Columbia University Health Services

I think my friend may be suicidal – how can I tell?

While most people experience brief periods of feeling depressed or anxious, there are sometimes clear signals that those feelings are getting out of control. The following signs could indicate that someone is at risk for hurting him/herself or attempting suicide.

• Suicidal thoughts, plans, or means. "I just want to swallow this whole bottle of pills and never wake up."
• Talking about "not being around" or about death, even in a casual manner. "Who cares, I won't be here anyway."
• Extremely depressed mood, feelings of hopelessness, despair. "I feel like I'm in a black hole and I can never get out. Things will never change."
• Self-harm, such as cutting or burning oneself.
• Changes in presentation, hygiene, or functioning.
• Certain life events (current or past) are associated with increased suicide risk.

How Do I Help My Friend?

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