What You Need to Know About Suicide to Help Prevent It

When someone you know commits suicide, the first question we ask is "Why?" Knowing the answer to the question before a suicide occurs may help prevent someone from taking their life. #suicide #NAMI #mentalillness #mentalhealthmonth #depression #teensuicide #suicideprevention #teacher #selfcare #anxiety #hopelessness #stopthestigma

When someone you know commits suicide, the first question we ask is “Why?” Knowing the answer to the question before a suicide occurs may help prevent someone from taking their life.

This month, in honor of National Mental Health Awareness Month, I’ll explore a variety of mental health issues—some more recognizable than others. One in five persons in the United States suffers from some sort of mental health problem, yet the stigma surrounding mental health remains. The more we know about mental health problems, the better we can come alongside those who suffer.

When someone you know commits suicide, the first question we ask is "Why?" Knowing the answer to the question before a suicide occurs may help prevent someone from taking their life. #suicide #NAMI #mentalillness #mentalhealthmonth #depression #teensuicide #suicideprevention #teacher #selfcare #anxiety #hopelessness #stopthestigma

A Question Without an Answer

“Why Cee, why did you do this? You didn’t have to!” her voice trembled and ended on a shaky accusation.

The heavy sounds of quiet sobbing filled the small space. Outside, Kingbirds warred with each other in the bright sunshine. As if the day were normal. But nothing about the day seemed normal.

We laid my student to rest this morning. Her niece, a student who graduated last year, gave the eulogy. In her quiet and touching words, I learned more of a heartbreaking story. Cee spent time in foster care. She seldom lived with her mom.

Her brother, another former student, stood by the open casket and shook with silent sobs. None of Cee’s siblings shared the same last name. Little tragedies piling up over a short lifetime. And for Cee, the weight became unbearable last week.

At 17, she took her life. We found out the last week of school and held an impromptu memorial service for her. Her classmates, friends, and teachers shared stories of Cee’s silly pranks, sly humor, and kindness.

But the funeral, populated with family members and friends who did life more closely with Cee, held a weight of sadness almost impossible to bear. Everyone silently repeated the same refrain, “Why did you do this?”

If Only

The question haunts everyone who has lost a loved one, friend, or student to suicide. If onlys dance in our heads. If only Cee had stayed in school past the first quarter of this year.

Our school offers access to free counseling 24/7. If only a pandemic hadn’t exacerbated the mental health issues of teens. Especially on the reservations where hope has dried up like a leaf in the hot summer winds. If only she had reached out to someone who knew how to help. But if onlys bring no comfort, only more regrets.

Jesus loves Cee. He loves every person who has ever taken their own life. Forget burying those who die by their own hands outside the churchyard. Jesus loves all his children. Even the ones who end their own lives.

Years ago, I heard someone say, “What a selfish thing to do!” when referring to someone who had committed suicide. I hope we’ve gotten past this mindset and recognize people take their own lives for a variety of reasons—none of which seem selfish to the person at the time. Mental illnesses, including depression, bipolar disorder, anxiety, and schizophrenia, may play a role in someone’s decision to commit suicide.

Understanding the Roots

In recent decades, the government has identified suicide as one of the leading causes of death in the United States. In order to better understand the causes and work towards prevention, Dube, et. al, in a 2001 study published in the Journal of the American Medical Association, identified a correlation between Adverse Childhood Experiences (ACEs) and increased suicide attempts.

The higher number of ACEs a child experiences before age 18, the greater their risk for mental illness, substance abuse, and suicide attempts. The adverse experiences include:

  • emotional abuse
  • physical abuse
  • sexual abuse
  • having a battered mother
  • household substance abuse
  • mental illness in the household
  • parental separation or divorce
  • having an incarcerated household member

Cee scored at least five out of seven on the ACE score, but even scoring one out of seven puts someone at a lifelong risk of committing suicide.

Just knowing about the ACE score can help us better understand what might cause someone to take their own life. During this month of mental health awareness, take a look at the people you know and love. Do they have a high ACE score? Have they received professional counseling to help them work through their adverse childhood experiences?

The roots of suicide sprout from mental illness, not selfishness. Learning to recognize others’ pain and offer actionable help will do more to prevent suicide than shaming those who suffer. You can find a well-written article on why people commit suicide at the Very Well Mind.

During this Mental Health Awareness Month, make sure you know the warning signs of someone contemplating suicide. #NAMI #suicideprevention #mentalhealthmonth Click To Tweet

Is Cutting the Same as a Suicide Attempt?

Some may think cutting or self-harm equivalent to a suicide attempt, but self-harm and suicide aren’t the same. Self-harm (cutting, scratching, burning, or hitting one’s self), according to an article on the Child Mind Institute, helps those to exhibit these behaviors feel better. The intent is not to end one’s life, but to find relief from the stresses of life.

Those who self-harm usually hide the evidence (they limit their self-injury to places most people don’t see). According to Inside the Cutter’s Mind: Understanding and Helping Those Who Self-Injure, self-harm can become an addictive way to handle stress or anxiety. If you suspect your child harms him or herself, please find a counselor as soon as possible.

Stop the Blame Game

When someone you know commits suicide, the first question we ask is "Why?" Knowing the answer to the question before a suicide occurs may help prevent someone from taking their life. #suicide #NAMI #mentalillness #mentalhealthmonth #depression #teensuicide #suicideprevention #teacher #selfcare #anxiety #hopelessness #stopthestigma

Many times, those left behind suffer remorse and regret. They blame themselves for the action of the person who took his or her life. We ask ourselves what we could have done differently. Did we fail to notice some sign? Do we even know the signs?

Warning Signs of Suicide

  • Giving away possessions.
  • Talking about wanting to die or end it all.
  • Hopelessness or feeling as if one has one purpose.
  • Feeling trapped or expressing feelings of unbearable pain.
  • Increased drug or alcohol use.
  • Displaying extreme mood swings (which could also signal bipolar disorder)
  • Demonstrating feelings of rage or wanting to seek revenge.
  • Sleeping too little or too much (also a possible sign of bipolar disorder).
  • Acting anxious, agitated, reckless, or withdrawn.
  • Talking about how much of a burden they are to others.
  • Making phone calls to say goodbye.

Listen for the Subtext of Suicidal Thoughts

Remember many people won’t come out and say any of these things. They will use a subtext we need to listen for. Don’t let familiarity inure you to the pain of a mental health issue in a loved one. Be brave enough to ask the hard questions.

  • Have you ever thought of taking your life?
  • Do you have a plan?
  • What can I do to help?
  • Do you think you are depressed?

Assure the person you love them no matter what. Make sure they know we all go through hard times and getting help equals an act of bravery. Assure them you will walk through the situation with them.

Offer to hold their hand while they call the National Suicide Prevention Lifeline at 1-800-273-TALK. Help them text “HELLO” to 741741 (a crisis text line). If you think someone is in imminent danger of taking his or her own life, you can call or text as well for advice about what to do. YOU aren’t alone, either.

Knowledge brings power. Power to help, to come alongside, to let others know about help and hope.

Stop the Stigma

We need to acknowledge the mental and emotional pain others suffer. Mental health awareness means we don’t stigmatize those who suffer as ‘crazy,’ ‘weird,’ or ‘lacking in faith.’ We don’t condemn people for breaking an arm or getting cancer.

Insurance companies need to make mental health care as accessible as physical health care.

If we all do our part, we won’t have to lose ourselves in if onlys. We won’t have regret nip at our heels. Above all, treat everyone with gentleness and self-control. We never know what someone else is going through.

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  1. We may be asking why? But sometimes the person who is doing it can’t even put into words why. My sister took a bunch of pills one night as a teen, trying to commit suicide. My mom kept asking her why, after they had pumped her stomach and she was home again. My sister kept saying she didn’t know why. To come back in ten years and ask her then.
    Theresa Boedeker recently posted…Will Life Ever Return to Normal?My Profile

  2. Anita, this is such a powerful post and so meaningful to me. Understanding suicide is such a huge challenge for so many people. Being a person who walked that line for many, many years, I feel fortunate that I do understand. Which is why I am so passionate about spreading awareness of this sort. I am so grateful to you for doing this kind of work as well.


  3. Thank you for this. I had a friend, like-a-brother knit of friend, who killed himself, He left me the notes in my mail slot that I would find him. Oh, my! It was so rugged. The police interrogation and the loss of my sweet friend. But I had clues but did not act upon them. I did not know what to do. I blamed myself for what I did not do, didn’t know that I could do anything. That was in 1991. We were in our 40s. I went to a support group for ME for a few weeks but they were delving into suicides of 20, 30, 40 years prior along with us just-happened people. I left the group because I did not want to be dealing with this for 30 or 40 years. Yes, I think of him and share my experience once in a while at the right moment, but I have allowed God to take care of my friend and me. I rest in the Lord. Anita, this article even brings me further along even after all these years for it hangs there sometimes. Thanks.
    ~ linda recently posted…GatherMy Profile

  4. Thank you for sharing this information, Anita. You may have saved lives.

    Students at the school where I used to teach started a club called Aevidum (it means I’ve got your back) after one of their peers committed suicide. The awareness and attention they brought to the topic helped other students who may have been at risk. It was a positive response to tragedy. Now the club has spread to other schools in the area and some outside of the area too. If you are interested in helping to start a chapter in your school, you can Google their website.
    Laurie recently posted…It’s Not Too LateMy Profile

  5. I have several young people in my life who have been “cutters” during times of stress or anxiety. It can be very hard to know how to best help someone who is expressing their pain in that manner.

    Last summer we lost a dear friend to suicide.

    Thank you for this anti-stigma series
    Barb Hegreberg recently posted…6 Word Poetry #19My Profile

  6. Crying as I read this post, Anita. I’m so sorry for the family of Cee. There are so many misconceptions about suicide (and I’m sure I fall prey to many of them). Thanks for help us understand it better. This is definitely something we need to talk more about: “The roots of suicide sprout from mental illness, not selfishness.” We definitely need to stop the blame game.
    Lisa notes recently posted…Has Your Life Returned to Normal Yet? Is This Now Normal?My Profile

  7. This is a wonderful article, Anita. I’m sorry for your loss of Cee, and for the loss felt by her friends, family, and community. I cringed from some of the reactions to suicide you shared. Yes, stopping the stigma is so important. And we can start with empathetic behaviours rather than shaming!
    Lynn recently posted…Word for the Year- How is it going?My Profile

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Anita Ojeda

Anita Ojeda juggles writing with teaching high school English and history. When she's not lurking in odd places looking for rare birds, you can find her camping with her kids, adventuring with her husband or mountain biking with her students.

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