Suicide Prevention

As a teen, it’s normal to feel sad, down in the dumps, irritable (easily annoyed or angry), or even depressed once in a while. Most of the time you’ll be able to cope with your problems with the help of your parents/guardians, friends, or a counselor. However, sometimes problems come up or we get stuck in our feelings and find ourselves so depressed or hopeless that it feels like  there’s no way out. Sometimes people who feel this way begin to think about ending their lives or have thoughts about not wanting to be alive anymore.

Why do people think about dying by suicide?

There’s no “one reason” why someone would think about suicide. However, if someone is having these thoughts, it may be because they:

• Feel depressed/hopeless (they are very sad, and don’t think things can get better)
• Are extremely angry (because of conflict with others)
• Feel like a failure (such as doing poorly in school, or getting fired from a job)
• Have trouble coping with loss (such as the death of a family member or close friend, or a break up with a significant other)
• Feel socially isolated (feeling like an outcast, being bullied, etc.)
• Feel like they are a burden to others
• And sometimes, people have these thoughts without even knowing for sure why they are having them.

Signs that someone may be thinking about suicide include:

• Very depressed mood – This includes changes in sleep, appetite, and concentration, feeling hopeless or guilty, not enjoying anything, and having trouble doing routine things such as going to school, showering, or keeping up with normal activities.
• Easily annoyed or angry – little things get under your skin
• Feeling numb – overwhelming number of emotions make you feel lost inside
• Spending a lot of time alone – withdrawing from friends and family, and staying in their room much of the time
• Giving away their personal things
• Saying goodbye or writing goodbye notes
• Using drugs or alcohol to try to make themselves feel better
• Taking risks and being reckless – such as reckless driving or doing things impulsively or without thinking them through first
• Talking about dying or suicide and being extremely interested in morbid music and/or movies

What if I’m thinking about suicide?

If you’ve been thinking about suicide, we understand these thoughts are likely big and important for you and we want you to know that we think it is super important to be able to share that information with trusted adults who can help support you.  Some things, like suicidal thoughts, can be too big to keep to ourselves.  Talk with your parents/guardians, your health care provider, religious leader, school counselor, or a mental health professional about your feelings. These people are all there to help you. If you tell one of these people and they are not able to get you help, tell someone else. You know your feelings best!

There are also confidential hotlines for teens who have suicidal feelings. These hotlines are free, and the counselors are trained to listen to you and your concerns and give you resources, support, and advice so that you can get further help.

You can call:

• National Suicide Prevention Lifeline: 988 or use their 24/7 online chat
• Samaritans: 1-877-870-HOPE (1-877-870-4673) or use their online chat
• The Trevor Project: 1-866-488-7386 or use TrevorChat or TrevorText

If I’m thinking about suicide, is there anything that will help me feel better?

There are many things you can do to feel better and to solve the problems that lead to suicidal thoughts. The best thing you can do is get help from a therapist, who is trained to help you figure out what is bothering you and help you cope with your problems. There are many kinds of therapy, and you may either go by yourself or with your family. For some teens, therapists might recommend discussing options for medication to help you feel less sad or depressed. If a therapist feels that medication might help you, they will direct you to a health care provider or psychiatrist, who will help you choose the best medication to help you feel better.

There are other things you can do to help yourself feel better, including:

• Getting regular exercise
• Sticking to a schedule or routine
• Eating well and getting enough sleep every night
• Spending time with close friends and family and others who care about you
• Doing something nice for yourself every day, even something as simple as a warm bath.
• Having a hobby such as sports, music, writing, art, etc.
• Helping others (for example, volunteering at a local food bank)

How can I help a friend who feels suicidal?

It can be very frightening or overwhelming when a friend tells you that they are feeling very depressed or even suicidal. They might ask you not to tell anyone that they’re feeling this way, but the most important thing to remember is that you shouldn’t try to deal with a friend’s suicidal feelings by yourself. Remember that suicidal thoughts, among other big topics, are too important to keep to ourselves and that talking to a trusted adult right away can help not only your friend, but also can help you. Even if you think your friend might be angry with you for telling, it could save your friend’s life, which is much more important than hurt feelings.

Our health guides are developed through a systematic, rigorous process to ensure accuracy, reliability, and trustworthiness. Written and reviewed by experienced healthcare clinicians from Boston Children's Hospital, a Harvard Medical School teaching hospital and consistently ranked as a top hospital by Newsweek and U.S. News & World Report, these guides combine clinical expertise, specialized knowledge, and evidence-based medicine. We also incorporate research and best practices from authoritative sources such as the CDC, NIH, PubMed, top medical journals, and UpToDate.com. Clinical specialists and subject matter experts review and edit each guide, reinforcing our commitment to high-quality, factual, scientifically accurate health information for young people.