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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Doug Leddin had a secret to share.

For more than a decade, he had kept it under wraps, but the depths of his shame had become too great to bear. He was embarrassed not only of the secret itself, but also the fact that he had hidden it from his friends and loved ones for so long.

"I wanted to let my friends know, I wanted to let everyone know, all at once. To lift a massive weight off my shoulders," Doug told Upworthy over email. "It was easier for me to share all at once than to sit down and tell everyone individually."

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