If you or someone you know is struggling or in crisis, help is available. Call or text 988, or chat 988lifeline.org to reach the 988 Suicide & Crisis Lifeline.
Each year, thousands of lives are lost to suicide—lives that could have been saved with timely support and intervention. In 2024 alone, 48,683 people in the U.S. died by suicide. September is Suicide Awareness Month, and is a time to shed light on the risk factors, remind ourselves of the importance of asking hard questions, and emphasize that help is always available. This week on Fox 17, Dr. Bitner shares how you can better know the risk factors and get the help you need.
Fact #1
Certain factors can increase the risk of suicide. Research shows that 46% of people who die by suicide had a known mental health condition. But mental illness isn’t the only contributor. Substance use, chronic medical illness, family history of suicide, prolonged stress, trauma, abuse, and even access to firearms all play a role. Gender is another factor—while more women attempt suicide, men are four times more likely to die by suicide. Recognizing these risks is the first step toward prevention.
Fact #2
Knowing the warning signs can save lives. Withdrawing from family and friends, losing interest in daily activities, struggling with sleep, and verbalizing feelings of hopelessness are all important red flags. Asking direct questions like, “Are you afraid you might hurt yourself?” can feel uncomfortable, but it opens the door to life-saving conversations. The language you use is also important. Advocates encourage using phrases such as “died by suicide” instead of “committed suicide.” This change reduces stigma and frames suicide as a preventable health tragedy, not a crime or a heinous act.
Fact #3
Help is out there, and it works. Local organizations like iUnderstand provide education, resources, and community support. On a national level, the Suicide & Crisis Lifeline is available 24/7 by dialing 988. Don’t be afraid to talk about it! A lot of people think that if they mention suicide or plans of suicide, they might accidentally push someone to do it. This is not true. When we encourage open conversations about mental health, we make it more likely that people seek professional care when they need it most.
Patient Story
Jane knew something wasn’t right when she began withdrawing from loved ones and experiencing dark thoughts. Her sister encouraged her to see a doctor, which led her to discover that her symptoms were tied to hormone changes in perimenopause. She had a long history of mood challenges—including postpartum depression—and her irregular cycles and lack of sleep made things worse.
With the help of her psychiatrist, therapist, and doctor, Jane began treatment with an estrogen patch and FDA-approved progesterone. This plan eased her symptoms, improved sleep quality, reduced spiraling thought patterns, and gave her hope. With the right support, Jane was able to find a path forward and regain her strength.
Takeaway Tip
If you or someone you know is struggling with thoughts of suicide, please reach out for help. Call or text 988 for the Suicide & Crisis Lifeline, connect with local resources, or talk with a trusted friend or healthcare provider. Remember: your pain is temporary, and our world is better with you here.