IF YOU ARE IN CRISIS OR KNOW ANYONE IN CRISIS
PLEASE TALK WITH SOMEONE IMMEDIATELY
YOU ARE NOT ALONE

24/7 HOTLINES
National Suicide Prevention Lifeline
Eng: 1 (800) 273-8255
Spa: 1 (888) 628-9454

Crisis Text Line
Eng: Text HOME to 741741
Spa: Text HOLA to 741741

The Trevor Project (for LGBTQ Youth)
Call 1 (866) 488-7386
Text START to 678678

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Call the National Suicide Prevention Lifeline (Lifeline) at 1-800-273-TALK (8255), or text the Crisis Text Line (text HELLO to 741741). Both services are free and available 24 hours a day, seven days a week. All calls are confidential. Contact social media outlets directly if you are concerned about a friend’s social media updates or dial 911 in an emergency. Learn more on the Lifeline’s website or the Crisis Text Line’s website.


Suicide is a major public health concern. In 2019, suicide was the 10th leading cause of death overall in the United States, claiming the lives of over 47,500 people. Suicide is complicated and tragic, but it is often preventable. Knowing the warning signs for suicide and how to get help can help save lives.

Warning Signs

Warning signs that someone may be at immediate risk for attempting suicide include:

  • Talking about wanting to die or wanting to kill themselves
  • Talking about feeling empty or hopeless or having no reason to live
  • Talking about feeling trapped or feeling that there are no solutions
  • Feeling unbearable emotional or physical pain
  • Talking about being a burden to others
  • Withdrawing from family and friends
  • Giving away important possessions
  • Saying goodbye to friends and family
  • Putting affairs in order, such as making a will
  • Taking great risks that could lead to death, such as driving extremely fast
  • Talking or thinking about death often

Other serious warning signs that someone may be at risk for attempting suicide include:

  • Displaying extreme mood swings, suddenly changing from very sad to very calm or happy
  • Making a plan or looking for ways to kill themselves, such as searching for lethal methods online, stockpiling pills, or buying a gun
  • Talking about feeling great guilt or shame
  • Using alcohol or drugs more often
  • Acting anxious or agitated
  • Changing eating or sleeping habits
  • Showing rage or talking about seeking revenge

It is important to note that suicide is not a normal response to stress. Suicidal thoughts or actions are a sign of extreme distress and should not be ignored. If these warning signs apply to you or someone you know, get help as soon as possible, particularly if the behavior is new or has increased recently.

Here are five steps you can take to #BeThe1To help someone in emotional pain:


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  1. ASK: “Are you thinking about killing yourself?” It’s not an easy question, but studies show that asking at-risk individuals if they are suicidal does not increase suicides or suicidal thoughts.


  1. KEEP THEM SAFE: Reducing a suicidal person’s access to highly lethal items or places is an important part of suicide prevention. While this is not always easy, asking if the at-risk person has a plan and removing or disabling the lethal means can make a difference.


  1. BE THERE: Listen carefully and learn what the individual is thinking and feeling. Research suggests acknowledging and talking about suicide may reduce rather than increase suicidal thoughts.


  1. HELP THEM CONNECT: Save the National Suicide Prevention Lifeline’s (1-800-273-TALK (8255)) and the Crisis Text Line’s number (741741) in your phone, so it’s there when you need it. You can also help make a connection with a trusted individual like a family member, friend, spiritual advisor, or mental health professional.


  1. STAY CONNECTED: Staying in touch after a crisis or after being discharged from care can make a difference. Studies have shown the number of suicide deaths goes down when someone follows up with the at-risk person.


Risk Factors

Suicide does not discriminate. People of all genders, ages, and ethnicities can be at risk. Suicidal behavior is complex, and there is no single cause. The main risk factors for suicide are:

  • Depression, other mental disorders, or substance use disorder
  • Chronic pain
  • A history of suicide attempts
  • Family history of a mental disorder or substance use
  • Family history of suicide
  • Exposure to family violence, including physical or sexual abuse
  • Presence of guns or other firearms in the home
  • Having recently been released from prison or jail
  • Exposure, either directly or indirectly, to others' suicidal behavior, such as that of family members, peers, or celebrities.


Most people who have risk factors will not attempt suicide, and it is difficult to tell who will act on suicidal thoughts. Although risk factors for suicide are important to keep in mind, someone who is showing warning signs of suicide may be at higher risk for danger and need immediate attention.
Stressful life events (such as the loss of a loved one, legal troubles, or financial difficulties) and interpersonal stressors (such as shame, harassment, bullying, discrimination, or relationship troubles) may contribute to suicide risk, especially when they occur along with suicide risk factors.
Family and friends are often the first to recognize the
warning signs of suicide, and they can take the first step toward helping a loved one find mental health treatment. See the resources on NIMH’s Find Help for Mental Illnesses page if you're not sure where to start.

Identifying People at Risk for Suicide


  • Predicting Suicide Risk Using Electronic Health Records: Researchers from NIMH partnered with the VA and others to develop computer programs that could help predict suicide risk among veterans receiving VA health care. Other healthcare systems are beginning to use data from electronic health records to help identify people with suicide risk as well.


Treatments and Therapies

Effective, evidence-based interventions are available to help people who are at risk for suicide.
Brief Interventions


Psychotherapies

Multiple types of psychosocial interventions have been found to help individuals who have attempted suicide (see below). These types of interventions may prevent someone from making another attempt.


NIMH’s Find Help for Mental Illnesses page can help you locate a mental health provider in your area. Here are tips to help prepare and guide you on how to talk to your health care provider about your mental health and get the most of your visit.

Medication

Some individuals at risk for suicide might benefit from medication. Health care providers and patients can work together to find the best medication or medication combination, as well as the right dose. Because many individuals at risk for suicide often have a mental illness or substance use problems, individuals might benefit from medication along with psychosocial intervention.
Clozapine is an antipsychotic medication used primarily to treat individuals with schizophrenia. To date, it is the only medication with a specific
U.S. Food and Drug Administration (FDA) indication for reducing the risk of recurrent suicidal behavior in patients with schizophrenia or schizoaffective disorder.

If you are prescribed a medication, be sure you:

  • Talk with your health care provider or a pharmacist to make sure you understand the risks and benefits of the medications you're taking.


  • Do not stop taking a medication without talking to your health care provider first. Suddenly stopping a medication may lead to "rebound" or worsening of symptoms. Other uncomfortable or potentially dangerous withdrawal effects also are possible.


  • Report any concerns about side effects to your health care provider right away. You may need a change in the dose or a different medication.



For the most up-to-date information on medications, side effects, and warnings, visit the FDA website.

Collaborative Care

Collaborative Care is a team-based approach to mental health care. A behavioral health care manager will work with the person, their primary health care provider, and mental health specialists to develop a treatment plan. Collaborative care has been shown to be an effective way to treat depression and reduce suicidal thoughts.

• Information is from National Institute of Mental Health -
https://www.nimh.nih.gov

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OUR PARTNERS

The producers will be donating a percentage of their proceeds to them.


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JED is a nonprofit that exists to protect emotional health and prevent suicide for our nation’s teens and young adults. We’re partnering with high schools and colleges to strengthen their mental health, substance abuse and suicide prevention programs and systems. We’re equipping teens and young adults with the skills and knowledge to help themselves and each other. We’re encouraging community awareness, understanding and action for young adult mental health. JED is also partners with "Dear Evan Hansen". VISIT THEIR WEBSITE



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SEIZE THE AWKWARD focuses on the idea that it may feel a little difficult or awkward to speak to your friend about your concerns about them, but that if you accept the awkward feeling as natural, you can move past the awkwardness and start a helpful/meaningful conversation. Since its launch, the Seize the Awkward campaign has garnered over 7.5 million video views and over 87,000 sessions on their website. With exposure via  posters, a series of excellent videos featuring prominent YouTube influencers, and a whole group of exciting new partnerships rolling out throughout September for Suicide Prevention Month, the campaign is finding new ways to bring people closer to talking to their friends about mental health. VISIT THEIR WEBSITE



AMAZING RESOURCES

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THE NATIONAL SUICIDE PREVENTION LIFELINE is a national network of local crisis centers that provides free and confidential emotional support to people in suicidal crisis or emotional distress 24 hours a day, 7 days a week. We're committed to improving crisis services and advancing suicide prevention by empowering individuals, advancing professional best practices, and building awareness.We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals. The National Suicide Prevention Lifeline toll-free number, 1-800-273-TALK(8255) connects the caller to a certified crisis center near where the call is placed. VISIT THEIR WEBSITE


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CRISIS TEXT LINE is free, 24/7 support for those in crisis. Text 741741 from anywhere in the US to text with a trained Crisis Counselor. Crisis Text Line trains volunteers to support people in crisis. With over 100 million messages processed to date, we’re growing quickly, but so is the need. Crisis Text Line was born “from the rib” of DoSomething.org, the largest organization for young people and social change. Dozens of DoSomething.org members were texting in to ask for personal help and CEO Nancy Lublin came up with the idea for Crisis Text Line and quietly launched in August 2013. Within 4 months, Crisis Text Line was being used in all 295 area codes in the US. Two years later, Crisis Text Line spun out into a separate entity and Nancy went along with it. Complete story detailed in this New Yorker article. VISIT THEIR WEBSITE


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BYSTANDER REVOLUTION is a website offering practical, crowdsourced advice about simple things individuals can do to defuse bullying and help shift the culture. No matter who you are or what you’re facing, you can find personal stories, suggestions, and encouragement from someone who has dealt with a similar issue. Search by problem or solution to find tips from people who have been targets, people who have been bystanders, and even people who have bullied. Try one of the ideas. Share one with a friend. You can be of real help right away. And if these ideas spread and become habits, it could change the dynamics forever. VISIT THEIR WEBSITE



OUTREACH VIDEOS

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Bystander Revolution | Include Someone New

Be friendly to someone who's new or left out. It's so easy for you, and will make a world of difference for them. You'd be surprised how long they remember it.
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INCLUDE SOMEONE NEW

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Ansel Elgort | Middle School

Are you frequently bullied at your school? So was Baby Driver Ansel Elgort. Find out what he did that helped him through a really rough period.
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ANSEL ELGORT

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Jared Leto | Owning Yourself

As a kid, actor and musician Jared Leto says he was pretty different himself. Find out what he has to say to kids who feel they don't fit in.
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JARED LETO

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Michael J. Fox | Bystanders

How can you help someone who is bullied or stereotyped for their differences? Advice from actor Michael J. Fox, who lives with Parkinson's disease.
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MICHAEL J. FOX

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Danica Patrick | Those Words Can't Hurt Me

People say a lot of really mean things about her online. How does auto racing driver Danica Patrick handle it?
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DANICA PATRICK

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Bystander Revolution | Small Acts of Kindness

Small acts of kindness are an easy way to make a huge impact on others. There are countless simple things you can do to help someone right away.
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SMALL ACTS OF KINDNESS

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Jason Mraz | Give 'Em Love

When singer and songwriter Jason Mraz sees cyberbullying on his site, he deletes it. What does he recommend when you see it elsewhere online?
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JASON MRAZ

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Bystander Revolution | Owning It

In the summer of 2014, Carleigh O'Connell found out someone had spray-painted a mean message about her body. Rather than let it get her down, she was empowered to rise above, and responded in a way the people bullying her never expected. Her response went viral, resulting in an outpouring of support for Carleigh and inspiring countless others who were going through similar experiences.Here, Carleigh and her mother Daryl Lynn speak on camera for the first time about the viral phenomenon, and share the lessons Carleigh’s act of bravery and the public’s response taught them.
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OWNING IT

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Jenna Elfman | Great Minds

Know anyone who is bullied or isolated because they act different? Thoughts from actress Jenna Elfman on what you'd find if you strike up a conversation.
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JENNA ELFMAN

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Salma Hayek | Don't Give Them Power

Do the words of the person bullying have any real power? Advice from actress and producer Salma Hayek.
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SALMA HAYEK

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Jamie Lee Curtis | Hurt People

Can it help to know what's going on inside someone who is bullying? Thoughts from award-winning actress Jamie Lee Curtis.
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JAMIE LEE CURTIS

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Bystander Revolution | Realize It's Not About You
People often bully others because of their own issues or insecurities. Don’t let a bully affect how you view yourself.
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REALIZE IT'S NOT ABOUT YOU

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Bystander Revolution | Sit With Someone New
Sit with someone who’s new or left out, or invite them to sit with you and your friends. One simple act of inclusion can have a lasting effect on someone's feelings of self worth.
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SIT WITH SOMEONE NEW

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Tony Robbins | Highschool Reunion

Motivational speaker and author Tony Robbins recounts his experience being bullied for being smaller and poorer. Find out which coping strategies he tried that he wouldn't recommend, and which ones helped.
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TONY ROBBINS

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Nina Dobrev | Gossip and Rumors

How can you confront someone if rumors are being spread about you or a friend? Advice from Vampire Diaries star Nina Dobrev.
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NINA DOBREV

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Laura Dern | Mr. Moh

What would happen if you were able to have no reaction, inside or out, to what someone who is bullying you is saying? Martial arts wisdom from actress and parent Laura Dern.
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LAURA DERN

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Bystander Revolution | Unite With Others
There’s power in numbers. Team up with others to take the power out of bullying. Even standing with one other person is double the power you had standing alone.
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UNITE WITH OTHERS

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Lawrence Kasdan | Heroes

How easy is it to be a hero in your own daily life? Thoughts from the award-winning screenwriter of Star Wars and Raiders of the Lost Ark.
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LAWRENCE KASDAN

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Chad Smith | Being Different

Red Hot Chili Peppers drummer Chad Smith talks about two key solutions he sees for kids who feel they don't fit in or are being bullied for their differences.
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CHAD SMITH

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Mary Lambert | Loving My Body

Loving others starts with loving yourself -- inside and out. Singer / songwriter Mary Lambert shares what she does to cope with body image issues.
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MARY LAMERT

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George Stroumboulopoulos | Being Different

Ever feel alone? Know someone who seems isolated by their differences? Thoughts from award-winning Canadian talk show host George Stromboulopoulos.
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GEORGE STROUMBOULOP