September is National Suicide Prevention Month, a reminder for all of us to learn more about mental illness, suicide, and what we can do to help those who may be struggling.
One of the keys is to end the stigma that too often holds us back. Many people experience suicidal thoughts, but keep it to themselves. Others may notice somebody in an emotional crisis, but are timid to ask if they are thinking of harming themselves.
Nobody is fated to take their own lives. Suicide deaths are preventable, and many recent advances enable us to better prevent them.
These advances include better screening tools for identifying people at risk of suicide, improved care management protocols, upgraded crisis response measures, and suicide-specific therapy treatment. The Tompkins County Suicide Prevention Coalition is urging local healthcare and behavioral health providers to adopt the Zero Suicide Model, which prescribes a package of best practices.
Another advance is the introduction in 2022 of the 988 Suicide & Crisis Lifeline, which provides free and confidential emotional support to people in suicidal crisis or emotional distress 24/7. You can also call 988 if you are concerned about a loved one, friend, or colleague. Veterans and/or their loved ones and friends can call 988 and then press 1 to reach the Veterans Crisis Line.
Locally, 988 calls go to the Suicide Prevention & Crisis Service of Tompkins County (SPCS), one of 200 call centers across the country. When people call or text 988, or connect to chat online, they are connected to trained counselors that are part of the Lifeline network. Trained counselors listen, understand how the caller’s problems are affecting them, provide support, and connect them to resources if necessary.
Besides connecting through 988, Ithaca-based counselors can be reached by dialing (607) 272-1616.
The Lifeline is funded by the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) and administered by Vibrant Emotional Health. SAMSHA provides a Partner Toolkit to help all of us publicize the 988 number and other suicide prevention services.
According to Lifeline, numerous studies have shown that 988 callers feel less suicidal, less depressed, less overwhelmed, and more hopeful after speaking with a Lifeline counselor.
“More people are understanding what it’s like to reach out for support and are becoming comfortable with that idea,” said Tiffany Bloss, SPCS executive director. “We are here, day or night. Call. Text. Website chat. Individuals can even email our helpline. We are here.”
The latest statistics from the U.S. Centers for Disease Control serve as a reminder of America’s mental health crisis. Despite improvements in care, we have not turned the corner in reducing suicide deaths in the way prevention tools have produced significant declines in deaths related to cancer and heart disease.
After declining in 2019 and 2020, suicide deaths increased approximately 5 percent in the United States in 2021. Provisional estimates indicate that suicide deaths further increased by 1 percent in 2022, according to the CDC. One encouraging indicator is that suicide deaths among people aged 10-14 declined by 13 percent and among people aged 15-24 by 9 percent.
Overall, suicide rates have risen more than 30 percent in the past two decades.
Take a moment to review the warning signs for suicide, as provided by the American Foundation for Suicide Prevention (AFSP). Be sure to get help for yourself or others if you see the signs. You may save a life.
According to AFSP, something to look out for when concerned that a person may be suicidal is a change in behavior or the presence of entirely new behaviors. This is of sharpest concern if the new or changed behavior is related to a painful event, loss, or change. Most people who take their lives exhibit one or more warning signs, either through what they say or what they do.
Warning sign: Talk
If a person talks about:
Killing themselves
Feeling hopeless
Having no reason to live
Being a burden to others
Feeling trapped
Unbearable pain
Warning sign: Behavior
Behaviors that may signal risk, especially if related to a painful event, loss or change:
Increased use of alcohol or drugs
Looking for a way to end their lives, such as searching online for methods
Withdrawing from activities
Isolating from family and friends
Sleeping too much or too little
Visiting or calling people to say goodbye
Giving away prized possessions
Aggression
Fatigue
Warning sign: Mood
People who are considering suicide often display one or more of the following moods:
Depression
Anxiety
Loss of interest
Irritability
Humiliation/Shame
Agitation/Anger
Relief/Sudden Improvement
For local, state, and national resources, visit The Sophie Fund’s suicide prevention page.
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