How to Talk About Suicide And Mental Health During Mental Health Month by Rory Gory There are many stigmas and misconceptions surrounding mental illness, but it’s quite common to experience it. Nearly one in five U.S. adults live with a mental illness, translating to about 46.6 million people as of 2017. Whether or not you live with a mental illness, mental health is something that all of us navigate. But often, we struggle to find the right words to talk about our mental health honestly. The COVID-19 pandemic, as well as shelter-in-place ordinances affecting many people in the U.S. and globally, have created a widespread sense of uncertainty and stress. Anxiety and depression rates have been rising across the country, and vulnerable populations, such as LGBTQ youth, are at especially high risk for poor mental health outcomes. Now more than ever, knowing how to talk about mental health and suicide will allow us to support each other through this difficult time—and learning about how we should talk about mental health and illness is a pivotal place to start. That’s why, for Mental Health Month in May, The Trevor Project and Dictionary.com have teamed up to create this article that helps outline compassionate and important ways we all can discuss mental illness, especially suicide. Content warning: this article deals with the sensitive topic of suicide. If you (or someone you know) need support, call the toll-free, 24/7 National Suicide Prevention Lifeline at 1-800-273-8255. You can also text HOME to 741741 for free, which offers 24/7 support from the Crisis Text Line. LGBTQ youth can contact The Trevor Project’s TrevorLifeline 24/7 at 1-866-488-7386, via chat at TheTrevorProject.org/Help, or by texting START to 678-678. How do you start a conversation about mental health? The more we normalize having conversations about our feelings, the easier it becomes to talk about mental health. Proactively starting conversations about mental health also means that we can address problems, notice warning signs for suicide, and find help before a crisis, rather than after. Conversations about our mental health allow us to both give and receive support during this challenging time. You don’t have to be a trained psychologist or crisis counselor to have conversations with your friends or loved ones about mental health. Try these simple methods for communicating your feelings and talking to others about what they’re going through: Adopt a nonjudgmental and open-minded attitude Show you care by listening actively, without interrupting or giving advice unless prompted Ask open-ended questions instead of “yes”-or-“no” questions to keep the conversation going Validate the feelings of the other person; it’s OK to not be OK, and sometimes just holding space for another to express themselves can be deeply comforting If you need more inspiration, the “Seize the Awkward” campaign, created by the American Foundation for Suicide Prevention, the Jed Foundation, and the Ad Council, offers great tips for talking about mental health, including a campus toolkit and campaign resources. How to help someone who is suicidal There is a common fear that if you mention the word suicide in conversation with someone, you’ll “put ideas into their head.” In truth, talking about suicide is one of the key steps to preventing it. If you notice a friend or loved one expressing warning signs of suicide, it’s important to ask them about it directly. It’s OK to talk about suicide, and doing so will not cause suicidal feelings in someone who is not experiencing thoughts of suicide (known as suicidal ideation). Rather, talking about suicide can actually help others who are experiencing suicidal ideation feel comfortable sharing what they are going through. Suicide does not have one single cause, but warning signs that someone might be in crisis can include the words they use in conversation. Take note if they are talking about death, or being a burden to others, or feeling hopeless. If you’re concerned about a loved one, check out this extensive list of warning signs and risk factors from SAVE (Suicide Awareness Voices of Education). At The Trevor Project, we recommend responding to the warning signs of suicide by following the steps represented by the acronym C-A-R-E: Connect with the person you’re concerned about. Listen to their feelings and take them seriously. Ask directly if they are thinking about suicide. If they say yes, Respond by putting their safety first. Connect them to resources and contact trusted friends and family members. Empower the person to reach out for help through the National Suicide Prevention Lifeline, Crisis Text Line, The Trevor Project, or their doctor or therapist. Why commit suicide and other problematic words are harmful Talking about suicide is an important step in suicide prevention, but depending on how we talk about mental health, we may contribute to the stigma. For example, the word crazy is often used as an adjective for anything bizarre, disruptive, or unbelievable. Similar words like insane, deranged, delusional, or neurotic are also used as jokes or insults. Associating mental health issues with unrelated negative experiences and outcomes reinforces stereotypes about mental illness, making it more difficult to talk honestly about mental health issues or to reach out for help if you’re experiencing mental illness. Similarly, the expression committed suicide is considered problematic, as it implies the act of suicide is a crime (as it historically has been) or a sin. Now that we approach mental illness just as that, as an illness, rather than a moral failing, suicide prevention advocates recommend using the phrase, died by suicide. Just as someone can die of heart disease, using the phrase to die by suicide allows us to communicate more compassionately—and accurately—about those who have passed. Best practices for sharing stories about suicide While it’s important that we talk about suicide and mental health in order to destigmatize mental illness, there are moments when sharing explicit stories about suicide can cause more harm than good. This is especially important to take into account when sharing on the internet, because anyone can develop a platform or influence a large audience if they go viral. When public figures die by suicide, social media feeds may be filled with breaking news about their death, and many of the shared articles can include stigmatizing language, misleading narratives, or triggering content. Research has found that certain types of news coverage can increase the likelihood of suicide in vulnerable individuals, depending on the amount, duration, and prominence of coverage, as well as whether the coverage uses dramatic or graphic headlines or images that sensationalize or glamorize a death. You can help create safer online communities and prevent suicides by following the Recommendations for Reporting on Suicide, which were developed by experts in suicide prevention, public health, and journalism. Some leading recommendations include: Avoid sharing articles with sensational headlines or that attribute suicide to a single cause Make sure the content you’re sharing doesn’t glamorize depression, mental illness, or suicide Never share explicit descriptions of suicide, photos, or suicide notes If you want to talk about suicide online, you can preface your post with a trigger or content warning. Refer to bloggingonsuicide.org for best practices for sharing a personal story about suicide and mental health. We rarely hear stories of resiliency, so consider sharing how you were able to find support or recount what has helped you get through difficult times. It can be helpful to add resources such as the National Suicide Prevention Lifeline and The Trevor Project on your posts for anyone who may not know where to find help. How to help someone who’s posting about their mental health Sometimes, friends, loved ones, and even people we don’t personally know will share upsetting or difficult content online, which may include warning signs for suicide. If you know the person posting, it’s best to reach out to them directly in a private message, by calling, or in person. Let them know you noticed what they posted, and wanted to check in and see how they’re doing. Follow the C-A-R-E acronym to talk about what they might be going through. Remember, you never have to be alone when helping someone in crisis, and you can always enlist friends and family to help, too. If you don’t know the person or are unable to talk to them directly, many social platforms have ways to report triggering content and to connect users who may be struggling with mental health resources, such as on Instagram, Snapchat, and Facebook. You can also refer to the #chatsafe guidelines for talking about suicide online, developed by Orygen, the Jed Foundation, and the Stanford Psychiatry Center for Youth Mental Health and Wellbeing. Why is self-care important, too? During these unprecedented times, it’s important to check in with your loved ones about their mental health, and it’s also important to check in with yourself. Sometimes those providing help need help, too. Recognizing your own needs and advocating for them, opening up about what you’re going through, and reaching out for help are all ways you can practice self-care. The more we model better mental health conversations online and in person, the less difficult it will be to ask for help when we need it. Rory Gory is the Digital Marketing Manager for The Trevor Project, the world’s largest suicide prevention and crisis intervention organization for lesbian, gay, bisexual, transgender, queer & questioning (LGBTQ) young people. If you or anyone you know is in crisis, reach out to The Trevor Project for support at: thetrevorproject.org/help.