Suicide isn't just about actually taking one's life. It involves suicidal ideation, preparation, and action. In fact, 9.8 million adults in the United States had thoughts of suicide in 2015 according to a 2016 report released by the Substance Abuse & Mental Health Services Administration (SAMHSA). In other words, more adults had thoughts of suicide that year than live in New York City, London or double the population of Los Angeles. That's a lot of people. Yet, outside the counseling office, not one friend or family member shared with me that they had thoughts of suicide.  

Admittedly, it isn't easy to say out loud "I'm thinking about killing myself," or "I'm scared by my thoughts of suicide," or "Help me because I'm thinking of hurting myself." And it isn't easy to hear those words from a loved one.  

I know saying those words out loud takes courage and bravery. And responding to those words takes empathy and love. Courageous sharing and empathic listening are life-saving actions. Research supports having at least one person to talk to you, whether you know them or not, can prevent suicide. Be The Difference, a campaign from evidence-based Mental Health First Aid is founded on this research.  

The National Suicide Prevention Lifeline (1-800-273-8255) is a great place to start for those thinking of suicide and those who love us. A new app called My 3 is another potential life-saving resource for those having thoughts.  

Of the 9.8 million adults who had thoughts of suicide, 2.8 made a plan, and 1.3 actually attempted. September is Suicide Awareness & Prevention Month. Take some time this month to learn more about talking about suicide.