with your health in mind

Dr. Glenda Newell-Harris in white coat

Presence Matters More Than Perfection

A Black father pours milk while his daughter writes at the kitchen table, representing the importance of family presence in youth suicide prevention.
Image by freepik

Dear friends,

As September arrives, many parents are settling into a new rhythm. School calendars are full again. College campuses are buzzing. Expectations feel heavier than they did just a few weeks ago.

Alongside that shift is a harder reality we don’t talk about enough, but must address. September is Suicide Prevention Month. For many families, that phrase feels distant or uncomfortable. It shouldn’t.

Today’s young people are navigating a world far more complex than the one many of us grew up in. The conversations you have at the kitchen table often matter more than any report card. Your child needs to know, again and again, that their worth isn’t conditional.

Over the last decade, I’ve watched teenagers and young adults buckle under pressure that feels relentless. I think of a student staring at a screen late at night, refreshing a grade portal, heart racing, convinced that one number will determine their future. I think of a parent rehearsing a conversation in the car, trying to sound encouraging while quietly fearing what happens if their child falls behind. The pressure shows up everywhere. Young people feel pressure to achieve, pressure to perform, and pressure to meet standards that can feel fixed and unforgiving. For some of them, the fear of failing becomes so overwhelming that they begin to believe they are the failure.

I want to say this plainly and gently. And I say it as a physician, a mother, and a grandmother who has watched families carry regret they never expected. No grade, test score, college acceptance, or career trajectory is worth a young life.

I’ve sat with parents who were stunned by how quickly fear took over their child’s inner world. Not because those parents were cruel or absent, but because the pressure felt normal to them. They chose competitive schools and enrolled their children in advanced classes. They accepted constant evaluation as part of the path to success. Somewhere along the way, encouragement quietly shifts into expectation.

It often begins earlier than we realize. Some young people believe one setback will permanently define them. High school students panic over exams. Many college students feel unprepared to manage expectations without constant guidance, yet still feel ashamed to ask for help.

Most parents are doing the best they can with limited time, competing demands, and their own unfinished stories about success and worth. But even loving intentions can land as pressure. Intention doesn’t always match impact.

Some families live by an unspoken rule that failure is not an option, that mistakes are punishable rather than instructive, and that achievement is the clearest proof of love, sacrifice, and good parenting. Over time, that message can become unbearable for a young person who is still figuring out who they are.

And yet, life has a way of surprising us. Children unfold in their own time and in their own direction. Gifts emerge that no transcript could predict. A child who does not fit neatly into expected boxes may still grow into a grounded, purposeful adult.

Today’s young people are also navigating a world far more complex than the one many of us grew up in. Academic pressure now overlaps with constant comparison on social media. Identity questions around gender and belonging are more visible and more personal. Mental health struggles are discussed more openly, but support systems often lag behind the need.

For a teenager or young adult, this can simply feel like too much to hold at once.

Suicide is not a rare or distant concern. In the journal Pediatrics, the American Academy of Pediatrics identified suicide as the second leading cause of death for young people ages 10 to 24. That should give every parent pause and remind us that this is not about isolated families or rare circumstances. It’s a broader signal that many young people are carrying more than they can manage alone.

Even more concerning, national trend data show that suicide rates among Black youth ages 10 to 24 have risen more sharply in recent years than among several other racial and ethnic groups, highlighting disparities that deserve our attention.

What this means for you as a parent or caregiver is straightforward, even if it isn’t easy. Your presence matters more than perfection. The conversations you have at the kitchen table often matter more than any report card. Your child needs to know, again and again, that their worth isn’t conditional.

Here are a few ways to begin offering that support, without judgment or pressure.

  • Normalize struggle. Say out loud that setbacks happen. Let mistakes be teachers, not verdicts. When effort matters more than outcome, children breathe differently.

  • Notice shifts, not just results. Withdrawal, irritability, sleep changes, or sudden disengagement often signal overwhelm, not rebellion. Pay attention to patterns, not just performance.

  • Create space without fixing. When your child opens up, resist the urge to correct, compare, or reassure too quickly. Sometimes safety sounds like, “I hear you,” or “That sounds heavy.”

  • Keep love separate from achievement. Be explicit. Say, “Nothing you do or fail to do will make me love you less.” Young people need to hear this more than once.

  • Watch your own pressure. Ambition can quietly turn into fear. When you feel urgency rising, pause. Ask whether the message you are sending is about growth, or about your own anxiety.

This month is not about blame. It’s about prevention, connection, and repair. It’s about recognizing that many young people don’t need pressure lifted all at once. They need it softened. They need room to breathe, to stumble, and to recover.

When a child feels seen beyond their performance, something important shifts. Fear loosens its grip, conversation opens, and hope has space to return.

If you’re a parent reading this and wondering whether you’ve already missed something, let me reassure you. It’s not too late to listen differently or say, “I’m here,” and mean it.

Prevention often looks quiet. It looks like steady presence and intentional repair.

If you’re worried about your child, speak with your pediatrician, family physician, or a licensed mental health professional. Early conversations matter. Reaching out for support is not a failure of parenting. It is an act of care.

You don’t have to navigate this alone.

With your health in mind,

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