September marks Suicide Prevention Week (Sept. 7-13), and according to the Arizona Department of Health Services, an estimated 1 million Arizonans already have direct experience with suicide, meaning they or someone close to them has faced suicidal thoughts, made an attempt, or died by suicide.
The burden is not shared equally. Eight out of 10 suicide deaths in Arizona are men, and seven out of 10 are white, non-Hispanic. Tragically, suicide rates in rural areas are more than double the rates in urban areas of Arizona, and our veterans living in Arizona die by suicide at a rate almost three times that of civilians.
As a family practice physician, I’ve seen how these struggles can touch nearly every family, regardless of age, background, or community. Suicide is now the second leading cause of death among people ages 10 to 34.
Understanding the risks
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The majority of children and adolescents who attempt suicide are living with a significant mental health disorder, most often depression. Suicide attempts among younger children can sometimes be impulsive, tied to feelings of sadness, anger, hyperactivity, attention or confusion. Teens feeling stressed, dealing with self-doubt, financial distress, and pressure to succeed may be associated with suicide attempts.
For LGBTQ+ youth, the risks are even higher. Young people who identify as lesbian, gay or bisexual report greater rates of suicidal thoughts and behaviors compared to their heterosexual peers. Risk factors can include a history of depression or other mental illness, financial stress, substance use, violence victimization, and other factors.
Opening a dialogue
Too often, parents and caregivers feel uncomfortable checking in on their child’s mental health because they don’t know how to start the conversation. Yet depression and suicidal thoughts are treatable mental disorders, and children, adolescents, or adults need to have their illness evaluated, diagnosed and appropriately treated. A common misconception is that asking someone if they’re thinking about suicide might plant the idea in their mind. Research shows the opposite — asking directly can open the door to honest conversation and help-seeking.
Protecting against suicide
There are protective factors that reduce suicide risk. These include developing effective coping and problem-solving skills, providing support from loved ones and community connections, reducing access to lethal means of suicide, and ensuring consistent access to quality behavioral, mental, and physical health care.
Schools also play a vital role, offering not only education but also opportunities for physical activity, social connection, and mental health support. At home, parents and caregivers can make a difference by communicating openly and honestly, supervising adolescents, spending time with them, and engaging and volunteering at school.
What to do if you or a loved one is struggling
If you or someone you know is struggling, please know that help is available. In an emergency, call 911 or go to the nearest emergency room. For free, confidential support, call or text the 988 Suicide & Crisis Lifeline, available 24/7, or chat via 988lifeline.org.
During this Suicide Prevention Week, let’s remember that suicide can affect anyone, but so can hope, healing, and connection. As physicians, families, neighbors, and communities, we all have a role to play in saving lives.
Dr. Adia Taylor is a family practice physician with Optum — Arizona.
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