Suicide

The Nature of Suicide

Suicide

This introductory document discusses suicide; the taking of one's own life. It is intended to educate readers about the nature of suicide. However, if you are seriously considering committing suicide right now, you don't need education about the nature of suicide. You need immediate support from caring people who can help you get through this crisis and rediscover meaning in your life. You need to stop everything else and get help as soon as possible, no matter how badly you feel, because otherwise, you may kill yourself in short order. With this understanding in mind - If you are seriously suicidal right now - if you know that you will harm yourself unless something happens very shortly to stop you from doing so - PLEASE take the following step right now:

  • Go to the nearest emergency room (or have a friend or family member take you there) and tell the admitting staff there that you are "acutely suicidal."

  • If yo...More

Fast Facts: Learn! Fast!

What is suicide and who is most at risk?

  • Within this article, we are referring to suicide in the conventional sense, in which someone plans out or acts upon self-destructive thoughts and feelings, often while they are experiencing overwhelming stress.
  • Suicide is the third leading cause of death for adolescents and young adults from age 15-24.
  • Suicide victims under the age of 30 are also more likely to have dual diagnoses (a combination of a mental illness and a substance abuse disorder), impulsive and/or aggressive behavior disorders, and legal problems than people over 30 who commit suicide.
  • Older Caucasian males (85 years or older) committed suicide at the highest rate of any age group.
  • Whites and Native Americans (especially adolescents) have the highest suicide rates than any other ethnic group in the US. In addition, the rate of suicide among young African American males has been steadily increasing.
  • Men are more likely to commit suicide than women and men are more likely than women to use highly lethal methods to commit suicide.
  • Women are more likely than men to attempt suicide.
  • Living alone and being single both increase the risk of suicide. Marriage is associated with lower overall suicide rates; and divorced, separated and widowed people are more likely to commit suicide.
  • Being a parent, particularly for mothers, appears to decrease the risk of suicide.
  • The Rocky Mountain and Western states have the highest rates of suicide in the U.S.
  • Suicide rates are higher in rural areas.
  • Industrialized countries generally have higher rates of suicide than non-industrialized countries.
  • Religiosity seems to have a protective effect against suicide.
  • Unemployment is associated with increased rates of suicide.
  • Sixty percent of all suicides are committed by people with mood disorders.
  • Approximately 30% of suicides are committed by people who have psychiatric disorders other than mood disorders.
  • There is a significantly higher rate of suicide among people who abuse alcohol and/or drugs.
  • People who have access to firearms are more likely to commit suicide.
  • Emotional insults, such as rejection, public humiliation or shame, may be experienced as painful enough by some people to push them towards suicide.
  • Significant grief and loss can also be associated with suicidality.
  • People with a family history of suicidal behavior are more likely to attempt or commit suicide.
  • People who were abused or neglected as children have a higher risk of suicide than others.
  • Victims of domestic violence are at higher risk of suicide than people who have not had this experience.
  • People involved in, or arrested for, committing crimes are at higher risk of committing suicide than other people.

For more information

What are the causes of or triggers for suicide?

  • Suicidal thoughts and behaviors start when vulnerable individuals encounter stressful events, become overwhelmed, and conclude that suicide is the only reasonable way (given their very likely biased way of thinking) to stop the pain they are experiencing.
  • Both negative and positive events can be sources of significant stress.
  • The most frequent stressful event leading up to suicide in the US today is mental illness, which is estimated to account for about 90 percent of all suicides.
  • Depression is the most common mental illness in people who commit suicide.
  • Individuals with anxiety disorders may feel overwhelmed, ashamed, or frustrated that they are unable to control their symptoms. Many individuals with severe anxiety symptoms also become socially isolated and/or try to relieve their feelings by using alcohol and/or other substances. These features of anxiety disorders can lead someone to attempt or commit suicide.
  • Individuals with PTSD have the highest rate of suicide when compared to all other anxiety disorders. 4 to 10% of people with schizophrenic disorders commit suicide.
  • Between 4 and 8% of people with a personality disorder complete suicide, and approximately 40 to 90% have attempted suicide.

For more information

What are the warning signs of suicide?

  • Having suicidal thoughts is the most important and most common warning sign for suicidality.
  • If you/someone regularly focuses on themes of suicide or death in conversation (e.g., talking about giving up on life, or how others would be better off without you), thinking, writing, music or artwork, the person may be at risk.
  • Additional warning signs of suicide can include:
    • decreased performance in school or work
    • an unusual desire for social isolation
    • a significant decrease in self-esteem
    • increased emotionality (expressed as anger, agitation, anxiety, hopelessness, sadness, or similar emotion)
    • a sudden decrease in emotionality; particularly, a movement from depression or agitation to remarkable and uncharacteristic calm
    • uncharacteristic behaviors or emotions
    • uncharacteristic carelessness concerning personal safety
    • increased drug and/or alcohol use
    • losing interest in things that someone used to enjoy
    • failing to take prescribed medications or follow required diets
    • preparing for death by getting one's affairs "in order"

For more information about your own suicide warning signs
For more information about suicide warning signs in another person

What should I do if I'm feeling suicidal?

  • If you are presently assembling the means of your own death, the time to go to the hospital so as to prevent yourself from killing yourself is now.
  • You need a safe environment to be in for a while where you can be protected from acting upon suicidal urges.
  • You may also benefit from medication to calm you, help you sleep or to serve as an anti-depressant.
  • Most acute suicidal urges pass, or at least decrease in urgency, after a period of time has gone by, so if you can hold out and not act, there is a very good likelihood that you will shortly feel better.
  • It is much easier to hold out and not attempt suicide if you are hospitalized in an environment designed to keep you safe, than if you are out and about in your normal environment.
  • Unless you have pre-existing arrangements set up already with a therapist or doctor, the only surefire way to get the care and safe environment you need is to go to a local Emergency Room (ER).
  • Go to the hospital immediately if you are acutely suicidal. Recruit a friend to take you if you cannot get yourself there safely.
  • As a last resort, you should call the emergency operator who can dispatch an ambulance or police officers to your location. This can be a rather expensive way to go, but if it is the only reasonable way to get yourself to the hospital, then don't let the expense get in your way.
  • It may cross your mind to call an emergency telephone crisis line and this is a good idea if you are just feeling vaguely suicidal and want human contact with someone who can help you work through your thoughts.
  • If you are acutely and dangerously suicidal, however, calling a crisis line is not the best thing to do, as it will distract you from getting the hands-on assistance you need.

For more information

Once an immediate suicidal attempt/urge has been handled and I've gotten help, what can I do to continue to keep myself safe?

  • Continue to practice your newly-learned problem solving and adaptive coping skills.
  • Go back to your psychotherapist if you need a "tune up" and you find yourself sliding backward into old, negative habits.
  • Consider joining a support group and/or using the Internet to remind yourself that you are not alone, obtain new ideas for coping with difficult times, and reach out to other people who need assistance.
  • Keep a copy of your anti-suicide plan handy.
  • Identify your triggers and develop a list of preventative strategies.
  • Follow through with referrals to other resources, such as a substance abuse program or rehabilitation program to help you address addiction issues.
  • If you are suicidal and own guns, take steps to get those guns out of your house so that they cannot tempt you.
  • Alter the components of your environment that are stressful (as much as possible).
  • Reconnect with family and friends who you find supportive to be around, and ask them for help before your next suicidal crisis gets out of hand.
  • Make use of crisis telephone hotlines and online support communities.

For more information

What can I do to help someone who is suicidal?

  • You can help interrupt and help disarm any active suicide attempts and defuse the danger of the immediate crisis situation.
  • You can help the suicidal person get connected to a mental health professional who can offer him or her effective support and intervention.
  • You can provide ongoing support and "cheerleading" as the person participates in treatment, practices new methods of coping and continues on with the often stressful business of day to day living.
  • You must keep in mind that stress effects each person differently, and that just because you might be able to handle something doesn't mean that everyone else can too with similar ease.
  • Do what you can to put judgment aside and simply act compassionately.
  • Try to provide true assistance by helping the suicidal person find the professional help that he or she needs in order to safely resolve the crisis.
  • Having an honest and open conversation about your concerns with regard to medication safety, storage and proper use may help.
  • Be sure to remove guns, knives and other lethal weapons from the suicidal person's house or otherwise secure guns and weapons in a manner that makes it inconvenient for the potentially suicidal person to get at them.
  • You can help the suicidal person to anticipate likely suicide triggers.
  • You can watch for new signs of suicidal thinking (e.g., a suicide relapse), or watch for a worsening of someone's level of suicidality.
  • It is also important to keep in mind that despite your best efforts; no matter how helpful and loving you are toward suicidal people, they still may feel badly about themselves and their situation, and they may still ultimately take their life.

For more information

How do I handle my own reactions following a suicide or a suicide attempt by a loved one or friend?

  • Suicide goes way beyond the pain of the suicidal individual and affects all of the people who care about or who depend upon that suicidal person.
  • If you are trying to help a suicidal person to feel better, odds are that you yourself will have a difficult time as well.
  • If you have recently lost someone to suicide, odds are that you will be devastated or at least experience a grief reaction for some time.
  • Don't underestimate the emotional impact on yourself of the work you do to support someone through a suicidal crisis.
  • You may end up feeling angry, guilty, helpless or depressed yourself in the wake of a suicide attempt or a completed suicide.
  • You may benefit from speaking with a therapist so as to help work through your powerful emotional reactions.
  • Take care to balance the effort you put into supporting the suicidal person with the demands of keeping your own family and work commitments running, and supporting and nurturing your own mental health.
  • Don't try to be the sole support for a suicidal person. Instead, enlist the help of competent others around you who can share the load.
  • If the situation requires professional intervention, then go about arranging for that professional intervention and do so without feeling guilty.
  • While you may need to over-extend yourself during the immediate crisis, don't try to operate that way for an extended period. Make it a priority to recover your normal rhythms as soon as you can.

For more information


News Articles

  • Depression, Suicide Ideation Prevalent in Medical Students

    The prevalences of depression or depressive symptoms and suicide ideation are 27.2 and 11.1 percent, respectively, among medical students, according to a review published in the Dec. 6 issue of the Journal of the American Medical Association, a theme issue on medical education. More...

  • Attempted Suicide Rates in U.S. Remain Unchanged

    Men more often resorted to violent means, while women turned to poisoning, drowning, study finds. More...

  • Teen 'Choking Game' Played Solo Points to Suicide Risks

    Kids who tried this game alone were almost 5 times more likely to think of killing themselves, study finds. More...

  • Suicide Can Strike Children as Young as 5: Study

    Overall numbers are low, but researchers say prevention efforts are needed. More...

  • Nearly 10 Million U.S. Adults Considered Suicide Last Year

    Rates at historically high levels -- up 27 percent since 2000, U.S. government study shows. More...

  • 35 More
    • Know the Warning Signs of Suicidal Thoughts

      Family members, friends often in the best position to save a life, mental health expert says. More...

    • Serious Infections Tied to Suicide Risk

      Danish study finds greater association in those hospitalized with HIV or hepatitis. More...

    • Locked Doors May Not Prevent Inpatient Suicide, Absconding

      For patients in psychiatric wards, treatment on locked wards seems not to prevent suicide, suicide attempts, or absconding, according to a study published online July 28 in The Lancet Psychiatry. More...

    • Binge-Eating Disorders May Be Linked to Suicidality

      Adults and adolescents with binge-eating disorder may have increased risk of suicidality, according to research published online July 20 in the International Journal of Eating Disorders. More...

    • Euthanasia, Doc-Assisted Suicide Increasingly Being Legalized

      Euthanasia and physician-assisted suicide are increasingly being legalized, but their use remains rare, according to a special communication published online July 5 in the Journal of the American Medical Association. More...

    • Doctor-Assisted Deaths Didn't Soar After Legalization

      Loss of independence, not pain, is the main driver, study finds. More...

    • Jobs With the Highest Suicide Rates

      Farmers, fishermen and foresters have more than 5 times the average odds, CDC says. More...

    • Religious Service Attendance May Lower Suicide Risk in Women

      Women who regularly attend religious services may have a lower risk of suicide than those who don't, according to research published online June 29 in JAMA Psychiatry. More...

    • Religion a Buffer Against Suicide for Women, Study Suggests

      Going to services at least once a week seemed to reduce the odds fivefold. More...

    • AAP: Doctors Should Screen Teens for Suicide Risk Factors

      Suicide is the second leading cause of death among U.S. teens, and health care providers should screen teen patients for suicide risks, according to a report published online June 27 in Pediatrics. More...

    • 1 in 13 Young Adults in U.S. Considered Suicide in Past Year

      Federal data from 2013-2014 also finds significant differences between states. More...

    • The Childhood Incidents That Increase Later Suicide Risk

      Exposure to domestic violence, abuse cast a long shadow, study finds. More...

    • Strategies That Work to Help Prevent Suicides

      Measures include physical barriers and selling fewer pills at once, experts say. More...

    • Among U.S. Military, Army Members Face Highest Suicide Risk

      Firearms implicated in about two-thirds of cases, study finds. More...

    • Tough Economy, Alcohol Fuels Suicide Risk in Men: Study

      But similar link not seen for women. More...

    • Predeployment Riskiest Time for Military Suicide Attempts

      Two months into service is a pivotal period, study finds. More...

    • States With More Gun Owners Have More Gun-Related Suicides: Study

      But only association was found, not cause-and-effect. More...

    • Family Rejection Triples Risk for Suicide Attempts by Transgender People: Study

      Substance abuse risk also rises when this important 'buffer' to discrimination is removed, researchers say. More...

    • Ketamine May Ease Suicidal Thoughts in Major Depression

      Low doses of ketamine may quickly reduce suicidal thoughts in patients with treatment-resistant depression, according to a study published online May 10 in the Journal of Clinical Psychiatry. More...

    • Can the Anesthetic Ketamine Ease Suicidal Thoughts?

      A small study found that the drug worked quickly in people with major depression. More...

    • Atomoxetine Use Doesn't Up Suicide Risk in Children

      Treatment with the selective noradrenalin-reuptake-inhibitor atomoxetine is not associated with increased suicide risk compared with stimulant use in children and adolescents, according to a study published online April 26 in Pediatrics. More...

    • Young Gay, Bisexual Men May Be at Higher Risk for Suicide, Study Finds

      They were much more likely to attempt to harm themselves than older counterparts, and blacks were also vulnerable. More...

    • U.S. Suicide Rate Up 24 Percent Since 1999: CDC

      Rates climbed the most among middle-aged men and girls aged 10 to 14. More...

    • Study: Many Vets Struggle With Suicidal Thoughts, Need More Help From VA

      Survey reveals 65 percent who considered suicide have never received mental health treatment. More...

    • ER Screenings Could Help Prevent Suicide: Study

      Checking patients for risk factors should be part of routine ER care, researcher says. More...

    • ER Docs Only Ask Half of Suicidal Patients About Guns, Study Shows

      Finding points to missed chances to intervene before it's too late, researcher says. More...

    • Schizophrenia Tied to Much Higher Risk of Suicide Attempts

      Surge seen among women and people with history of drug or alcohol abuse, researchers find. More...

    • Many Suicidal People Make Long-Term Recovery, Study Shows

      A supportive confidant improves odds of sustained well-being, researchers say. More...

    • Euthanasia/Assisted Suicide for Psychiatric Disorders Examined

      Patients receiving euthanasia or assisted suicide for psychiatric disorders are mainly women and most have chronic, severe conditions, according to a study published online Feb. 10 in JAMA Psychiatry. More...

    • Three-Fold Increased Suicide Risk After Concussion

      The risk of suicide is increased after concussion, particularly after concussions on weekends, according to a study published online Feb. 8 in CMAJ, the journal of the Canadian Medical Association. More...

    • Study Links Concussion to Higher Risk of Later Suicide

      But while researchers found an association, they didn't prove cause-and-effect. More...

    • Did Studies Lack Key Data on Link Between Antidepressants, Youth Suicides?

      New analysis finds much greater risk of aggression, self-harm. More...

    • Suicide Risk Rises Among Family, Friends of Suicide Victims: Study

      Social stigma can isolate those who are grieving, researcher explains. More...

    • Teen Boys Who Attempt Suicide More Likely to Abuse as Adults

      Men with this history are more prone to hit and injure partner, study shows. More...

    • New National Suicide Statistics at a Glance

      CDCís new National Suicide Statistics at a Glance provides national statistics on suicide and suicidal behavior. More...

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