Thoughts of suicide can be frightening. But by reaching out for help or checking in with family and friends, we can avoid devastating outcomes.
According to the CDC and NIMH, nearly 46,000 lives were lost to suicide in 2020 alone. Comments or thoughts about suicide, also known as suicidal ideation, can begin small — for example, “I wish I wasn’t here” or “Nothing matters.” But over time, they can become more explicit and dangerous.
Here are a few other warning signs of suicide:
Suicidal behaviors are a psychiatric emergency. If you or a loved one starts to take any of these steps, seek immediate help from a health care provider or call 988 to reach the Suicide & Crisis Lifeline:
If you are unsure, a licensed mental health professional can help assess.
Research has found that 46% of people who die by suicide had a known mental health condition. Several other factors may put a person at risk of suicide, including but not limited to:
When a suicide-related crisis occurs, friends and family are often caught off-guard, unprepared and unsure of what to do. The behaviors of a person experiencing a crisis can be unpredictable, changing dramatically without warning.
There are a few ways to approach a suicide-related crisis:
Like any other health emergency, it’s important to address a mental health crisis like suicide quickly and effectively. Unlike other health emergencies, mental health crises don’t have instructions or resources on how to help or what to expect (like the Heimlich Maneuver or CPR). That’s why NAMI created Navigating a Mental Health Crisis: A NAMI Resource Guide for Those Experiencing a Mental Health Emergency, so people experiencing mental health emergencies and their loved ones can have the answers and information they need when they need it.
If your friend or family member struggles with suicidal ideation day-to-day, let them know that they can talk with you about what they’re going through. Make sure that you adopt an open and compassionate mindset when they’re talking. Instead of “arguing” or trying to disprove any negative statements they make (“Your life isn’t that bad!”), try active listening techniques such as reflecting their feelings and summarizing their thoughts. This can help your loved one feel heard and validated.
Let them know that mental health professionals are trained to help people understand their feelings and improve mental wellness and resiliency. Psychotherapy, like cognitive behavioral therapy and dialectical behavior therapy, can help a person with thoughts of suicide recognize ineffective patterns of thinking and behavior, validate their feelings and learn positive coping skills. Suicidal thoughts are a symptom, just like any other — they can be treated, and they can improve over time.
Suicide is not the answer. There is hope.
NAMI HelpLine is available M-F, 10 a.m. – 10 p.m. ET. Call 800-950-6264,
text “helpline” to 62640, or chat online. In a crisis, call or text 988 (24/7).