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Threats of suicide—either direct or indirect.
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Verbal hints such as “I won’t be around much longer” or “It’s hopeless.”
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Obsession with death.
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Overwhelming sense of guilt, shame or rejection.
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Putting affairs in order (for example, giving or throwing away favorite possessions).
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Sudden cheerfulness after a period of depression.
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Dramatic change in personality or appearance.
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Irritability.
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Hallucinations or bizarre thoughts.
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Changes in eating or sleeping patterns.
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Changes in school performance.
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Ask the child or teen if he or she feels depressed or thinks about suicide or death. Speaking openly and honestly allows the child to confide in you and gives you a chance to express your concern. Listen to his or her thoughts and feelings in a caring and respectful manner.
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Let the child or teen know that you care and want to help.
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Supply the child or teen with local resources, such as a crisis hotline or the location of a mental health clinic. If the child or teen is a student, find out if there are any available mental health professionals at the school and let the child know about them.
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Seek professional help. It is essential to seek expert advice from a mental health professional that has experience helping depressed children and teens.
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Alert key adults in the child’s life—family, friends, teachers. Inform the child’s parents or primary caregiver, and recommend that they seek professional assistance for their child or teen.
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Trust your instincts. If you think the situation may be serious, seek immediate help. If necessary, break a confidence in order to save a life.
Everyone can
- Ask someone you are worried about if they’re thinking about suicide.
- Keep them safe. Reduce access to lethal means for those at risk.
- Be there with them. Listen to what they need.
- Help them connect with ongoing support like the Lifeline (1-800-273-8255).
- Follow up to see how they’re doing.
If You Know Someone in Crisis: Call the toll-free National Suicide Prevention Lifeline (NSPL) at 1–800–273–TALK (8255), 24 hours a day, 7 days a week. The service is available to everyone. The deaf and hard of hearing can contact the Lifeline via TTY at 1–800–799–4889. All calls are confidential. Contact social media outlets directly if you are concerned about a friend’s social media updates or dial 911 in an emergency. Learn more on the NSPL’s website. The Crisis Text Line is another resource available 24 hours a day, 7 days a week. Text “HOME” to 741741.
Other Resources
1-800-273-TALK (8255)
This will connect you with a crisis center in your area.
Covenant House Nine Line
800-999-9999
This is a 24-hour teen crisis line.
American Academy of Child and Adolescent Psychiatry
www.aacap.org
202-966-7300
American Association of Suicidology
www.suicidology.org