As our knowledge of the change and turmoil of adolescence grows, so the number of issues on which psychotherapeutic techniques can shed light increases: this monograph focuses on one of the most urgent. It provides not only practical insights into dealing with suicidal or potentially suicidal adolescents - with an emphasis on prevention of the problem as early as possible - but also a model of the way in which adolescents may find themselves becoming suicidal. Suicide attempts are rare in childhood; they are generally triggered after puberty by the adolescent's reaction to changes in his newly sexually mature body. It is the body that is perceived as the enemy, and sometimes the death of the body seems the only recourse. The adolescent who actually attempts to kill himself no longer doubts his actions or his solutions on his mental creations. At the time of his decision to kill himself, he is taken over by his need for peace more than by the fact of his own death.

PART ONE Work with adolescence at Risk, CHAPTER ONE Psychological development In adolescence: "danger signs" CHAPTER TWO Depression and self-hatred CHAPTER THREE Depression and guilt CHAPTER FOUR A suicidal girl from a loving home CHAPTER FIVE Loss of the sense of reality about death CHAPTER SIX "Don't help me!" -the suicidal adolescent PART Two proceeding of a Conference on A Suicidal Adolescent, Understanding suicide: does it have a special meaning in adolescence? Discussion CHAPTER EIGHT The suicidal adolescent: experiences of a general practitioner CHAPTER NINE About "not noticing" the suicidal adolescent A research study into attempted suicide in adolescence, Discussion CHAPTER ELEVEN Can we prevent suicide In adolescence?