When people think of Movember, chances are the first thing to pop into their heads is an image like this:

Image via iStock.

This next one, though? Maybe not. But it's an image the actual Movember Foundation wants everyone to remember.

All photos by Brendon Thorne/Getty Images for Movember Foundation.

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Watch men read their old suicide notes in a gut-wrenching PSA about getting help.

Content warning: discussion of suicidal thoughts and actions.

Suicide is often a silent killer.

Not only has it quietly become one of the leading causes of death in the U.S., but it's often the hesitation and fear of speaking up and asking for help that makes suicide seem like the only option.

In a way, our silence is killing us. And this is especially true for men.

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