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Death by suicide is the 10th leading cause of death in the United States, according to the American Foundation for Suicide Prevention. The foundation estimates that approximately 45,000 Americans die by suicide each year, which represents an average of 123 suicides per day. However, these numbers are believed to be much higher.

Despite the high rate of death by suicide among Americans, approximately 40 percent of people with a mental health condition don’t get medical care, a 2014 review estimates. Researchers found that stigma is a top reason people don’t seek help.

If you or someone you know is considering suicide, know that you are not alone and that help is available. Below is a resource guide that includes hotlines, online forums, and other methods of assistance.

When people have thoughts of harming themselves, suicide prevention hotlines can make a difference. Crisis hotlines help millions of people each year and offer the option to speak with volunteers and trained counselors, either by phone or text message.

National Lifeline for Suicide Prevention

The National Suicide Prevention Lifeline is a national network of more than 150 local crisis centers. Offers free and confidential emotional support 24 hours a day to those experiencing a suicidal crisis.

Contact information:

crisis text line

Crisis Text Line is a free text messaging resource that offers 24/7 support to anyone in crisis. Since August 2013, more than 79 million text messages have been exchanged.

Contact information:

The Trevor Project

The Trevor Project offers crisis intervention and suicide prevention for LGBTQ youth through its hotline, chat feature, text feature, and online support center.

Contact information:

  • 866-488-7386 (24/7)
  • Text START to 678678. (Monday-Friday 3pm-10pm EST/12pm-7pm PST)
  • TrevorCHAT (instant messaging, available seven
    days a week from 3 pm to 10 pm EST/12 pm to 7 pm PST)
  • https://www.thetrevorproject.org/

Veterans Crisis Line

The Veterans Crisis Line is a free and confidential resource staffed by qualified personnel from the Department of Veterans Affairs. Anyone can call, chat or text, even those who are not registered or enrolled with VA.

Contact information:

SAMHSA National Helpline (Substance Abuse)

The Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline offers confidential treatment referrals in both English and Spanish to individuals struggling with mental health, substance use of substances or both. In the first quarter of 2018, the helpline received more than 68,000 calls each month.

Contact information:

Callers to suicide hotlines can hang up as soon as their call is answered. Online networks and support groups offer millions of people in crisis an alternative to crying out for help.

I am alive

I am alive it is a virtual crisis center. Offers volunteers who are trained in crisis intervention. These people are ready to instant message anyone who needs immediate assistance.

improvehelp

Is resource connects people with licensed professional therapists online for a low flat rate. Therapy is available whenever you need it.

7 cups of tea

7 cups is an online resource that offers free, anonymous and confidential text chat with trained listeners and online therapists and counselors. With over 28 million conversations to date, it is the world’s largest emotional support system.

ADAA Online Support Group

With more than 18,000 subscribers worldwide, the Anxiety and Depression Association of America The online support group is a safe and supportive place to share information and experiences.

friends

friends is a global network of 349 emotional support centers around the world. It offers an open space for anyone in danger to be heard. Support is available by phone, text, in person, online, and through local and outreach associations.

Suicide prevention talks around the world

A source for emergency numbers, online chats, suicide hotlines and therapy options, suicide stop provides people with a variety of support methods.

Self-harm outreach and support

Self-harm outreach and support is an organization with international outreach that offers a variety of resources for those who self-harm, including guides, stories, and coping methods.

According to the National Institute of Mental Health, it is often family and friends who first notice the warning signs of suicide in their loved ones. Recognizing these signs can be the first step in helping a person at risk find the support and guidance they need. The following apps, resources, and forums can help.

THRIVE app

The app thrive it is designed by the Society for Adolescent Health and Medicine. Help guide parents to start an important dialogue with their teens about a variety of health and wellness topics.

Society for the Prevention of Adolescent Suicide

Is online resource helps parents and educators raise awareness of youth suicide and attempted suicide through the development and promotion of educational training programs. The site also offers resources for teens contemplating suicide.

Jed Foundation

The Jed Foundation (JED) is a nonprofit organization that exists to protect the emotional health and prevent suicide of our nation’s adolescents and young adults. JED equips these individuals with the skills and knowledge to help themselves and each other, and encourages community awareness, understanding, and action for young adult mental health. The organization also partners with high schools and colleges to strengthen their mental health, substance use, and suicide prevention programs and systems.

Resources from the National Alliance on Mental Illness

Helping a loved one with mental illness can be challenging, but knowing where to start is an important first step. The National Alliance on Mental Illness offers family members and caregivers specific guidance on a variety of topics, including how to help prevent suicide.

Mayo Clinic

The Mayo ClinicGuidance on how to support a loved one dealing with depression includes how to identify symptoms and warning signs, seek treatment, and find local resources.

adolescent health

Is online resource helps parents decide if their child’s behavior is just a phase or a sign of something more serious.

Kelty Mental Health Resource Center

Parents and caregivers can find a variety of information and resources related to mental health issues affecting children and young adults at Kelty Mental Health Resource Center.

Write love on her arms

Is nonprofit aims to help people struggling with depression, addiction, self-harm and suicide by connecting them with the appropriate hotlines, resources and online communities through its blog and social channels. The organization also raises funds to invest directly in treatment and recovery programs.