While it is shocking that suicide is now the leading cause of death among young Americans, and the rates are rising among young women faster than among young men, the important question of course, is ‘what is driving our youth to suicide?’  And following that, ‘what can we do about it?’

As is customary, answers are hard to find. Theories are more abundant. Some have looked at the role of social media exposure, particularly with the use of smartphones. Some evidence suggests that girls who have had a faster rise in depression rates are experiencing more cyber bullying.  Some suggest this is because they use smart phones more than boys and text more than boys. The social connections so created are generally believed by mental health professionals to be more problematic than traditional forms of communication.

Drugs and alcohol are another popular culprit proposed by theorists. But there was no significant increase in the their use by young people during the time that rates of depression and suicide rose.

Some theorists have suggested the black box warnings the American Food and Drug Administration imposed in 2004 on things like anti-depressants have been counter-productive. That warning suggested to young people that the drugs could trigger suicidal thoughts, thus of course discouraging their use, even when they would have been helpful. According to Richard Friedman, a psychiatrist writing in the New York Times, “Within two years of the F.D.A. advisory, antidepressant use dropped by 31 percent in teens and 24 percent in young adults. Although antidepressant use recovered somewhat after 2008, it has remained below levels that would have been expected based on prescribing patterns before the warnings appeared.”

Friedman claimed that we need not wait until we know all the causes. We known enough, he said, that we know various psychotherapies and medications can be helpful. That might be true.  I am more concerned that we need to look deeper into the causes of this mental health crisis among our youth. But ultimately I agree most with the following statement and question he made: “Every day, 16 young people die from suicide. What are we waiting for?”

I think our failure to look seriously at this problem is itself a sign of serious civilizational decline. If we can’t look seriously and thoughtfully at such a problem at which problems can we look seriously?