If you are struggling with thoughts of suicide or self-harm, you are not alone.
The number of people who experience suicidal ideation in the U.S. every year numbers in the millions. You are not selfish or a bad person for feeling this way.
Be assured that most people who experience moments of intense suicidal feelings are able to recover and live fulfilling lives.
Hold that in mind and keep reading. Let’s take a moment to take stock of your situation:
If you have already tried to self-harm today or are feeling intense suicidal urges, call 911 immediately or have a friend or family member get you to mental health urgent care or an emergency room.
If you have not yet tried to harm yourself but are feeling strong suicidal thoughts or urges to self-harm, please contact a crisis counselor right away:
Fully recovering from your suicidal feelings will require long-term help, but your focus right now should be staying safe through your current suicidal episode.
If you have not yet reached crisis point, here are the steps you should follow to stay safe while you weather the current storm:
If you are experiencing persistent suicidal ideation of any sort, reach out to someone you trust as soon as possible and tell them how you are feeling. Even if you are not likely to hurt yourself right now, having somebody who knows what you are struggling with will make it easier to get help.
You may not feel like there’s much the other person can do, or you may not want to worry them. Try to remember that your perception of your own worth is distorted when you are suicidal.
You are not a burden. You are worthy of help. The first and most important step to keeping yourself safe is to reach out to a friend, family member, or medical professional who can provide you with that help.
Once you have somebody you trust, get their help to remove anything dangerous from your presence. Your trusted person can hold onto any knives, firearms, pills, chemicals, or anything else you could use to harm yourself until you feel safe again.
This is easiest if you have a cabinet or safe where you can lock everything up and turn over the key to your loved one. But any means of keeping these items out of your hands is better than nothing.
Giving yourself a sensory distraction of some sort can help to calm the immediate impulse to self harm. Listen to music, take a walk, lay on the floor (yes, that can be enough), or pet an animal.
If the urge is acute, sensations that are intense but not harmful such as placing ice cubes on your skin can help to keep it at bay. If you just need to divert your attention until the worst of the feelings pass, something mundane and harmless like a movie, game, or craft might help keep your mind occupied until you feel safer.
If you are currently safe but feel your situation may escalate toward self-harm, work on creating a plan in case you enter crisis mode and can’t think clearly.
Save.org has provided this excellent safety plan template where you can write down the steps to follow and people to contact if you start going into crisis. Share this plan with your loved ones, doctors, trusted religious leaders, or anyone else you think might be able to recognize when you are in distress and can take action.
Once the episode has passed and you are in an okay place, you should try to secure some help toward your long-term recovery. It is time to make an appointment with a doctor or mental health professional so they can help you work toward feeling better.
If you are severely depressed, you may be unable to motivate yourself to go through all the necessary steps of scheduling and attending an appointment. It is okay to ask for help with this. You are not a burden. Don’t hesitate to lean on someone in your life to set up your appointment for you, and even to help you get there if necessary.
If financial hardship or other barriers to your seeking mental health treatment are already one of the contributing factors to your suicidal thoughts, do not let these instructions discourage you.
No matter your situation, there are resources for you on both national and local levels. Here are some of the options that may be available to you:
Most states have some level of community mental health services. These can usually be found through the Department of Human Services on your state’s website. Private non-profits can also offer free or sliding scale mental health treatment. A good place to start is your local YMCA or similar community center.
Many churches provide support resources for their congregations. Your church leaders may offer free individual counseling for those who need it. Some congregations may be willing to provide financial assistance to members who need help seeking treatment.
It is also very common for religious communities to sponsor support groups or group therapy. These are often open to the general public, so you do not need to be a member of the congregation or be religious to attend.
There are widely available resources online for people experiencing feelings like yours. Free crisis chat lines are obviously a good place to turn if you are in active distress.
For the process of recovery, many online therapy platforms offer reduced rates for those who are struggling financially. Online support groups can also provide a lot of connection and stability in times of need.
If you are a student, your university almost certainly has a resource center where students can receive mental health assistance. Whether they can provide you counseling on site or help you get in touch with affordable outside treatment, your school can be an incredibly helpful resource.
There are training clinics for every sort of medical practice, from family medicine to mental health, and they often operate at much more affordable rates than other clinics.
The training physicians there are in the final stages of earning their degrees and are overseen by more experienced attending physicians, so the standard of care provided will be exactly the same as anywhere else.
Most people don’t realize how often mental health clinics are willing to work with people who are financially insecure so they can still have access to the treatment they need. Especially if you have been struggling with thoughts of suicide, don’t hesitate to ask a nearby clinic if they can help you work something out.
Once your medical needs are taken care of and you are feeling a little more stable, you can begin to take other small steps to help in your recovery. Small things like reestablishing interest in your hobbies and improving your self-care habits can begin to make a huge difference in how you feel on a daily basis.
Larger steps involve things like finding a broader community of support among others with experiences similar to yours. These can help you progress in your recovery without shame—and provide plenty of support to fall back on in case things ever get difficult again.
Things may seem dire and hopeless right now, but they can and will get better. It is always okay to ask for help and to seek out a new support system if yours has failed you.
Once again, if you are in crisis, don’t hesitate to contact any of these resources:
No matter what you’re feeling right now, you will get through this with time and help. Life will begin to feel kinder and a lot more manageable.
The first step to suicide intervention is recognizing warning signs.
Once the signs have been recognized, it’s equally important that something is done about it. We’re here to help you understand what you can do, what will help, and what to avoid.
People who are struggling may not be very forthcoming about feeling suicidal. However, there may still be signs that might help loved ones know when to approach them with support or intervention.
Major warning signs someone may attempt suicide include:
These indicators are serious and require intervention, but may not be an immediate emergency. However, if the person is directly threatening suicide, posting on social media about death or suicide, or researching or seeking access to methods of suicide, call 911 immediately. *
* Threats of suicide should always be taken seriously, but if they are coming from an abusive partner—especially if you are trying to leave—take measures to secure your own safety first. A suicidal abuser may also try to harm their partner before taking their own life. Get to safety and contact emergency services.
Signs can be subtle, or even misleading, so don’t blame yourself if some things slip your notice and things come to a crisis point. Do your best to invest in your close relationships so you can more easily notice when something is off. This is especially important if your loved one is experiencing mental illness.
No matter the circumstances, understand that missing signs does not mean you have failed them.
It is sometimes the case that a person who has been depressed or in crisis for a long time will suddenly become uncharacteristically calm or upbeat if they have decided to attempt suicide. This can happen because they feel they have found a simple resolution to their problems and that an end to their suffering is in sight.
This is why it is so important for loved ones to be aware of the person’s feelings and behavior patterns so they might recognize when a sudden positive change in mood may be cause for concern.
If you have noticed warning signs in your loved one but they have not spoken to you directly about feeling suicidal, the next step is to speak to them. Starting a dialogue can feel awkward or invasive, but your willingness to talk may give the person permission to speak where they previously felt they couldn’t.
Some questions to ask to start a conversation may include:
These questions can help you assess how serious the danger is and respond accordingly.
The knowledge that a loved one may be at risk of suicide can be overwhelming. Whether they have directly confided in you about their struggles, or you have noticed concerning behavior from them, it can be difficult to know what to do next.
The first thing to know is that your intervention is already a big step toward keeping your loved one safe. Your response may not be perfect, but your willingness to act on their behalf is already going a long way toward bringing them the support they need during this time.
There are a few things to avoid when intervening with someone who is feeling suicidal.
Once you have talked to your loved one about their suicidal thoughts, it is important not only to take action, but to follow through no matter what. Even a person who is willing to seek help may not have the motivation or ability to do so on their own, so your own motivated support is crucial.
If the threat is not immediate, you can start by helping your loved one find a doctor or mental health professional to get them on a path to recovery. You may need to go so far as to make the first phone call, or even to take them to their appointment.
People suffering from severe depression have a difficult time following through on these things, so it may be up to you to make sure the initial steps toward seeking help are executed.
If your loved one has told you about their plans to take their life:
Don’t keep secrets. Even if it was told to you in confidence, and even if they are upset with you for telling, their safety is far more important.
Reach out for help. If you are not in a direct position to help and monitor your loved one, contact someone who is.
If they are a minor, contact parents and school counselors, as well as any other trusted adults in their life.
If they are an adult, contact partners, roommates, close family members, or any others who may be in a position to help you keep track of the person and find them help.
Remove access to dangerous items. If you are directly responsible for the person, you can help ensure their safety while you work on getting them help by staying aware of their location and restricting access to any means of self-harm (pills, weapons, access to heights or busy roads, etc.).
Though suicidal ideation and planning may be ongoing and persistent, the crisis period during which someone is likely to actively attempt suicide is usually short. Until it passes, this is the most important time to provide support and reduce access to lethal means.
Finally, if at any point you suspect the situation has escalated to become an emergency, don’t hesitate to call 911. You can also call the 988 Crisis & Suicide Prevention Lifeline for guidance on what to do in your specific situation.
Suicide can be prevented. The more quickly a person’s loved ones notice and take action toward helping them, the more likely they will be able to get the help they need. However, please remember, it is not your fault if your loved one dies by suicide. No matter the outcome, your efforts are important, and your support could save a life.
Suicide is an incredibly complicated issue.
There are an overwhelming number of contributing factors, and it affects every demographic regardless of age, race, or social class. Factors affecting certain communities may, however, lead to higher suicidal ideation and behavior within those demographics.
In the United States, suicide is the third leading cause of death among people aged 15-24, and it is estimated to claim the lives of roughly 125 Americans every day. Risk factors are many and varied. They include, but are not limited to:
Statistics can be misleading on which demographics are most at risk of suicide. Among the highest-risk groups overall (teenagers and young adults), females are almost twice as likely to attempt suicide but males make up the majority of actual suicides.
This is due to a handful of different factors, most significantly social stigma preventing many males from seeking help when experiencing distress.
The likelihood of a teenager or young adult attempting suicide also rises significantly if that person is a member of the LGBTQ+ community, especially if they are lacking sufficient family or community support.
The risk can be greatly reduced if a person is surrounded by family or friends who are openly supportive and affirming of their sexuality or gender identity. Even more so if medical and community resources for helping them understand and affirm their identity are widely available.
Overall, in the U.S. there are around 45,000 suicides each year out of 1.1 million yearly suicide attempts. There are many organizations dedicated to keeping that number on a steady decline, including:
Overwhelmingly, the best means of early suicide prevention are:
These methods are not guaranteed, and there is still a very long way to go in managing this complex and serious public health issue, but education and awareness are an important first step.
No matter how overwhelming it may feel, intervention IS effective, and the more we continue to do so, the more lives will be saved. If you or a loved one are currently struggling with thoughts of self-harm, please stop right now and dial 988 on your phone, or text HOME to 741-741 to speak with a crisis counselor.
Every year in the United States alone, around 45,000 people die by suicide. This number represents an epidemic marked by an unprecedented rise in the number of suicide deaths in the U.S. since the early 2010s.
Suicide is an incredibly complicated issue. There are an overwhelming number of contributing factors, and it affects every demographic regardless of age, race, or social class. The prevalence and universal nature of suicide merit far more discussion nationwide. Unfortunately, because it is such an unpleasant and difficult issue, it remains a taboo topic in many communities.
In the face of such overwhelming statistics, it may seem impossible to make a difference. However, through awareness and effort, individuals and communities can work together to exponentially reduce suicide.
Effective suicide prevention happens at many different levels, ranging from individual to systemic, but direct prevention begins at the individual level.
This post will take you through effective steps you can take if you or a loved one are at risk of suicide or self-harm.
Suicide intervention on an individual level most often comes from the friends or family of someone struggling with suicidal feelings. However, it’s important to note that it can also come from the person struggling as well.
Not every individual experiencing suicidal thoughts or behavior will have the ability or the desire to intervene on their own behalf. But, if you are having thoughts of harming yourself, you don’t need to feel helpless in your own intervention.
Your life and your agency matter. If you feel capable of reaching out, you can start the ball rolling on your recovery and maintain some control over how and from whom you receive help.
Here are some steps for effective suicide prevention for yourself:
The Suicide Prevention Resource Center has provided this excellent safety plan template where you can write down a plan for if you enter crisis mode and are unable to think clearly. Share this plan with someone you trust who can recognize when you are in crisis and take action.
If you are in crisis and need help immediately, call 911 or have a friend or family member get you to mental health urgent care or an emergency room.
A suicidal person may not be capable of reaching out for help on their own. In those cases, it can fall to a friend or relative to notice the signs and intervene.
Here are some steps for effective suicide prevention for a loved one:
This is not the time for tough love. Do not try to convince the person that their problems aren’t that bad or that they are selfish for wanting to take their life. They need to know you are not disappointed in them for feeling this way and that you are taking their struggle seriously.
Your loved one may be too depressed or paralyzed to take action toward healing on their own, so they may need your help to take steps for long-term prevention as well. If so, it is crucial that you follow through on finding reliable help for them from your community or a professional.
Whether it’s yourself or a loved one, a suicidal crisis can be a scary thing to navigate. That’s why we at Bio-One hope this guide will help you know how to intervene to keep yourself or the people you love safe.
Part of our mission is to provide community resources. That’s why we dedicate so much of our time to projects like this. We want to create a future where we never have to answer another suicide call again.
Usually when an issue becomes large enough to classify as an epidemic it becomes a central topic of discussion. Unfortunately, many of us don’t quite know how to handle ourselves when it comes to conversations around suicide.
Suicide as a topic of discussion is somewhat of a taboo in our society for a number of reasons.
Many people are uncomfortable talking about death in any regard. The same can be said for the topic of mental illness. Because discussions about suicide usually require talking about both, the subject is often avoided outright.
This stigma can be incredibly isolating.
For someone struggling with thoughts of suicide, it may prevent them from reaching out for help or talking about how they are feeling. For those who have recently lost a loved one to suicide, they may likewise feel unable to reach out for support.
One of the best means of prevention and support for both victims and survivors is open conversation. We owe it to our communities to get better at talking about suicide. Here are some steps we can all make in the right direction in order to end the stigma.
Destigmatizing the conversation around suicide requires, first, confronting some of the unhelpful ways we speak and act about it. Before we can change the conversation, here are some of the things we need to stop doing:
When speaking about suicide, it’s important to recognize that it’s impossible to know who might be struggling.
There is no singular type of person who struggles with mental illness or suicidal ideation. Implying that suicidality should look or present a certain way may increase the feelings of failure and isolation in those who don’t fit the mold.
Often the language around suicide frames it in a way that paints it as criminal or selfish.
This kind of thinking can make people struggling with suicidal thoughts feel ashamed and hesitant to tell anyone they are suffering. It can also make surviving friends and family hesitant to talk about what they’re going through out of fear that their loved one will be judged for taking their own life.
Many people report that after they reach out about struggling with suicidal thoughts people around them start treating them differently. It’s common for members of a family or community to tread extra carefully around a suicidal person as if saying the wrong thing might set them off.
This does not go unnoticed and makes it harder for sufferers to be willing to reach out the next time. Similarly, it can make survivors of suicide feel like their grief is inconvenient or that they are being overemotional.
Reject the idea that depression or grief makes people too fragile to treat normally.
It is never helpful to tell anyone who is struggling for any reason that their pain is insignificant compared to others in the world.
Mental illness affects people regardless of their life situation.
Their pain is real whether or not you think they should be feeling it.
Minimizing will add guilt and only make a person feel worse.
Avoiding discussion of suicide when someone is struggling or has suffered a loss is never helpful. Dodging the topic and pretending everything is fine won’t make the problem go away.
If we stop treating suicide like a dirty word, it will be easier for people to talk about it when they need help.
Knowledge can go a long way toward improving the way we talk about suicide. If you are interested in becoming more comfortable with the topic, a good place to start is learning more about it.
There are many incredible resources that speak in plain language about suicide in a way that is helpful in knowing how to approach the topic. Here are some helpful links to get you started:
As you become more informed, normalize speaking about mental health and suicide in your social circles.
If you have struggled with your own mental health, be willing to speak openly about it. It’s more than likely that others have had similar struggles but have felt alone because of stigma.
Even the way we speak about victims of suicide can be improved by normalizing discussion.
We should be willing to talk about those we have lost to suicide in a way that acknowledges their experience without judgment.
Some people worry this sort of discussion may encourage others to act on their own suicidal thoughts. In fact, the opposite is true.
Open and empathetic acknowledgment of the pain of the victim and the pain of their loss can embolden others to reach out for help without fear of judgment.
One of the best things you can do to destigmatize the discussion of suicide is to become comfortable with asking and listening.
If you suspect somebody is having a difficult time, make it a normal practice to ask them sincerely about how they’re feeling. If they feel you are a safe person to be vulnerable with they are more likely to open up.
Listen to them without judgment and with the intent to understand.
Treat anybody who opens up to you about mental illness or grief as if it is perfectly normal for them to do so. The more calm empathy people receive, the easier it will be for them to talk. The more people someone is able to talk to, the bigger their support system and the better their chances of recovery.
Another important resource built around listening is the 988 Suicide & Crisis Lifeline. This free resource is for anyone experiencing a crisis and it connects people with skilled crisis counselors who listen and provide immediate support. For more information, visit 988lifeline.org or read our dedicated article.
As you become more comfortable speaking about suicide in your own social circles, you can use your voice to help others.
Speak up to advocate for better support and resources in your community.
The more community members and leaders are made aware of the prevalence of suicide, the greater the call will be for improved conversation and support for those who are struggling.
— Whether it’s yourself or a loved one, a suicidal crisis can be a scary thing to navigate. That’s why we at Bio-One hope this guide will help you know how to intervene to keep yourself or the people you love safe. We want to create a future where we never have to answer another suicide call again.
One of the most difficult parts about realizing you may be suicidal is feeling like you can’t talk to anyone about it.
Whether out of shame, or fear of how a loved one will react to finding out, reaching out to someone you know for help can be incredibly paralyzing. This sense of isolation can be dangerous, especially in moments of crisis.
In these discouraging and frightening moments, the 988 Suicide & Crisis Lifeline is there.
The 988 Suicide & Crisis Lifeline is a free resource anyone experiencing a crisis can contact for help.
The Lifeline connects people with skilled crisis counselors who listen and provide immediate support to guide you through the worst of your distress. They can also refer you to resources to help you keep yourself safe in the long term.
The Lifeline is funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) as part of its ongoing mission to reduce suicide rates nationwide.
They work with many local and government suicide prevention organizations to extend their reach everywhere in the United States.
Contacting the Lifeline is as simple as calling or texting 988.
The 988 Lifeline is for anyone who is thinking about suicide, concerned for a friend or loved one, or just in need of emotional support. This means you can call, text, or chat even if you are struggling but not yet in crisis.
People call the Lifeline for any number of reasons:
These are just a few concerns that may prompt someone to call, but they should illustrate that you don’t need to wait until you’re in severe distress to call.
988 is a crisis service, but not an emergency service. This means if you are in emotional distress but aren’t yet in danger, it is the right time to call. 988 counselors are well-trained in methods to help you steer out of an emotional spiral and ground yourself.
If you or the person you are helping is in immediate danger of harming themselves, call 911 right away.
There are a few different ways you can contact the 988 Lifeline depending on your needs. You can call or send a text to 988, or you can chat with a counselor online at 988lifeline.org. Help is available in English or Spanish, and there are additional options for ASL speakers.
Depending on how you choose to contact the Lifeline, here is what you can expect from the process:
If you call…
You will be greeted by an automated message and a phone tree. If you are a veteran, you can press 1 to be directed to the Veteran Crisis Line. For help in Spanish, you can press 2. Otherwise, you can remain on the line and you will be placed on a brief hold while you are connected to a counselor.
If you text…
After you send a text to 988 requesting help, you will receive a short survey to let the counselor know a little about your situation. After you respond, the text line will connect you to your counselor who will instruct you further.
If you chat…
Similar to the text line, you will receive a short survey asking about your situation so your counselor knows how to help. There will be a short wait time while you are connected, and then your counselor will instruct you further.
Regardless of how you reach out, once you are connected to a counselor, they will listen to your problems and ask you questions to figure out the best way to help you. If needed, they may offer you steps to help you interrupt a panic attack or work your way out of a thought spiral.
Counselors may also walk you through some steps to keep yourself safe until the crisis has passed. Once they have seen to your immediate needs, they may direct you to resources online or in your community to help you find ongoing care for your mental health concerns.
The 988 Lifeline is always free and always confidential, so you never need to worry about reaching out.
Suicide is on the rise and is one of the leading causes of death in our country, but it can be prevented. The 988 Lifeline is making huge strides in prevention efforts by providing people a place to turn when they feel hopeless.
Studies have shown that almost 98% of people who contact the 988 Lifeline are able to work through their crisis without needing emergency services. Having somebody to talk to can make all the difference.
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Whether it’s yourself or a loved one, a suicidal crisis can be a scary thing to navigate. That’s why we at Bio-One hope this guide will help you know how to intervene to keep yourself or the people you love safe.
Part of our mission is to provide community resources. That’s why we dedicate so much of our time to projects like this. We want to create a future where we never have to answer another suicide call again.
If you or someone you know may be considering suicide, contact the National Suicide Prevention Lifeline at 1-800-273-8255 (en español: 1-888-628-9454; deaf and hard of hearing: dial 711, then 1-800-273-8255) or the Crisis Text Line by texting HOME to 741741.
According to the American Psychiatric Association, suicide is the 10th leading cause of death in the United States and the second leading cause of death (after accidents) for people aged 10 to 34. And according the CDC, published reports from 2020 suggest that the pandemic has had a negative effect on children’s mental health.
“Beginning in April 2020, the proportion of children’s mental health–related ED visits among all pediatric ED visits increased and remained elevated through October. Compared with 2019, the proportion of mental health–related visits for children aged 5–11 and 12–17 years increased approximately 24%. and 31%, respectively.”
Researchers have yet to link recent suicides to the pandemic since 2020 suicide data is not yet available. But on the ground, there's growing concern.
The February 2021 NPR article “Child Psychiatrists Warn That The Pandemic May Be Driving Up Kids' Suicide Risk” explores possible correlation. Takeaways include:
For ways to help kids at risk, NPR encourages readers to read Part 2 of their story, “Make Space, Listen, Offer Hope: How To Help A Child At Risk Of Suicide”.
Suicide Prevention Resources
Survivors of Suicide – What to Do Next
The loss of a loved one by suicide can be a deeply painful and traumatizing experience; however, it’s important to know that everyone experiences suicide loss in their own way. As you begin the process of healing, consider reading the American Foundation for Suicide Prevention’s guide for to talk to others about what happened and identify ways to take care of yourself.
Additionally, if you have lost someone to suicide, there may be a cleanup required. There is no need for family or friends of the loved one to be further traumatized or overwhelmed with trying to figure out how to clean the impacted area. Bio-One is here for you. Learn more about Bio-One’s suicide remediation services.
If you or someone you know may be considering suicide, contact the National Suicide Prevention Lifeline at 1-800-273-8255 (en español: 1-888-628-9454; deaf and hard of hearing: dial 711, then 1-800-273-8255) or the Crisis Text Line by texting HOME to 741741.