A predictor of suicide is a feeling of hopelessness, a belief by the person that there is no other option to end their suffering, explains expert
By Barbara Pierce
September is Suicide Prevention Month. A time to raise awareness, spread hope and spark action around one of the most urgent mental health issues.
We asked clinical social worker Kara Harvey for answers. Harvey is director of crisis services for Community and Behavioral Services in Utica, a division of Upstate Caring Partners, which offers comprehensive assistance to people of all ages in need of mental health support. Staff are trained to help children, adolescents and adults with a variety of issues.
Q: Why do people consider suicide?
A: When emotional or physical pain becomes difficult to manage, some may begin to feel hopeless, isolated, or unable to see a path toward improvement. Experiences such as depression, anxiety, substance use, trauma, grief, relationship difficulties, financial hardship, chronic health conditions or a lack of social support can all contribute to these feelings.
Every person’s situation is unique and suicidal thoughts often come from a complex interaction of several issues rather than a single cause.
A strong predictor of suicide is a feeling of hopelessness, a belief by the person that there is no other option to end their suffering.
Q: What should I do if someone I care about says they are thinking about killing themself?
A: Any statement or indication that someone may be thinking about suicide should be taken seriously. It’s important to respond with care, concern and a willingness to help.
If someone shares that they are thinking about suicide, listen without judgment and create a safe space for them to talk openly. Asking directly whether they are considering suicide will not increase the risk. In fact, it can open the door to an honest conversation and help connect them to support. Reassure them that they are not alone, that help is available and that you will assist them to get that help.
A person thinking about suicide may talk about wanting to die or they may say things that are not as clear, hinting at what they are feeling, hoping others pick up on the clues. Statements such as “I just want to end the pain.” “Everyone would be better off without me.” “If anything happens to me, promise to take care of…” and similar statements could indicate they are thinking of suicide.
Stay calm if someone says they have thoughts about suicide. Do not leave them alone. You may be surprised, shocked or even angry. But it’s important to show empathy and listen without judgement. Stay with them and ask: “Have you thought about killing yourself? How would you do it?”
If there’s concern that the person may be at immediate risk of harming themselves, do not leave them alone. Contact emergency services or appropriate crisis resources right away. Local crisis services can provide immediate support and guidance.
Harvey added that crisis support is available through:
• 988 line: call or text 24/7 to speak with a trained crisis counselor who can provide immediate support, help with safety and connect you with local resources.
• STAR Mobile Crisis Program: 315-624-7575 or 877-624-7575 is available 24/7.
• Community Health & Behavioral Services Crisis Stabilization Center: Walk-in crisis services and short-term stabilization by trained professionals, for all ages. 1002 Oswego St., suite 2, Utica, 315-520-7805. Open 24/7.
The Crisis Stabilization Center serves as a welcoming and supportive resource for individuals experiencing a behavioral health crisis. We provide immediate assessment, stabilization, crisis intervention and connection to ongoing services. By offering timely support in a safe environment, we help individuals navigate difficult moments and access the care they need without facing the crisis alone.
Q: If I’m struggling with thoughts of suicide, what should I do?
A: Reach out to someone you trust, a family member, friend, healthcare provider, counselor, faith leader or another supportive person. Connecting with someone and sharing what you’re experiencing is often the first step toward getting help.
Don’t wait until a situation becomes an emergency to seek help. Reaching out early can prevent a crisis from escalating and provide the support, hope and connection needed to move forward. Recovery is possible. No one should have to face these challenges alone.
You may want to make a list to help you get through a crisis: list things you can do to help you feel calm, like meditation, taking a walk, calling a friend, etc. Have contact information for those you trust on this list.
Q: Is there reason for our community to be concerned? What can we do?
A: Rather than viewing suicide as a reason for fear, it’s more helpful to view it as a call for awareness and action. Communities that prioritize mental health education, strengthen social connections and provide accessible crisis services are better equipped to support individuals before a crisis escalates. Together, we can help create a culture where seeking help is encouraged and hope is always within reach.