It must be so difficult to see your daughter suffering like this. My heart goes out to the two of you, and I hope that we can devise a plan together to get her the support she needs.
First, it is VERY important that you take your daughter's suicidal ideation very seriously. Whenever a child, teen, or adult speaks of suicide, we know that they are struggling to cope with the stressors they are facing, and we must listen. Therefore, I recommend that you do not delay in your efforts to understand and support your daughter.
Sit down with your daughter and explain that you understand it may be difficult for her to speak with you, but the time has come for her to get some help. Let her know that you understand things are difficult for her, but it does not have to be so hard. She can experience more happiness and joy in her life, and you plan to help. Provide her with the alternatives for help and ask her which she would prefer. Suggest that the two of you speak with the school counselor to discuss resources in the community (e.g., therapists, psychiatrists). If she would prefer to go directly to the community, talk with friends for referrals. Explain that you are looking for someone with expertise in teen issues, preferably self-injurious behavior. If you are limited financially, there are community mental health programs in most cities that offer sliding-fee scales (pay only what you can afford). Similarly, nearby universities often have training programs for therapists, and they may have a university counseling clinic for folks who are seeking therapeutic support at lower fees (typically pay only what you can). If you and your family prefer to speak with a spiritual leader in the community, you can also pursue that avenue.
It is important that you know that your daughter sounds sad and hopeless. She may, or may not, meet the criteria for depression, but she definitely needs help with her mood symptoms. Once she is feeling better, she can begin to work on more adaptive coping strategies. Individuals who cut themselves are typically overwhelmed by intense feelings, but they do not have a good way to manage them (e.g., talking with a friend, going for a walk or jog, hitting a pillow). Cutting helps to focus their feelings on a tangible injury, provides relief and can quickly become "addicting" as a way to cope with tough feelings. She needs to learn alternatives to dealing with the stresses of life. I included a couple of links to articles on the topic below.
Good luck in your efforts to find her support. Let us know if you have any additional questions.
L. Compian, Ph.D.
Counseling Psychologist
Education.com
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