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September is National Suicide Prevention Month: #BeThe1To

Written by Evolve's Behavioral Health Content Team​:

Alyson Orcena, LMFT, Melissa Vallas, MD, Shikha Verma, MD, Ellen Bloch, LCSW, Lianne Tendler, LMFT, Megan Johnston, LMFT Meet The Team >

Each year during the month of September, mental health professionals, community advocates, and organizations like the National Suicide Prevention Lifeline and the National Alliance on Mental Illness (NAMI) work to raise awareness about the growing prevalence of suicide in the U.S. and around the world.

Their collective efforts are known as National Suicide Prevention Month.

There are two primary goals of National Suicide Prevention Month:


Organizers use messaging across social media and other platforms and host events to inform the general public about the most recent suicide statistics, suicide warning signs and risk factors, and the existence of suicide hotlines and support groups to help our at-risk community members.


Organizers use messaging and host events to inform the general public on the actions steps they can take to prevent suicide in their communities and help friends and loved ones who may be suicidal get the help they need, when they need it.

To help support this worthy cause, this article will outline the themes for the month:

  1. Together for Mental Health (NAMI)
  2. #BeThe1To (Suicide Prevention Lifeline)

First, though, we’ll address the two goals of the month: awareness and prevention. To that end, we’ll share the most recent and relevant statistics on suicide, then list the warning signs and risk factors we think everyone should know.

Suicide: Important Statistics

To review the statistics on suicide in the general population, please see the Fast Facts section of this NAMI Suicide Prevention online resource. What we present next is teen-specific data from the American Foundation for Suicide Prevention (AFSP), the Centers for Disease Control (CDC), and the 2019 National Youth Risk Behavior Survey (2019 YRBS).

First, we’ll offer the general numbers, then specific statistics from the 2019 YRBS.

Teen Suicide Statistics: Big Picture

  • Data indicates that over 3,500 teens in grades 9-12 attempt suicide every day.
  • The suicide rate among adolescents age 14-18 increased by 61.7% in a ten year period from 2009-2018.
  • Suicide is the third leading cause of death among teens in the U.S.
  • Teenagers and young adults die from suicide more than cancer, heart disease, AIDS, birth defects, stroke, pneumonia, influenza, and chronic lung disease,
  • 8 out of 10 teens who attempt suicide display recognizable warning signs.
  • Most teens who attempt suicide have a mental health diagnosis such as anxiety or depression

Suicide Attempts and Suicidal Ideation, 2019, 9th-12th Graders

  • Almost 10% of teens say they attempted suicide at least once
  • Over 20% of LGBTQI+ teens say they attempted suicide at least once
  • More than 6% of heterosexual students say they attempted suicide at least once
  • Around 16% of students who questioned their sexuality reported at least one suicide attempt
  • Almost 20% had serious thoughts of suicide
  • Almost 50% of LGBTQI+ high school students had serious thoughts of suicide
  • Around 14% of non-LGBTQI+ students had serious thoughts of suicide
  • Over 30% of students who were not sure of their sexual orientation had serious thoughts of suicide

In addition to recognizing the size and scope of the problem, there are three things we want you to take away from these figures. First, our LGBTQI+ teens are at significantly increased risk of suicide, compared to their heterosexual/cisgender peers. Second, our teens with mental health issues are at increased risk of suicide, compared to peers without mental health issues. Third, eighty percent of teens who commit suicide show clear warning signs beforehand.

Teen Suicide: Warning Signs and Risk Factors

Since the vast majority of teens who attempt suicide display clear warning signs beforehand, it’s important to know what they are. Warning signs are factors that indicate a teen may be planning suicide – not at a distant point in the future, but soon.

Teens planning to commit suicide may:

  • Talk about suicide
  • Seek a means to commit suicide
  • Share feelings of hopelessness
  • State they feel no reason to go on living
  • Feel trapped or in unbearable pain
  • Say they feel like a burden to others
  • Increase alcohol or drug use
  • Engage in reckless behavior
  • Become agitated and anxious
  • Withdraw from friends and family
  • Express extreme anger towards others, accompanied by talk of revenge
  • Display extreme mood swings

It’s also crucial to recognize suicide risk factors. Warning signs are related to short-term danger, while risk factors are related to the bigger picture. The presence of risk factors increases the chance a teen will consider suicide at some point in their lives.

Risk factors include:

  • Mental health issues:
  • Feelings of hopelessness
  • Impulse control issues
  • History of trauma
  • Major physical illnesses
  • Previous suicide attempt(s)
  • Family history of suicide
  • Relationship problems
  • Access to means of suicide
  • Proximity to a suicide cluster
  • Lack of family or social support
  • Stigma related to mental illness and/or suicide
  • Untreated mental health disorders
  • Exposure – either directly or through media – to suicide attempts of others

It’s important to understand that the presence of risk factors does not mean a teen will commit suicide. However, when these long-term risk factors combine with short-term warning signs, parents should take action.

IMPORTANT NOTE: If you think a friend or loved one is in imminent danger of harming themselves, don’t wait. This goes for you, too: act immediately. Call 911 or the National Suicide Prevention Lifeline at 1-800-273-TALK (8255).

Now we’ll move on to talk about the themes for Suicide Prevention Month presented by NAMI and the Suicide Prevention Lifeline.

Themes for 2021: National Suicide Prevention Month

This year, NAMI has a simple theme:

“Together for Mental Health”

Here’s how they describe the theme, in their own words:

“We encourage people to bring their voices together to advocate for better mental health care, including a crisis response system. NAMI wants any person experiencing suicidal thoughts or behaviors to have a number to call, a system to turn to, that would connect them to the treatment and support they need.”

We couldn’t agree more. That’s why we write and publish posts for National Suicide Prevention Month every year.

We’ll offer a list of suicide help, prevention, and hotline numbers below.

The National Suicide Prevention Lifeline also has a simple theme:


They include five steps you – or anyone – can take to #BeThe1To:

  1. Evidence shows that people thinking about suicide – i.e. engaging in suicidal ideation – feel a sense of relief when another person checks up on them in a kind, considerate, and compassionate way. You can be that person.
  2. Be There. Experts agree that speaking to someone who is supportive and nonjudgmental makes people feel “less depressed, less overwhelmed, and more hopeful.” You can be that person for a loved one with depression, anxiety, or another mental health disorder.
  3. Keep Them Safe. Research indicates that removing access to lethal means can reduce the likelihood of a suicide attempt. You can be the person to keep your friends and loved ones safe by taking this simple step.
  4. Help Them Stay Connected. Studies reveal that when a person at risk of suicide has a supportive network of safe, caring, individuals, their sense of hopelessness – which is related to suicide attempts – can decrease, and help them take positive action for their own wellbeing. You can be part of that network of support for an at-risk friend or loved one.
  5. Follow Up. Consistent supportive contact can help prevent suicide attempts. This is particularly important for anyone recently discharged from mental health treatment. You can be the one who follows up and remind a friend or loved one you care and that they matter.

Those five steps may seem simple to you, but they can make all the difference for someone at risk of suicide.  By taking those steps, you can #BeThe1To save a life.

Suicide Hotlines

Teens, parents, or friends of teens who need help can call or text the following numbers:

  • The National Suicide Prevention Lifeline (24/7/365): 1-800-273-8255
  • The Trevor Project Phone (24/7/365): 1-866-488-7386
  • Trevor Project Text (7 days/wk, 6am-am ET, 3am-10pm PT): Text START to 678678
  • The Trevor Project Chat: CLICK HERE
  • The Crisis Text Line (24/7/365): Text CONNECT to 741741
  • The Youth Yellow Pages TEEN LINE (6pm-10pm PT) 310-855-4673
  • The Youth Yellow Pages TEXT: Text TEEN to 839863

Our Behavioral Health Content Team

We are an expert team of behavioral health professionals who are united in our commitment to adolescent recovery and well-being.

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