- 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
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
SCHEDULING WITH OTC COUNSELOR
- 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 741741d
National Suicide Resources
- I’m Alive: The first online crisis center manned completely by volunteers trained and certified in crisis intervention.
- Suicide.org: A non-profit organization providing suicide hotlines and other suicide awareness tools and resources, categorized by state.
- Suicidology.org: 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.
- American Foundation for Suicide Prevention: Use the search tool to find a support group to help those at-risk in your area.
- Samaritans.org: 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
- Befrienders.org: Worldwide organization offering tools and resources to those with a friend or family member in crisis or who is suicidal.
- The Bright Side: Community resource offering work-from-home opportunities for volunteers and donors who would like to make a difference.
- 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.
- Students Against Depression: Created by students, for students to increase awareness of warning signs and provide direct peer-to-peer support and provide resources for those in crisis.
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.