海角大神

When a juvenile court judge in Massachusetts on Friday found Michelle Carter guilty of involuntary manslaughter 鈥� a crime that included encouraging her boyfriend to take his own life, even as he began to have second thoughts 鈥� the judge zeroed in on a particular moment of hope, a moment that might have changed the tragic outcome.

Ms. Carter鈥檚 boyfriend, Conrad Roy III, had found an instinct to live at a critical moment, interrupting the suicide attempt he and Carter had been discussing for days. Though suffering from a clinical depression, Mr. Roy stopped his attempt short. His girlfriend Carter, however, urged him to continue with the plan, and then did not tell anyone after he did. 聽

It was a case that unveiled the troubled lives of two teenagers who, though they lived far from each other, engaged in a of texts and online messages. Both teens were suffering from depression and mutual despair, and their emotional tumult became the center of the case.

Legal experts the basis of the verdict of Judge Lawrence Moniz of Bristol County Juvenile Court, many pointing out the legal problems that could arise when words are deemed a criminal cause of suicide. However, those working to address the issue of suicide also point to Roy鈥檚 instinct to live at that critical moment.

Indeed, the case highlights an aspect of suicidal thinking that deserves more understanding, many experts say: Namely, that there is often ambivalence involved 鈥� a mixture of a desire to live and a desire to die, says Maureen Underwood, a clinical social worker involved with .

It鈥檚 as if these people are 鈥渙n a teeter totter,鈥� and when they reach out, they need to be connected with someone who 鈥渓ends hope to the hopeless,鈥� Ms. Underwood says. Hotline workers or therapists give messages like, 鈥淚 think there鈥檚 something we can do,鈥� helping those contemplating suicide to feel less isolated or stuck.

In this case, Roy had reached out to his parents and had received help. He had also expressed some hope about plans for college.

鈥淲here there is life there is always hope,鈥� says Jennifer Powell-Lunder, a clinical psychologist who works with teens in Westchester County in New York.聽

For teens who are thinking about this case, Ms. Powell-Lunder hopes one takeaway will be, when you have a friend considering suicide, 鈥測ou cannot handle this on your own.... So many teens with good hearts think they can coach their friends through something like this鈥� because they are egocentric and have the 鈥渋llusion of invulnerability鈥� at this stage of development, she says

In that pivotal moment, 鈥淸Carter] could have gotten him help,鈥� she continues. 鈥淐an we say he would have accepted that? We鈥檒l never know.鈥�

Carter, who was 17 at the time, had indeed been urging Roy to seek treatment for his depression. Then, weeks before he took his life, as Carter herself was taking a new antidepressant medication, her encouragement abruptly changed course, and she repeatedly with the suicide in her texts and online messages.

But it wasn鈥檛 the texting, said Judge Moniz. It was the phone call at the moment Roy was having second thoughts that constituted the 鈥渨anton and reckless conduct鈥� that helped cause his death.

As a public health issue, suicide remains one of the world鈥檚 greatest public health issues, experts say. In the United States, there were more than 41,000 deaths from suicide in 2013, compared with 15,800 total homicides and 35,200 traffic fatalities,

鈥淵et for every depressing thing, we have a hopeful counterpart,鈥� says Kelly Posner Gerstenhaber, founder and principal investigator at the 聽at Columbia University-New York State Psychiatric Institute, noting that, with the right intervention, suicide is the most preventable public health threat.

鈥淩eally, there is the simplicity of the power of asking, and its potency,鈥� says Dr. Posner, who has created a widely used , working with , states like Utah, and even gun rights groups, since more than 60 percent of all gun deaths are suicides, Her assessment questionnaire has won for lowering suicides.

Some experts have pointed to the role texting and online messaging played in the relationship, finding that the case fits into a pattern of growing concern about how constantly-connected young people have lost touch with a deeper, truer intimacy.

鈥淚f you鈥檙e active on seven or more media apps, you鈥檙e more likely to be clinically depressed than people who [are not]鈥� notes Dr. John Huber, who heads , a nonprofit in Austin, Texas, citing . Anecdotally, he sees in his own practice younger Millennials who are 鈥渓osing that connection, being on social media, between them and the real human beings standing next to them.鈥� He says he doubts Carter would have encouraged Roy to follow through with his suicide in a face-to-face conversation. 聽

But preventing suicides mostly depends on pro-active efforts to identify those suffering and offer treatment, Posner says.

鈥淪o we should be asking these questions the same way we monitor for blood pressure,鈥� Posner says. 鈥淚dentification has to be the first key to prevention. We have to find the people suffering in silence to get them the help that they need.鈥�

If you are in crisis please call the National Suicide Prevention Lifeline at 1-800-273-Talk (8255) or text TALK to 741-741.