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Newton resident Sarah Mausner coordinated the release of “Promise Me,” a comic focusing on depression and suicide prevention among teenagers.
Newton resident Sarah Mausner coordinated the release of “Promise Me,” a comic focusing on depression and suicide prevention among teenagers.Tesha Chai

Focusing on depression and suicide prevention, Newton resident Sarah Mausner has coordinated the release of “Promise Me,” one of three comic books to educate teenagers about mental health issues through artwork and illustrations.

The comic is a collaborative effort from artists, writers, mental health experts, and young people in the region who have some experiences with depression and suicide, Mausner said.

Mausner said depression and suicide prevention often are difficult topics for adults to talk about with young people, but comics make them more digestible. She said “creation of a little world with the story and the artwork” allows teenagers to “get invested in the characters.”

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“It teaches in a different way,” she said.

Kuresse Bolds, an illustrator and graphic designer who did the artwork for “Promise Me,” said the story illustrates serious topics many adolescents might need to navigate.

He talked about his experiences with depression and said he approached the story with “care” and “tenderness,” because he wanted readers to feel seen.

“Mental health is valid, you don’t need to have a specific reason to go through it,” Bolds said. “It’s very much like an iceberg, you only see a sliver of it, a lot of it is under the surface.”

According to the Centers for Disease Control and Prevention, a total of nearly 34 percent of high schoolers in Massachusetts reported feeling sad or hopeless, according to the 2019 High School Youth Risk Behavior Survey. Persistent “feelings of hopelessness, or pessimism” are one warning sign of depression, according to the National Institute of Mental Health.

Mausner said the message of “Promise Me” is “depression is a biochemical illness” that “responds to treatment,” and “it’s not a weakness or a character flaw.”

The stigma around depression leads to silence, she said, which is the worst possible scenario. When young people feel alone and start to isolate themselves, she said, the risk of suicide increases.

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“Depression and suicide is not a deep, dark secret,” Susan Kooperstein, a public relations specialist in the region who works with local mental health organizations, said. “Those issues need to be talked about in schools and families and community centers.”

She said a “huge educational campaign” is needed to “unveil the mysteries of depression and other mental illnesses.”

“I’ve lost a loved one to suicide,” Kooperstein said. “I would really do anything to prevent loss of young lives and to prevent parents and families from going through the kind of pain that I’ve endured.”

Kooperstein pointed to the importance of resources to educate young people about mental health.

Mausner said a challenge she encountered was “how to get these comics out there” because she said schools generally want evidence-based programs that have undergone evaluations and demonstrated positive outcomes.

Bolds said comics are effective with young people because they can connect with them.

“When it comes to comedy, or something that is very visual, we can see their actions, body language, facial expression, and we can relate to the character more,” Bolds said. “We are seeing what’s going on, we’re following this person’s story, relate to it, and understand it.”

Kooperstein said “more could be done” through tools like comic books to reduce a sense of despair among young people.

Partnered with the Society for the Prevention of Teen Suicide, an organization dedicated to increasing awareness and reducing the stigma around suicide through training programs and resources, Teen Health Comics will launch an online program in September.

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Mausner said the program, supported by the Lauren Dunne Astley Memorial Fund, will provide guidance and support for teenagers and families who continue to struggle with mental health issues after the COVID-19 pandemic.

Reflecting on the feedback she has received from young readers, Mausner said, “So often they were saying, oh, I wish somebody had given me something like this when I was 13 and 14.”

The “Promise Me” comic is available at the More Than Words bookstore. More Than Words is a nonprofit providing jobs for young adults who are in the foster care system, court-involved, homeless, or out of school.

For 24/7 emergency support, contact the National Suicide Prevention Hotline at 800-273-TALK (8255).

Luwa Yin can be reached at newtonreport@globe.com.