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If you or someone you know is contemplating suicide, call 1-800-273-TALK (1-800-273-8255).

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Sometimes teens feel so depressed that they consider ending their lives. Each year, almost 5,000 young people, ages 15 to 24, kill themselves. The rate of suicide for this age group has nearly tripled since 1960, making it the third leading cause of death in adolescents and the second leading cause of death among college-age youth.

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>Psychotherapy provides teens an opportunity to explore events and feelings that are painful or troubling to them. Psychotherapy also teaches them coping skills.

>Cognitive-behavioral therapy helps teens change negative patterns of thinking and behaving.

>Interpersonal therapy focuses on how to develop healthier relationships at home and at school.

>Medication relieves some symptoms of depression and is often prescribed along with therapy.

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>Poor performance in school

>Withdrawal from friends and activities

>Sadness and hopelessness

>Lack of enthusiasm, energy or motivation

>Anger and rage

>Overreaction to criticism

>Feelings of being unable to satisfy ideals

>Poor self-esteem or guilt

>Indecision, lack of concentration or forgetfulness

Restlessness and agitation

>Changes in eating or sleeping patterns

>Substance abuse

>Problems with authority

>Suicidal thoughts or actions

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Is a serious mental health problem, that causes a persistent feeling of sadness and loss of interest in activities. It affects how the teenager thinks, feels, and behaves, it can cause emotional, functional, and physical problems.

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Unrealistic academic, social, or family expectations can create a strong sense of rejection and can lead to deep disappointment. When things go wrong at school or at home, teens often overreact. Many young people feel that life is not fair or that things "never go their way." They feel "stressed out" and confused.