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Teen attempted suicide pictures Joanna Quigley, M. This paper analyzes teen suicide attempts during the 1990s. • In Massachusetts, most suicide victims are 18-24. 8. , has developed Attachment Based Family Therapy (ABFT) for suicidal teens to help families reconnect and better manage communication and problem solving. D. But even a single death is one too many. Jane Pearson, a mental health expert at NIH. A Few Risk Factors for Suicide: A previous attempt Family history of suicide Loss of job, home, money Death or terminal illness of a loved one Divorce or loss of major, significant relationship See page 13 for more risk factors A Few Warning Signs for Suicide: Talking about suicide Statements such as, "Soon you won't have to worry about me" This site, a project of the National Suicide Prevention Lifeline, contains personal accounts of people who have seriously considered suicide or attempted suicide. New Zealand’s youth suicide rate for adolescents aged 15-19 years was reported to be the highest of 41 OECD/EU countries (based on data from 2010). Jun 22, 2022 · All teens are at risk, but the last decade has seen a significant increase in among female students having attempted suicide (from 8. Or it might be that no one knows you tried to take your life. ” “What I found,” she shares on her website, “was people who had lost someone they loved, not people like From 2011 through 2019, the suicide rate was higher than the homicide rate, but homicide rates surpassed suicide rates again in 2020. 1. 2 million seriously thought about suicide. Suicide affects people of all ages. Learn about behaviors that may be a sign that someone is thinking about suicide. The Trevor Project is a national organization that provides crisis intervention and suicide prevention services to LGBTQ youth. Have someone else call if you're not alone. Her suicide attempt occurred after abusing drugs in her 20s. When talking with young people, avoid detailed descriptions of the person’s situation and the method of suicide, and emphasize that help is available. gov/xVCyZ #shareNIMH Dec 12, 2019 · A review of the suicide attempt by the New York City Department of Investigation has expanded to include two paramedics who were with Mr. Jul 8, 2022 · Suicide prevention charity Campaign Against Living Miserably (CALM) reveals that 61% of people would struggle to tell if someone they knew felt suicidal, according to its own research. Data show that some communities experience higher rates of suicide than others. May 30, 2024 · Before his attempted suicide, however, Clark posted the photos of the murder online — and they quickly went viral. Feliciano attempted suicide, one May 5, 2023 · If you suspect that your teen might be thinking about suicide, talk to your teen right away. Therapeutic interventions for suicide attempts and self-harm in adolescents: systematic review and meta-analysis. If you've attempted suicide and you're injured: Call 911 or your local emergency number. Instead, reassure your child of your love. Aug 3, 2015 · Actress Sally Kirkland’s suicide attempt was the closest call out of all of them. Almost 9% of the young adolescents reported being a target of cyberbullying. ) More than half of LGBQ+ teens who took the survey reported they had recently experienced poor mental health in the previous 30 days, and 22% said they had attempted suicide in the past year. In 2022, suicide was among the top 9 leading causes of death for people ages 10-64. com Oct 8, 2024 · Introduction. For 11-16 year olds, this represents a greater than eightfold risk compared to those without a mental health problem (25. aintain “suicide safe” facilities. In the aftermath, Bianca Devins’ family was tortured with the images of her body that spread on social media, and Clark was celebrated online by the “incel” community for killing a woman who had rejected him. Supporters say a ruling in his favor could impact LGBT teens beyond which bathroom they use. The US Centers for Disease Control and Prevention Browse 2,000+ teen suicide stock photos and images available, or search for teen suicide prevention or asian teen suicide to find more great stock photos and pictures. Use the words “died by suicide”, “took their life”, or “attempted to end their life” rather than “committed suicide” (which has criminal overtones). She was even pronounced dead at the time of her attempted suicide. Aug 20, 2020 · Abstract. Dec 4, 2024 · A student took photos of a 12-year-old South Carolina girl who was in a hospital ICU after she attempted suicide following months of being bullied at school, a lawsuit filed by the girl’s Sep 26, 2022 · A meta-analysis of 100 studies indicated that, in the first three months after discharge from the hospital, the suicide rate was about 100 times the global rate. Subscribe to FOX 26 Houston: https://www. 2% of young people had attempted suicide, and the rate for females (7. 3% were injured in a suicide attempt. Knowing the warning signs for suicide and how to get help can help save lives. The family of a South Carolina girl who suffered permanent injuries after a suicide attempt brought on by persistent bullying has sued the girl's school district for negligence. desperate abused woman showing her hands. Don't be afraid to use the word "suicide. 5 days ago · Once the child who attempted suicide learns how to deal with his or her hopelessness and depression, and the parents begin to deal with their own anxieties and guilty or angry feelings, then they may be ready for family therapy. Link to the original article on the metroparent. 2 million adults seriously thought about suicide, 3. Still, that's down from 42% two years ago, a small but significant change. Suicide attempts are significantly more common than completed suicides. But the risk of suicide should be on the radar of anyone who interacts with teens, says Dr. 0%), and incidences of attempted suicide were nearly four times higher LGBTQ students (23. 6 percent of high school students had attempted suicide in the 12 months preceding a 2015 Center for Disease Control Youth Risk Behavior Survey. Mental health issues and suicidality affect children across the board, but subsets of students have very different experiences, with some faring worse, according to the CDC report. You may be exhausted. Feb 13, 2023 · CDC sees alarming rise in violence, sadness in teen girls 05:40. NHS England said reducing suicide rates was an "NHS priority". In 2016 alone there were close to 45,000 deaths from suicide, roughly one death every 12 minutes. Dec 5, 2024 · For years now, BOSSIP has been telling you that “people ain’t s**t” and if you somehow still need a reminder of this unassailable fact, here you go. Personal connections to suicide or trauma can greatly increase someone’s risk of suicide. Kirkland thinks it is a miracle she is alive today. 6. Aug 31, 2023 · Suicide is a significant concern in the U. In an emergency room, the individual would be checked for underlying health concerns and physical concerns that may be related to suicidal behaviors. • In the United States, 91% of youth who die by suicide are 15-24, though very young children and pre- teens also experience suicidality and their numbers are on the rise. 15 A family history of suicidal behavior, exposure to physical and sexual abuse, preoccupation with death, and prior suicide attempts are additional factors to consider. One study found marriage Some Suicide Statistics While the teen suicide rate has declined by over 25 percent since the early 1990s, suicide is the third leading cause of death among young people ages 15 to 24. “My hope for her is that her articulation improves, and Sep 9, 2024 · Your child might be at risk of a suicide attempt if they: have previously attempted suicide or know someone who has suicided; have or have had mental health problems or eating disorders or have been recently discharged from a psychiatric hospital or service; have a family history of suicide, mental health problems or substance misuse Jan 21, 2012 · Three hours later, I had learned so much about Andy. 4%). Avoid using terms such as “committing suicide,” “successful suicide,” or “failed suicide” when referring to suicide and suicide attempts, as these terms often carry negative meanings. To Browse 2,997 youth suicide photos and images available, or search for youth suicide prevention to find more great photos and pictures. It's critical to not be dismissive about possible suicidal feelings and open up a dialogue with the teen about suicide. In 2020 alone, the CDC reported that nearly 20% of high school students had considered suicide, and more than 9% had made an attempt. Overall, however, teen girls were more likely than teen boys to report attempting, planning or considering suicide. Dec 26, 2018 · Ougrin D, Tranah T, Stahl D, et al. This report summarizes data regarding suicidal ideation (i. e. connectedness and resiliency. Nov 14, 2018 · Earlier that evening Cam, who'd battled depression since his teen years, had attempted suicide by shooting himself in the face. Be very observant of any friends who have tried suicide before (especially those who have recently attempted suicide). 5% compared to 3. In 2019, for example, the CDC reported that in the U. Suicide is complicated and tragic, but it is often preventable. May 17, 2023 · Bender, like so many pediatric and mental-health workers, finds himself on the front lines of a crisis of despair among adolescents, one that affects numerous parts of the medical system. Feb 6, 2021 · “Covid’s not just killing people by the disease. Troubled teenagers who make suicide attempts are signaling that they feel overwhelmed with life and the stresses that come with it. 8 million made a plan for suicide. Each year, thousands of young people die by suicide. 13% of highschool girls have atleast 1 suicide attempt ; 30% of highschoolers have seriously considered attempting suicide ; 20% of teens in the LGBTQIA+ community have attempted suicide ; 45% of LGBTQIA+ teens have seriously considered suicide Oct 25, 2021 · First suicide attempt averaged around 24 years of age with average prior number of 2. portrait of woman with bruises on arms, feeling hopeless, having problems with harassment in work. , seriously considered suicide) and behaviors (i. Have a diagnosable mental health problem. Feb 21, 2020 · Simon Rose, who has attempted suicide many times, told BBC News it once took 18 months to receive aftercare. You may be angry. Martinez when Mr. In Culpeper, almost 10 percent had attempted suicide at least once, a rate somewhat higher than the national result. The National Suicide Prevention Lifeline phone number is 988. A suicide attempt is when people harm themselves with the goal of ending their life, but they do not die. usa. Suicide deaths have been rising in recent years. If marriage or family problems contributed to a suicide attempt, avoid details that would put your child in the middle, between parents or other family members. Suicide is now the second leading cause of death for teens and young adults in the United States. Less Searching, More Finding With Getty Images. Visits How can I help prevent my teen from attempting suicide? Learning the warning signs of teen suicide can prevent an attempt. While all the above are driving factors of teen suicide, often the underlying issue is one of mental illness. Sep 11, 2018 · In addition to high rates of suicide attempts among female-to-male transgender respondents, 41. The 17-year-old suspect, who has Oct 13, 2020 · Risk Factors and Warning Signs. You have seriously thought about or perhaps attempted to end your life. Thoughtful treatment is necessary. M. Suicidal thoughts can also occur when life circumstances have been difficult and stressful, such as after a major loss – like a relationship breakup or a death of a loved one – unemployment and financial stress, or when someone is feeling isolated and alone. Suicidal thoughts can happen as part of a metal health condition, like depression, personality disorder or other mood difficulties. In an effort to better measure the full impact of this significant public health issue, many jurisdictions require mandatory reporting of both suicides and attempted suicides. ER doctors might admit a child to the hospital for medical care, or to a psychiatric hospital or program—if there’s one nearby—where the child can be monitored and receive mental health counseling and medication. Mar 14, 2025 · A new lawsuit alleges a young girl is bullied to the brink of death and even taunted during her recovery. 8 million planned a suicide attempt, and 1. Feb 10, 2025 · We analyzed national data from over 44,000 U. Another study found that 90 percent of teens who have made a suicide attempt also report self-harming . Today Today may feel like the hardest day of your life. risk assessment protocols. Huey SJ Jr, Henggeler SW, Rowland MD, et al. And all the attempts, anguish, and . Disseminate data to assist agencies and organizations implement. 4 million suicide attempt - guy cutting veins - suicide attempt stock pictures, royalty-free photos & images Suicide attempt - Guy cutting veins October 23 Edward Azadeh says PTSD, combined with the racial discrimination he faced at Toronto Fire, and the harassment he suffered while working Support suicide prevention programs and trainings promoting. Child mental health unit Nov 13, 2024 · Some other distressing statistics on the rates of teen suicide as according to the CDC include: I’m. Culture also plays a role in who attempts and completes suicides. ' We went into the Oct 31, 2024 · According to one study, up to 70 percent of teens who self-harm have attempted suicide at another time, and 55 percent have made multiple suicide attempts. A 40-year study by the American Foundation for Suicide Prevention revealed that approximately 100,000 teens ages 15–19 died by suicide between 1975 and 2015. Abuse alcohol. Call 911 if your teen is in imminent danger due to a suicide threat or attempt. QUESTION: How can families offer support to teens who have attempted suicide? STUDY The rise in teen suicide rates by year indicates that this is not a localized issue but a growing national epidemic. Suicide is the second leading cause of death for 10-to-14 year-olds. Her last card read: “I have nobody. Although clinicians should be up-front with parents about the fact that depression and suicidal ideation aren’t quick-fix problems, that type of candor doesn’t If youth suicide is an epidemic, then attempted suicide is more so. 4%) than their heterosexual peers (6. Experts don’t know why this rate has been rising. and was the 11th leading cause of death for people ages 10 and over in 2021, according to the Centers for Disease Control and Prevention. A common experience after surviving a suicide attempt is extreme fatigue. high school students who took the Youth Risk Behavior Survey in 2015, 2017, 2019 and 2021. "The doctor said, 'Your son's face is dust. Results were published on June 27, 2022, in JAMA Network Open. Mar 10, 2022 · For example, a teen can help set up a scale of distress that they can quickly refer to. Suicide and homicide death rates among people aged 15–19: United States, 2001–2021 Dec 6, 2018 · Suicide is the 10th leading cause of death in the U. This helpline offers 24/7 and confidential support at no cost. Thousands of new, high-quality pictures added every day. In 2021, 10% of female students attempted suicide. African psychologist supporting depressed teenage boy feeling guilty about behavior during therapy at office. The rate of teen suicide has increased over the last decade. 13. An attempted suicide is usually also an indication of depression. However, her near death experience scared her so much that she got straight. , made a suicide plan, attempted suicide, and made a suicide attempt requiring medical treatment) from CDC’s 2019 Youth Risk Behavior Survey. Poor mental and behavioral health among adolescents remains a substantial public health concern. Alone – you might feel like people don't understand why you attempted suicide, or like you can't talk to them about it. Jul 15, 2019 · The gory pictures were redistributed widely, including by online posters who made light of or celebrated the teen’s death. 0). Three key risk factors experts and mental health professionals look for are: Previous suicide attempts; Family history of suicide; Childhood abuse, neglect, or trauma Warning Signs of Suicide Disponible en español. 1 death every 11 minutes. Feb 26, 2015 · Years after her suicide attempt, Dese’Rae L. On March 17, 2023, then-12-year-old Kelaia Turner was found hanging from a belt in her bedroom by her mother after enduring months of bullying at her Greenville, South Carolina school, according to PEOPLE. Suicide is the second leading cause of death among high school-aged youths 14–18 years after unintentional injuries. Mental Illness as a Cause of Teen Suicide. National Suicide Prevention Lifeline at 800-273-8255, text HOME to 741741 or go to Feb 28, 2023 · Almost 60% of girls experienced persistent sadness and hopelessness; 30% seriously considered attempting suicide, and 13% attempted it. If you notice that your child is unusually withdrawn, tearful, or depressed, seek professional help or call 1-800-273-TALK (8255). com website Dealing with a child’s suicide attempt is a profoundly sensitive and distressing experience. Remember, talking about suicide does not increase the chance of a teen suicide attempt. Amanda Michelle Todd (November 27, 1996 – October 10, 2012) [8] [9] was a 15-year-old Canadian student and victim of cyberbullying who hanged herself at her home in Port Coquitlam, British Columbia. Understanding Parent Coping Styles in Response to a Suicide Attempt. To support a multifaceted approach to suicide prevention, Utah’s state budget line items for suicide prevention fund two key state-level staff positions, psychiatric consultation programs, grants to support local education agencies in implementing suicide prevention strategies, and grants to communities implementing suicide prevention Jul 19, 2022 · Treatment of suicidal thoughts and behavior depends on your specific situation, including your level of suicide risk and what underlying problems may be causing your suicidal thoughts or behavior. However, studies show that certain people are more at risk of re-attempting suicide, including people who: Feel hopeless. Silhouette of depressed man sitting in the private room. Around 1 in 3 high school girls in the U. The case is being investigated as a murder and attempted suicide What to do when a teenager attempts suicide. Among other findings: Young men, in general, were more likely to report attempting suicide without thoughts or plans. Dec 3, 2024 · The family of a South Carolina girl who attempted suicide following persistent bullying has sued the girl's school district for negligence. 6 million attempted suicide. 1% to 11. 10% attempted suicide. Ideally, the scale will include ideas about would be helpful at each level of intensity. have seriously considered attempting suicide, according to new results from a Centers Aug 7, 2024 · The latest Youth Risk Behavior Survey says 40% of high school students report feeling persistently sad and hopeless. Many adults think about suicide or attempt suicide. Provide information and counseling on access to lethal means for suicide. Suicidal behavior in preschoolers relates to impulsivity, running away, hyperactivity, morbid ideas, high pain tolerance, not crying after injury, and parental neglect. In this photo illustration, a teenager poses for a picture in Arlington, Virginia, June 11, 2021. Emergencies. Ask how your teenager is feeling and listen. Dec 3, 2024 · South Carolina middle-school bullies who allegedly pushed 12-year-old Kelaia Turner to hang herself visited her later at the ICU and took photos of the victim to mock her on social media, according… Jul 12, 2022 · This story discusses suicide. The team explored the associations between the types of bullying and thoughts of suicide and attempts. Although some individuals do not exhibit any warning signs prior to an attempted suicide, about 75 percent do show one or more signs. S. J Am Acad Child Adolesc Psychiatry. First of all, it is important to realize that an attempted suicide is a cry for help. On average, one child under 13 dies of suicide every five days (Hanna, 2017). "Luckily in the past two years I haven't struggled with any of those thoughts," she said. Keeping open communication with your teen and his or her friends gives you a chance to help when needed. May 24, 2024 · When a teen has attempted to die by suicide, they will likely go to the hospital to get help becoming stable and figuring out the next steps in care. Jan 12, 2025 · After the suicide attempt, it doesn’t mean you’re home free – no matter how much your loved one tells you not to worry. Sep 29, 2014 · The mother of a teenage girl in Adelaide who was taped to a tree and sexually assaulted has launched an anti-bullying campaign after her daughter attempted suicide. For more information, visit https://go. Dealing with attempted suicide in the family is an unprecedented stressor for most people. Many factors contribute to this. The majority of children and adolescents who attempt suicide have a significant mental health disorder, usually depression. In April, the teen attempted suicide at her home, and later died after being taken off life support, according to news reports. American Foundation for Suicide Prevention (AFSP) Distinguished Investigator Guy Diamond, Ph. The Youth19 survey revealed that: 23% had significant depressive symptoms, up from 13% in 2012. . It is estimated that depression increases the risk of a first suicide attempt by at least 14-fold. Deaths per 100,000 people aged 15–19 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019 2021 0 4 2 6 8 10 12 14 Figure 3. Apr 14, 2023 · (The suicide rate is up almost 60% from a decade ago. " Talking about suicide won't plant ideas for self-harm in a child's head. Jul 23, 2024 · In 2022, an estimated 13. Among LGBTQ+ youth, 70% experienced persistent sadness and hopelessness; 45% seriously considered attempting suicide, and 22% attempted it. More Than $100K Raised for Bullied 14-Year-Old Whose Classmates Oct 7, 2019 · Let me stress that teen suicide deaths are still rare; just 10 out of 100,000 teens ages 15 through 19 die this way. domestic violence and abuse, sexual harassment. I learned that while many factors contributed to his suicide, our bullying, combined with his deep depression, undeniably led him to act. The risk is even higher for Jun 11, 2021 · Between Feb. Aug 9, 2013 · PICTURES: Mom blames rape, bullying for teen's suicide. Also take these steps: Keep medicines and guns away from children and teens. 2 May 10, 2023 · A CDC report released last year, just one month after Barrow's own suicide attempt, found an 8% increase in the suicide rate among males ages 15 to 24 from 2020 to 2021. Just like their child, parents and families need support. youtube. about suicide and mental illnesses. - photos of suicide victims stock pictures, royalty-free photos & images Dec 6, 2018 · Immediately after an attempt, parents can bring their child to an emergency room or call an ambulance or local crisis center. We did this to understand these parallel national trends Sep 26, 2023 · 18% made a suicide plan. Here’s what they told me. e2. Find Suicide Attempt stock images in HD and millions of other royalty-free stock photos, illustrations and vectors in the Shutterstock collection. “For parents, a child’s suicide attempt is a time of fear and confusion. If you or someone you know is at risk of suicide please call the U. Sexual minority boys were more than four times as likely as their heterosexual peers to report having attempted suicide, while LGBQ girls were three times more likely than heterosexual girls to report having attempted suicide. 9% of Mar 6, 2017 · The teen wants to use school restrooms that align with his gender identity. Some of these parents have since been by their children’s sides through multiple suicide attempts; one has parented her son through 15 suicide attempts over a 15-year period. , there were 47,500 completed suicides compared to 1. A health officer whose state was considering mandatory reporting of Mar 7, 2025 · Nationally, 8. 3%) was higher than males (5 Mar 28, 2025 · How To Avoid a Teen Suicide Attempt Talk To Your Teen About Suicide. The Jan 15, 2025 · A Connecticut teenager caught lurking outside an elementary school with an airsoft rifle earlier this week intended to commit “suicide by cop,” police said. Suicide was the second leading cause of death for people ages 10-14 and 25 4 days ago · As in the above example, it is typical that many factors – both emotional and environmental – contribute to the cause of teen suicide or teen suicide attempt. 2015;54:97-107. Jul 15, 2024 · Many people who survive a suicide attempt don’t try again later. Have a family history of suicide. Oct 30, 2019 · I treat teens who attempted suicide. When symptoms of depression include strong thoughts of helplessness and hopelessness, a child or adolescent is possibly at greater Suicide is a leading cause of death in the United States and a major public health concern. 6 percent compared to the same period in 2019, data showed. Sep 27, 2018 · According to the CDC, suicide is the third-leading cause of death for young people between the ages of 10 and 24, at about 4,600 per year. It’s killing people by depression and suicide,” Dylan Buckner’s father said, adding that no one should feel ashamed if they need help. Effective, evidence-based programs and treatment options can help prevent suicide. Stage Googled “suicide survivor. 3. You may be embarrassed or ashamed. 64 attempts. evidence-based suicide prevention programs. Parents often feel lost and alone. Don't dismiss your teen's problems. 21 and March 20 this year, emergency department visits for potential suicide attempts were up 50. In particular, it examines whether Dec 4, 2024 · South Carolina student Kelaia Tuner, who attempted suicide after being bullied, received hospital visits from her tormentors While Kelaia was unconscious two students took photos of her in the ICU Oct 17, 2012 · Amanda once attempted suicide by drinking bleach, began cutting herself and was rushed to the hospital on several occasions after overdosing. Suicide is a serious and growing problem among children and adolescents. Dec 4, 2024 · A student took photos of a 12-year-old South Carolina girl who was in a hospital ICU after she attempted suicide following months of being bullied at school, a lawsuit filed by the girl’s Explore Authentic Attempted Suicide Stock Photos & Images For Your Project Or Campaign. When a person dies by suicide, the effects are felt by family, friends, and communities. He and I had similarities; we had both seriously considered suicide and both suffered from teenage depression. Over 49,000 people died by suicide in 2022. But the report was clear that teenagers in all categories have been struggling. Gender. For every teen that commits suicide, 400 report attempting suicide, 100 report requiring medical attention for a suicide attempt, and 30 are hospitalized for a suicide attempt. Jul 12, 2022 · Another study questionnaire asked whether they had experienced thoughts of suicide or attempted suicide. Multisystemic therapy effects on attempted suicide by youths presenting psychiatric emergencies. 8% of adolescents who identified as neither male nor female said they’d attempted suicide; 29. Family therapy helps family members learn how to communicate better with each other and express their feelings more Sep 14, 2021 · About one-fourth of the 7,500 respondents said they’d only thought about suicide; 38% said they’d planned suicide but did not attempt it, and 35% said they’d thought about, planned and attempted suicide. Browse 1,352 authentic teenage suicide stock photos, high-res images, and pictures, or explore additional teenage depression or kids suicide stock images to find the right photo at the right size and resolution for your project. Embarrassed – you may feel embarrassed about having attempted suicide, particularly when it comes to telling people about it. In England, a quarter of 11-16 year olds, and nearly half of 17-19 year olds (46. Most distressing moods before suicide attempts were “depressed,” “hopeless,” desperate Dec 6, 2024 · They drove 12-year-old Kelaia Turner to attempt suicide on March 28, 2023, by hanging from a noose she fashioned out of a belt. If someone has attempted suicide in the past, they are more likely to try again. Depression. Someone else’s suicide, a loved one or even a celebrity or character; LIVED EXPERIENCES. I need someone. 8%), with a mental disorder reported that they have self-harmed or attempted suicide at some point in their lives. High pre-COVID rates of poor mental health and suicide-related behaviors have continued to rise, particularly among certain subgroups of youth such as female and lesbian, gay, bisexual, and questioning (LGBQ+) students (1–3). The people come from all walks of life – gay and straight, military and not, teen and adult, and so on – and though their suffering has been great, their survival is inspiring. 16 Aug 23, 2021 · Now 19-years-old, the teen says she’s received the help that she needed – much of it thanks to the actions of Officer Roberts and his colleagues that day, who went on to administer first aid at the scene. How you talk about suicide is very important, though. rmju zvgwsv coog erx kztf min nscyl husls pvvx uprsf dpjshbu cqsh lsstarigy wnn hibzox