Suicide Awareness & Crisis Intervention Information

Suicide is a leading cause of death in the United States and a major public health concern. When a person dies by suicide, the effects are felt by family, friends, and communities.

With this information we hope to help you learn more about the warning signs of suicide, ways to help prevent suicide, and effective treatment options.

If you or someone you know is in crisis:

Call or text the 988 Suicide & Crisis Lifeline at 988 or chat at The Lifeline provides free and confidential support to people in suicidal crisis or emotional distress 24 hours a day, 7 days a week, across the United States.

Call 911 in life-threatening situations.

For International or alternate crisis support services click here

Frequently Asked Questions About Suicide

What is suicide?

Suicide is when people harm themselves with the goal of ending their life, and they die as a result.

A suicide attempt is when people harm themselves with the goal of ending their life, but they do not die.

Avoid using terms such as “committing suicide,” “successful suicide,” or “failed suicide” when referring to suicide and suicide attempts, as these terms often carry negative meanings.

Who is at risk for suicide?

People of all genders, ages, and ethnicities can be at risk for suicide.

The main risk factors for suicide are:

    • A history of suicide attempts
    • Depression, other mental disorders, or substance use disorder
    • Chronic pain
    • Family history of a mental disorder or substance use
    • Family history of suicide
    • Exposure to family violence, including physical or sexual abuse
    • Presence of guns or other firearms in the home
    • Having recently been released from prison or jail
    • Exposure, either directly or indirectly, to others’ suicidal behavior, such as that of family members, peers, or celebrities

Most people who have risk factors for suicide will not attempt suicide, and it is difficult to tell who will act on suicidal thoughts. Although risk factors for suicide are important to keep in mind, someone who is showing warning signs of suicide may be at higher risk for danger and need immediate attention. Stressful life events (such as the loss of a loved one, legal troubles, or financial difficulties) and interpersonal stressors (such as shame, harassment, bullying, discrimination, or relationship troubles) may contribute to suicide risk, especially when they occur along with suicide risk factors.

What are the warning signs of suicide?

Warning signs that someone may be at immediate risk for attempting suicide include:

  • Talking about wanting to die or wanting to kill themselves
  • Talking about feeling empty or hopeless or having no reason to live
  • Talking about feeling trapped or feeling that there are no solutions
  • Feeling unbearable emotional or physical pain
  • Talking about being a burden to others
  • Withdrawing from family and friends
  • Giving away important possessions
  • Saying goodbye to friends and family
  • Putting affairs in order, such as making a will
  • Taking great risks that could lead to death, such as driving extremely fast
  • Talking or thinking about death oftenOther serious warning signs that someone may be at risk for attempting suicide include:
  • Displaying extreme mood swings, suddenly changing from very sad to very calm or happy
  • Making a plan or looking for ways to kill themselves, such as searching for lethal methods online, stockpiling pills, or buying a gun
  • Talking about feeling great guilt or shame
  • Using alcohol or drugs more often
  • Acting anxious or agitated
  • Changing eating or sleeping habits
  • Showing rage or talking about seeking revenge

These warning signs can be an indication that someone is considering suicide, but many will not show any change in behaviour.

What treatment options and therapies are available?

Effective, evidence-based interventions are available to help people who are at risk for suicide:

    • Cognitive Behavioral Therapy (CBT): CBT is a type of psychotherapy that can help people learn new ways of dealing with stressful experiences. CBT helps people learn to recognize their thought patterns and consider alternative actions when thoughts of suicide arise.
    • Dialectical Behavior Therapy (DBT): DBT is a type of psychotherapy that has been shown to reduce suicidal behavior in adolescents. DBT also has been shown to reduce the rate of suicide attempts in adults with borderline personality disorder, a mental illness characterized by an ongoing pattern of varying moods, self-image, and behavior that often results in impulsive actions and problems in relationships. A therapist trained in DBT can help a person recognize when their feelings or actions are disruptive or unhealthy and teach the person skills that can help them cope more effectively with upsetting situations.
    • Brief Intervention Strategies: Research has shown that creating a safety plan or crisis response plan—with specific instructions for what to do and how to get help when having thoughts about suicide—can help reduce a person’s risk of acting on suicidal thoughts. Staying connected and following up with people who are at risk for suicide also has been shown to help lower the risk of future suicide attempts. Research also has shown that increasing safe storage of lethal means can help reduce suicide attempts and deaths by suicide. In addition, collaborative assessment and management of suicide risk can help to reduce suicidal thoughts.
    • Collaborative Care: Collaborative care is a team-based approach to mental health care. A behavioral health care manager will work with the person, their primary health care provider, and mental health specialists to develop a treatment plan. Collaborative care has been shown to be an effective way to treat depression and reduce suicidal thoughts.

What should I do if I am struggling or someone I know is having thoughts of suicide?

If you notice warning signs of suicide—especially a change in behavior or new, concerning behavior—get help as soon as possible.

Family and friends are often the first to recognize the warning signs of suicide, and they can take the first step toward helping a loved one find mental health treatment.

If someone tells you that they are going to kill themselves, do not leave them alone. Do not promise that you will keep their suicidal thoughts a secret—tell a trusted friend, family member, or other trusted adult.

Call 911 if there is an immediate life-threatening situation.

You also can contact:

988 Suicide & Crisis Lifeline
Call or text 988; Llame al 988 (para ayuda en español)
The Lifeline provides 24-hour, confidential support to anyone in suicidal crisis or emotional distress. Call or text 988 to connect with a trained crisis counselor. Support is also available in English via chat at

For International or alternate crisis support services click here

Suicidal Ideation, with Nicki Line

As a community it is important to discuss and understand suicidal ideation, as well as understanding the difference between active ideation and passive. It can be confusing and scary not knowing when to hold space for someone versus when we may need to get someone more qualified to take over care.

In this webinar Therapist Nicki will explain the differences in active vs passive suicidal ideation as well as what to do when more help is needed for an individual.

Does asking someone about suicide put the idea in their head?

No. Studies have shown that asking people about suicidal thoughts and behaviors does not cause or increase such thoughts. Asking someone directly, “Are you thinking of killing yourself?” can be the best way to identify someone at risk for suicide.

Do people “threaten” suicide to get attention?

Suicidal thoughts or actions are a sign of extreme distress and an indicator that someone needs help. Talking about wanting to die by suicide is not a typical response to stress. All talk of suicide should be taken seriously and requires immediate attention.

What if I see suicidal messages on social media?

Knowing how to get help when someone posts suicidal messages can help save a life. Many social media sites have a process to get help for the person posting the message. To learn more, visit the 988 Suicide & Crisis Lifeline’s webpage about safety and support on social media .

If you see messages or live streaming content that suggests someone is actively engaging in suicidal behavior, you can contact safety teams at the social media company. They will reach out to connect the person with the help they need.

Pineapple Support Suicide Prevention Trainings and Webinars

Suicide Prevention Training with Amanda Clemens, CPC

Pineapple Support Suicide Prevention Training Webinar is a sex-positive, radically inclusive and professionally facilitated webinar that will take anyone who’s actively involved in the adult film and sex-work industries on a deep dive into a number of topics.

This webinar is a ‘user-friendly’, sex-informed approach to suicide prevention and crisis support that’s meant to be specifically ‘performed’ BY adult film industry people FOR adult film industry people who may be struggling with suicide or other mental health related issues.

Suicide Prevention: Awareness, Education, and Strategies to Reduce Risk, with Sarah Kelleher

Please note: This webinar discusses themes that some listeners may find upsetting.
This webinar discusses suicidality. This webinar will cover education and awareness surrounding suicide and prevention as well as strategies to help you and loved ones cope and reduce risk.

Survivors of Suicide: Acceptance and Healing, with Rainier McCall

This permission-giving presentation covers the experience, needs, and questions of being a survivor of suicide. We will cover the grieving and healing journey and dispel myths about suicide and grief.

Suicidal Ideation, or the Singing of a Deathsong, with Rainier McCall

Many individuals live with suicidal thoughts and thoughts adja-cent. These can be chronic, acute or random and fleeting. We’ll discuss how to move away from crisis oriented responses to ourselves and others and deepen our curiosity, safety, and re-sources, both internally and communally.

Pineapple Support Corporate Trainings

Due to recent tragic events in the adult community, Pineapple Support has decided to release all previoulsy exclusive sponsors trainings to the public. We feel that education in supporting our content creators and community should be free and accessible.

Knowledge saves lives.

To view our online corporate training library, please click here