Suicide remains a significant public health concern in India, with a reported burden of approximately 12.2 per 1 lakh population. Beyond the numbers are individuals who may be struggling silently, often without anyone around them realising the extent of their distress.
There is no single behaviour or statement that can definitively tell us that someone is suicidal. Instead, it requires us to pay attention to changes in behaviour, the words people use, and, most importantly, the distress behind those words. Sometimes, the signs are obvious. At other times, they are subtle and easy to dismiss. Learning to notice these changes can give us an opportunity to reach out and potentially prevent a tragedy.
Verbal Cues are the most direct warning signs. They include statements such as: “I want to die”, “There’s nothing left for me to live for”, “It would be better if I were dead.”
However, people do not always speak about suicide so directly. They may talk about it indirectly by sharing feelings of hopelessness, worthlessness or helplessness. Statements such as “Nothing’s going to change”, “Everyone would be better off without me,” or “I have no reason to live” should not be ignored.
Actions speak louder than words. This holds true even more so when a person shows significant changes from their usual behaviour, such as Social withdrawal, obtaining access to potentially lethal means, giving away personal belongings, increased substance use, Reckless or self-harming behaviour, neglecting hygiene, appearance, work, studies, or other responsibilities. Suicidal distress may not look the same in everyone. Age, circumstances, and life experiences influence how it presents.
Sometimes, recognising suicidality is not about finding the perfect words or identifying every warning sign. It is simply about noticing that someone is not themselves, and having the courage to start a conversation about it.
Dr. Mishika Jain
Junior Resident
Department of Psychiatry
MGM Medical College, Indore
