6 ways to help a friend or loved one who may be suicidal.

Suicide affects people across race, age, gender, and socioeconomic status. Quite frankly, suicide doesn't care.

More than 42,000 people died by suicide in 2014 alone, according to the Centers for Disease Control and Prevention. For people between ages 10 and 34, it's the second leading cause of death. While thousands complete suicide each year, an estimated 9.4 million adults in the U.S. had serious thoughts of committing suicide.

This problem is bigger than numbers. It's people. It's moms, dads, kids, siblings, grandparents, friends, and partners.


These are complex but treatable issues, and yet too often it's still considered taboo to discuss or speak frankly about suicide or mental health.

When a friend, loved one, or colleague appears to be suicidal, it can be hard to know what to do or say. But the numbers don't lie. Our silence won't slow this public health crisis; when it comes to helping someone in need, inaction is not an option.

Health professionals and people who specialize in suicide prevention say there are small actions you can take to help.

Here are some simple things you can do to help someone who may be thinking about taking their life:

1. Know what to look for.

Familiarize yourself with the warning signs. People thinking about suicide or self-harm may talk about feeling hopeless, trapped, or in incredible pain; withdraw from friends or family; experience drastic changes in mood; and/or increase their use of alcohol or drugs. Someone considering suicide may also talk or write about wanting to die. But the warning signs aren't always cut and dry.

"We tell people to look for changes," says Andy Cartmill, a trainer of suicide and intervention models and senior program educator with Addiction Services for Washington County, Oregon. "Trust your intuition. If you think something is up, there's no harm in being honest and saying, 'I just noticed a change. Are you doing OK?'"

2. Show support without judgment or anger.

Even if your friend hasn't reached out to you, check in. Let them know you care about them and you're concerned. This isn't the time to panic, argue with them, or even to try and talk them out of it.

"We tend to fix things and point out people's strengths and say, 'What about your wife?' 'What about your kids?'" Cartmill says. "It's possible they might not perceive those as strengths. So they very well might think, 'I'm doing my wife or kids a favor by relieving them of a burden.'"

Simply listen. And allow them to speak without judgment.

3. Ask specific questions.

If you're not sure if your friend is in immediate danger, the best thing to do is ask.

Individuals at the highest risk for suicide in the near future will often have a plan, the means to put the plan into action, a time frame, and intention. Asking questions will help you determine immediate risks, and the answers may inform what you do next:

  • "Do you have a plan to harm or kill yourself?"
  • "Do you have access to weapons or things you can use to harm yourself?"
  • "Have you thought about how or when you would do it?"
  • "Are you thinking about suicide?"

If you don't know what a statement or response means, ask for clarity. This may feel awkward or intimidating, but it's important to be direct and honest. And don't worry, talking about suicide won't plant the seed in someone's head.

"Research over and over again says that is not going to happen," Cartmill says. "That's one of the things people are afraid of ... 'If I ask that question, am I going to get them thinking about suicide?' and the answer is no."

4. It's OK to not know what to say.

If you're not a trained health professional or crisis counselor, this territory can be tough to navigate. It's OK to not have the perfect speech or talking points. It's first and foremost your job to listen and recognize they're hurting. That means not changing the subject or minimizing their pain.

"You don't have to be an expert; you really don't. Listening respectfully and being honest is OK," Cartmill says. "It's OK to tell people, 'What you're saying is scaring me. I want you to be OK,' and go from there."

5. Suggest professional help, or offer to help them find it.

This is not an effort to pass them off to someone else and instead aims to get them to a doctor or therapist better equipped to help with their pain. If they're seeing a professional, encourage them to get in touch with them immediately. You can even offer to accompany them to the appointment.

If they're not under a doctor or counselor's care, help them find a mental health professional or call the U.S. National Suicide Prevention Lifeline at 800-273-TALK (8255). It's a free, 24/7 service that can provide people thinking about suicide and those who care about them with support and connections to local resources.

6. Remember, if it's an immediate or crisis situation, it is OK to use the emergency room.

If you wouldn't hesitate to call for a broken bone or allergic reaction, don't hesitate with suicide. In a true crisis, it can't wait.

Suicide doesn't care. But lots of people do.

Keep the number for the National Suicide Prevention Lifeline in your phone, 800-273-TALK (8255). In an emergency, having that number handy for yourself or someone you care about may make all the difference.

Even talking about suicide or suicidal ideation may seem overwhelming or scary, but experts agree: Hope and recovery are possible. There are many treatment options available, with several at low or no cost. It starts with paying attention to warning signs, reaching out, and getting help if you need it.

Family

The world officially loves Michelle Obama.

The former first lady has overtaken the number one spot in a poll of the world's most admired women. Conducted by online research firm YouGov, the study uses international polling tools to survey people in countries around the world about who they most admire.

In the men's category, Bill Gates took the top spot, followed by Barack Obama and Jackie Chan.

In the women's category, Michelle Obama came first, followed by Oprah Winfrey and Angelina Jolie. Obama pushed Jolie out of the number one spot she claimed last year.

Unsurprising, really, because what's not to love about Michelle Obama? She is smart, kind, funny, accomplished, a great dancer, a devoted wife and mother, and an all-around, genuinely good person.

She has remained dignified and strong in the face of rabid masses of so-called Americans who spent eight years and beyond insisting that she's a man disguised as a woman. She's endured non-stop racist memes and terrifying threats to her family. She has received far more than her fair share of cruelty, and always takes the high road. She's the one who coined, "When they go low, we go high," after all.

She came from humble beginnings and remains down to earth despite becoming a familiar face around the world. She's not much older than me, but I still want to be like Michelle Obama when I grow up.

Her memoir, Becoming, may end up being the best-selling memoir of all time, having already sold 10 million copies—a clear sign that people can't get enough Michelle, because there's no such thing as too much Michelle.

Don't like Michelle Obama? Don't care. Those of us who love her will fly our MO flags high and without apology, paying no mind to folks with cold, dead hearts who don't know a gem of a human being when they see one. There is nothing any hater can say or do to make us admire this undeniably admirable woman any less.

When it seems like the world has lost its mind—which is how it feels most days these days—I'm just going to keep coming back to this study as evidence that hope for humanity is not lost.

Here. Enjoy some real-life Michelle on Jimmy Kimmel. (GAH. WHY IS SHE SO CUTE AND AWESOME. I can't even handle it.)

Michelle & Barack Obama are Boring Now www.youtube.com

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