Suicide Prevention: Recognizing Warning Signs and Taking Action

Suicide, one of the leading causes of death across the world, impacts people from all walks of life, but it’s a public health issue that is preventable with the right knowledge, support, and action.

Whether you’re a parent, a friend, or simply a concerned community member, understanding the warning signs of suicide and knowing how to help can make all the difference. Let’s explore how to spot the signs, have open conversations about suicide, and offer meaningful support to those who may be struggling.

    Health Foundations: Building the Core to Your Wellbeing 

    Suicide is a serious public health issue. Every year, nearly 800,000 people worldwide die by suicide, according to the World Health Organization. In the U.S., suicide was the 12th leading cause of death in 2021, with over 48,000 deaths. (CDC) The impact of suicide is felt across all age groups, from adolescents to older adults.

    Fortunately, suicide is preventable. When we know what to look for and how to respond, we can help reduce the risk and save lives.

    Understanding Suicide: Risk Factors and Causes

    Suicidal thoughts don’t arise in a vacuum. They are often influenced by a complex mix of factors, including:
    • Mental Health Conditions: Depression, anxiety, bipolar disorder, and PTSD are strongly linked to suicidal thoughts and behaviors.
    • Substance Use: Alcohol and drug use can increase impulsivity and worsen mental health symptoms, leading to a higher risk of suicide.
    • Chronic Stress and Trauma: Ongoing stress from relationships, work, financial difficulties, or trauma (such as abuse, violence, or the loss of a loved one) can push someone toward feelings of hopelessness.
    • Isolation and Loneliness: Lack of social support or feeling disconnected from others can exacerbate feelings of despair.
    • Previous Attempts: A history of previous suicide attempts increases the risk of future attempts.

     

    While these risk factors increase the likelihood of suicidal thoughts, they don’t guarantee that someone will have thoughts of or attempt suicide. When we recognize the warning signs, however, we’re more equipped to prevent harm.

    Recognizing the Warning Signs

    There are often telltale signs that someone is thinking about suicide. Recognizing these signs can help you intervene before a crisis occurs. Common warning signs include:

    Verbal Indicators

    • Talking about wanting to die or harm oneself
    • Expressing feelings of hopelessness, being trapped, or being a burden to others
    • Making statements like, “I just can’t do this anymore,” “Everyone would be better off without me,” or “I wish I could disappear”

    Behavioral Changes

    • Withdrawing from family, friends, or activities they once enjoyed
    • Increasing use of alcohol or drugs
    • Acting recklessly or engaging in dangerous behaviors
    • Giving away prized possessions or saying goodbye to people
    • Significant changes in sleep patterns (sleeping too much or too little)
    • Sudden calmness or improvement in mood after a period of depression (this can signal that someone has decided to attempt suicide)

     

    Physical and Emotional Signs

    • Severe anxiety or agitation
    • Unexplained anger or irritability
    • Loss of interest in personal hygiene or appearance
    • Intense feelings of guilt or worthlessness

    How to Talk About Suicide: Breaking the Silence

    Talking openly about suicide is one of the most important steps we can take in prevention. Many people worry that bringing up the topic of suicide will “plant the idea” in someone’s mind, but research shows that this is a myth. In fact, asking someone about their suicidal thoughts can be a relief for them, as it opens a safe space to share their struggles.

    How to Start the Conversation

    • Approach with care and compassion: Find a quiet, private place to talk, and express your concern in a calm, non-judgmental way.
    • Be direct but gentle: It’s important to ask about suicidal thoughts directly. For example, you might say, “I’ve noticed you’ve been struggling lately. Are you having thoughts of hurting yourself?”
    • Listen actively: Allow them to share without interrupting or offering immediate solutions. Sometimes, just being heard is a powerful form of support.

    What Not to Say

    • Avoid dismissive or minimizing language, such as “You’re just overreacting” or “Things aren’t that bad.”
    • Don’t try to offer quick fixes or say things like “Just think positive” or “Snap out of it.” Instead, validate their feelings and let them know they’re not alone.
     

    What to Do If Someone is Suicidal

    If someone tells you they are considering suicide, it’s important to take them seriously and act immediately.

    In an Emergency

    • If the person is in immediate danger (they have a plan and the means to carry it out), call 911 or take them to the nearest emergency room. Stay with them until help arrives, and ensure that any weapons, medications, or other means of harm are removed from their environment.

    If the Situation is Not Urgent

    • Encourage them to seek professional help. You can offer to assist with scheduling an appointment with a clinician at Mindful Health.
    • Crisis hotlines such as 988 or the National Suicide Prevention Lifeline (1-800-273-TALK) are available 24/7 and offer immediate support.
    • Stay connected: Follow up with them regularly, offer emotional support, and encourage them to stick with therapy or medication.
     

    Supporting Long-Term Mental Health Recovery

    Suicide prevention doesn’t stop after the immediate crisis passes. Ongoing support and care are essential to help someone heal and prevent future struggles. Here are a few ways you can continue to help:

    • Check-in Regularly: Don’t assume that someone is “better” just because they’ve made it through a crisis. Continue to reach out and offer your support.
    • Encourage Self-Care: Help them find healthy ways to cope with stress, whether that’s through mindfulness, exercise, creative outlets, or social connection.
    • Be Patient: Recovery from suicidal thoughts or attempts can take time. Be patient and understanding and avoid pushing them to “move on” before they’re ready.

    Suicide Prevention Resources

    If you or someone you know is struggling with suicidal thoughts, reach out to these resources for support:

    • Suicide & Crisis Lifeline: Call or text 988
    • National Suicide Prevention Lifeline: 1-800-273-TALK (8255)
    • Crisis Text Line: Text HOME to 741741
    • Veterans Crisis Line: 1-800-273-8255 and press 1, or text 838255
    • The Trevor Project for LGBQTIA+ teens + young adults:  call or text 1-866-488-7386
     

    A Role for Everyone in Suicide Prevention

    Suicide prevention is a shared responsibility. Let’s commit to having honest conversations, offering support, and raising awareness. By breaking the stigma around mental health and suicide, we can create a world where people feel safe asking for help.

    You never know whose life you might save simply by being there, listening, and showing compassion.

    Call to Action

    If you or someone you love is struggling with suicidal thoughts, please don’t wait to seek help. Reach out to a mental health professional, use the resources provided, or contact us at Mindful Health for guidance and support.

    This blog post was written by:

    Beth Bowen

    Licensed Master Social Worker

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