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Breaking Down The Numbers Behind Suicide

Suicide is an incredibly complicated issue. 

There are an overwhelming number of contributing factors, and it affects every demographic regardless of age, race, or social class. Factors affecting certain communities may, however, lead to higher suicidal ideation and behavior within those demographics. 

In the United States, suicide is the third leading cause of death among people aged 15-24, and it is estimated to claim the lives of roughly 125 Americans every day. Risk factors are many and varied. They include, but are not limited to: 

  • Mental illness 
  • Abuse
  • Job loss or severe financial distress
  • Chronic illness or pain
  • Relationship loss
  • Social isolation
  • Suicide of a friend or family member

Statistics can be misleading on which demographics are most at risk of suicide. Among the highest-risk groups overall (teenagers and young adults), females are almost twice as likely to attempt suicide but males make up the majority of actual suicides. 

This is due to a handful of different factors, most significantly social stigma preventing many males from seeking help when experiencing distress.

The likelihood of a teenager or young adult attempting suicide also rises significantly if that person is a member of the LGBTQ+ community, especially if they are lacking sufficient family or community support. 

The risk can be greatly reduced if a person is surrounded by family or friends who are openly supportive and affirming of their sexuality or gender identity. Even more so if medical and community resources for helping them understand and affirm their identity are widely available. 

Overall, in the U.S. there are around 45,000 suicides each year out of 1.1 million yearly suicide attempts. There are many organizations dedicated to keeping that number on a steady decline, including:

Overwhelmingly, the best means of early suicide prevention are:

  1. When the victim recognizes they are in distress and reaches out for help.
  2. When loved ones take notice of worrying behaviors and take steps to intervene and provide support for the victim. 

These methods are not guaranteed, and there is still a very long way to go in managing this complex and serious public health issue, but education and awareness are an important first step. 

No matter how overwhelming it may feel, intervention IS effective, and the more we continue to do so, the more lives will be saved. If you or a loved one are currently struggling with thoughts of self-harm, please stop right now and dial 988 on your phone, or text HOME to 741-741 to speak with a crisis counselor.

Suicide is currently an incredibly pressing issue in our world. In the United States, suicide is the third leading cause of death among people aged 15-24, and it is estimated to claim the lives of roughly 125 Americans every day

With so many suffering in our country, and others suffering from mental illness and suicidal thoughts, it is important for all of us to know how to recognize when someone in our life is at risk of suicide. 

However, it is not always readily apparent when someone is struggling with self-harm or planning to take their life. The signs can be subtle and easy to miss. We hope this guide can point out some things to look for so you can recognize when intervention is necessary. 

Your awareness may save a life. 

What Causes Suicidal Thoughts?

There is no singular cause of suicidal ideation or behavior. A variety of situations or life circumstances may be the catalyst for someone wanting to end their life. Risk factors include but are not limited to:

  • Mental illness
  • Abuse
  • Job loss or severe financial distress
  • Chronic illness or pain
  • Relationship loss
  • Social isolation
  • Suicide of a friend or family member

Mental Illness

In most of these circumstances, severe mental illness is present—which can make the other issues all the more difficult to handle. 

For someone who is suffering from one or more of these factors, it may feel like the only way out is to end their life. They may also feel their struggles make them a burden on others and that it would be better for everyone if they were gone.

Community Factors

There is no definitive way to determine who is most at risk. However, factors affecting certain communities may lead to higher suicidal ideation and behavior within those demographics. 

No matter what, having access to support from family and community is a major factor in improving the odds of survival and recovery for a person struggling with suicidal ideation. This makes it crucial for as many people as possible to know how to recognize the signs and intervene. 

How to Recognize if Someone is Suicidal

As previously mentioned, it is not always obvious when someone is struggling. A person who is feeling suicidal may not be very forthcoming, especially in communities where mental illness and suicide are not often discussed in a supportive manner. 

Even so, there are some common signs to watch for that may indicate a loved one is in need of support or intervention. 

Major warning signs someone may attempt suicide include:

  • Talking about feeling hopeless or having no purpose
  • Withdrawing from life and social responsibilities 
  • Increased drug or alcohol use
  • Talking about being a burden to others
  • Agitated, anxious, or restless behavior
  • Extreme mood swings
  • Talking about wanting to die or self-harm
  • Increased fascination with death or suicide, especially with specific means of suicide

These signs may or may not indicate an imminent suicide attempt, but they should be taken very seriously. Action should be taken as quickly as possible to provide individuals with these indicators of support and to help them find professional help to improve their situation and outlook. 

There are likewise a few signs to watch for that may indicate the person is in immediate danger, including:

  • Directly threatening suicide or talking about having no reason to live
  • Posting on social media about death or suicide
  • Researching or seeking access to methods of suicide

Any of these three signs should prompt you to immediately reach out to a mental health professional or to call or text the 988 Suicide & Crisis Lifeline for instructions on how you should respond. 

If you become aware that the person is in crisis and immediately at risk of harming themselves, call 911 or bring them to an emergency room right away

Don’t second guess your concern if you see these signs. No reaction is an overreaction when it comes to keeping your loved one safe. 

What to Do Next

Overwhelmingly, the best means of early suicide prevention are:

  1. When the victim recognizes they are in distress and reaches out for help.
  2. When loved ones take notice of worrying behaviors and take steps to intervene and provide support for the victim. 

If your loved one has reached out to you for help, or if you have noticed any of the warning signs and the situation is not yet an emergency, the next steps are to begin intervention. 

Talk to your loved one. If they have not yet confided in you, ask if they have been thinking about suicide, and listen without judgment as they talk about how they are feeling. 

After establishing the need for help, involve other trusted members of the person’s family or community to create a support network for them as they navigate this difficult time. 

Ultimately, anyone who is struggling with suicidal thoughts or behavior should receive help from a mental health professional. 

Their current state of depression or hopelessness may not allow them to seek this help on their own. As part of your intervention, you may need to help them make an appointment with a professional and follow up. This help can ensure they are able to properly begin their road to recovery. 

For more information on effective intervention and prevention, you can refer to our guide to effective suicide prevention here. 

Every year in the United States alone, around 45,000 people die by suicide. This number represents an epidemic marked by an unprecedented rise in the number of suicide deaths in the U.S. since the early 2010s. 

Suicide is an incredibly complicated issue. There are an overwhelming number of contributing factors, and it affects every demographic regardless of age, race, or social class. The prevalence and universal nature of suicide merit far more discussion nationwide. Unfortunately, because it is such an unpleasant and difficult issue, it remains a taboo topic in many communities. 

In the face of such overwhelming statistics, it may seem impossible to make a difference. However, through awareness and effort, individuals and communities can work together to exponentially reduce suicide. 

What Does Suicide Prevention Look Like? 

Effective suicide prevention happens at many different levels, ranging from individual to systemic, but direct prevention begins at the individual level.

This post will take you through effective steps you can take if you or a loved one are at risk of suicide or self-harm.

Self-Intervention and Prevention

Suicide intervention on an individual level most often comes from the friends or family of someone struggling with suicidal feelings. However, it’s important to note that it can also come from the person struggling as well. 

Not every individual experiencing suicidal thoughts or behavior will have the ability or the desire to intervene on their own behalf. But, if you are having thoughts of harming yourself, you don’t need to feel helpless in your own intervention. 

Your life and your agency matter. If you feel capable of reaching out, you can start the ball rolling on your recovery and maintain some control over how and from whom you receive help. 

Here are some steps for effective suicide prevention for yourself

  • Remind yourself that you matter.
    Reaching out for help is not always easy, but keep reminding yourself that your perception of your self-worth is distorted while you are suicidal. If you do not have trusted friends or family, there is likely a professional or community member (online communities included) who will listen and take your safety seriously. 
  • Remove access to means of self-harm.
    Once you have someone you trust, get their help to remove anything dangerous from your surroundings. Have them hold onto the items until you feel safe again. 
  • Distract yourself.
    The immediate urge to self-harm is often short-lived. Give yourself a sensory distraction such as music, petting an animal, doing a craft, or going on a walk to occupy you until the worst of the feelings pass. 
  • Create a safety plan.

The Suicide Prevention Resource Center has provided this excellent safety plan template where you can write down a plan for if you enter crisis mode and are unable to think clearly. Share this plan with someone you trust who can recognize when you are in crisis and take action.

If you are in crisis and need help immediately, call 911 or have a friend or family member get you to mental health urgent care or an emergency room. 


Intervention by a Friend or Family Member

A suicidal person may not be capable of reaching out for help on their own. In those cases, it can fall to a friend or relative to notice the signs and intervene.

Here are some steps for effective suicide prevention for a loved one:

  • Ask questions.
    If you suspect someone you love may be suicidal, ask them about it. Asking them directly can help you assess how serious the danger is so you can respond accordingly. 
  • Trust yourself.
    Knowing a loved one is at risk of suicide can be overwhelming, but it’s important to trust your instincts to ensure their safety. Your willingness to intervene to keep them safe will go a long way in giving them the support they need to get through this. 
  • Don’t minimize or shame.

This is not the time for tough love. Do not try to convince the person that their problems aren’t that bad or that they are selfish for wanting to take their life. They need to know you are not disappointed in them for feeling this way and that you are taking their struggle seriously. 

  • Be proactive.
    If you know someone is suicidal, take action and follow through. Remove access to things they may use to harm themselves while they are in crisis. If necessary, stay with them for as long as it takes for the danger to pass. 

Your loved one may be too depressed or paralyzed to take action toward healing on their own, so they may need your help to take steps for long-term prevention as well. If so, it is crucial that you follow through on finding reliable help for them from your community or a professional. 

  • Don’t do it alone.
    When someone’s safety is on the line, do not keep secrets. Enlist help from others you trust to help the person. Even if they are upset with you for telling, in the end it will have been for the better.
  • Recognize when it is an emergency.
    If you suspect the situation has escalated to an emergency, do not hesitate to call 911 or take your loved one to an emergency room. You can also call the 988 Crisis & Suicide Prevention Lifeline for guidance on what to do in your specific situation.

Prevention is Key

Whether it’s yourself or a loved one, a suicidal crisis can be a scary thing to navigate. That’s why we at Bio-One hope this guide will help you know how to intervene to keep yourself or the people you love safe. 

Part of our mission is to provide community resources. That’s why we dedicate so much of our time to projects like this. We want to create a future where we never have to answer another suicide call again. 

Usually when an issue becomes large enough to classify as an epidemic it becomes a central topic of discussion. Unfortunately, many of us don’t quite know how to handle ourselves when it comes to conversations around suicide. 

Suicide as a topic of discussion is somewhat of a taboo in our society for a number of reasons.

Many people are uncomfortable talking about death in any regard. The same can be said for the topic of mental illness. Because discussions about suicide usually require talking about both, the subject is often avoided outright. 

This stigma can be incredibly isolating. 

For someone struggling with thoughts of suicide, it may prevent them from reaching out for help or talking about how they are feeling. For those who have recently lost a loved one to suicide, they may likewise feel unable to reach out for support. 

One of the best means of prevention and support for both victims and survivors is open conversation. We owe it to our communities to get better at talking about suicide. Here are some steps we can all make in the right direction in order to end the stigma. 

Step 1: Stop

Destigmatizing the conversation around suicide requires, first, confronting some of the unhelpful ways we speak and act about it. Before we can change the conversation, here are some of the things we need to stop doing: 

Stereotyping 

When speaking about suicide, it’s important to recognize that it’s impossible to know who might be struggling. 

There is no singular type of person who struggles with mental illness or suicidal ideation. Implying that suicidality should look or present a certain way may increase the feelings of failure and isolation in those who don’t fit the mold. 

Blaming 

Often the language around suicide frames it in a way that paints it as criminal or selfish. 

This kind of thinking can make people struggling with suicidal thoughts feel ashamed and hesitant to tell anyone they are suffering. It can also make surviving friends and family hesitant to talk about what they’re going through out of fear that their loved one will be judged for taking their own life.  

Tiptoeing

Many people report that after they reach out about struggling with suicidal thoughts people around them start treating them differently. It’s common for members of a family or community to tread extra carefully around a suicidal person as if saying the wrong thing might set them off. 

This does not go unnoticed and makes it harder for sufferers to be willing to reach out the next time. Similarly, it can make survivors of suicide feel like their grief is inconvenient or that they are being overemotional. 

Reject the idea that depression or grief makes people too fragile to treat normally. 

Minimizing

It is never helpful to tell anyone who is struggling for any reason that their pain is insignificant compared to others in the world. 

Mental illness affects people regardless of their life situation. 

Their pain is real whether or not you think they should be feeling it. 

Minimizing will add guilt and only make a person feel worse.  

Avoidance 

Avoiding discussion of suicide when someone is struggling or has suffered a loss is never helpful. Dodging the topic and pretending everything is fine won’t make the problem go away. 

If we stop treating suicide like a dirty word, it will be easier for people to talk about it when they need help. 

Step 2: Learn

Knowledge can go a long way toward improving the way we talk about suicide. If you are interested in becoming more comfortable with the topic, a good place to start is learning more about it. 

There are many incredible resources that speak in plain language about suicide in a way that is helpful in knowing how to approach the topic. Here are some helpful links to get you started: 

Step 3: Normalize

As you become more informed, normalize speaking about mental health and suicide in your social circles. 

If you have struggled with your own mental health, be willing to speak openly about it. It’s more than likely that others have had similar struggles but have felt alone because of stigma. 

Even the way we speak about victims of suicide can be improved by normalizing discussion. 

We should be willing to talk about those we have lost to suicide in a way that acknowledges their experience without judgment. 

Some people worry this sort of discussion may encourage others to act on their own suicidal thoughts. In fact, the opposite is true. 

Open and empathetic acknowledgment of the pain of the victim and the pain of their loss can embolden others to reach out for help without fear of judgment. 

Step 4: Ask & Listen

One of the best things you can do to destigmatize the discussion of suicide is to become comfortable with asking and listening. 

If you suspect somebody is having a difficult time, make it a normal practice to ask them sincerely about how they’re feeling. If they feel you are a safe person to be vulnerable with they are more likely to open up. 

Listen to them without judgment and with the intent to understand. 

Treat anybody who opens up to you about mental illness or grief as if it is perfectly normal for them to do so. The more calm empathy people receive, the easier it will be for them to talk. The more people someone is able to talk to, the bigger their support system and the better their chances of recovery. 

Another important resource built around listening is the 988 Suicide & Crisis Lifeline. This free resource is for anyone experiencing a crisis and it connects people with skilled crisis counselors who listen and provide immediate support. For more information, visit 988lifeline.org or read our dedicated article.

Step 5: Advocate

As you become more comfortable speaking about suicide in your own social circles, you can use your voice to help others. 

Speak up to advocate for better support and resources in your community. 

The more community members and leaders are made aware of the prevalence of suicide, the greater the call will be for improved conversation and support for those who are struggling. 

— Whether it’s yourself or a loved one, a suicidal crisis can be a scary thing to navigate. That’s why we at Bio-One hope this guide will help you know how to intervene to keep yourself or the people you love safe. We want to create a future where we never have to answer another suicide call again.

Suicide is often reduced to statistics to give people a general sense of the scale of the problem. But statistics can’t possibly illustrate the toll of each individual loss. 

If you have lost a loved one to suicide, you are intimately familiar with the devastating and complex impact felt by surviving friends and family. 

Your loved one’s death may have left you feeling lost and confused, unsure of where to turn for answers. As you and those around you struggle to come to terms with the loss, it can be difficult to know what to do or how to feel.

There is no right answer for how you should be feeling following the suicide of someone close to you. Grief is complex, and it’s rare that any two people will experience it in the same way. Just know that whatever you’re feeling, it’s okay. 

Accepting your grief and allowing yourself to feel it is easier said than done, but there are things that can help. Here are a few things that may help in your grieving process. 

Confronting the Why

The most common question that survivors of suicide come to is “Why did this happen?”  

After a loved one’s suicide it can be easy in your search for answers to begin blaming yourself.

You may wonder what you could have done to prevent this outcome or you might feel guilt over signs you may have missed. You may find yourself wondering why your support wasn’t enough to keep them around. 

Mental Illness Plays a Big Role

The truth of the matter is that suicide is complicated with no singular explanation for why it happens. However, a framing that may help you understand is this: At the end of all things, your loved one died of an illness. 

Most, if not all, victims of suicide suffer from an acute mental illness that contributed to the decision to end their life. 

Mental illness can severely distort a person’s perception of their importance in the world and the care of those around them. Your loved one did not choose to become ill, and they would not have chosen to end their life had their illness not been pushing them to do so.

There’s No Blame to Be Passed Around

Mental illness is treatable just as cancer is treatable—but some people still succumb to their cancer even with treatment, while others recover and go on to live for years. 

You do not need to wonder why your efforts weren’t enough or what you could have done better. In the end, succumbing to their illness requires no more blame than if they had died from a heart attack. 

Understanding this will not make the loss hurt any less, but it may help to reconcile some of the confusion so you can grieve more peacefully. 

Suicide Postvention and Recovery

There is no timetable on grief, so it’s impossible to say how long it will take for your life to begin to feel normal again. 

There are, however, some things you can do to aid in your recovery process and ensure you are on the best possible path toward healing:

  • Seek Therapy or Grief Counseling - Professional help won’t cure your grief. However, it can help you feel like you have more control over where the grief is taking you and help you develop coping skills. Working through these emotions on your own can be incredibly challenging, so having help is important. The American Foundation for Suicide Prevention (AFSP) provides a database of suicide bereavement trained clinicians to make it easier to find help. 
  • Find a Support Group - There are many survivors who are going through similar situations. Finding a support group will help you to connect with others. This can give you a forum to work through complicated feelings and feel less alone. You can find an AFSP has compiled this list of U.S. and international support groups.
  • Strength from Your Community - In addition to support groups, it’s a good idea to form a tighter circle of support with those who are grieving the same person you are. This community group can provide more specific support as well as work together to find positive ways to honor your loved one.
  • Explore Faith - Organized religion isn’t for everyone, but some people are able to find a greater sense of peace and understanding through personal faith practices. 
  • Establish Rituals and Traditions - As time goes on, you may find that birthdays, anniversaries, and holidays are especially difficult. During these times, it can be helpful for you and other loved ones to find special ways to honor the person you lost. 
  • Cherish Community & Connection - Resist the urge to disconnect from others and instead do what you can to reach out and accept the help of those who are reaching out to you. 

At the heart of all of these is connection with other people. You are not required or expected to do this alone. While you may occasionally need some time to yourself to process, it is support and connection with others that will be the most help in getting you through this difficult time. 

Finding a Future

After a traumatic loss, the idea of moving on can be scary. If you’re struggling with the transition, volunteering your time to a cause dedicated to preventing suicide and supporting survivors like you can help to ease some of the guilt and fear.

There may still be bumpy roads ahead. Grief is complicated and can come in waves. However, as you start feeling a little more whole you will be able to give yourself permission to begin living again.

Coping with grief

Suicide is a difficult topic most people prefer to avoid altogether. Our societal aversion to the topic means most people don’t know what they need to do if the unthinkable happens. 

Unfortunately, in spite of the best efforts of many, suicide happens. This leaves surviving loved ones to navigate a confusing and difficult healing and cleanup process. 

Many resources offering help following suicide launch right into how to cope with grief. But if you are still in the phase of trying to manage the logistics, you may be looking for different information. 

As a biohazard cleanup company, our work at Bio-One often involves families coping with the loss of a loved one to suicide. Because of this, we strive to do our part to help by providing some helpful information for navigating this difficult time. 

What Do I Need To Do Now?

What to do next?

If you are here because you need information, it’s likely you’ve already contacted emergency services about the death. After the police, coroner, and/or medical examiner have released the scene and your loved one’s body has been transported to a medical facility there are a few things that need to happen next: 

  • Identification - If you are the immediate next of kin but were not the person who discovered and identified the body at the scene, you may be asked to identify the body in person or through photographs. If the prospect is too traumatic or overwhelming for you, this is completely understandable and you can ask someone else to do the identification. 
  • Transportation for Funeral Preparation - The coroner’s office or medical examiner’s office will usually release the body to the family within 1 to 3 days. At that point, if you have chosen a funeral home, you can contact them to make arrangements to transport the body there to begin preparations for the funeral if you’re having a service. 
  • Cleanup of the Scene - Unfortunately, the coroner or medical examiner do not make any arrangements for cleanup after a suicide. At this point, it becomes the responsibility of the property owner or the friends and family to arrange for cleanup. 
  • Do not try to clean up the scene yourself. Though the property owner or next of kin is responsible for arranging for cleanup, it’s critical that you do not actually do the cleanup yourself. The blood and fluids left behind after a death are a biohazard. Attempting to do the cleanup yourself can be dangerous as well as deeply traumatic. 

Suicide cleanup is a job that should be entrusted to professionals. If you are currently in the position of needing to arrange for cleanup, please contact Bio-One right away at 303-625-6543. 

We have all the equipment and expertise needed for the job, and we will treat the scene, the situation, and any belongings with respect and care. We will also help you to get the insurance process underway to get cleaning costs covered by your homeowner’s insurance. Through this difficult and traumatic time, this is the last thing you should have on your plate. We are here to help.

What’s Involved in a Suicide Scene Clean-Up? 

Suicide Scene Clean-Up

Even though you are not participating in the cleaning itself, understanding what’s involved can be an important part of the grieving process. Some people may need to know exactly what is involved in cleaning up the scene.

The time required for a clean-up and the extent of what’s required can vary depending on how much bio-matter is left at the scene and how long the body was there. Bio-One has a tried-and-true process to restore the scene to a safe and habitable state in a way that is both thorough and respectful. 

Our process is as follows: 

  • Inspection - First, we thoroughly inspect the scene to assess what supplies will be needed, how much bio-hazardous material will need to be removed, and the extent of any damage that could be caused by decomposition. 
  • Bio-matter Disinfection and Disposal - Next we clean and dispose of any visible blood, body fluids, and compromised porous items. We then contain, disinfect, and dispose of all bio-matter properly in accordance with state laws to ensure everyone’s safety. Sometimes this involves removing sections of soiled carpeting, floorboards, baseboards, or other household items to ensure no hazardous material is left behind. 
  • Personal Belongings - We will take care to preserve any personal items that can be safely cleaned. Porous materials like clothing and stuffed animals can’t be truly disinfected, but upon request we can clean them to the best of our ability and return them to the family. 
  • Restoration Prep - Once everything has been thoroughly cleaned and disinfected, we work to get everything to a point where it can be handed off to contractors for restoration work if necessary. We are not involved in the restoration process, but we will ensure the site is clean and ready for whoever you hire to get to work. We will also take care of filing the claims with your insurance company for the cleaning services. 

We hope these details will help to take some weight off your mind during this difficult time so you can focus on any preparations you need to make. 

What’s Next?

With cleaning out of the way, your remaining responsibilities may focus on informing family and friends and/or making funeral arrangements. Be sure to take care of your own mental health as you take the next steps. You are going through something very painful, but hopefully the help from your family, friends, loved ones, and community will ease some of the stress. 

Bio-One is here for you as you weather this tragic time. We hope our service will help ease your burden. Though the circumstances may be difficult, we are honored to be a part of your community at this incredibly challenging time. 

One of the most difficult parts about realizing you may be suicidal is feeling like you can’t talk to anyone about it. 

Whether out of shame, or fear of how a loved one will react to finding out, reaching out to someone you know for help can be incredibly paralyzing. This sense of isolation can be dangerous, especially in moments of crisis. 

In these discouraging and frightening moments, the 988 Suicide & Crisis Lifeline is there. 

What is the 988 Lifeline? 

The 988 Suicide & Crisis Lifeline is a free resource anyone experiencing a crisis can contact for help. 

988 Lifeline

The Lifeline connects people with skilled crisis counselors who listen and provide immediate support to guide you through the worst of your distress. They can also refer you to resources to help you keep yourself safe in the long term. 

The Lifeline is funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) as part of its ongoing mission to reduce suicide rates nationwide. 

They work with many local and government suicide prevention organizations to extend their reach everywhere in the United States.

Contacting the Lifeline is as simple as calling or texting 988. 

When Should I Reach Out?

The 988 Lifeline is for anyone who is thinking about suicide, concerned for a friend or loved one, or just in need of emotional support. This means you can call, text, or chat even if you are struggling but not yet in crisis. 

Reaching out

People call the Lifeline for any number of reasons:

  • Suicidal thoughts
  • Panic attacks
  • Struggling with substance abuse
  • Gender or sexual identity issues
  • Recovering from abuse
  • Loneliness

These are just a few concerns that may prompt someone to call, but they should illustrate that you don’t need to wait until you’re in severe distress to call. 

988 is a crisis service, but not an emergency service. This means if you are in emotional distress but aren’t yet in danger, it is the right time to call. 988 counselors are well-trained in methods to help you steer out of an emotional spiral and ground yourself. 

If you or the person you are helping is in immediate danger of harming themselves, call 911 right away. 

What Should I Expect When I Contact 988?

There are a few different ways you can contact the 988 Lifeline depending on your needs. You can call or send a text to 988, or you can chat with a counselor online at 988lifeline.org. Help is available in English or Spanish, and there are additional options for ASL speakers. 

Talk to a crisis counselor

Depending on how you choose to contact the Lifeline, here is what you can expect from the process: 

If you call… 

You will be greeted by an automated message and a phone tree. If you are a veteran, you can press 1 to be directed to the Veteran Crisis Line. For help in Spanish, you can press 2. Otherwise, you can remain on the line and you will be placed on a brief hold while you are connected to a counselor. 

If you text… 

After you send a text to 988 requesting help, you will receive a short survey to let the counselor know a little about your situation. After you respond, the text line will connect you to your counselor who will instruct you further. 

If you chat… 

Similar to the text line, you will receive a short survey asking about your situation so your counselor knows how to help. There will be a short wait time while you are connected, and then your counselor will instruct you further. 

They Will Listen and Help

Regardless of how you reach out, once you are connected to a counselor, they will listen to your problems and ask you questions to figure out the best way to help you. If needed, they may offer you steps to help you interrupt a panic attack or work your way out of a thought spiral. 

They will listen and help

Counselors may also walk you through some steps to keep yourself safe until the crisis has passed. Once they have seen to your immediate needs, they may direct you to resources online or in your community to help you find ongoing care for your mental health concerns. 

The 988 Lifeline is always free and always confidential, so you never need to worry about reaching out. 

Making a Difference

Suicide is on the rise and is one of the leading causes of death in our country, but it can be prevented. The 988 Lifeline is making huge strides in prevention efforts by providing people a place to turn when they feel hopeless. 

Having somebody to talk to can make all the difference

Studies have shown that almost 98% of people who contact the 988 Lifeline are able to work through their crisis without needing emergency services. Having somebody to talk to can make all the difference. 

Whether it’s yourself or a loved one, a suicidal crisis can be a scary thing to navigate. That’s why we at Bio-One hope this guide will help you know how to intervene to keep yourself or the people you love safe. 

Part of our mission is to provide community resources. That’s why we dedicate so much of our time to projects like this. We want to create a future where we never have to answer another suicide call again. 



If you or someone you know may be considering suicide, contact the National Suicide Prevention Lifeline at 1-800-273-8255 (en español: 1-888-628-9454; deaf and hard of hearing: dial 711, then 1-800-273-8255) or the Crisis Text Line by texting HOME to 741741.


Girl Upset - Suicide Prevention Resources

According to the American Psychiatric Association, suicide is the 10th leading cause of death in the United States and the second leading cause of death (after accidents) for people aged 10 to 34. And according the CDC, published reports from 2020 suggest that the pandemic has had a negative effect on children’s mental health. 

“Beginning in April 2020, the proportion of children’s mental health–related ED visits among all pediatric ED visits increased and remained elevated through October. Compared with 2019, the proportion of mental health–related visits for children aged 5–11 and 12–17 years increased approximately 24%. and 31%, respectively.”

Researchers have yet to link recent suicides to the pandemic since 2020 suicide data is not yet available. But on the ground, there's growing concern.

The February 2021 NPR article “Child Psychiatrists Warn That The Pandemic May Be Driving Up Kids' Suicide Risk” explores possible correlation. Takeaways include:

  • NPR spoke with providers at hospitals in seven states across the country, and all of them reported a similar trend: More suicidal children are coming to their hospitals — in worse mental states.
  • The number of kids with suicide attempts coming to the emergency room at UCSF Benioff Children's Hospital Oakland, in California, in the fall of 2020 was double the number in the fall of 2019.
  • At Riley Hospital for Children in Indianapolis, the number of children and teens hospitalized after suicide attempts went up from 67 in 2019 to 108 in 2020. And October 2020 saw a 250% increase in these numbers over the previous October.

For ways to help kids at risk, NPR encourages readers to read Part 2 of their story, “Make Space, Listen, Offer Hope: How To Help A Child At Risk Of Suicide”.

Suicide Prevention Resources

Survivors of Suicide – What to Do Next

The loss of a loved one by suicide can be a deeply painful and traumatizing experience; however, it’s important to know that everyone experiences suicide loss in their own way. As you begin the process of healing, consider reading the American Foundation for Suicide Prevention’s guide for to talk to others about what happened and identify ways to take care of yourself

Additionally, if you have lost someone to suicide, there may be a cleanup required. There is no need for family or friends of the loved one to be further traumatized or overwhelmed with trying to figure out how to clean the impacted area. Bio-One is here for you. Learn more about Bio-One’s suicide remediation services. 


If you or someone you know may be considering suicide, contact the National Suicide Prevention Lifeline at 1-800-273-8255 (en español: 1-888-628-9454; deaf and hard of hearing: dial 711, then 1-800-273-8255) or the Crisis Text Line by texting HOME to 741741.


Suicide effects people of all ages and doesn't always mean someone is mentally ill. 

Look for warning signs. People who consider suicide as an option often talk about feeling hopeless or lost. Sometimes they try to organize their life as if they are creating a will by giving others their belongings or saying goodbye. They can experience strong self-hatred and be withdrawn from social interactions.

If you know someone displaying more than one of these signs, take the time to help. Sit down and talk to them about what's going on. Advocate for professional help if needed. 

National Suicide Prevention: 1-800-273-TALK (1-800-273-8255)


If you know of someone in need of our services, please take a look at our locations to find the nearest Bio-One office near you. Stay safe!

Although you can't always tell if someone is suicidal, there maybe some signs you can learn to recognize especially if you notice more than one.

Warning Signs

  • They talk about feeling stuck or trapped
  • They think they are a burden to people around them
  • They speak of unbearable pain
  • They start withdrawing from social interactions
  • They aren't taking care of themselves
  • They may have more aggression or impatience
  • They may also become more apathetic
  • They start using more unhealthy substances such as drugs and alcohol

If you or someone you know display one or more of these warning signs, take the time to talk and evaluate. It's worth it.  If it's an emergency, call the National Suicide Hotline 1-800-273-8255