Warning Signs

Recognize the Warning Signs of Suicide

While there is no one cause for suicide, and no two people experience a suicidal crisis in the same way, many people who are in crisis will say or do things that indicate that they are struggling. The warning signs that someone is thinking about suicide may not be very obvious, so it’s important to know what to listen and watch for.

Symptoms of Depression

Common symptoms of depression in men include:

  • Depressed or irritable mood
  • Decreased interest or pleasure
  • Significant weight change or change in appetite
  • Change in sleep
  • Change in activity
  • Fatigue or loss of energy
  • Feelings of guilt or worthlessness
  • Trouble concentrating

There’s a Change in Behaviors

Some statements and behaviors may indicate that a person is at immediate risk for suicide. It’s especially important to note changes in behavior precipitated by a painful event, loss, or change in the person’s life; this risk is even higher if the person has recently been exposed to suicide. If you notice the following, work to keep that person safe while you seek professional help. (Please see How to Talk to a Person in Crisis and Crisis Resources for more information)

  • Talking about wanting to die or wanting to kill themselves
  • Looking for ways to kill themselves, such as buying a gun or researching means online
  • Giving away prized possessions
  • Visiting or calling loved ones to say goodbye
  • Withdrawing or becoming increasingly isolated from family and friends
  • Increasing use of alcohol and/or drugs
  • Extreme fatigue or agitation, sleeping too much or too little
  • Engaging in risky behaviors such as reckless spending, gambling, or shoplifting
  • Showing extreme mood swings, including periods of perceived ‘happiness’ and elation

There’s a Change in Communication

Sometimes, people make comments that indicate they may be thinking of suicide. When you hear these things, it is an indication that the person is at an increased risk of suicide and may need professional support. These can include statements about:

  • Killing themselves, including ‘jokes’ about suicide
  • Feeling hopeless or having no reason to live
  • Being in unbearable pain, either physically or emotionally
  • Feeling trapped, having no way out
  • Being a burden to others, or that people would be ‘better off’ without them
  • Having no reason to live

Do a Self-Check

 

RISK FACTORSTo Look for in Others

History of mental health conditions
Treated and untreated mental health conditions can reemerge after a stressor.

History of suicidal thoughts or attempts
Suicidal thoughts can reemerge after a stressor.

Family history of mental health condition or suicide
Be aware of family histories and how they can carry through generations.

History of trauma or abuse
New stressors can unlock past traumas and suicidal thoughts.

Prolonged stress

Everyone has a breaking point. Be aware of how stress is affecting your loved ones.

Insomnia
Without nurturing sleep for our mental health, stressors can be aggravated by insomnia.

COMMON STRESSORS That increase the risk of suicide

Recent relationship issues
Life changes like a break-up, divorce, or a fight with a person close to them.

Job loss
Losing a job can affect relationships, finances, and a person’s self worth.

Financial issues
Be aware in changes like stocks going down, gambling addictions, large debt, or unpaid medical bills.

Legal issues
Legal issues related to finances, child custody, divorce, or convictions.

Recent loss of loved one
Grief and loss are heavy, strong emotions that may require counseling to overcome.

Medical issues
New diagnosis, chronic pain, or a recent injury can be debilitating physically and emotionally.

Recognize the Warning Signs


01. WARNING SIGNS

ARE THEY TALKING ABOUT:

  • Killing themselves
  • Feeling hopeless
  • Having no reason to live
  • Being a burden to others
  • Feeling trapped
  • Unbearable pain

IMMEDIATE RISK

Some behaviors may indicate that a person is at immediate risk for suicide. The following three should prompt you to immediately call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255) or a mental health professional.

  • Talking about wanting to die or to kill oneself
  • Looking for a way to kill oneself, such as searching online or obtaining a gun
  • Talking about feeling hopeless or having no reason to live
  • Visiting or calling people to say goodbye
  • Giving away prized possessions

SERIOUS RISK

Other behaviors may also indicate a serious risk—especially if the behavior is new; has increased; and/or seems related to a painful event, loss, or change.

  • Talking about feeling trapped or in unbearable pain
  • Talking about being a burden to others
  • Increasing the use of alcohol or drugs
  • Acting anxious or agitated; behaving recklessly
  • Sleeping too little or too much
  • Withdrawing or feeling isolated
  • Showing rage or talking about seeking revenge
  • Displaying extreme mood swings
    Fatigue

02. What To Do

IF YOU NOTICE THE SIGNS:

  • If you recognize the warning signs, ask them the question:
  • Are you thinking about killing yourself?
  • Are you thinking about ending your life?
  • Are you thinking about suicide?
  • DO ask if you’ve identified the warning signs.
  • DO ask the question in a way that is natural and flows with the conversation.
  • DO stay with them
  • DO validate their feelings
  • DO offer Support
  • DO direct them to help
  • DON’T judge
  • DON’T ask the question as if you are looking for a “no” answer.
  • DON’T wait to ask until they are halfway out of the door.

BE AWARE OF CHANGES:

Overall health: Any mental health issues, prolonged lack of sleep/insomnia, terminal illness, new diagnosis

Environment: Access to firearms, prolonged stress, traumatic event, exposure to suicide

History: Previous attempts, family history, abuse, or trauma

03. WHAT TO SAY TO THEM

LISTEN. VALIDATE. OFFER HOPE.

  • Stay
    • with the person or have someone stay with them – do not leave them alone, even briefly
  • Support
    • Provide support
    • Don’t judge or act angry
  • Get Help
    • Determine if they can be safe
    • Involve others in their support system
    • Consider getting professional help
  • If they cannot be safe:
    • Community Crisis Center open 24/7 walk-in or call 660-7500
    • Local emergency department
    • Call 911 – ask for CIT Officer
  • BE PROACTIVE
    • Talk to your employer about bringing a training into your workplace
    • Talk to your children’s school about bringing a training in
    • Talk to your friends and family, check in on them
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