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What Do You Do If You Are Feeling Suicidal and Need Help?

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:

First, Are you safe?

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: 

Tell somebody.

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. 

Know that talking may be difficult. 

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. 

Remove access to means of self-harm.

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. 

Distract yourself.

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. 

Create a safety plan.

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.

Long-Term Safety

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. 

Available Support Resources

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: 

Community Mental Health Centers

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. 

Churches or Spiritual Communities

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. 

Online Resources and Communities

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. 

University Resources

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. 

Training Clinics

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.

Negotiable Pricing

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. 

Steps Toward Recovery

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.

Reach out for help. Stay safe. 

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: 

  • Mental illness 
  • Abuse
  • Job loss or severe financial distress
  • Chronic illness or pain
  • Relationship loss
  • Social isolation
  • Suicide of a friend or family member

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:

  1. When the victim recognizes they are in distress and reaches out for help.
  2. When loved ones take notice of worrying behaviors and take steps to intervene and provide support for the victim. 

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.

Suicide is currently an incredibly pressing issue in our world. 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

With so many suffering in our country, and others suffering from mental illness and suicidal thoughts, it is important for all of us to know how to recognize when someone in our life is at risk of suicide. 

However, it is not always readily apparent when someone is struggling with self-harm or planning to take their life. The signs can be subtle and easy to miss. We hope this guide can point out some things to look for so you can recognize when intervention is necessary. 

Your awareness may save a life. 

What Causes Suicidal Thoughts?

There is no singular cause of suicidal ideation or behavior. A variety of situations or life circumstances may be the catalyst for someone wanting to end their life. Risk factors include but are not limited to:

  • Mental illness
  • Abuse
  • Job loss or severe financial distress
  • Chronic illness or pain
  • Relationship loss
  • Social isolation
  • Suicide of a friend or family member

Mental Illness

In most of these circumstances, severe mental illness is present—which can make the other issues all the more difficult to handle. 

For someone who is suffering from one or more of these factors, it may feel like the only way out is to end their life. They may also feel their struggles make them a burden on others and that it would be better for everyone if they were gone.

Community Factors

There is no definitive way to determine who is most at risk. However, factors affecting certain communities may lead to higher suicidal ideation and behavior within those demographics. 

No matter what, having access to support from family and community is a major factor in improving the odds of survival and recovery for a person struggling with suicidal ideation. This makes it crucial for as many people as possible to know how to recognize the signs and intervene. 

How to Recognize if Someone is Suicidal

As previously mentioned, it is not always obvious when someone is struggling. A person who is feeling suicidal may not be very forthcoming, especially in communities where mental illness and suicide are not often discussed in a supportive manner. 

Even so, there are some common signs to watch for that may indicate a loved one is in need of support or intervention. 

Major warning signs someone may attempt suicide include:

  • Talking about feeling hopeless or having no purpose
  • Withdrawing from life and social responsibilities 
  • Increased drug or alcohol use
  • Talking about being a burden to others
  • Agitated, anxious, or restless behavior
  • Extreme mood swings
  • Talking about wanting to die or self-harm
  • Increased fascination with death or suicide, especially with specific means of suicide

These signs may or may not indicate an imminent suicide attempt, but they should be taken very seriously. Action should be taken as quickly as possible to provide individuals with these indicators of support and to help them find professional help to improve their situation and outlook. 

There are likewise a few signs to watch for that may indicate the person is in immediate danger, including:

  • Directly threatening suicide or talking about having no reason to live
  • Posting on social media about death or suicide
  • Researching or seeking access to methods of suicide

Any of these three signs should prompt you to immediately reach out to a mental health professional or to call or text the 988 Suicide & Crisis Lifeline for instructions on how you should respond. 

If you become aware that the person is in crisis and immediately at risk of harming themselves, call 911 or bring them to an emergency room right away

Don’t second guess your concern if you see these signs. No reaction is an overreaction when it comes to keeping your loved one safe. 

What to Do Next

Overwhelmingly, the best means of early suicide prevention are:

  1. When the victim recognizes they are in distress and reaches out for help.
  2. When loved ones take notice of worrying behaviors and take steps to intervene and provide support for the victim. 

If your loved one has reached out to you for help, or if you have noticed any of the warning signs and the situation is not yet an emergency, the next steps are to begin intervention. 

Talk to your loved one. If they have not yet confided in you, ask if they have been thinking about suicide, and listen without judgment as they talk about how they are feeling. 

After establishing the need for help, involve other trusted members of the person’s family or community to create a support network for them as they navigate this difficult time. 

Ultimately, anyone who is struggling with suicidal thoughts or behavior should receive help from a mental health professional. 

Their current state of depression or hopelessness may not allow them to seek this help on their own. As part of your intervention, you may need to help them make an appointment with a professional and follow up. This help can ensure they are able to properly begin their road to recovery. 

For more information on effective intervention and prevention, you can refer to our guide to effective suicide prevention here. 

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. 

What Does Suicide Prevention Look Like? 

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.

Self-Intervention and Prevention

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

  • Remind yourself that you matter.
    Reaching out for help is not always easy, but keep reminding yourself that your perception of your self-worth is distorted while you are suicidal. If you do not have trusted friends or family, there is likely a professional or community member (online communities included) who will listen and take your safety seriously. 
  • Remove access to means of self-harm.
    Once you have someone you trust, get their help to remove anything dangerous from your surroundings. Have them hold onto the items until you feel safe again. 
  • Distract yourself.
    The immediate urge to self-harm is often short-lived. Give yourself a sensory distraction such as music, petting an animal, doing a craft, or going on a walk to occupy you until the worst of the feelings pass. 
  • Create a safety plan.

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. 


Intervention by a Friend or Family Member

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:

  • Ask questions.
    If you suspect someone you love may be suicidal, ask them about it. Asking them directly can help you assess how serious the danger is so you can respond accordingly. 
  • Trust yourself.
    Knowing a loved one is at risk of suicide can be overwhelming, but it’s important to trust your instincts to ensure their safety. Your willingness to intervene to keep them safe will go a long way in giving them the support they need to get through this. 
  • Don’t minimize or shame.

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. 

  • Be proactive.
    If you know someone is suicidal, take action and follow through. Remove access to things they may use to harm themselves while they are in crisis. If necessary, stay with them for as long as it takes for the danger to pass. 

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. 

  • Don’t do it alone.
    When someone’s safety is on the line, do not keep secrets. Enlist help from others you trust to help the person. Even if they are upset with you for telling, in the end it will have been for the better.
  • Recognize when it is an emergency.
    If you suspect the situation has escalated to an emergency, do not hesitate to call 911 or take your loved one to an emergency room. You can also call the 988 Crisis & Suicide Prevention Lifeline for guidance on what to do in your specific situation.

Prevention is Key

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.


Girl Upset - Suicide Prevention Resources

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:

  • NPR spoke with providers at hospitals in seven states across the country, and all of them reported a similar trend: More suicidal children are coming to their hospitals — in worse mental states.
  • The number of kids with suicide attempts coming to the emergency room at UCSF Benioff Children's Hospital Oakland, in California, in the fall of 2020 was double the number in the fall of 2019.
  • At Riley Hospital for Children in Indianapolis, the number of children and teens hospitalized after suicide attempts went up from 67 in 2019 to 108 in 2020. And October 2020 saw a 250% increase in these numbers over the previous October.

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.