Suicidal Ideation:
Know the Signs

Before you read: This content talks about suicide prevention. Some linked sources may include sensitive topics.  Our goal is to raise awareness, promote prevention and care for readers’ well-being.

In 2022, more than 49,000 people in the U.S. died by suicide. About 1.6 million people tried to take their lives, according to the Centers for Disease Control and Prevention. Suicide is now the 11th leading cause of death in the country.

Many people show warning signs before a crisis. These signs can appear in a close friend, a coworker, or someone you do not know well. If you notice them, speak up. Showing care early can save a life. 

Start by sharing your concern in a calm and kind way. You might say, “I noticed that you said that you feel like a burden to others, which concerns me. Are you okay?” Or, “I noticed that you seem like you have been pulling away from people. Are you okay?” This helps the person feel seen and supported.  

Warning signs to watch

• Talks about feeling trapped or in deep pain
• Says they feel like a burden to others
• Gives away meaningful or valued items
• Uses more alcohol or drugs than usual
• Acts anxious, restless or upset
• Sleeps too little or too much 
• Pulls away from people or feels alone
• Shows anger or talks about revenge
• Has sudden mood changes 
• Takes unusual risks
• Talks about having no future plans or a sense of hopelessness

Any of these signs can indicate increased risk when they are new, more intense, or more frequent  than what is typical for that person.  

Highest urgency warning signs

Actions

• Seeking access to lethal means or researching methods to harm themselves
• Dramatic mood shifts from deep sadness to calmness
• Increased substance use
• Writing about death, dying or suicide when it is out of the ordinary for the person
• Sudden reckless or risky behavior
• Giving away prized possessions Increased sleep or insomnia
• Making arrangements for dependents or pets

Statements

• "I can't do this anymore."
• "Everyone would be better off without me."
• "I wish I could sleep forever."
• "Nothing will ever get better."
  
  

What to do if you're concerned

If someone shows any of these signs, help them find support right away.  You can encourage them to:  

• Call the behavioral health number on the back of their health insurance card
• Contact their Employee Assistance Program, if available
• Make an urgent visit with a local counseling office 

If the person is in immediate danger, suggest calling the Suicide and Crisis Lifeline at 988 or 800‑273‑8255. This service is free and available 24 hours a day. Your support can make a real difference.

If you have lost someone to suicide

Losing a loved one to suicide can feel overwhelming. You do not have to go through it alone. Talking with  a mental health professional or joining a support group can help you heal and move forward.