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We need to start talking about depression
02:02 - Source: CNN
CNN  — 

Every 40 seconds, someone in the world takes their own life.

More than 700,000 people die by suicide each year, according to the World Health Organization.

The US Centers for Disease Control and Prevention calls suicide a “growing public health problem.”

And that’s only part of the grim picture to ponder today, on World Suicide Prevention Day. For each person who has died by suicide, many more people think about or attempt suicide, according to the CDC. In 2018, over 10 million American adults seriously thought about suicide, more than 3 million made a plan, and 1.4 million attempted suicide.

All ages, races and income levels are at risk, with 77% of all suicides occurring in lower- to middle-income countries, according to WHO. Globally, youth can be hardest hit: Suicide is the fourth leading cause of death in 15- to 19-year-olds around the world, the agency said.

In addition, experts fear suicidal thoughts may escalate due to economic hardship and stress caused by another lethal crisis facing the world – Covid-19, the disease caused by the novel coronavirus.

In May, a national public health group in the US projected some 75,000 Americans might die from drug, alcohol misuse and suicide as a result of the coronavirus pandemic.

“Unless we get comprehensive federal, state, and local resources behind improving access to high quality mental health treatments and community supports, I worry we’re likely to see things get far worse when it comes to substance misuse and suicide,” Well Being Trust’s chief strategy officer Dr. Benjamin Miller told CNN at the time.

Data collected by the CDC in June found 11% of Americans surveyed had considered suicide in the previous 30 days. Self-reported unpaid caregivers for adults were more likely to have seriously considered suicide (30.7%), followed by young adults between 18 and 24 years old (25.5%), essential workers (21.7%), Hispanics (18.6%) and Blacks (15.1%).

But there are ways each of us can help prevent suicide. Here’s how to do your part.

Recognize distress signals

There are many risk factors that can lead to an increase in thoughts about taking one’s life. It’s important to recognize these in yourself or a loved one, experts say, because many people do not talk about their thoughts of suicide in advance.

Does the person have a mood, anxiety, alcohol or other substance use disorder, a major physical illness or a history of trauma, abuse or suicide in the family?

The loss of a relationship may also trigger suicidal behavior, especially for anyone with a sense of isolation or lack of social support.

A person who holds a religious or cultural belief that suicide is a noble resolution of a personal dilemma is at higher risk, according to Suicide Prevention Lifeline, as can feeling that asking for help carries a stigma.

Any previous suicide attempt is the single most important risk factor, according to the WHO, but people can also react to local clusters of suicide or deaths of famous celebrities reported in the media – deaths by suicide rose by 10% after comedian Robin Williams ended his life in 2014.

Has there been a recent economic blow? That is another risk factor, and a reality facing millions who are out of work right now due to Covid-19-related job loss, social isolation or quarantine.

And research shows that easy access to firearms is also a key risk factor.

Look for actions

Again, not everyone will give their friends and loved ones verbal hints about their suicidal thoughts. That’s why it’s important to look at actions as well as words to recognize warning signs.

According to the National Institute of Mental Health, be wary if your loved one:

  • Increases their use of alcohol or drugs or starts to behave recklessly, such as driving while intoxicated or without a seat belt.
  • Has extreme mood swings, from euphoria to the depths of depression or appears agitated, expresses rage or talks about seeking revenge.
  • Sleeps too much or too little or withdraws or isolates from others.
  • Appears to be in unbearable psychological pain or talks about being hopeless or a burden to friends or family, or talks about feeling trapped or having no reason to live.
  • Begins to search online for ways to kill themselves, such as buying a gun or obtaining medical prescriptions.
  • Begins to give away prized possessions or visits or calls to say goodbye.

Be sure to regularly check on loved ones. During the pandemic families and friends are more isolated and alone and many warning signs may be tough to recognize. Listen carefully when you talk to them about to their concerns and observe how they are expressing themselves.

If you are having suicidal thoughts

If you live in the US and are having suicidal thoughts, call the National Suicide Prevention Lifeline at 800-273-8255 (800-273-TALK) for free and confidential support. It’s open 24 hours a day, seven days a week. For crisis support in Spanish, call 888-628-9454.

TrevorLifeline, a suicide prevention counseling service for the LGBTQ community, can be reached at 866-488-7386.

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Crisis Text Line, which Biden mentioned, is an international service that provides a live, trained crisis counselor via a simple text for help. The first few responses will be automated until they get a counselor on the line – which typically takes less than five minutes.