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Soloman Paley, M.D. Soloman Paley, M.D.

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Our Health Library information does not replace the advice of a doctor. Please be advised that this information is made available to assist our patients to learn more about their health. Our providers may not see and/or treat all topics found herein.

Suicidal Thoughts or Threats

Overview

Suicide is a leading cause of death for people in most age groups. But often people who seriously consider suicide don't really want to die. They may think that suicide is the only way to solve their problems and end their pain.

People who have suicidal thoughts may not seek help because they feel helpless, hopeless, or worthless. These feelings may come from having a mental health problem, such as depression. These problems can be treated. It's important to seek help when suicidal thoughts occur. With treatment, you can feel better.

Many people have fleeting thoughts of death. These are less of a problem and are different from actively planning to try suicide. The risk of suicide is higher if someone often thinks about death and killing themself or if they have made a suicide plan.

Who's at risk

Most people who seriously consider or attempt suicide have one or more of the following risks:

The chance of suicide is most serious when a person has a plan for suicide that includes:

  • Having the means available to try suicide or to harm another person, such as weapons or pills.
  • Having set a time and place to try suicide.
  • Thinking there is no other way to solve the problem or end the pain.

People who consider suicide often are undecided about choosing life or death. With compassion and support, they may choose to live.

Warning signs

The warning signs of suicide may change with age. For example:

  • In children and teens, they may include the recent breakup of a relationship.
  • In adults, they may include a recent job loss or divorce.
  • In older adults, they may include the recent death of a partner or being diagnosed with a life-limiting illness.

Don't be afraid to talk to someone if you're worried about them. Talking about suicide may actually help to prevent suicide.

Check Your Symptoms

Are you concerned that you or someone you know is thinking about suicide?
Yes
Suicide concern
No
Suicide concern
How old are you?
Less than 12 years
Less than 12 years
12 years or older
12 years or older
Are you male or female?
Male
Male
Female
Female

The medical assessment of symptoms is based on the body parts you have.

  • If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
  • If your symptoms aren’t related to those organs, you can choose the gender you identify with.
  • If you have some organs of both sexes, you may need to go through this triage tool twice (once as "male" and once as "female"). This will make sure that the tool asks the right questions for you.
Are you thinking seriously of attempting suicide?
Yes
Suicide risk
No
Suicide risk
Have you recently attempted suicide?
Yes
Recent suicide attempt
No
Recent suicide attempt
Are you thinking about suicide but do not have a plan?
Yes
Considering suicide but does not have a plan
No
Considering suicide but does not have a plan
Have you been thinking about death or suicide a lot?
Yes
Frequent thoughts of death or suicide
No
Frequent thoughts of death or suicide
Do you think that someone you know has made suicide plans?
Yes
Concern about someone who may have suicide plan
No
Concern about someone who may have suicide plan
Is a concern about abuse causing feelings of anxiety or depression?
Yes
Concern about abuse causing feelings of anxiety or depression
No
Concern about abuse causing feelings of anxiety or depression
Are you concerned about self-harm?
It can include acts like cutting, burning, or choking yourself on purpose, or pushing objects under your skin (like pieces of metal, glass, or wood). People doing these acts usually are not trying to kill themselves, but the results can still be dangerous.
Yes
Concerns about self-harm
No
Concerns about self-harm
Are you worried that feelings of depression or thoughts of suicide are not going away?
Yes
Feelings of depression or thoughts of suicide not going away
No
Feelings of depression or thoughts of suicide not going away

Many things can affect how your body responds to a symptom and what kind of care you may need. These include:

  • Your age. Babies and older adults tend to get sicker quicker.
  • Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
  • Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.
  • Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
  • Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.

Try Home Treatment

You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.

  • Try home treatment to relieve the symptoms.
  • Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.
HomeTreatment
RelatedInformation
WhereToGo

The risk of a suicide attempt is highest if:

  • You have the means to kill yourself, such as a weapon or medicines.
  • You have set a time and place to do it.
  • You think there is no other way to solve the problem or end the pain.

Seek Care Now

Based on your answers, you may need care right away. The problem is likely to get worse without medical care.

  • Call your doctor now to discuss the symptoms and arrange for care.
  • If you cannot reach your doctor or you don't have one, seek care in the next hour.
  • You do not need to call an ambulance unless:
    • You cannot travel safely either by driving yourself or by having someone else drive you.
    • You are in an area where heavy traffic or other problems may slow you down.

Where to get help 24 hours a day, 7 days a week

If you or someone you know talks about suicide, self-harm, a mental health crisis, a substance use crisis, or any other kind of emotional distress, get help right away. You can:

  • Call the Suicide and Crisis Lifeline at 988.
  • Call 1-800-273-TALK (1-800-273-8255).
  • Text HOME to 741741 to access the Crisis Text Line.

Consider saving these numbers in your phone.

Seek Care Today

Based on your answers, you may need care soon. The problem probably will not get better without medical care.

  • Call your doctor today to discuss the symptoms and arrange for care.
  • If you cannot reach your doctor or you don't have one, seek care today.
  • If it is evening, watch the symptoms and seek care in the morning.
  • If the symptoms get worse, seek care sooner.
HomeTreatment
RelatedInformation
WhereToGo

Call 911 Now

Based on your answers, you need emergency care.

Call 911 or other emergency services now.

Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.

Where to get help 24 hours a day, 7 days a week

If you or someone you know talks about suicide, self-harm, a mental health crisis, a substance use crisis, or any other kind of emotional distress, get help right away. You can:

  • Call the Suicide and Crisis Lifeline at 988.
  • Call 1-800-273-TALK (1-800-273-8255).
  • Text HOME to 741741 to access the Crisis Text Line.

Consider saving these numbers in your phone.

Self-Care

If you're thinking about suicide, it can help to talk to someone about your feelings. It may not be easy to reach out for help, but it's so important. We all need support from time to time, and there are people who want to help.

Consider talking with:

  • A trusted family member, friend, or spiritual advisor.
  • A health professional, such as your doctor or counselor.
  • Other mental health resources, such as a community mental health agency or employee assistance program.

Where to get help 24 hours a day, 7 days a week

If you or someone you know talks about suicide, self-harm, a mental health crisis, a substance use crisis, or any other kind of emotional distress, get help right away. You can:

  • Call the Suicide and Crisis Lifeline at 988.
  • Call 1-800-273-TALK (1-800-273-8255).
  • Text HOME to 741741 to access the Crisis Text Line.

Consider saving these numbers in your phone.

Go to 988lifeline.org for more information or to chat online.

Family and friends: How to help

You may be able to help someone who is thinking about suicide.

If the person has a plan to harm themself or someone else, call 911.

Other things you can do

  • Consider your own safety. If you feel safe, stay with the person, or ask someone you trust to stay with them, until help arrives.
  • Talk about the situation as openly as possible. Tell the person that you don't want them to die or to harm another person.
  • Show understanding and compassion. Don't argue with the person or deny their feelings. Arguing with the person may only increase their feeling of being out of control of their life.

If you think that someone you know is thinking about suicide, encourage them to get counseling.

  • You could offer to help them find a therapist.
  • You may be able to help the person get to their appointment. You can even offer to go to the sessions if they want you to.

When to call for help during self-care

Call a doctor if any of the following occur during self-care at home:

  • You are worried that thoughts of suicide are not going away.
  • Symptoms occur more often or are more severe.

Learn more

Preparing For Your Appointment

You can help your doctor diagnose and treat your condition by being prepared for your appointment.

Credits

Current as of: July 31, 2024

Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Current as of: July 31, 2024

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.