How to help someone who might be struggling with suicide
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September is National Suicide Prevention Month. Sadly, Idaho has one of the highest suicide rates in the country. This month is an opportunity for all us to learn more about the signs of suicide and how we can help those around us who might be suffering.
The warning signs for suicide can be subtle. Some people are very good at masking their pain. However, here are common things to be on the lookout for:
• Talking about being a burden
• Withdrawing from friends and activities
• Behaving recklessly
• Changes in sleep patterns
• Extreme mood swings
• An increase in the use of drugs or alcohol
While we all want to support a loved one who is in crisis, sometimes it can be tricky to know how to show up. Fortunately, experts with the National Institute of Mental Health have identified five steps that can make a big difference for individuals who might be experiencing suicidal thoughts.
1. ASK: The best place to start is by asking someone directly and compassionately: “Are you thinking about suicide?” This lets people know it is safe to discuss their feelings and what they might be going through. While some people worry about tackling this subject head on, studies have also shown this question does not increase suicidal behavior, it simply creates an opportunity for conversation.
2. BE THERE: Once you ask the question, listen. And, most importantly, listen without judgement. Studies have shown acknowledging and talking about suicide may reduce suicidal thoughts. If someone is talking about suicide, make sure you stay with them, remain on the phone, maintain contact through text, or help them find another trusted person to help. This is an opportunity to let your loved one know they matter and you will help them find help.
3. KEEP THEM SAFE: If someone seems like they are in immediate danger, seek help straight away and do not leave them alone. You can take them to the nearest emergency room or call 988 for support. If the situation feels less urgent, it is still important to reduce access to potentially lethal means. This might include locking up guns and medications.
4. HELP THEM CONNECT: Do your best to connect the person with support. This could include:
• A mental health professional
• Emergency room physician
• A trusted family member or friend
• School mental health resources
• Spiritual advisor
• 988 Suicide and Crisis Lifeline
The lifeline is available 24/7 by call or text. You can also chat with someone by visiting 988lifeline.org.
5. FOLLOW UP: If someone trusts you enough to open up about their thoughts of suicide, do your very best to stay connected – even after it appears the crisis may have passed. Staying in touch helps them know you care and that they matter. Stop by for visits, talk on the phone or send a message.
If you or someone you know is struggling, help is available. The Suicide and Crisis Lifelife always has caring experts standing by no matter what time of day. Simply call or text 988 from anywhere in the United States.
This column does not establish a provider/patient relationship and is for general informational purposes only. This column is not a substitute for consulting with a physician or other health care provider.

Ask the Doctor is brought to you by Mountain View Hospital and Idaho Falls Community Hospital. Mountain View Hospital is proud to offer the community compassionate surgical, labor and delivery, NICU, diagnostic and rehabilitative services. And when the seconds count, count on Idaho Falls Community Hospital for emergency care. With around-the-clock trauma services, state-of-the-art technology, and a highly-skilled team, Idaho Falls Community Hospital is always ready to provide patients with the best possible treatment.

