Suicide and suicidal thoughts

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Prevention

By Mayo Clinic staff

There are a number of steps you need to take to keep yourself from feeling suicidal:

  • Eliminate potential means of committing suicide. If you think you might act on suicidal thoughts, immediately get rid of any potential means of committing suicide, such as firearms, knives or dangerous medications. If you take medications that have a potential for overdose, have a family member or friend give you your medications as prescribed.
  • Get the treatment you need. If you don't treat the underlying cause, your suicidal thoughts are likely to return. You may feel embarrassed to seek treatment for your mental health problems, but getting the right treatment for depression, substance abuse or another underlying problem will make you feel better about life — and help keep you safe.
  • Follow your treatment plan. Go to follow-up appointments, take medications exactly as directed, and take the other steps your doctor or mental health provider recommends.
  • Establish your support network. It may be hard to talk about suicidal feelings, and your friends and family may not fully understand why you feel the way you do. Reach out anyway, and make sure the people who care about you know what's going on and are there when you need them. You may also want to get help from your church, support groups or other community resources.
  • Know your warning signs. Learn to spot the danger signs early, and decide what steps to take ahead of time. It may help to write out what steps you will take if you start feeling suicidal. You may want to make a written agreement with a mental health provider or a loved one. A written plan or contract can help you take the right steps when you don't have the best judgment.
  • Remember, suicidal feelings are temporary. If you feel hopeless or that life's not worth living anymore, remember that the feelings will pass. Take one step at a time and don't act impulsively. Work to regain your perspective — and life will get better.
References
  1. Schreiber J, et al. Suicidal ideation and behavior in adults. http://www.uptodate.com/home/index.html. Accessed Feb. 9, 2010.
  2. Kennebeck S, et al. Evaluation and management of suicidal behavior in children and adolescents. http://www.uptodate.com/home/index.html. Accessed Feb. 9, 2010.
  3. Barbara Woodward Lips Patient Education Center. Understanding attempted suicide. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2005.
  4. Understanding suicide fact sheet. Centers for Disease Control and Prevention. http://www.cdc.gov/ncipc/pub-res/suicide_factsheet2008.pdf. Accessed Feb. 2, 2010.
  5. Logan J, et al. Characteristics of perpetrators in homicide-followed-by-suicide incidents: National Violent Death Reporting System - 17 US States, 2003-2005. American Journal of Epidemiology. 2008;169:9.
  6. The risk factors for suicide. American Association of Suicidology. http://www.suicidology.org/c/document_library/get_file?folderId=232&name=DLFE-186.doc. Accessed Feb. 2, 2010.
DS01062 March 25, 2010

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