For Parents and Schools: 13 Reasons Why, Season 2

Netflix launched Season 2 of its smash hit series 13 Reasons Why on May 18. With the “gravity” of issues featured in the series that debuted in 2017—suicide, bullying, sexual assault, substance abuse, and school shootings—a coalition of mental health organizations issued a statement of concern to parents, educators, and professionals “in an effort to help reduce the risk of a tragedy.”

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Suicide Voices of Education (SAVE), which issued the statement, also announced the launch of a website containing information, resources, and toolkits for youth/peers, parents, educators and clinicians/professionals to address the specific topics raised in the episodes. Click here to access the website.

Netflix itself, following the intense criticism it received from mental health experts after the launch of Season 1 in March 2017, has created a website including a warning video, discussion guide, and other resources. The page includes the warning: “This show is rated MA for mature audiences, it covers many issues including depression, sexual assault and suicide. If you are struggling, this series may not be right for you or you may want to watch it with a trusted adult.” Click here to access the Netflix 13 Reasons Why information website.

The Sophie Fund created a web page with links to information and resources about 13 Reasons Why. The page contains expert studies and commentaries discussing how the series creates risks for suicide ideation and contagion among young people by romanticizing suicide, downplaying the reality of mental health struggles, and undermining the roles of parents and school counselors in supporting young people in distress. Click here to access The Sophie Fund web page for 13 Reasons Why resources.

Here are the recommendations released by the coalition of mental health organizations in its statement of concern:

1. For vulnerable and at-risk youth (for example those living with depression or an anxiety disorder) we encourage families to make a thoughtful decision about whether or not to watch 13 Reasons Why because of the triggering impact it might have on them. We recommend using the show’s TV rating as a source of guidance about the intensity of the content. Some of the story lines could be quite upsetting and result in them needing additional monitoring, support and/or treatment.

2. If your teens do watch the series, make an effort to watch with them. This will allow you the opportunity to monitor the impact the show has on your child. It also affords you the chance to talk after each episode and ensure that they are comfortable enough to continue watching.

3. If you are not able to watch together, talk with your teens about their thoughts, reactions and their feelings about the content. Check in with them multiple times as it can take a few days to process the content and they will likely continue to talk about the show with their peers. Let them know that they can come to you with questions or worries about themselves or their friends and that you will be there to listen and help guide them.

4. Reassure youth that fiction and reality are not the same thing. Even though some might believe that what they have seen on television is or feels like reality, it is critical that you help them understand it is not and that the outcomes from the series do not have to be their outcomes.

5. Learn what resources are available in your local community where you can find help if needed. These might include: a local public health agency, a mental health professional, the counselors in your child’s school, or a crisis phone service in your area. Knowing who you can reach out to for support is a good prevention strategy.

The release of 13 Reasons Why Season 2 coincided with another deadly school shooting on May 18, this time in Sante Fe, Texas, where 10 people—eight students and two teachers—were killed by a 17-year-old student who reportedly confessed to the violent rampage. (Early reports indicated that the suspect had been bullied in school and was suicidal.)

The Jed Foundation, a national mental health and suicide prevention organization, added this statement to its concerns about 13 Reasons Why Season 2:

In light of the gun violence depicted in 13 Reasons Why and the devastating school shootings on Friday, we want to remind you how to be safe if you are involved in an active shooting, urge media to follow guidelines for safe reporting on these incidents, and provide tips for discussing and coping with these terrible events.
What to do if you find yourself in an active shooting:
—RUN and escape, if possible. Call 911 once you’re in a safe place.

—HIDE, if escape is not possible. Once you feel safe, try to reach out for help silently (i.e. text, social media, email, put a sign up in the window).

—FIGHT as an absolute last resort. The first response is never to confront an active shooter.

 

Cornell Says “No” to Independent Review of Mental Health Policies

Cornell University President Martha E. Pollack this week rejected a request to establish an independent task force to review the mental health challenges facing Cornell students as well as the university’s policies, programs, and practices to address them.

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Cornell University President Martha E. Pollack

The request was made 10 months ago by Scott MacLeod and Susan Hack, the parents of Sophie Hack MacLeod (’14), a Cornell fine arts student in the School of Architecture, Art, and Planning who died by suicide in Ithaca at age 23 on March 26, 2016 while on a health leave of absence taken in her senior year.

The request was originally sent in a letter to Interim President Hunter R. Rawlings III and then forwarded to Pollack after she took up her post as Cornell’s 14th president in April 2017. The letter was also cc’d to Cornell Board of Trustees Chairman Robert S. Harrison.

In the detailed 13-page letter dated March 27, 2017, MacLeod and Hack said that in their experience as the parents of a Cornell student who took her own life they observed “systemic failure” in Cornell’s mental health policy and practice affecting areas such as suicide prevention, mental health counseling, and sexual violence.

This, they wrote, included a failure to “fully and openly recognize the magnitude of the mental health challenges facing Cornell, and to address them with best practices backed by human and financial resources commensurate to the scale.”

MacLeod and Hack said they observed “an institutional mindset reflecting complacency and defensiveness that appears to prioritize Cornell’s public image over the welfare of students struggling with mental disorders.”

Describing the mental health crisis confronting today’s college students, MacLeod and Hack cited several studies including the 2016 annual report of the Center for Collegiate Mental Health. The report said that collected data from 139 college counseling centers showed that 33.2 percent of 150,483 college students seeking counseling in the 2015-16 academic year had “seriously considered attempting suicide.” That was a marked increase from 23.8 percent in the 2010-11 academic year. The data also showed that 9.3 percent of the students seeking counseling had reported actually making a suicide attempt.

The letter went on:

“In a constructive spirit, we call on you to establish an independent, external-led task force on student mental health without delay to review and assess the mental health challenges for Cornell students and the university’s policies, programs, and practices to address them; and to make recommendations to the Cornell President to ensure that the university is adopting and implementing current best practices.”

In her initial response on May 3, 2017, Pollack did not address the request for an independent review but thanked MacLeod and Hack for “voicing your broader concerns about Cornell’s policies and programs regarding student mental health.” She added, “We strive to always be open to how we can do better.”

In an email on January 11, Pollack turned down the request for a task force. She also declined a November 28 follow up request from MacLeod and Hack for a meeting to discuss the request for an independent review with the Cornell president in person.

Pollack’s email said in part:

“Please know that we share your commitment to ensuring that we provide the best support possible for our students. …

“We have been thoroughly reviewing our operating standards and capacity at Cornell Health this fall, including institutional and board-level conversations about the operational and strategic direction of the center. On a related note, we reviewed our most recent external assessment provided by the JED Foundation along with their subsequent visit to our campus this past summer. We will continue ongoing engagement with the foundation to ensure we are providing holistic support.

“While I acknowledge your request that we establish an additional independent review of the Cornell Health operation, it is not our intent to do so. We appreciate your support and look forward to our continued collaboration in the future.”

MacLeod and Hack established The Sophie Fund in their daughter’s memory in 2016 to advocate for mental health initiatives aiding young people in Ithaca and Tompkins County.

Commenting on Pollack’s decisions, MacLeod and Hack said in a statement:

“We have done our best to responsibly bring our concerns to the attention of the university’s senior leadership. President Pollack’s decisions don’t improve our confidence that Cornell has grasped the magnitude of its mental health challenges or fully stepped up to meet them. We hope the internal review she speaks of will be comprehensive and not limited to Cornell Health, and that its findings will be transparently released to the Cornell and Ithaca communities.”

According to Cornell’s website, it ranks 14th among the world’s universities in the 2018 QS World University Rankings, with an enrollment of about 22,000 students.

Starting the Conversation

Talk to each other… it may save a life…

“Starting the Conversation” is an excellent new guide helping students (and parents) to learn about mental health conditions and signs that need serious attention—and how to talk about them. One in five students will experience a mental health condition in college.

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The guide explains why it is so important to have conversations and create awareness—including among students and their parents.

“Conversations allow you to plan for the unexpected; to know what to do if you develop emotional distress, a mental health condition or if an existing condition worsens. Talking about mental health is important even if you don’t experience a mental health condition because a friend may need help. Students often prefer to confide in a friend before confiding in anyone else—or you may notice that a peer is struggling and you may be able to assist. By learning more, you’ll be better equipped to know what to do if you or a friend is in distress.”

Click here to download “Starting the Conversation.” It was released yesterday for the start of National Suicide Prevention Awareness Month 2016 by the National Alliance on Mental Health (NAMI) and The Jed Foundation.

Here’s a sample:

STRESSORS THAT MAY AFFECT MENTAL HEALTH

Relationship breakups

Academic pressures

Poor grades

Financial stress

Social status pressures

Feeling alone or homesick

Feeling marginalized, misunderstood or like you don’t fit in

Concern or worry about your family members at home

Loss of day-to-day family or community support

Drug and alcohol use

Inadequate sleep

Feeling overwhelmed

Grief

Gender and sexuality questioning

Friendship challenges

Sports team losses

Unmet expectations

Read TIME magazine’s report this week on the “Starting the Conversation” guide.

Active Minds is a student organization with branches on college campuses throughout the USA and Canada devoted to “changing the conversation about mental health.” Active Minds is promoting awareness activities this month: click here to read their guide for getting involved.

For parents, a good video to watch is Not My Kid: What Every Parent Should Know. The video was produced by the Society for the Prevention of Teen Suicide.

“Overwhelming anxiety” On Campus

The online publication Inside Higher Ed has a story about students demanding better access to mental health services. In response, colleges and universities are creating 24-hour hotlines and embedding counselors in residence halls.

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At Pennsylvania State University, where demand for counseling increased 32 percent in the past five years, students took matters into their own hands. The Class of 2016 raised about $400,000 to create an endowment for the university’s Center for Counseling and Psychological Services.

Read the full story here.

IHE‘s snapshot of the challenges:

The mental and emotional health of students has been of increasing concern to colleges in recent years, even as many institutions struggle to find the resources to better address those concerns. More than half of college students say they have experienced “overwhelming anxiety” in the last year, according to the American College Health Association, and 32 percent say they have felt so depressed “that it was difficult to function.”

Nearly 10 percent incoming freshmen who responded to last year’s American Freshman survey reported that they “frequently felt depressed.” It was the highest percentage of students reporting feeling that level of depression since 1988, and 3.4 percentage points higher than in 2009, when the survey found the rate of frequently depressed freshmen to be at its lowest.

The story notes the work of The Jed Foundation, which created a national project called  the Campus Program to help colleges and universities promote emotional and mental well-being. More than one hundred are participating, including Cornell University and SUNY Cortland.