• Do you wish you didn’t have to go on living?
  • Do you have thoughts of wanting to die?
  • Do you have thoughts of wanting to take your own life?
  • Did you talk about killing yourself with others?
  • Have you told anyone that you were going to kill yourself? Have you talked about death and dying, expressing a strong wish to die or talking about wanting “pain” to end?
  • Have you ever tried to take your own life before?
  • Have you started using or increasing use of alcohol or drugs?
  • Are you engaging in aggressive, impulsive, reckless or disruptive behavior?
  • Are you experiencing feelings of hopelessness, worthless, and that you don’t matter?


Are characteristics that make it more likely that individuals will consider, attempt or die by suicide.

  • Previous suicide attempts
  • Mental Disorders, particularly depression, anxiety disorders, posttraumatic stress disorder, schizophrenia and certain personality disorders
  • Alcohol or other substance use disorders
  • Family history of mental disorder or substance use disorder
  • History of trauma, abuse or sexual assault
  • Family history of suicide or exposure to others that have died by suicide
  • Family violence
  • Chronic physical illness, including chronic pain
  • Firearms in the home or access to other lethal means
  • Lack of social support or social isolation
  • Major life adjustment
  • Incarceration
  • Perfectionism


Warning signs indicate an immediate possibility of suicide, whereas risk factors indicate someone has an increased likelihood for suicide, but indicate little or nothing about immediate danger.

  • Starting or increasing use of alcohol or drugs
  • Aggressive, impulsive, reckless or disruptive behavior
  • Talking about death and dying, expressing a strong wish to die or talking about wanting “pain” to end
  • Preoccupation with death
  • Planning a suicide
  • Giving away belongings, tying up loose ends, saying goodbye to friends and family
  • Purchasing a firearm
  • Obtaining other means of killing oneself


The risk of suicide can be lowered by certain protective factors. They include:

  • Having a support system (family, friends, and school)
  • Spiritual Beliefs or participation in a religious community
  • Good self-care and positive thinking
  • Communication, planning, and problem-solving skills
  • An ability to manage strong emotions
  • Access to mental health care and willingness to accept help
  • A school environment that encourages help seeking and promotes health
  • Other environmental protections, such as reducing access to firearms and other lethal weapons
  • Environment that encourages help seeking and promotes health



  • National Suicide Crisis Line:  1-800-273-TALK (8255) Is answered 24 hours a day
  • State of Missouri Crisis Hotline for Hearing Impaired:  1-888-380-3328 (TTY)
  • Trevor Hotline for Lesbian, Gay, Bisexual, Transgender, Queer and Questioning:  1-866-488-7386
  • Veterans Crisis Line:  call 1-800-273-8255 and press 1.  You can also text to 838255.
  • Burrell Behavioral Health:  417-761-5555
  • National Domestic Violence Hotline:  1-800-799-SAFE (7233) or TTY 1-800-787-3224
  • National Trafficking Hotline: 1-888-373-7888
  • Help-Line for Self-Injury: 1-800-366-8288
  • Crisis Text Line: Text HOME to 741741


The American Foundation for Suicide Prevention

National Suicide Prevention Lifeline

American Association of Suicidology

The Trevor Project: Saving LGTBTQ Lives

The National Institute of Mental Health

The Jed Foundation

Suicide Prevention Resource Center

Burrell Behavioral Health- Crisis Intervention

Additional Resources

National Suicide Resources

  • I’m Alive: The first online crisis center manned completely by volunteers trained and certified in crisis intervention.
  • A non-profit organization providing suicide hotlines and other suicide awareness tools and resources, categorized by state.
  • A non-profit membership organization dedicated to suicide prevention efforts and professional training for suicide counselors and specialists.
  • National Alliance on Mental Illness (NAMI): Mental health organization providing local counseling and healthcare and crisis intervention services in all 50 states.
  • National Institute of Mental Health (NIMH): An extension of the National Institutes of Health and the U.S. Department of Health and Human Services, NIMH promotes awareness of suicide prevention through clinical trials and evidence-based research.

Support Groups

  • American Foundation for Suicide Prevention: Use the search tool to find a support group to help those at-risk in your area.
  • Online counseling program offering confidential internet therapy via email or chat for those depressed or having suicidal thoughts.
  • Depression and Bipolar Support Alliance: Use the support group locator tool to find a virtual DBSA support group to join online, in real time.
  • NAMI Connection: Searchable using the online tool, programs are offered locally throughout the U.S. to provide peer-to-peer support for people with mental illness to share stories and encouragement.
  • Mental Health America: The organization’s Peer Services offer counseling, support groups, and skill-building programs in various satellite sites across the U.S.

Resources for Those Helping Others

  • Worldwide organization offering tools and resources to those with a friend or family member in crisis or who is suicidal.
  • The Jason Foundation: Resource dedicated to cultivating prospective counselors and educators specializing in youth crisis intervention and suicide prevention awareness.
  • Speaking of Suicide: A blog-based site founded by a licensed psychotherapist to openly discuss and research suicide and provide information for aspiring counselors and educators in this specialty.
  • Network for Good: Features a comprehensive list of volunteer opportunities at various suicide prevention organizations across the U.S.

Resources for College Students

  • ULifeline: The online component of The Jed Foundation campus program, ULifeline offers confidential internet support for mental health issues affecting college students nationwide.
  • American College Health Association: Includes alphabetized listings of resources surrounding health and mental health of college-related topics including LGBT and campus violence.
  • Facebook: The social media site features a “reporting” function if you see a suicidal comment on a friend’s page and click the attached link, which sends an encouraging message to them via email to call a hotline or begin a confidential chat online.
  • Anxiety and Depression Association of America: Features a search tool to find a local licensed therapist in your area who specializes in mental health.

Resources for Those Who Have Lost Someone to Suicide

  • I’ve Lost Someone: The suicide survivor network of the AFSP, offering comprehensive resources for both immediate grief support and long-term care.
  • Alliance of Hope: Multi-faceted grief and support resource featuring a community forum and memorial message board dedicated to those who have died by suicide.
  • Survivors of Suicide (SOS): Online support resource for suicide survivors featuring member-protected discussion boards, memorials, and special section for friends of survivors.
  • Suicide Awareness Voices of Education: Offers online suicide survivor resources as well as national listings of support groups for those grieving the suicide of a loved one.
  • AAS Suicide Loss Survivors: A component of the American Association of Suicidology, this resource for suicide survivors includes tips, tools, training opportunities and book recommendations.