Warning Signs
Suicide is a serious public health problem that can be prevented, one death is too many. About one person per day dies by suicide. Warning signs may indicate an immediate risk. Warning signs are unique to the individual and they are helpful to understand as part of an individualized suicide prevention intervention. Some common warning signs are:
- Talking about wanting to die or being a burden
- Withdrawing from people or activities
- Giving away possessions
- Sudden mood changes (especially from depressed to calm/cheerful)
- Increased alcohol or drug use
Myths vs. Facts
MYTH: Thinking about suicide is a normal reaction to extreme stress.
FACT: Suicide is caused by a confluence of factors, not as a result of stress only. It is not a common event.
MYTH: Asking a depressed person about suicide will encourage him/her to attempt suicide.
FACT: Studies have shown that patients with depression at times have these ideas and talking about them does not increase their risk of suicide.
MYTH: People who talk about suicide don’t die by suicide.
FACT: Many people who die by suicide have given definite warnings to family and friends of their intentions. Always take any comment about suicide seriously.
Ask early, Ask often
Asking early provides an opportunity to intervene early, to offer help, hope, and connection to treatment to reduce risk. Suicide risk is a curve and may peak during a moment of crisis. Alternatives and resources may not seem obvious or available in this moment. Ask as soon as you feel/think there are “pink flags.” Asking early and connecting to help for intervention before a suicide attempt can save lives.
Talking with Someone Who May Be at Risk
Individuals thinking about suicide are often ambivalent. Many feel exhausted by their problems or are overwhelmed by emotional pain. They may not know how to access help or lack the belief that anything will help. Stigma can be a barrier in asking for help and talking helps break through. Listening and helping them access immediate help is an important first step. Talk with them privately and ask directly if they are thinking about suicide. It can help to bring it up with questions like, “Do you ever wish you could fall asleep and not wake up?” and “Do you have thoughts of suicide?” Listen to their explanation and perspective. Acknowledge their experience and feelings. Avoid debating the value of life, minimizing their problems or giving advice. Stay with them, engage with other supportive people, and help them keep their environment safe. Reduce access to lethal items like over the counter and prescription medications, sharp items and firearms.
Resources
If you find yourself unable to function normally because of suicidal thoughts, you may need professional assistance. The Lexington Group, Inc. can provide individual appointments for free and confidential counseling with a licensed mental health professional.
Call The Lexington Group, Inc. for 24/7 assistance at 800-676-HELP (4357) or go online to www.The-Lexington-Group.com to learn more about the program and request support.
Call 988, the Suicide & Crisis Lifeline – available 24/7.

