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Who is at risk for suicide?People of all genders, ages, and ethnicities can be at risk for suicide. What is suicide?Suicide is when people harm themselves with the goal of ending their life, and they die as a result.A suicide attempt is when people harm themselves with the goal of ending their life, but they do not die.Avoid using terms such as “committing suicide,” “successful suicide,” or “failed suicide” when referring to suicide and suicide attempts, as these terms often carry negative meanings. The Lifeline is free, confidential, and available to everyone.

Talking about feeling empty or hopeless or having no reason to live Talking about wanting to die or wanting to kill themselves What are the warning signs of suicide?Warning signs that someone may be at immediate risk for attempting suicide include: Although risk factors for suicide are important to keep in mind, someone who is showing warning signs of suicide may be at higher risk for danger and need immediate attention.Stressful life events (such as the loss of a loved one, legal troubles, or financial difficulties) and interpersonal stressors (such as shame, harassment, bullying, discrimination, or relationship troubles) may contribute to suicide risk, especially when they occur along with suicide risk factors.

Talking about feeling great guilt or shame Making a plan or looking for ways to kill themselves, such as searching for lethal methods online, stockpiling pills, or buying a gun Displaying extreme mood swings, suddenly changing from very sad to very calm or happy Taking great risks that could lead to death, such as driving extremely fastOther serious warning signs that someone may be at risk for attempting suicide include: Putting affairs in order, such as making a will Feeling unbearable emotional or physical pain

This may be because men are more likely to attempt suicide using very lethal methods, such as firearm or suffocation (e.g., hanging), and women are more likely to attempt suicide by poisoning, including overdosing on prescribed or unprescribed prescription drugs. Do certain groups of people have higher rates of suicide?According to the Centers for Disease Control and Prevention (CDC), women are more likely to attempt suicide than men, but men are more likely to die by suicide than women. Asking someone directly, “Are you thinking of killing yourself?” can be the best way to identify someone at risk for suicide. Studies have shown that asking people about suicidal thoughts and behaviors does not cause or increase such thoughts.

You can learn more about this finding on the CDC website. For children under age 12, research indicates that Black children have a higher rate of suicide death than White children.NOTE: After steadily increasing for many years, the overall suicide rate decreased slightly from 2018 to 2019. Suicide now ranks as the second leading cause of death for youth ages 10 to 14. American Indian and Alaska Native men have the highest rates of suicide, followed by non-Hispanic White males.Although the rate of suicide death among preteens and younger teens is lower than that of older adolescents and adults, it has increased over time.

What treatment options and therapies are available?Effective, evidence-based interventions are available to help people who are at risk for suicide: All talk of suicide should be taken seriously and requires immediate attention. Talking about wanting to die by suicide is not a typical response to stress.

A therapist trained in DBT can help a person recognize when their feelings or actions are disruptive or unhealthy and teach the person skills that can help them cope more effectively with upsetting situations. DBT also has been shown to reduce the rate of suicide attempts in adults with borderline personality disorder, a mental illness characterized by an ongoing pattern of varying moods, self-image, and behavior that often results in impulsive actions and problems in relationships. Dialectical Behavior Therapy (DBT): DBT is a type of psychotherapy that has been shown to reduce suicidal behavior in adolescents. CBT helps people learn to recognize their thought patterns and consider alternative actions when thoughts of suicide arise.

The Lifeline connects people to the nearest crisis center that provides crisis counseling and mental health referrals.The Crisis Text Line is available 24 hours a day, 7 days a week. Do not promise that you will keep their suicidal thoughts a secret—tell a trusted friend, family member, or other trusted adult.Call 911 if there is immediate danger, or go to the nearest emergency room.Call 1-800-273-TALK (8255) En español 1-88The Lifeline is a free, confidential crisis hotline that is available to everyone 24 hours a day, 7 days a week. Collaborative care has been shown to be an effective way to treat depression and reduce suicidal thoughts.What should I do if I am in crisis or someone I know is considering suicide?If you notice warning signs of suicide—especially a change in behavior or new, concerning behavior—get help as soon as possible.Family and friends are often the first to recognize the warning signs of suicide, and they can take the first step toward helping a loved one find mental health treatment.If someone tells you that they are going to kill themselves, do not leave them alone. A behavioral health care manager will work with the person, their primary health care provider, and mental health specialists to develop a treatment plan.