Suicide Prevention Awareness Month: Let's Start the Conversation

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September is Suicide Prevention Awareness Month. Learn the warning signs, how to ask directly about suicide, and how to support someone who's struggling.
Why This Month Matters

September is Suicide Prevention Awareness Month. This month is dedicated to providing

individuals with information about suicide and what we can do to help someone who is

struggling. Suicide prevention isn’t just about knowing the warning signs- it’s about creating

opportunities for people to ask for help when needed.

According to the American Foundation for Suicide Prevention (AFSP) suicide is the tenth

leading cause of death in the United States, and the second leading cause of death in

youth/young adults aged 15-34. Statistics show that men are four times more likely to die by

suicide than women. Additionally, firearms were the most common method of deaths by suicide

in 2024 (57%). Calls to crisis centers (988) increased by 12% from 2023 to 2024.

Recognizing the Signs

Studies show that there are changes to individuals’ behavior and emotions that show that they

may be contemplating suicide. Some signals that someone is struggling would include:

● Withdrawal from others (isolating)

● Expressing hopelessness or “feeling like a burden”

● Significant changes in mood or behavior (examples: an increase in risky behavior or

frequent crying spells)

● Talking about death, suicide, or “not wanting to be here”

● Giving away possessions and saying goodbye to others

It is important to note that you don’t have to be certain that someone is suicidal to check-in with

how they’re doing/feeling.

Why We Shouldn’t Be Afraid to Ask

There is a common misconception that asking someone directly if they are contemplating

suicide plants the idea in their head. This is not the case. Saying directly, “Are you thinking

about suicide?” simply gives someone permission to be honest about what they’re experiencing.

A few ways to ask someone this important question could sound like:

● “I’ve noticed you’ve been struggling, how are you really doing?”

● “I’m worried about you. Are you thinking about hurting yourself?”

● “If you are feeling suicidal, you don’t have to go through this alone.”

What Can Do

We can easily offer practical support for individuals who may contemplating suicide. Some tips

for how to facilitate a conversation for someone who is struggling include:

● Listen without judgement (this is not the time to cast harmful opinions)

● Take them seriously (time may be of the essence depending on the individual)

● Stay connected (offering someone as simply as an ear might be profound to them in that

moment)

● Encourage professional support (such as therapy or mental health treatment)

● If someone is in danger, call 911 or emergency care (or a mobile crisis unit if their county

has this)

● Encourage or facilitate outreach to 988 (the suicide and crisis lifeline)

Remembering That Prevention Starts Before a Crisis

It is important to remember that suicide prevention isn't only about emergencies. Connection,

therapy, supportive relationships, coping skills, and asking for help early can all be part of

prevention. Suicide often involves planning and intention, so by offering support even in the form

of a small conversation could be significant in helping someone avoid a crisis.

Reiterating that Hope and Connection are Profound

As you approach someone who is struggling, remember that you don't need to have the perfect

words. You don't need to fix someone's pain. Sometimes prevention begins with simply being

willing to notice, ask, listen, and stay connected. One conversation can remind someone that

they are not alone and that help is available.

By offering someone a vulnerable conversation you might facilitate a powerful outcome that

helps to prevent suicide.

If you or someone you know is struggling or thinking about suicide, help is available. Call or text

988 to connect with the 988 Suicide & Crisis Lifeline for free, confidential support available 24/7.

You do not have to face a crisis alone. Reaching out is a sign of strength, not weakness.

About the Author

Christie Birchall, LPC, CCTS-I, NCC, CMIP

As a Licensed Professional Counselor (LPC) at High Point Wellness Counseling, I am passionate about helping individuals heal, grow, and reclaim control over their lives. I hold degrees in Psychology, Criminal Justice, and Clinical Mental Health Counseling. I am also a Certified Clinical Trauma Specialist (CCTS-I) which coincides with my EMDR training. Additionally, I am a National Certified Counselor (NCC), and Certified Mindfulness-Informed Professional (CMIP).

My approach to therapy is warm, authentic, and nonjudgmental. I believe therapy should be a safe space. I feel strongly about working alongside my clients to help them recognize their own strengths, develop healthier patterns, and create lives that feel more peaceful, meaningful, and fulfilling.

I have a special passion for working with trauma, addiction, criminal involvement, personality disorders, and adolescents. I enjoy connecting with teens and creating a space where they feel understood, supported, and empowered…even if they occasionally remind me that I’m behind on the latest TikTok trends!

Outside of the therapy office, I am deeply passionate about mental health advocacy, criminal justice reform, and social justice initiatives. I also love integrating comfort and authenticity into my practice, whether that means hearing my therapy dog Cece snoring during session, spotting one of my cats walking across the screen during telehealth, or bonding over music, concerts, or the calming energy of crystals in the office. I believe healing happens best when people feel safe enough to be fully themselves- and that’s exactly the kind of environment I strive to create.

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