Are Tompkins Teens OK?

Almost one-third of middle and high school students surveyed in Tompkins County said they feel depressed or sad on most days and more than a quarter said that “sometimes I think life is not worth it.” Many Tompkins youth also feel that they are a “failure” and “no good at all.”

The Community-Level Youth Development Evaluation (CLYDE) surveyed 3,879 students in grades 7-12 in Tompkins County’s six school districts in October 2025 on behavior issues including mental health, bullying, and alcohol, drug, marijuana, tobacco, and vaping use.

The survey was organized by the Community Coalition for Healthy Youth, which represents agencies, schools, government, businesses, families, and concerned citizens in Tompkins County. Detailed results can be viewed on the Youth Development Dashboard for Tompkins County, which was updated to reflect the 2025 CLYDE survey results.

In responding to the question, “In the past year, have you felt depressed or sad MOST days, even if you felt okay sometimes?,” 32 percent of the CLYDE survey respondents answered “Yes.” That compared with 35.4 percent who responded that way in the 2023 survey.

Among 12th graders, 33.3 percent answered “yes,” a significant decline from 39.4 percent two years earlier.

In responding to the question, “In the past year, have you felt anxious or worried MOST days, even if you felt okay sometimes?,” 43.8 percent of respondents answered “Yes.” That compared with the 47 percent who answered that way in the 2023 survey.

Looking for help? DOWNLOAD the 2026 Mental Health Support and Crisis Services guide for Tompkins County

In positive news, the 2025 survey results generally signaled improvements in the mental health measures since the 2023 and 2021 CLYDE surveys.

According to the 2025 survey, 27.9 percent of Tompkins 7-12 students said that “sometimes I think that life is not worth it,” compared to 33.4 percent in 2023; 38.2 percent agreed with the statement that “at times I think I am no good at all,” down from 44 percent two years earlier; and 25.2 percent said they “are inclined to think that I am a failure,” compared to 29 percent in 2023.

Still, the rates represented an increase over levels in a Tompkins survey a decade ago. In 2012, the percentage of surveyed students reporting depression or sadness was 28.7 percent; 21.3 percent of students felt life was not worth it.

The Tompkins survey included a question about suicide for the first time. The results showed that 10.9 percent of respondents said they were “experiencing thoughts of suicide,” with the percentages staying fairly constant across 7th through 12th grades.

As with the previous CLYDE survey in 2021, there were sharp variances by gender, race, and ethnicity.

A notable trend in the mental health survey results was that students identifying as an “other gender identity”—such as transgender and nonbinary—and Black girls were almost twice as likely as their peers to report depression and hopelessness.

According to the survey, 59.8 percent of those identifying as “other gender identity,” 48.1 percent of Black girls, 39.7 percent of all Black youth, 38.8 percent of all girls, and 39.8 percent of Hispanic/Latino youth signaled depression or sadness; compared to 22.7 percent of all boys.

The survey showed that 63.4 percent of all other gender identities, 33.9 percent of Black girls, 30.1 percent of all Black youth, and 33.3 percent of Hispanic/Latino youth had felt life was not worth it; compared to 18.6 percent of all boys.

Similarly, 74 percent of all other gender identities, 50.4 percent of Black girls, 40.1 percent of all Black youth, and 44.8 percent of Hispanic/Latino youth felt they were not good at all; compared to 27.5 percent of all boys.

About a quarter of students reported being bullied, with the greatest prevalence occurring in middle school grades. Overall, 27.9 percent of students said they were bullied at school; 20.2 percent bullied outside school; and 18.2 percent bullied electronically.

Whereas the percentages of seniors reporting being bullied in the three categories were 18.1 percent, 13.9 percent, and 16.1 percent, respectively, the extent of bullying was much higher for 7th and 8th graders. The survey results said that 33.5 percent, 24.1 percent, and 17.7 percent of 7th graders reported bulling at school, outside school, and electronically, respectively.

The results showed little change in bullying behavior since the previous CLYDE survey two years earlier, when 27.7 percent, 20.8 percent, and 20.4 percent of students said they were bullied at school, outside school, and electronically, respectively.

The CLYDE survey recorded other behavior traits such as prevalence of alcohol and drug use. It found that 26.6 percent of 7-12 grade students had consumed alcoholic beverages, with the figure rising to 50.8 percent among 12th graders. The survey results said that 13.1 percent of students reported consuming alcohol in the previous 30 days; 29.5 percent of 12th graders reported usage during this period.

Just 12.7 percent of respondents said they had used marijuana, although the figure was almost triple that at 33.4 percent for high school seniors.

The survey said that 4.1 percent reported use of opiate pain relievers without a doctor’s orders. There was virtually no reporting of heroin, cocaine, methamphetamine, or hallucinogens use.

The survey showed that 8.8 percent of students had smoked a cigarette, but only 3.6 percent had done so in the past 30 days. Seniors’ lifetime use was 20 percent, with 9.1 percent saying they had smoked in the past month.

The figures were higher for vaping. Overall, 12.5 percent of students said they had smoked nicotine e-cigarettes, including 6.6 percent in the past 30 days. For 12th graders, it was 25.2 percent and 13.4 percent, respectively. The survey found that 10.5 percent of students had vaped using marijuana, 5.1 percent in the past month. For seniors, it was 25.3 percent and 11.8 percent, respectively.

The survey identified youth risk factors, including low commitment to school, family conflict, favorable attitudes toward antisocial behavior, and favorable parental attitudes toward drug use. Protective factors included social skills, opportunities and rewards for prosocial involvement, family attachment, and belief in the moral order.

DOWNLOAD Tompkins County CLYDE Survey 2025 Report

DOWNLOAD Tompkins County CLYDE 2025 Cross-Tabulation Report

According to survey developer Catalyst Insight, LLC, its surveys collect current data on youth substance use prevalence, developmental risk and protective factors, and other key community characteristics. It says that the results are intended to be used for community assessment, coalition and community capacity building, program planning, and evaluation purposes. The data gathered through CLYDE can be leveraged to change norms and practices that will improve overall community health over time, it says.

The CLYDE mental health findings compared favorably with the national Youth Risk Behavior Survey 2013-2023 issued by the U.S. Centers for Disease Control and Prevention. In the CDC survey of students in grades 9-12, 40 percent of American high schoolers reported “persistent feelings of sadness or hopelessness” in the previous 12 months.

The CLYDE survey did not include questions about sexual violence. The CDC survey found declines in sexual assault against teen girls. The survey found that in 2023, 13 percent of girls reported being forced to have sexual intercourse, compared to 14 percent in 2021.

If you or someone you know feels the need to speak with a mental health professional, you can call or text the 988 Suicide and Crisis Lifeline at 9-8-8, or contact the Crisis Text Line by texting HOME to 741-741.

Supporting Newcomers to Ithaca

The Sophie Fund’s 2025 “Cupcake Button” fundraising campaign collected $1,119.00 for the Ithaca Welcomes Refugees (IWR) organization. The campaign was spearheaded by several Cornell University student organizations: RISEUP Cornell; Cornell Circle K; Pre-Professional Association Towards Careers in Health (PATCH); Alpha Phi Omega Gamma Chapter, and Hotel Graduate Student Organization. Student leaders presented the donation check to IWR Executive Director Casey Verderosa at a luncheon at the Statler Hotel on February 20.

IWR Executive Director Casey Verderosa receives the “Cupcake Button” fundraising check

“RISEUP volunteered to support IWR because any help towards organizations that support refugees is crucial in this current political climate,” said Harmony Guan, RISEUP’s mental health committee lead.

“It is a great cause and a way to get the community together to collectively support and spread awareness,” she added. RISEUP stands for Realizing Integration, Support, and Education for Underserved Populations.

Click here to make a donation to Ithaca Welcomes Refugees

“We really appreciate everything that you all are doing,” Verderosa told the gathering. “Thank you for highlighting this issue and giving it attention. It’s really needed at this time.”

In the past 10 years, Verderosa said, IWR has aided more than 250 refugees from more than 15 countries. The organization helps them find housing and provides them with furniture collected in donation drives, linens and other housewares, and a two-week supply of basic groceries.

IWR operates “response projects” to assist refugees in their self-stated resettlement goals, most commonly finding jobs, enrolling children in school, taking English classes and driving lessons, and locating medical care.

IWR runs the Global Roots Play School to provide a nurturing environment for preschool age children while caregivers work, go to English classes, and perform other resettlement tasks.

IWR was established in December 2015 as an all-volunteer organization responding to the global displacement crisis in support of Catholic Charities of Tompkins/Tioga, a federally designated refugee resettlement agency. IWR then increased its operations in 2021 after Catholic Charities closed its resettlement effort due to reduced refugee flows during the first Trump administration and the Covid-19 pandemic.

IWR holds new volunteer orientation sessions two to three times per year for needs ranging from supporting home move-ins, organizing donations drives, driving and/or accompanying newcomers to appointments, childcare, and interpreting. Volunteers are also sought for helping with events, communications, and fundraising.

Volunteer with IWR: Fill out an online form here and be contacted about future orientation sessions.

Donate items to IWR: Contact IWR donations team at welcome.home@ithacawelcomesrefugees.org.

Cornell students supporting Ithaca Welcomes Refugees

Scott MacLeod, co-founder of The Sophie Fund, thanked Verderosa for IWR’s work and expressed appreciation for the student organizations’ efforts to support IWR’s mission.

“The federal government’s crackdown on immigration has created fear and anxiety even for people who are legally in the United States,” said MacLeod. “Ithaca Welcomes Refugees provides practical support to new arrivals, but just as important it sends them a message of solidarity and compassion. Acts of kindness large and small benefit the mental health of the greater community.”

The Sophie Fund organizes the Cupcake Button campaign and the related Annual Ithaca Cupcake Baking Contest each fall to promote mental health awareness and raise monies for local nonprofits supporting community mental health. Donors receive a Cupcake Button featuring the image of a cupcake created by Sophie Hack MacLeod, a Cornell art student who died by suicide in 2016 for whom The Sophie Fund is named.

Since 2017, the Cupcake Button campaigns have raised a total of $8,786.66 for nine local nonprofits supporting mental health: Suicide Prevention & Crisis Service of Tompkins County; Mental Health Association in Tompkins County; Advocacy Center of Tompkins County; the Village at Ithaca; The Learning Web; NAMI-Finger Lakes; Family & Children’s Service of Ithaca; Ithaca Free Clinic; and Ithaca Welcomes Refugees.

UPDATED Tompkins Mental Health Support Resources

The Mental Health Support and Crisis Services resource for Tompkins County has been updated for 2026.

The guide is a hyperlinked listing of essential local services for suicide prevention, psychotherapy, addiction recovery, sexual assault and domestic violence, and support groups. Click on the links for more detailed information about available services and programs.

The brief guide is compiled every year by The Sophie Fund in collaboration with Tompkins County Whole Health, Cayuga Health, Guthrie, and the Suicide Prevention & Crisis Service of Tompkins County.

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Click HERE for other mental health guides compiled by The Sophie Fund

For Tompkins Clinicians: Free Training in Suicide Care

The Sophie Fund is sponsoring free registration—and free continuing education credits (CEUs)—for healthcare professionals in Tompkins County to attend a two-day online training in suicide prevention featuring many leading experts.

The training program, “Suicide Safer Care in Clinical Practice,” takes place on the afternoons of Tuesday March 10 and Wednesday March 11.

It is organized by The Wellness Institute, which says attendees “will receive direct guidance from intervention developers, current updates into emerging suicide prevention challenges, and concrete steps to work with clients at risk with greater confidence, competence, and clarity.”

The training will cover primary treatments for suicidality such as Cognitive Behavior Therapy for Suicide Prevention (CBT-SP) and Dialectal Behavior Therapy (DBT) as well as brief interventions including Attempted Suicide Short Intervention Program (ASSIP) and Collaborative Assessment and Management of Suicidality (CAMS). The program includes a session devoted to treating suicidality in youth. (See full program, below.)

The training is also sponsored by the American Foundation for Suicide Prevention, The Jed Foundation, the Education Development Center, Zero Suicide Institute, Suicide Prevention Resource Center, EveryMind, SAVE, and CAMS-care.

Free registration with free continuing education credits for physicians, primary care clinicians, health and mental health clinicians, and clinical social workers serving Tompkins County is supported by a grant from The Sophie Fund.

To request a registration code for free registration, healthcare professionals can email The Sophie Fund at thesophiefund2016@gmail.com providing their 1) name, 2) email address, 3) degree level, and 4) place of employment (or name and address of practice, if self-employed).

Scott MacLeod, co-founder of The Sophie Fund, said his organization’s sponsorship of the Wellness Institute program for the fifth year in a row is intended to advance suicide prevention with local healthcare providers. Thus far, The Sophie Fund has provided the free training for 220 clinicians in Tompkins County, including the counseling center staffs of Cornell University and Ithaca College.

Zero Suicide is an emerging standard designed to save lives by closing gaps in the suicide care offered by healthcare providers. The model provides a practical framework for system-wide quality improvement in areas including training staff in current best practices, identifying at-risk individuals through comprehensive screening and assessment, engaging at-risk patients with effective care management, evidence-based treatments, and safe care transition.

Suicide is the second leading cause of death among Americans aged 10-14 and 25-34. Recently, Tompkins County has averaged 12 suicide deaths per year. Another 1,600 parents, children, siblings, friends, and spouses may be impacted by the resulting psychological, spiritual, and/or financial loss.

An estimated 300 people in Tompkins County may attempt suicide every year. While rates for other causes of death have remained steady or declined, the U.S. suicide rate increased 35.2% from 1999 to 2018.

Suicide Safer Care in Clinical Practice

TUESDAY, MARCH 10, 1-5 P.M. EST

Suicide Theories

Thomas Joiner, PhD; David Rudd, PhD

Primary Interventions: CT-SP vs. DBT

Kate Comtois, PhD, MPH; Kelly Green, PhD

Brief Interventions: ASSIP vs. BCBT vs. CAMS

Anja Gysin-Maillar, PhD; Craig Bryan, PsyD, ABPP; Raymond Tucker, PhD

Youth Interventions: ABFT vs. IPT-A vs. DBT-A

Guy Diamond, PhD; Alec Miller, PsyD; Anat Brunstein-Klomek, PhD’ Jonathan Singer, PhD, LCSW

WEDNESDAY, MARCH 11, 1-5 P.M. EST

Joining the Client in the Dark: Leaning into Empathy Rather than Fear

Stacey Freedenthal, PhD

The Silent Partner: Addressing Substance Use in Suicide Prevention

Arwen Podesta, MD

AI, Chatbots, and Apps: Implications in Clinical Care

John Torous, MD, MBI

Self Care is Not a Luxury: Techniques for Protecting Against Vicarious Trauma

Jeffrey Barnett, PhD

Trigger Warning: Re-framing Firearm Counseling from “Restriction” to “Safety”

Emmy Betz, MD, MPH

Crisis-Ready: Preparing a Suicide-Safe Practice

Jill Harkavy-Friedman, PhD

In Practice: Effective Solutions to Unique Situations (Bridging the Gap between Theory and Implementation)

Jill Harkavy-Friedman, PhD; Jennifer Hartstein, PsyD

Learning Objectives

  • Describe two research-based models for understanding suicide, identify motivations for suicide and their implications in clinical treatment.
  • Describe evidence-based interventions DBT and CBT-SP for suicide ideation and behaviors and how to apply each approach to clinical cases.
  • Describe evidence-based brief suicide interventions, ASSIP, CAMS, and BCBT and how to apply each approach to clinical cases.
  • Describe evidence-based suicide interventions for youth, ABFT, DBT, and IPT-A and how to apply each approach to clinical cases.
  • Differentiate client-centered care from defensive practice in treating individuals with suicide ideation and/or behavior.
  • Describe how mental health apps and AI-enabled chatbots are currently being used in clinical care. Review their evidence base, limitations, and risks related to safety, bias, and clinical validity.
  • Apply practical frameworks to assess digital tools and suggest ways to communicate the risks and benefits to patients.
  • Describe a screening process that detects substance use disorders and co-morbid risk for suicide.
  • Explain the importance of ongoing self-care to maintain clinical effectiveness when treating suicidal patients and outline an effective self-care plan.
  •  Describe how language impacts delivery of firearm suicide prevention messaging or counseling and three preferred terms relevant to firearm suicide prevention.
  • Identify suicide risk factors and warning signs and describe key steps for preparing one’s clinical practice to respond effectively to individuals expressing suicidal ideation.
  • Analyze complex cases and apply practical, evidence-informed strategies to effectively manage suicide ideation and behaviors in clinical practice