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9 risk factors for suicide and 1 important question you can ask to hopefully know for sure.

There's something you should know about people with severe depression.

9 risk factors for suicide and 1 important question you can ask to hopefully know for sure.

Many of us feel inept when it comes to acknowledging suicide.

"It's so tragic."

"What a waste of a beautiful life."


"Why didn't he just talk to us about it?"

We are often at a loss for how to deal with the profoundly devastating topic of suicide. We can talk about it in a removed, social-ill, this-world-is-so-messed-up, throw-our-hands-up-in-helplessness kind of way when it comes up in passing — like when people are talking about how much they miss Robin Williams.

But we are poorly equipped to discuss it in any substantial way. Which is understandable. Most of us aren't trained in psychiatric services and are doing our best to muddle through our own difficulties in life. Figuring out how to solve America's suicide problem seems above our pay grade.

It's important for each of us to commit to getting better at talking about it.

When you have that one friend you can just sit and talk with about anything. Image by Garry Knight/Flickr.

The truth is that each of us could have a friend who's suicidal right now — today — and isn't telling us about it. They're not telling us about it because they know very well that they live in a world ill-equipped to help them without judging them.

The main thing that kept me from speaking up long ago when I toyed with the thought of ending my own life was: "If I admit I'm barely able to take each next breath right now, will I always be labeled as fragile or troubled forever for the rest of time?" Saying something is a decision to commit to someone else's memory that this messed-up mental stumble is happening. It takes bravery to talk about it, especially when you're in the thick of it.

Everyone and anyone could be at risk for suicide. Suicide doesn't have a "look." Moms, dads, 11-year-olds, pastors — the thought of ending it all can take root in anybody's mind. But there are some groups who are more prone to suicide than others. According to the CDC, lesbian, gay, and bisexual youth are four times more likely to attempt suicide than straight peers. And 25% of transgender young people surveyed report having made an attempt to take their own life. The thing that some well-meaning people don't know is that snapping out of it or learning how to enjoy life isn't an option for those who are truly depressed — it's not a mind-over-matter thing. At that particular moment in their lives, the afflicted person just can't.

The little things that can spark our spirit during normal times don't do the same thing for someone who's depressed. Image by Rick/Flickr.

Why does suicide start looking like a viable option?

John Gibson, a pastor whose name was recently released as part of the Ashley Madison hack (where people were outed for starting accounts with the intent to cheat on their spouses), committed suicide in August.

"He talked about depression. He talked about having his name on there, and he said he was just very, very sorry. What we know about him is that he poured his life into other people, and he offered grace and mercy and forgiveness to everyone else, but somehow he couldn't extend that to himself."
Christi Gibson, on her husband John's suicide letter

Jody Nelson, a clinical social worker in Lansing, Michigan, explains part of why a person can be drawn to suicide in the first place:

"A suicidal person will often see suicide as a neat, tidy, and self-contained solution to their emotional state of desperation. Suicide is never neat. Never tidy. And never truly self-contained. Suicidal people are not capable of seeing or predicting the ripples and waves their act will cause in lives around them. Yet their suicide will impact lives they aren't even aware they are touching via connections their own illness makes impossible for them to see."

He advises us to know the risk factors:

"Not all of these are going to mean impending suicide attempts, but the risk increases as they pile on each other."

1. Depression. Isolation. Losses.

2. Big life changes (and sometimes, just some small ones like going on or off certain meds).

3. Prior attempts. Substance abuse.

4. Irrational or erratic behaviors.

5. Financial difficulties.

6. Access to means.

7. Suicidal intention.

8. A family history of suicide.

9. Connections to others who have died by suicide.

Nelson says that if we see those signs, we should ask straight-up something like this question:

"Hey I've noticed you've been particularly down lately. Are you thinking about hurting yourself?"

It won't make someone who's not suicidal suddenly consider it. And it won't make someone who is thinking suicidal thoughts go through with it. What it will do, if they have been thinking about it, is break through a wall that's keeping the person isolated and suddenly alleviate some of that buildup they've been sitting alone with. A person struggling with depression and suicidal thoughts is often very grateful to find someone they can talk frankly with about their thoughts.

And if they say yes, listen and talk, but also get them to an emergency room. Go with them. Get them there. They will be connected to the right resources once they get there. Then follow up and keep an eye. Keep talking with them. But don't let them put it off — they will try to downplay it as not that serious. Who wouldn't?

Here's why it's important for us to talk about this right now, and publicly.

There's no shame in needing your friends. These guys know. Image by SmellyAvocado.

When we learn how to talk about suicide more productively and demonstrate publicly that we're trying to understand it a little better than we used to, we open doors in case someone in our circle is thinking about opening up.

We signal that we aren't going to judge our friends and loved ones — just love them. Sharing an article like this is one way to start sending that signal.

And when more people get the message that there's someone around they can talk to, maybe we'll see the suicide numbers drop significantly.

In the big picture, that would be amazing. But as anyone who's lost a loved one to suicide can tell you, saving one person and stopping those devastating ripple effects from starting is immeasurably valuable.

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This year more than ever, many families are anticipating an empty dinner table. Shawn Kaplan lived this experience when his father passed away, leaving his mother who struggled to provide food for her two children. Shawn is now a dedicated volunteer and donor with Second Harvest Food Bank in Middle Tennessee and encourages everyone to give back this holiday season with Amazon.

Watch the full story:

Over one million people in Tennessee are at risk of hunger every day. And since the outbreak of COVID-19, Second Harvest has seen a 50% increase in need for their services. That's why Amazon is Delivering Smiles and giving back this holiday season by fulfilling hundreds of AmazonSmile Charity Lists, donating essential pantry and food items to help organizations like Second Harvest to feed those hit the hardest this year.

Visit AmazonSmile Charity Lists to donate directly to a local food bank or charity in your community, or simply shop smile.amazon.com and Amazon will donate a portion of the purchase price of eligible products to your selected charity.

Courtesy of Macy's

Brantley and his snowman

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"Would you like to build a snowman?" If you asked five-year-old Brantley from Texas this question, the answer would be a resounding "Yes!" While it may sound like a simple dream, since Texas doesn't usually see much snow, it seemed like a lofty one for him, even more so because Brantley has a congenital heart disease.

On Dec. 11, 2019, however, the real Macy's Santa and his two elves teamed up with Make-A-Wish to surprise Brantley and his family on his way to Colorado where there was plenty of snow for him to build his very own snowman, fulfilling his wish as part of the Macy's Believe campaign. After a joy-filled plane ride where every passenger got gift bags from Macy's, the family arrived in Breckenridge, Colorado where Santa and his elves helped Brantley build a snowman.

Brantley, Brantley's mom, and Santa marveling at their snowmanAll photos courtesy of Macy's

Brantley, who according to his mom had never actually seen snow, was blown away by the experience.

"Well, I had to build a snowman because snowmen are my favorite," Brantley said in an interview with Summit Daily. "All of it was my favorite part."

This is just one example of the more than 330,000 wishes the nonprofit Make-A-Wish have fulfilled to bring joy to children fighting critical illnesses since its founding 40 years ago. Even though many of the children that Make-A-Wish grants wishes for manage or overcome their illnesses, they often face months, if not years of doctor's visits, hospital stays and uncomfortable treatments. The nonprofit helps these children and their families replace fear with confidence, sadness with joy and anxiety with hope.

It's hardly an outlandish notion — research shows that a wish come true can help increase these children's resiliency and improve their quality of life. Brantley is a prime example.

"This couldn't have come at a better time because we see all the hardships that we went through last year," Brantley's mom Brandi told Summit Daily.

Brantley playing with snowballs

Now more than ever, kids with critical illnesses need hope. Since they're particularly vulnerable to disease, they and their families have had to isolate even more during the pandemic and avoid the people they love most and many of the activities that recharge them. That's why Make-A-Wish is doing everything it can to fulfill wishes in spite of the unprecedented obstacles.

That's where you come in. Macy's has raised over $132 million for Make-A-Wish, and helped grant more than 15,500 wishes since their partnership began in 2003, but they couldn't have done that without the support of everyday people. The crux of that support comes from Macy's Believe Campaign — the longstanding holiday fundraising effort where for every letter to Santa that's written online at Macys.com or dropped off safely at the red Believe mailbox at their stores, Macy's will donate $1 to Make-A-Wish, up to $1 million. New this year, National Believe Day will be expanded to National Believe Week and will provide customers the opportunity to double their donations ($2 per letter, up to an additional $1 million) for a full week from Sunday, Nov. 29 through Saturday, Dec. 5.

There are more ways to support Make-A-Wish besides letter-writing too. If you purchase a $4 Believe bracelet, $2 of each bracelet will be donated to Make-A-Wish through Dec. 31. And for families who are all about the holiday PJs, on Giving Tuesday (Dec. 1), 20 percent of the purchase price of select family pajamas will benefit Make-A-Wish.

Elizabeth living out her wish of being a fashion designer

Additionally, this year's campaign features 6-year-old Elizabeth, a Make-A-Wish child diagnosed with leukemia, whose wish to design a dress recently came true. Thanks to the style experts at Macy's Fashion Office and I.N.C. International Concepts, only at Macy's, Elizabeth had the opportunity to design a colorful floral maxi dress. Elizabeth's exclusive design is now available online at Macys.com and in select Macy's stores. In the spirit of giving back this holiday season, 20 percent of the purchase price of Elizabeth's dress (through Dec. 31) will benefit Make-A-Wish.You can also donate directly to Make-A-Wish via Macy's website.

This holiday season may be a tough one this year, but you can bring joy to children fighting critical illnesses by delivering hope for their wishes to come true.

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A lot of people here are like family to me," Michelle says about Bread for the City — a community nonprofit located in Washington DC that provides local residents with food, clothing, health care, social advocacy, and legal services. And since the pandemic began, the need to support organizations like Bread for the City is greater than ever, which is why Amazon is Delivering Smiles to local charities across the country this holiday season.

Watch the full story:

Amazon is giving back by fulfilling hundreds of AmazonSmile Charity Lists, and donating essential pantry and food items to help organizations like Bread for the City provide to those disproportionately impacted this year.

Visit AmazonSmile Charity Lists to donate directly to a local charity in your community, or simply shop smile.amazon.com and Amazon will donate a portion of the purchase price of eligible products to your charity of choice.
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