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Image of diverse group of people talking. Text about raising awareness for suicide prevention & treatment.
Image from the National Alliance on Mental Illness: https://www.nami.org/get-involved/awareness-events/awareness-resources/

September is Suicide Prevention Month - making it a good opportunity to raise awareness about suicide and suicidal ideation. If you or someone you know has thoughts of suicide, immediate help is available. Call, text, or chat 988 to speak to a trained crisis counselor.

Just like other mental health conditions, suicidal thoughts can impact anyone. According to the Centers for Disease Control (CDC), over 49,000 people died by suicide in 2022, equating to one death every eleven minutes (CDC, 2024a). Between 2000 and 2018, suicide rates increased by 37%, and returned to their peak in 2022 following a brief decline between 2018 to 2020 (CDC, 2024a). 

Knowing the risk factors of suicidal ideation and behavior is important for everyone. According to a 2016 review published in The Lancet, “approximately 45% of individuals who die by suicide consult a primary care physician within one month of death, yet there is rarely documentation of physician inquiry or patient disclosure” of suicidal ideation or behavior (Turecki, & Brent, 2016). 

While many individuals with suicidal ideation do not attempt suicide (Dlonsky, et al., 2016), recognizing the risk factors can help you identify someone in need of help and help you find the help they need. According to the CDC, factors that contribute to suicide risk range from individual, relationship, community, and societal factors and can include, but are not limited to the following:

Individual Risk Factors:

  • Previous suicide attempt
  • History of depression and other mental illness
  • Serious illness 
  • Job or financial problems
  • Impulsive or aggressive tendencies
  • Sense of hopelessness

Relationship Risk Factors:

  • Bullying
  • Family or loved one’s history of suicide
  • Loss of relationships
  • Social isolation
  • High-conflict or violent relationships

Community Risk Factors:

  • Lack of access to healthcare
  • Community violence
  • Historical trauma
  • Discrimination

Societal Risk Factors:

  • Stigma associated with seeking help and mental illness
  • Easy access to lethal means of suicide 
  • Unsafe media portrayals of suicide

(CDC, 2024b)

Some factors can protect people from experiencing suicidal ideation and behavior. These include, but are not limited to the following:

  • Effective coping and problem-solving skills
  • Strong sense of cultural identity
  • Support from loved ones
  • Feeling connected to others
  • Feeling connected to school, community, and social institutions
  • Availability of high-quality physical and behavioral healthcare

If you are interested in learning more about suicide prevention, Himmelfarb Library has a Suicide and Suicidology Collection that includes numerous books on this topic. Notable books from this collection include: 

References:

Centers for Disease Control and Prevention (CDC). (2024a). Suicide data and statistics. https://www.cdc.gov/suicide/facts/data.html

Centers for Disease Control and Prevention (CDC). (2024b). Risk and protective factors for suicide. https://www.cdc.gov/suicide/risk-factors/index.html

Klonsky, E. D., May, A. M., & Saffer, B. Y. (2016). Suicide, suicide attempts, and suicidal ideation. Annual review of clinical psychology, 12, 307–330. https://doi.org/10.1146/annurev-clinpsy-021815-093204

Turecki, G., & Brent, D. A. (2016). Suicide and suicidal behaviour. Lancet (London, England), 387(10024), 1227–1239. https://doi.org/10.1016/S0140-6736(15)00234-2

In the year 2020, nearly 46 thousand people took their own lives. That is roughly one suicide every 11 minutes. September is National Suicide Awareness Month and is a good time to reflect, educate, and to encourage every patient in need to seek mental help. 

Where to begin: reflect. Ask yourself: do I, or have I known anyone who has struggled with suicidal ideations? If you answered yes, how did this affect you? Regardless of your healthcare speciality, it is important to remember that mental health plays a critical role in a person's overall health and well-being. 

Educate. Suicide can be a difficult topic to address, but it is one that should not be ignored, especially when warning signs are present. Understanding the risk factors of suicide paired with action can save a life. Know that there is no qualification or degree needed to see that someone needs help. If you are uncertain of common behaviors of someone who may be feeling overwhelmed by stress or depression, the National Alliance on Mental Awareness (NAMI) provides guidelines for identifying risk factors, as well as articles on personal experiences, mindfulness, and how to prevent suicide. 

Lastly, encourage. Even if you may not feel qualified to help someone personally, you can connect them to nationally available resources, such as the Suicide Crisis Lifeline, by calling or texting 988.This lifeline is available 24/7, and connects people in need to a trained counselor who will not only listen and provide support, but offer assistance and resources that may be needed. You can also text NAMI to 741-741 to be connected to a free, trained crisis counselor on the Crisis Text Line.

There is national help available even to those who do not have access to healthcare options.