Definition (1)
- Suicide: What to do when someone is suicidal
Prevention (1)
- Considering suicide? How to stay safe and find treatment
Risk factors (1)
- Depression (major depression)
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Get StartedSuicide: What to do when someone is suicidal
When someone you know appears suicidal, you might not know what to do. Learn warning signs, what questions to ask and how to get help.
By Mayo Clinic staffHearing someone talk about suicide can be distressful and upsetting. You want to help him or her stay safe and get professional treatment. But you may not be sure how to help, whether you should take talk of suicide seriously, or if your intervention might even make the situation worse.
Certainly, not everyone who has thoughts of suicide or talks about suicide actually attempts it. But most people who take their own life have expressed their intention at some time. That's why it's important to take any talk or threat of suicide seriously, especially when someone has depression or another mental disorder, is intoxicated, or is behaving impulsively or recklessly.
While it may not be possible to prevent all suicides, your active involvement may make a difference in saving a life. Learn effective, compassionate ways to intervene and guide someone toward professional help when he or she may be considering suicide.
Know who's at risk of suicide
Understanding who's at a higher risk of suicide can help prevent a tragedy. While you don't necessarily need to constantly monitor someone who's at higher risk, you may be more alert for possible problems. Factors that may increase someone's risk of suicide include:
- Previous suicide attempts
- Having a psychiatric disorder, such as depression, bipolar disorder, schizophrenia or personality disorders
- Alcohol or substance abuse
- A family history of mental disorders or substance abuse
- A family history of suicide
- Family violence, including physical or sexual abuse
- Firearms in the home
- A significant medical illness, such as cancer or chronic pain
Learn warning signs of suicide
You can't always tell when a loved one or friend is considering suicide. But here are some typical warning signs:
- Talking about suicide, including making such statements as "I'm going to kill myself," "I wish I were dead" or "I wish I hadn't been born"
- Securing the means to commit suicide, such as getting a gun or stockpiling pills
- Withdrawing from social contact and wanting to be left alone
- Dramatic mood swings, such as being emotionally high one day and deeply discouraged the next
- Being preoccupied with death, dying or violence
- Feeling trapped or hopeless about a situation
- Increased use of alcohol or drugs
- Changing normal routine, including eating or sleeping patterns
- Engaging in risky or self-destructive behavior, such as using drugs or driving recklessly
- Giving away belongings or getting affairs in order
- Saying goodbye to people as if they won't be seen again
- Developing personality changes, such as becoming very outgoing after being shy
Also, don't always expect to see warning signs of suicide. Some people keep their thoughts of suicide secret or deny having suicidal intentions even when directly asked. And many who consider or attempt suicide do so when you thought they should be feeling better — during what may seem like a recovery from depression, for instance. That's because they may finally muster the emotional energy to take action on their suicidal thoughts.
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