What You Need to Know About Youth Suicide
Suicidal thoughts are common among youth and young adults.
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In fact, about 12% of young adults ages 18-25 in the U.S. report that they’ve had serious thoughts about suicide in the past year 1, and about 2% report a suicide attempt in the past year. These numbers are higher among high school students — nearly 20% report serious thoughts about suicide2 and 9% report a suicide attempt. Suicide is also the second leading cause of death among youth ages 10-14 in the U.S. and the third leading cause among young people ages 15-24 3.
12%
Of young adults ages 18-25 in the U.S. report that they’ve had serious thoughts about suicide in the past year.
2%
Of young adults ages 18-25 in the U.S. report a suicide attempt in the past year.
20%
Of high schoolers report serious thoughts about suicide and 9% report a suicide attempt.
#2
Cause of death among youth ages 10-14 in the U.S. and the third leading cause among young people ages 15-24.
These numbers are frightening, but there is also hope. If we can identify and support young people who are experiencing mental health symptoms, including thinking about suicide, we have an opportunity to help prevent tragedy.
High-Risk Groups
Risk of suicide varies across different identity and cultural groups — in many cases, historically disadvantaged communities who experience discrimination, social/environmental stressors, and limited access to care and support resources also experience higher rates of suicide.
Black Americans
Historically, Black Americans have died by suicide at lower rates than the general public, but the rates of suicide among Black people — particularly youth — have increased in recent years. Fortunately, this crisis is beginning to receive the necessary level of attention. The Emergency Taskforce on Black Youth Suicide and Mental Health, established in 2019 by the Congressional Black Caucus released a report outlining research, policy, and practice recommendations to address the crisis of suicide in Black youth, including significant increases in National Institutes of Health (NIH) and National Institutes of Mental Health (NIMH) funding for research focused on the issue.
Issue Brief: Black Youth Suicide Prevention (SAMHSA)
This issue brief from SAMHSA demonstrates urgent concerns around Black youth suicide and how leaders and behavioral systems can improve to reduce Black youth suicide.
Ring the Alarm: The Crisis of Black Youth Suicide in America
A report to congress from the Congressional Black Caucus.
Indigenous Communities, Such as Alaskan Natives
Indigenous communities, such as Alaskan Natives, have historically experienced higher rates of suicide than the general population due to generational trauma, poverty, and stigma, among other factors. The best way to address the dangers of suicide is to build a comprehensive, culturally competent program within the community. One example of a movement to build such programs is the Indian Country Child Trauma Center which was established to develop training, technical assistance, program development, and resources on trauma-informed care to tribal communities.
Reducing the Burden of Suicide among American Indian and Alaska Native Youth
The overall goal of this initiative is to stimulate research focused on preventing suicide and promoting resilience in American Indian and Alaska Native (AI/AN) youth.
The Indian Country Child Trauma Center
ICCTC develops trauma-related treatment protocols, outreach materials, and service delivery guidelines specifically designed for American Indian and Alaska Native (AI/AN) children and their families.
LGBTQI Youth
Youth who identify as LGBTQI are also at a higher risk for suicide than the general population. Encouragingly, states that have passed same-sex marriage laws have seen rates of adolescent suicide drop by 7%. The association between the laws and a lower suicide risk was concentrated among students who identified as “sexual minorities” showing evidence that laws supporting the LGBTQI community also help prevent youth suicide.
Suicidal Ideation and Behaviors Among High School Students —
Youth Risk Behavior Survey, United States, 2019
Analysis of the Association Between State Same-Sex Marriage Policies and Adolescent Suicide Attempts
Common Risk Factors
There are quite a few things that have been associated with increased risk for suicide:
- Prior suicide attempts
- Family history of suicide
- History of mental health conditions such as severe depression, anxiety disorders, and psychotic disorders
- Substance misuse
- Impulsivity or aggressiveness
- Serious family problems
- Breakups or other major relationship losses
- Access to means for self-harm (unsecured firearms, prescription medications, poisons)
- Social isolation
- History of traumatic experiences such as sexual violence or severe episodes of racial prejudice/violence, bullying
- Lack of access to mental health care
- Multiple exposures to suicide in one’s community or through unsafe coverage of suicide in the media
While the risk factors noted above might increase someone’s long term risk for suicide, there are several things that might indicate that the person’s thoughts of suicide are escalating or that there is more acute risk:
- Talking, joking, or posting online about dying or life not being worth living
- Feelings of hopelessness, shame, or of being a burden to others
- Extreme sadness, anger, or irritability
- Extreme feelings of emotional pain
- Planning or researching ways to die
- Withdrawal from others, saying or posting “goodbye” messages, giving away possessions
- Erratic or disorganized behavior
- Changes in substance use
- Seeking means to self-harm
What to Do If You’re Worried About Yourself or Someone You Love
The best way to help prevent a suicide-related crisis is to seek help and support before the crisis emerges. In the last 50 years, we have made significant progress in reducing rates of people dying from heart disease; this success is largely due to health care professionals getting better at identifying and treating high blood pressure, high cholesterol, and blocked arteries before people have heart attacks or develop serious heart disease. The same applies to getting better at preventing suicide; if you are experiencing thoughts of self-harm, it is essential to get mental health care as soon as the symptoms start before reaching a crisis state.
If you or someone you love begins to feel worried but doesn’t feel in immediate danger of acting on thoughts of self-harm or suicide, then steps should be taken to find help for care and support. This help can be from a pediatrician, primary health care provider, or a mental health clinician. If the person is already receiving care, let the clinician know about what is going on.
If contacting a clinician and alerting loved ones isn’t practical — or if you or the person you love is having urges to harm yourself — then contact should be made immediately with a crisis hotline like the 988 Suicide & Crisis Lifeline. Call or text 988 or chat 988lifeline.org to reach the 988 Suicide & Crisis Lifeline.
If you feel there is immediate danger, go to the nearest hospital emergency room and explain to them what you are experiencing. If you cannot get to the hospital, call 911 (or a local crisis line) and explain your situation in detail — many communities have first responders trained to support young people experiencing a mental health crisis so they can get you the most appropriate help. If possible, let a family member or friend know as well — they should stay with you for support and help make sure your environment is safe (removing any dangerous means for self-harm).
The 988 Suicide & Crisis Lifeline
Connect with a NCall or text 988 to get help. The Crisis Lifeline is available 24/7. You can also chat on the website.AMI chapter near you
Helpful Responses for When a Friend is in Distress
If someone you care about is showing some of the risk factors noted above, the first thing to try is having a conversation with them to express your concern. It is best if you can do this in person — face to face — and in a quiet, private place.
Explain why you are concerned about your friend and tell them what you have observed. The more specific and clear you can be the better. For example:
“You seem sad all the time and have stopped communicating with your friends.”
“You always seem very tired and distracted.”
“You are posting really scary messages on social media.”
Tell them you are worried and let them know they can talk to you if they are experiencing a problem. It can feel awkward to ask about this, but it could be the encouragement they need to be able to open up about what they are experiencing. Remember that it is not your responsibility to try to solve their problem or fix the situation. Listening patiently and asking them to tell you more will help you understand what your friend might need.
The most urgent information to find out when you speak to a friend about their mental or emotional distress is whether they are at risk of self-harm. If they have already told you or someone else that they are thinking about hurting themselves, or posted about it on social media, then the next step is getting them connected to help.
If Your Friend Does Not Seem to Be in Immediate Risk of Harm
Once you know how your friend is feeling, ask if they have any ideas for what might help. You can ask if they are taking steps to get help from family, friends, or professionals. If you are comfortable, and they are open to it, you can offer to check in again with them sometime soon to see how they are doing and whether the situation is improving or getting worse.
Think about how you might feel if you were in a similar situation and what might be helpful to you. Remember that you don’t need to solve the problem. Often, just being open to listening and being supportive is helpful.
If Your Friend Tells You They Are Having Thoughts of Self-Harm
First, do not agree to keep it a secret. Even if they don’t want anyone else to know, it is important to get help if you are truly afraid that they will hurt themselves. Getting help could involve letting their family know about the crisis, unless you have a clear reason to think that will make things worse (for example, they have shared that their parents do not support them or they have been mistreated or experienced rejection at home).
If you are at college or a boarding school, let the campus crisis team, residence life staff or counseling service know you are worried about your friend.
If you feel the problem is urgent and serious, call or text 988 or chat 988lifeline.org to reach the 988 Suicide & Crisis Lifeline. If there is immediate danger to your friend or others, you should either try to take them to a local hospital emergency service or call 911.
If you can, and you feel safe doing so, try to stay with them until they have gotten help and you know they are safe. This can be especially important if your friend is dangerously intoxicated, or if they are experiencing serious mental health symptoms, like psychosis. Whatever steps you take, know that you are not alone.
Your support could make a huge difference for your friend — but in a crisis, you can count on crisis support lines, first responders, health care providers, and others to manage this difficult situation together. It’s also important to let an adult you trust know what is going on so they can help you support your friend.
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Related resources
Crisis Text Line
You can text with a crisis counselor who is available to provide support 24/7
Local Crisis Services
Find local hotlines
Navigating a Mental Health Crisis Guide
Provides important, potentially life-saving information for people experiencing mental health crises and their loved ones.
- Mental Health Services Administration. 2024. Key Substance Use and Mental Health Indicators in the United States: Results from the 2023 National Survey on Drug Use and Health. https://www.samhsa.gov/data/sites/default/files/reports/rpt47095/National%20Report/National%20Report/2023-nsduh-annual-national.pdf ↩︎
- Center for Disease Control and Prevention. 2024. YRBS Data Summary & Trends Report 2013-2023. https://www.cdc.gov/yrbs/dstr/index.html#cdc_publication_summary_citation-suggested-citation ↩︎
- Center for Disease Control and Prevention. 2022. WISQARS Leading Causes of Death Visualization Tool. https://wisqars.cdc.gov/lcd/?o=LCD&y1=2022&y2=2022&ct=12&cc=ALL&g=00&s=0&r=0&ry=0&e=0&ar=lcd1age&at=groups&ag=lcd1age&a1=0&a2=199 ↩︎