nurse with patient smiling.

Ask the Question to Prevent Suicide

There’s hope. We can prevent suicide — together. Turn to Avera for immediate help, outpatient and inpatient care, and resources to support someone you’re concerned about. In crisis or need to talk?

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Understanding Suicide & Warning Signs

Are you thinking about suicide? Asking directly if someone is having thoughts of suicide can help provide hope, change the course of a life and prevent indescribable pain. It's a myth that asking this question will somehow plant a seed in someone's mind. People may already have had the thought, yet research tells us that asking the question often provides relief by giving the person an open door to respond honestly.1

Asking the Question Access Toolkits Preventing Suicide Home Safety Tips

Avera encourages the public to speak up and get help if they see the signs that someone might attempt suicide. Warning signs for suicide include but aren’t limited to:

  • Expressions of hopelessness or feeling trapped
  • Comments about feeling empty or having no reason to live
  • Increase in drug and alcohol use
  • Loss of interest in things they used to enjoy
  • Going through a current crisis or significant life change, such as legal issues or financial problems

More Warning Signs

Obsessions with Dying

  • Thinking, talking or writing about dying from suicide
  • Developing a plan about how they might attempt suicide
  • Believing that death is the only solution to their problems

Negative Emotions

  • Displaying depression, fatigue, anxiety, irritation, aggression or anger
  • Holding onto feelings of humiliation, shame or hopelessness
  • Saying they want to die, feel trapped, have no reason to live or are a burden to others

Pulling Away

  • Withdrawing from relationships with family and friends
  • Losing interest in things they usually enjoy

Poor Health Habits

  • Using more alcohol or drugs
  • Sleeping too much or too little
  • Eating more or less than usual

Unusual Behaviors

  • Displaying new behaviors, typically negative, especially when related to a major life event
  • Taking part in risky behaviors, such as having sex with someone they don’t know, or drinking and driving

Poor Performance

  • Missing work, deadlines or assignments when they normally wouldn’t
  • Children, teens or students might have declining grades or failing tests

Actions of Finality

  • Feeling the pressing need to make out their will or arrange their funeral
  • Giving away things they own

Did you know?

Suicide can happen suddenly. Within 2 hours of deciding to take their life, the person could follow through on the act.

Compassionate, Effective Care

Our experts are here to help with the right level of ongoing behavioral health care. Options include: outpatient counseling, partial hospitalization, inpatient hospitalization.

Suicide Prevention Toolkits

The more we know, the less power suicide has over us. Download these printable resources (available in English and Spanish) as reminders on how you can help yourself or someone you know.

Preventing Suicide for All Ages

English (pdf)

Spanish (pdf)

Suicide Warning Signs for Self

English (pdf)

Spanish (pdf)

Preventing Suicide for Teenagers

English (pdf)

Spanish (pdf)

How to Ask the Question

If someone you know is showing warning signs of suicide, you may feel at a loss for words. Approaching the person you’re concerned about can be difficult and should be handled sensitively. Be courageous, break the silence and ask the question. Use these tips to ask about suicidal thoughts carefully.

  • Be compassionate and respond with kindness.
  • Allow the individual to express themselves in full.
  • Actively listen. Be aware of their nonverbal cues as well as your own.
  • Reaffirm that their concerns and pain are valid — and they are worthy of help and recovery.

More Helpful Tips

ask the question question mark illustration

woman comforting teen with head down

Prevent Suicide in Children and Teens (Ages 11 to 17)

Being a teenager is hard. Things like rejection, failure, breakups, trouble at school, family fights or a mental health condition can impact teens. So it’s important to spend time with your teen and ask them if they are struggling with intrusive suicidal thoughts.

Ways to Help Your Teen

To help your teen with mental health and intrusive suicidal thoughts, you can:

  • Encourage them to spend time with people who are a positive influence.
  • Watch their social media accounts for warning signs or bullying.
  • Help your teen lead a healthy lifestyle by eating well, exercising and getting regular sleep.
  • Keep an eye on medications that may impact their moods. If there’s a concern, talk with their doctor.
  • Safely and securely store firearms, alcohol and medications to prevent impulsive actions.

The American Teen Mental Health Crisis

The reason why teens are suffering with anxiety, depression and other mental health conditions is complicated. But what is certain, is it will take the community coming together to help teens through these challenges.

Read about how to notice signs of depression and anxiety in teens and what you can do to help.

Read the story

teen girl and counselor talking

24/7 Farm & Rural Stress Hotline

Anyone struggling in a rural area can speak to a mental health professional right away.

Learn more

How to Safeguard a Home

Safeguarding the home is especially important as the act of suicide can be impulsive when the journey gets tough. It could even happen after they start receiving help. If the person said they’ve thought about suicide, help them make their environment safe. These tips are only temporary while someone is in crisis.

  • Take firearms offsite to a trusted friend or family member. You can also call local police or a gun range for temporary storage.
  • Remove access to other weapons and sharp objects like knives or razor blades.
  • Store all medications in a lock box or locked medicine cabinet. Throw away unused medications.
  • Keep alcohol and illegal drugs out of the home.
  • Lock up pesticides and other poisonous household chemicals.
  • Provide supervision or stay with a person who reports suicidal thoughts until receiving a mental health evaluation.

mom and son at home on couch talking

Gary and James Gaspar

Gaspar Family: From Grief to Action

Survivors of a suicide death turn tragedy into prevention efforts. Avera’s Ask the Question campaign is built around having honest conversations that lead people to get help.

Read the story

Watch the video

Joslyn's Journey From Diagnosis to Recovery and Mental Health Advocate

Joslyn Nelson shares her journey from noticing initial signs of nervousness and excessive worry to being diagnosed with complex conditions and intrusive thoughts that maybe her family would be better off without her. She is now an advocate for overcoming mental health challenges.

Thanking Our Sponsors

Generous supporters of the Avera Foundation and its Light the Way program sponsored suicide prevention materials. Please consider making a donation to support efforts of suicide prevention.

Let’s Talk About Mental Health

Together, we can encourage people to ask the question while also empowering people struggling with suicidal thoughts to come forward and get help. Use #AskTheQuestion on your social media to normalize conversations about mental health and suicide.

Do you suspect someone is having a mental health crisis: