Suicidal ideation: Know the signs
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 listed below before a crisis. 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 themselve
- 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
- 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 Suicide & Crisis Lifeline at 988.
- Call the behavioral health number on the back of their health insurance card
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.
If you are experiencing a behavioral health emergency call or text the Suicide & Crisis Lifeline at 988.
If you are experiencing a medical emergency call 911.
This article is brought to you by Lucet. Blue Cross and Blue Shield of Kansas City partners with Lucet to optimize our members’ access to behavioral health services. For more information call the behavioral health number on your member ID card or login to your member account at MyBlueKC.com.
