide, while women show higher rates of suicidal thinking and suicide attempts.

If you have a personal or family history of mental illness, have experienced substance addiction, abuse, trauma, major loss, or have limited access to healthcare, you may be at higher risk of suicidal thoughts or attempts.

Discover more about suicidal thoughts, how they can make you feel, and what you can do to combat these thoughts now and long-term over on Counselling Directory.

Where to find help for suicidal thoughts, ideation, and actions

If you are worried about a friend or loved one, or are experiencing worrying thoughts, Lifeline is available to text, chat online, or call, 24/7. Find out more and speak with someone confidentially through 988 or by visiting 988lifeline.org. Skilled, trained crisis workers are ready to listen, provide support, and share resources.

No matter what problems you are facing, if you need someone to speak with, call Lifeline. Their experienced crisis workers are there to talk about any issues you may need emotional support for, including substance abuse, relationship issues, sexual identity, substance abuse, depression, abuse, mental illness, physical illness, loneliness, suicidal thoughts, and more.

 

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Is There A Link Between ADHD And Lying?

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ADHD

Last Update on June 29, 2022 : Published on June 29, 2022
Is-There-A-Link-Between-ADHD-And-Lying

Attention deficit hyperactivity disorder or more commonly known as ADHD is a neurodevelopmental disorder that may cause one to engage in impulsive, inattentive, and hyperactive behaviors.

According to the CDC, in the United States, more than 9% of children aged 2-17 are diagnosed with ADHD. Among this number, boys were diagnosed more than girls. Among the symptoms of ADHD, the three common symptoms include impulsivity, hyperactivity, and inattention. Experts also believe that among the consequences of ADHD symptoms, lying can be one of them.

While it’s not proven yet, some believe there’s a connection there. Some ADHD kids (and even adults) frequently lie but not all ADHD individuals lie. Some individuals are even honest to a point which can cause some distinct problems. But those with ADHD lie often, it can soon become a habit.

ADHD Brain And Lying

Between-ADHD

The part of the brain called the caudate nucleus was studied by a group of researchers. This part of the brain is responsible for combining information over different parts of the brain. This part of the brain also helps with cognitive functions including memories.

This research also indicates that this particular part of the brain is smaller with people with ADHD. Such as, in children with ADHD, there’s trouble with executive functions. Executive functions can help an individual manage time, pay attention, plan, organize, remember, and even multitask.

Why Do People With ADHD Lie?

For children with ADHD, lying itself isn’t an indicator that they are being dishonest. For many, lying can be a symptom of their ADHD. When you ask your child to clean up, they may later insist you never said that but it isn’t their fault. They may just not remember that you asked something of them at all.

Some children with ADHD may even lie to stay out of trouble. For example, if you ask them if they’re done with their homework, they may say they have when they haven’t. If your ADHD kid finds the work troubling, they may lie as they think they can avoid doing their work.

A psychologist from Utah explains that teens and adults with ADHD may react first without thinking, especially under stress. This kind of reaction may cause them to lie to avoid responsibility. While there’s limited evidence on the theory that ADHD causes one to lie or exaggerate, there are other personalities and mental health disorders that may cause one to lie or at least increase the risk of lying.

Some adults with ADHD may even develop a habit of pathological lying or compulsive lying. Lying, in itself, is not harmful but it can still cause some irreparable damage.

One example can be; that you may find it hard to focus on a conversation and that may cause you to lie to conceal your disinterest. You may lie or pretend to be interested in the conversation to avoid hurting others’ feelings.

Another reason why ADHD and lying may be connected is that people with ADHD have poor memory and may easily forget about something. To avoid judgment from others, they may lie and say they didn’t forget. To their loved ones, this may look like lying and in some cases, chronic lying.

Other common reasons why ADHD adults (or teens) may lie can include:

  • Masking an impulsive action that caused unpleasant consequences
  • Forgetting an event and later lying to pretend that they remembered
  • Answering impulsively without thinking much
  • Lying to avoid judgment from peers
  • Telling white lies because they find expressing themselves challenging
  • Making promises they can’t keep out of impulse

Other executive function impairments can also make it difficult for ADHD adults and kids to process certain information, understand, and respond accurately. This can cause miscommunication and misinterpretation that can be viewed as lying.

Tips For Helping With ADHD And Lying

If your ADHD kid lies:

There are some simple and constructive ways to help your child control lying. Chronic or pathological lying can get your child in trouble and can even cause low self-esteem.

Try to look for patterns of lying in your child and help them if you see them struggling with their ADHD and lying. For example, if your child has trouble completing a chore, tell them the steps they need to take.

If your child lies because of their ADHD, then avoid shaming them with the knowledge. Instead, ask them why they lied and help them understand that there are things they can do differently than lie about them. Teach them the consequences of lying and how important it is that they speak the truth.

If your ADHD child lie, then do not take the lie personally. If your child’s ADHD and lying are connected then make sure you help them turn toward more constructive and healthy coping mechanisms instead of lying.

If you’re prone to lying:

If you have ADHD and are prone to lying, then you can follow these coping tips:

  • Ask for professional help. Therapy, ADHD medication, and even learning new coping skills can help manage the symptoms of ADHD enough to control your lying
  • Try to be as truthful as you can in a given situation
  • Try to read ADHD books and material on how you can control your ADHD lying
  • Try to reduce as much as distractions in a conversation to stay focused
  • You can also try to think before you speak. This way you’ll form the right response in your mind before you respond impulsively

Wrap Up

While there’s no evidence that ADHD and lying are connected, there’s still a small chance that people with ADHD use lying as a coping mechanism to cover up their symptoms of ADHD such as impulsivity and hyperactivity. Sometimes, this can be a conscious decision but other times, it can be a subconscious decision to lie.

With the right help and treatment, people with ADHD can get help for unhealthy behavior and coping mechanisms. If you or your child is struggling with ADHD and lying, then talking to mental health professionals can help.

About The Author

 
Swarnakshi Sharma

Swarnakshi is a content writer at Calm sage, who believes in a healthier lifestyle for mind and body. A fighter and survivor of depression, she strives to reach and help spread awareness on ending the stigma surrounding mental health issues. A spiritual person at heart, she believes in destiny and the power of Self. 

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How to spot signs of anxiety in children

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Learn about the warning signs of worry and stress in kids so that you can step in to offer support

How to spot signs of anxiety in children

Anxiety is simply an activation in our nervous system that we also call the fight or flight response. It warns us against imminent physical danger, such as a car coming towards you as you are crossing the road, or when perceived psychological danger, such as a big exam, is approaching.

Some childhood anxieties can be completely age-appropriate. For example, very young children, under three years old, may have separation anxiety – they may cry when separated from their parents or carer, and become clingy. Some children, particularly preschoolers, may develop fears such as being scared of the dark, or not wanting to use the toilet seat. And school-aged children may feel anxious, particularly if they are in a new situation or a new environment – such as when starting at a new school, or before a presentation or exam. These are all part of their normal daily life, and it’s OK to feel this way.

But, anxiety becomes a problem for children when it starts to get in the way of their everyday life. This might present as them refusing to go to school, or starting to experience psychosomatic symptoms like headaches and stomach aches, or beginning to avoid big events.

You may notice some changes in your child’s behaviours recently, and are wondering whether your child is experiencing anxiety or not. You might be asking what the signs of anxiety in children are, and how can you support them? Here, we explore some common signs to watch out for.

1. Excessive anxiety and worry

Your child may lack the confidence to try new things or seem unable to face simple, everyday challenges. If this is the case, and you know a change such as a house move is coming up, prepare your child by talking to them about what is going to happen and why.

2. Inability to control fear or worry

Having a lot of negative thoughts, or constantly thinking that bad things are going to happen to them, starting to avoid everyday activities, and having overly high expectations for their schoolwork, homework, and sports performance can be signs that they’re not able to control their worries. Try not to become overprotective or anxious yourself. Practise simple relaxation techniques with your child, such as taking three deep, slow breaths – breathing in for a count of three, and out for three.

3. Restlessness

Constantly fidgeting or squirming can be an external sign of anxiety. Having some sensory or fidget toys may help your child to calm their minds, and redirect their energy, and there are plenty of different options available to purchase easily online.

4. Agitation and irritability

Anxious children may become irritable, tearful, or clingy – or have angry outbursts, including tantrums and crying. Reassure them and show them that you understand how they feel. As well as talking to your child about their worries and anxiety, it’s important to help them find solutions. Teach your child to recognise signs of anxiety in themselves.

5. Sleep disruption

Having difficulty sleeping, waking in the night, starting to wet the bed, having bad dreams, and difficulty settling down for bed can all be signals of anxiety. Children of all ages find routines reassuring, so try to stick to regular daily routines where possible. Worry jars are particularly helpful for children, where they can write down on paper anything that’s worrying them, and put these thoughts into a jar. Pintrest has a lot of creative ideas on this. Then you go through the papers/worries together at the end of the day or week.

6. Somatic symptoms

Anxiety can often come with physical, somatic symptoms, such as headaches, stomach aches, and muscle tension. If your child is old enough, it may help to explain the physical effects anxiety has on our bodies. It could also be useful to describe anxiety as being like a wave that builds up, and then ebbs away again.

7. Avoidance

Refusing to go to school, meltdowns before school about minor things such as clothing, hair, or shoes, and meltdowns after school about homework are things to watch out for. Encourage your child to manage their anxiety and ask for help when they need it. If your child is anxious because of distressing events, such as a bereavement or separation, look for books or films that will help them to understand their emotions.

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Support the Inclusion of Postpartum Psychosis as a Unique Diagnosis in the DSMV

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Last year, Margaret Spinelli, MD wrote about a proposal to the DSM-V committee of the American Psychiatric Association arguing for the inclusion of postpartum psychosis as a unique diagnosis based on its distinct clinical presentation. She will be soon be presenting this information to the DSM Committee in order to recognize “Postpartum Psychosis” as a unique diagnosis in the Diagnostic and Statistical Manual of Mental Disorders (DSM).

Recognizing postpartum psychosis as a unique psychiatric diagnosis is not just about words. Recognizing the unique and unusual features of postpartum psychosis will ensure that women with this disorder will receive appropriate treatment.

Read more about why postpartum psychosis is unique HERE.

This effort is supported by the Postpartum Psychosis Taskforce of Postpartum Support International. You can support this effort by signing this petition.

Postpartum Psychosis Awareness Day will be May 6. To learn more, CLICK HERE.

 

Spinelli M. Postpartum psychosis: a diagnosis for the DSMV. Arch Women’s Ment Health. 2021 Sep 8.

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