Depression and Suicidal Thoughts
Mood disorders such as depression can sometimes lead to suicidal ideation or attempts. Suicidal ideation or having thoughts about ending one’s own life is a serious symptom of depression that requires compassionate and immediate attention. It’s important to understand that suicidal thoughts don’t always appear suddenly or obviously. In many cases, the signs are subtle and overlap with general symptoms of depression.
I’m concerned about a loved one. What should I look for?
If you’re worried that a friend, family member, or loved one might be experiencing suicidal thoughts, it’s important to trust your instincts. Even if they haven’t directly expressed their thoughts, there may be noticeable changes in their behaviour, mood or daily habits.
Here are some common signs that may indicate suicidal ideation:
- Significant mood swings, irritability or emotional outbursts
- Persistent worry, fear, or hopelessness
- Physical symptoms like frequent headaches, body aches, or digestive issues without clear cause
- Negative self-talk, self-blame, or expressions of worthlessness
- Chronic fatigue or seeming unusually tired
- Loss of interest in activities they once enjoyed
- Declining personal hygiene or significant weight changes
- Withdrawing from social contact and isolating themselves
- Increased use of alcohol or drugs, or experiencing insomnia
- Giving away meaningful possessions or making abrupt declarations of love or farewells
These signs may present differently in each person, and context matters. Some people may mask their distress well or exhibit only a few subtle cues. That’s why your intuition matters – if something feels “off”, don’t ignore it.
I want to talk to a loved one who may be having suicidal thoughts, what should I ask?
Talking openly about suicide is difficult and can feel overwhelming, not just because of the weight of the topic but also because it brings the painful realisation that someone you love may be experiencing intense emotional pain. That said, you’re doing the right thing by opening this conversation. Taking action is a powerful step, and showing someone you care can make a real difference in their journey toward safety and healing.
How to move towards recovery
After having a conversation with your loved one about their suicidal thoughts, the next step is helping them move toward recovery. While this journey won’t be linear or easy, your role as a caregiver or supporter can make a meaningful difference. So, what can you do?
- Try discussing with your loved one the idea of seeking help from a mental health professional. These professionals can work with them to develop a Safety Plan, a vital tool designed to help manage suicidal thoughts. A good safety plan often includes:
- Warning signs
- Creating a safe environment
- Reasons to live
- Healthy distractions and coping strategies
- Supportive people and places
- Emergency contacts
- Stay present and available
Sometimes the most impactful thing you can do is simply be there. This doesn’t mean solving everything but it means showing up. Run errands together, go for walks, grab coffee, or simply sit and watch a movie. Your presence can help them feel grounded and less alone. - Encourage connection with peer support
- Create a safer living environment
Remove any dangerous items or potential weapons from their living space. This includes sharp objects, medications, or anything else that could be used in a moment of crisis. If you’re unsure what to remove, consider talking to a health professional or helpline for guidance.
Talking about suicide is never easy. Supporting someone you love through it can be heartbreaking, exhausting and sometimes overwhelming. But your presence and care do matter.
You don’t need to be perfect – you just need to be there. Listen without judgement, support them in finding professional help, and make space for their feelings. You’ll thank yourself for taking these steps. And more importantly, your loved one will feel seen, supported, and maybe, a little more hopeful.
