Pain Isn't Always Obvious" Know the Signs: Suicide Prevention

We can all become helpers when people are feeling down or suicidal.  The first step is to know the signs.  Someone who is suicidal my:
Talk about death or wanting to die
Seek methods for self-harm
Feel hopeless, trapped, desperate
Give away possessions
No longer do things the normally enjoy
Put affairs in order
Be angry
Have sudden mood changes
Change sleep patterns
Have no sense of purpose
Increase drug or alcohol usage

After recognizing the signs, you must enter the conversation.  It is hard to accept that someone may be thinking about taking their own life.  Start the conversation by mentioning the warning signs you have observed.  Then ask the question, "Are you thinking of suicide?"  Then listen, express concern, give reassurance, and listen. Use the suicide hot line if you feel someone is suicidal.