How to Recognize Suicidal Thoughts and Support Someone in Crisis

By Dr. Trish Barrus

As a mental health professional, I have seen firsthand how deeply suicide and suicidal thoughts affect not only individuals, but also families, friends, and entire communities. These are not easy conversations to have—but they are essential ones. At Riverwoods Behavioral Health, we are committed to fostering a space where people feel safe to talk openly, seek support, and find hope, even in their most difficult moments.

Suicidal thoughts are often a signal of overwhelming emotional pain. They do not mean someone is weak or beyond help—they mean someone is hurting and needs care, understanding, and connection. When we approach this topic with compassion and openness, we help break down the stigma that so often prevents people from reaching out.

While every person’s experience is unique, there are common warning signs that may indicate someone is struggling:

• Talking about feeling hopeless, trapped, or like a burden to others

• Expressing a desire to die or mentioning specific plans for suicide

• Withdrawing from friends, family, and usual activities

• Engaging in risky or self-destructive behaviors, including substance use or self-harm

• Giving away valued possessions or making final arrangements

• Noticeable shifts in mood, behavior, or personality

If you’re concerned about someone, your presence and support can make a meaningful difference. Here are a few ways to help:

• Listen without judgment. Create a safe space for them to share and feel heard.

• Validate their feelings. Let them know they are not alone and that their pain matters.

• Encourage professional support. Gently guide them toward trusted mental health providers.

• Reduce access to harmful means. This can be a critical step in keeping someone safe.

• Stay connected. Regular check-ins can provide reassurance and stability.

• Promote healthy coping strategies. Activities like movement, mindfulness, and creative outlets can help manage distress.

• Involve others when needed. It’s important not to keep suicidal thoughts a secret—bringing in trusted individuals or professionals can help ensure safety.

We all have a role to play in creating a community where mental health is treated with the care and urgency it deserves. By showing compassion, staying informed, and reaching out to those who may be struggling, we can help build a culture where seeking help is not only accepted—but encouraged.

If you or someone you know is struggling, please don’t wait. Support is available, and help can make all the difference.

Supporting mental health involves identifying signs of distress and offering assistance to those who are experiencing suicidal thoughts.