While many people are excited about back-to-school season, some students may experience anxiety and depression. Over 20% of teenagers, according to the American Psychological Association, have seriously considered suicide. Younger children are impacted as well. To raise awareness and promote mental health conversations, pediatric psychologists Dr. Dr. Ericka Rutledge and Sucheta Thekkedam from SSM Health Cardinal Glennon Children’s Hospital share insights on recognizing warning signs, supporting children, and knowing when to seek help.
One common misconception is that mental health struggles and suicidal thoughts only affect teens. Rutledge stated, “It’s definitely a myth.” We’ve heard these ideas from children as young as seven. Today’s children are exposed to more information through social media and YouTube, and they frequently do not fully comprehend the effects of their actions. Thekkedam added, “Mental health is being talked about more openly now, and children are picking up on these conversations—often without fully understanding them. Unlike adults, kids may interpret slang or casual remarks literally, which can lead to confusion or distress.”
Both psychologists also emphasize the importance of not dismissing emotional distress as typical “teen moodiness.” “Sad thoughts should never be glossed over,” said Thekkedam. Pause and inquire if your child shows signs of distress. Your calm response is crucial. Rutledge concurred, stating, “It’s important to take those statements seriously. Kids may say things in the heat of the moment.” Sometimes it comes from long-buried emotions finally coming to the surface. When it comes to suicide prevention, knowing what to look for is crucial. Rutledge stated, “Any change in behavior is a red flag.” “Isolation, loss of interest in hobbies, declining grades, or giving away prized possessions are all signs to watch for.”
Parents frequently worry that asking about suicidal thoughts will exacerbate the situation. “That’s a myth,” said Thekkedam. “Asking questions does not increase risk—it opens the door to support. Many kids fear they’ll be hospitalized if they speak up, but often, with open dialogue and safety planning, we can avoid emergency interventions.”
So, when should a parent take their child to the ER? “It depends,” said Rutledge. “It’s scary for parents who aren’t trained in mental health. That’s why resources like the 988 crisis hotline are so valuable. It is accessible round-the-clock and provides support via phone and online chat to evaluate the situation and connect families with assistance. “If your child is in immediate danger or experiencing a mental health crisis, the ER or an SSM Health Behavioral Health Urgent Care is the right place to go,” added Thekkedam. She suggests seeking long-term care with a psychologist, psychiatrist, or social worker for ongoing concerns that are not emergencies. Home risk reduction is also an important part of suicide prevention. “If your child is struggling, make sure firearms are locked away and inaccessible,” said Rutledge. “It is essential to recognize warning signs and secure weapons, even in families where firearms, like hunting, are a part of the culture. We recommend all families use gun locks on every firearm and keep firearms in a locked area where kids don’t have access.”
Free gun locks are available at all SSM Health Emergency Rooms in the St. Louis region — including SSM Health Cardinal Glennon Children’s Hospital — and in both SSM Health Behavioral Health Urgent Care locations at SSM Health DePaul Hospital and SSM Health Saint Louis University Hospital.
Thekkedam also advises monitoring medications and other potential hazards. “Keep medications and sharp objects out of reach. If there’s concern about substance use, remove alcohol and other substances that could increase impulsivity.”
Daily habits can also make a big difference. “Teens naturally pull away from parents as part of development, but families can still model good self-care,” said Rutledge. “Check in with each other regularly. When life gets busy, it’s easy to overlook stress and mental health. Intentional pauses and open conversations help normalize mental health discussions.”
“Parents play a huge role by sharing their own feelings and showing that mental and physical health are connected,” Thekkedam added. We ought to keep an eye on our mental health in the same way that we remind one another to drink water. Both psychologists want families to know that help is available, and that open communication can make a big difference. “Checking in with your kids, modeling healthy habits, and knowing when to seek help can go a long way in preventing crises,” said Rutledge.
“There’s no shame in asking for help,” added Thekkedam. “We can help our kids and give them the tools they need to succeed together.” As children return to school, both Thekkedam and Rutledge remind parents that school counselors are an important resource in creating a support network for kids. Connecting with your child’s school counselor can alert them to watch for concerning behaviors while at school.
If you feel your child may be struggling with their mental health, we recommend reaching out to your child’s pediatrician about behavioral health resources at SSM Health. Find more behavioral health resources.