DiversityNursing Blog

September marks Suicide Prevention Month, a crucial time to raise awareness about suicide and offer support to those who may be struggling. Suicide is a global public health issue that touches people of all ages, races, and backgrounds. The more we talk about it, the better we can address this growing concern and offer hope to those in need.

The Importance of Suicide Prevention

Suicide is a leading cause of death worldwide, claiming more than 700,000 lives each year, according to the World Health Organization (WHO). In the U.S., nearly 50,000 people die by suicide annually, which is about one death every 11 minutes. The number of people who think about or attempt suicide is even higher. An estimated 13.2 million adults seriously thought about suicide, 3.8 million planned a suicide attempt, and 1.6 million attempted suicide, according to the CDC.

Understanding the Risk Factors

There’s no single cause for suicide. A combination of genetic, psychological, environmental, and social factors often contribute. However, certain groups are at higher risk:

• Mental Health Disorders: Depression, anxiety, bipolar disorder, and schizophrenia are among the most common mental illnesses linked to suicide.
• Trauma or Abuse: Those who have experienced physical, emotional, or sexual abuse may face a higher risk.
• Substance Abuse: Alcohol and drug misuse can exacerbate suicidal tendencies, particularly when combined with mental health issues.
• Chronic Illness: Chronic pain or terminal illnesses can contribute to suicidal thoughts.
• Isolation and Loneliness: Social isolation, particularly during major life transitions or in the elderly, is a significant factor.
• Historical Trauma: Some groups, such as Indigenous peoples, veterans, and members of the LGBTQ+ community, may be at heightened risk due to systemic discrimination and trauma.

Recognizing the Warning Signs

Recognizing warning signs early can save lives. If someone is experiencing suicidal thoughts or tendencies, they may exhibit:

• Talking about feeling hopeless or having no reason to live
• Expressing thoughts of being a burden to others
• Withdrawing from social activities
• Sudden mood swings (from sadness to calm)
• Increasing substance use
• Engaging in risky or self-destructive behaviors
• Giving away possessions or saying goodbye to loved ones
  
  

How to Offer Support

If someone you know is exhibiting these signs, don’t wait to act. Here are ways to offer support:

• Start a Conversation: Ask open-ended questions like, “How are you feeling?” or “Is there anything you’d like to talk about?” Express your concern directly by asking, “Are you thinking about suicide?” Studies show that asking about suicide does not increase risk but rather opens up a safe space for dialogue.
• Listen Without Judgment: Often, people need someone to listen. Avoid interrupting or offering immediate solutions. Instead, be empathetic, acknowledge their feelings, and show that you care.
• Encourage Professional Help: Encourage the person to seek help from a mental health professional. Offer to assist them in finding resources or accompany them to appointments if possible.
• Stay Connected: Keep in touch with the person. Check in regularly, and ensure they feel supported. Ongoing communication is critical in preventing feelings of isolation.

Support Resources for Suicide Prevention

There are numerous resources available for individuals in crisis, as well as for those supporting someone who may be at risk:

• National Suicide Prevention Lifeline (1-800-273-TALK) or 988 Suicide & Crisis Lifeline: This free and confidential service is available 24/7 for anyone experiencing a mental health crisis or suicidal thoughts. Their trained counselors can help assess the situation and connect individuals to local resources.
• Crisis Text Line (Text HOME to 741741): A free, 24/7 text-based service that provides support in real-time. Ideal for those who may find it easier to communicate through text.
• Veterans Crisis Line (Dial 988 and Press 1): Veterans and their loved ones can access specialized support.
• Trans Lifeline (877-565-8860): A hotline dedicated to supporting the transgender community through peer support and crisis intervention.
• Trevor Project (1-866-488-7386): A resource for LGBTQ+ youth that provides crisis intervention and suicide prevention services.
• Local Mental Health Resources: Most communities have local mental health services that can provide counseling, support groups, and emergency intervention.
  
  

The Importance of Breaking the Stigma

One of the biggest barriers to seeking help is the stigma surrounding mental health and suicide. It’s vital to break down these stigmas by normalizing conversations about mental health. Encouraging open, honest dialogue creates an environment where those who are struggling feel safe to reach out for help.

Suicide Prevention Month is not just about spreading awareness for 30 days—it’s about creating a year-round culture of compassion, understanding, and support. Whether you’re offering a listening ear, educating others, or advocating for policy changes, your efforts can make a difference. Remember, help is always available, and hope is within reach.

Let’s work together to prevent suicide and save lives.

Hospitals are seeing more cases of severe depression and suicidal thoughts among children, particularly attempts to overdose. 

The coronavirus pandemic has drastically changed the way children and teens learn, play and socialize. Many studies found forced isolation and loneliness among children correlated with an increased risk of depression.

Children’s Hospital Colorado, declared a "State of Emergency" in youth mental health. Jena Hausmann, CEO said, "It has been devastating to see suicide become the leading cause of death for Colorado’s children." 

According to the CDC, the proportion of children who arrived in emergency departments with mental health issues increased 24% from March through October 2020, compared with the same period in 2019. Among preteens and adolescents, it rose by 31%. 

Matthew Davis, MD, MAPP, Chair of the Department of Medicine at Lurie Children’s, emphasized the need for accessible, affordable mental health care for pediatric patients has greatly increased because of the pandemic. In fact, nearly 1 in 5 parents said they were unable to access  mental or behavioral health care for their child at some point, most often because they could not find a specialty provider, they could not afford it, or they could not get an appointment in a timely fashion.

Some hospitals like Cincinnati Children’s Hospital Medical Center in Ohio report running at full capacity and having more children “boarding,” or sleeping in EDs before being admitted to the psychiatric unit. 

Terrie Andrews, a Psychologist and Administrator of behavioral health at Wolfson Children’s Hospital in Florida said, "Up to 25 children have been held on surgical floors while waiting for a spot to open in the inpatient psychiatric unit. Their wait could last as long as five days."

Hospitals are not only seeing a higher volume of patients, but these patients have more intense illnesses.

Dr. Jennifer Downs, a pediatric psychiatrist at Connecticut Children’s said, “Instead of seeing kids who are saying, ‘I’m thinking about suicide,’ we’re seeing kids who have had attempts. Instead of seeing kids who are maybe brought in because of parents who feel that they’re verbally out of control, yelling, screaming, saying awful things, we’re seeing kids who are having physical aggression.”

According to The American Academy of Pediatrics, if you notice any of the following symptoms in your children, be sure to contact your child’s Physician as soon as possible:

– unusual changes in mood, such as ongoing irritability, feelings of hopelessness or rage, and frequent conflicts with friends and family
– changes in behavior, such as stepping back from personal relationships
– a loss of interest in activities previously enjoyed
– a hard time falling or staying asleep, or starting to sleep all the time
– changes in appetite, weight, or eating patterns
– problems with memory, thinking, or concentration
– less interest in schoolwork and drop in academic effort
– changes in appearance, such as lack of basic personal hygiene
– an increase in risky or reckless behaviors, such as using drugs or alcohol

If you have contemplated suicide or someone you know has talked about it, call the National Suicide Prevention Lifeline at 1-800-273-8255, or use the online Lifeline Chat, both available 24 hours a day, seven days a week.