Depression Suicide Understanding Teenage Suicide What to Know About Suicidal Ideation in Teens By Kathryn Rudlin, LCSW Kathryn Rudlin, LCSW LinkedIn Kathyrn Rudlin, LCSW, a writer and therapist in California specializes in counseling and education for teenagers with mothers who are emotionally disconnected. Learn about our editorial process Updated on May 23, 2022 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Daniel B. Block, MD Medically reviewed by Daniel B. Block, MD LinkedIn Twitter Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Learn about our Medical Review Board Print Diverse Images / UIG / Getty Images Information presented in this article may be triggering to some people. If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 988 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911. For more mental health resources, see our National Helpline Database. Suicidal ideation, sometimes referred to as suicidal thoughts, describes thoughts, fantasies, ideas or images related to dying by suicide. Contrary to common belief, depression and suicidal thoughts are not limited to adults, but symptoms and warning signs are often different in teens. As a parent, caregiver or friend, the most important thing you can do to support a loved one who is struggling is to learn to recognize what suicidal ideation is, what it looks like in teens, and how to intervene. Press Play to Learn More About Suicide & Suicidal Ideation Hosted by Editor-in-Chief and therapist Amy Morin, LCSW, this episode of The Verywell Mind Podcast, featuring psychiatrist Mark Goulston, shares why people have suicidal thoughts, why you shouldn't blame yourself if you've lost someone to suicide, and what to do if you are having suicidal thoughts. Click below to listen now. Follow Now : Apple Podcasts / Spotify / Google Podcasts Passive vs. Active Suicidal Ideation For teens, thoughts of suicide can range from fleeting to making actual plans to end their life. For this reason, mental health professionals discuss suicidal ideation in terms of being either passive or active. Passive suicidal ideation about suicide includes experiencing vague ideas about dying by suicide. Suicide is viewed as a possible way to end the pain, but usually, no action is taken. Active suicidal ideation is when a teen experiences persistent thoughts of suicide and continues to feel hopeless. When the ideation is active, a teen begins to take steps to carry out a suicide attempt. According to the Centers for Disease Control and Prevention, suicide is the third leading cause of death for children, teens, and young adults between the ages of 10 and 24. Teen Suicide Statistics Causes in Teens Suicidal thoughts and depression often have many causes. Suicidal ideation in teens is often caused by untreated depression or drug misuse and always needs to be taken seriously. Social difficulties, stress, academic pressures, and other concerns facing teens may contribute to suicidal ideation. Other risk factors include: BullyingHealth issuesLack of family supportPhysical or sexual abusePoor social relationshipsSubstance and alcohol misuse Genetic factors can play a role in depression and suicide risk as well. Teen that experience suicidal thoughts are often more likely to have family members who have died by suicide. The Dangers of Untreated Depression in Teens Warning Signs of Suicidal Thoughts There are quite a few signs that your teenager may be experiencing suicidal ideation. Be on the lookout for: Becoming extremely agitated, upset, depressed, and/or anxious Beginning to use alcohol and/or drugs, or using them more frequently Changing obvious characteristics of their personality Being self-destructive or engaging in risk-taking behaviors Changes in sleeping, eating, or other patterns Expressing hopelessness or a feeling of being trapped with no way out Extreme mood swings Frequently talking about death or dying Giving away possessions for no particular reason Isolation and withdrawing from social contact, especially if it's sudden Looking for and/or acquiring means to die by suicide, such as getting a gun or a lot of medication Making a point to say goodbye to people Saying things like, "I wish I were dead" or "I wish I had never been born" Remember, warning signs can be different for every individual, and some teens keep these thoughts and feelings to themselves. If you feel like your teenager is showing any of these signs or are not acting like themselves, be sure to consult your physician as soon as possible. Early intervention is important with any mental illness, and if suicide is something your teen is considering, it's an emergency situation. Teen Suicide Warning Signs and Prevention An Example of Suicidal Ideation Ivana, age 15, feels very sad when her best friend moves away and she experiences a deep sense of loneliness and insecurity. One night she finds herself thinking about suicide as a way to end the painful feelings she is having. She pictures herself taking a bottle of pills and drifting into a deep sleep she will not wake up from. When she wakes up the next day her suicidal ideation has changed, she knows it’s an option but is feeling better and decides to call a friend she hasn’t spoken to in a while. What to Do If a teen is experiencing suicidal thoughts, there are steps that parents, friends, and guardians can take. For parents: Be supportive, understanding, and nonjudgmental. Keep guns and prescription drugs away from children and teens. Know the warning signs of suicide and depression. Talk openly with your teen and let them know that you recognize their pain. Watch for signs of substance use and get help immediately if you suspect there is a problem. Address Untreated Mental Illness If your teen has symptoms of depression, anxiety, or another psychiatric condition, talk to your child's pediatrician. While most people with mental health conditions do not attempt suicide, having an undiagnosed or untreated condition along with other risk factors can make suicide more likely. Never Ignore Suicide Threats Don't dismiss suicidal talk as "typical teen drama." If a child is making comments such as "I might as well kill myself" or "I wish I was dead," you need to listen and acknowledge their pain. Let them know that you understand that they are hurting, you are there to offer support and you will help them get the help that they need. Get Them the Help They Need If you are a parent or guardian, talk to your child's pediatrician and get a referral to a professional mental health provider. Your child's doctor or therapist may recommend psychotherapy, medications, and lifestyle changes that can help reduce the risk of suicide. If you are a teen and you are concerned that your friend is thinking about suicide: Take signs of suicide seriously.Encourage your friend to talk to their doctor or a trusted adult.Talk to a teacher, parent, or another adult about your friend and your concerns. How to Help Someone Who Is Suicidal How to Deal With Suicidal Thoughts as a Teenager If you are a teenager and are having suicidal thoughts, it is important to know that there are people and resources available that can help. No matter what you are experiencing or how you are feeling, you are not alone. Take steps to ensure your safety: Ask an adult to remove weapons, pills, or other dangers from the house. If you are in immediate danger, seek help from a trusted adult such as a parent, family member, friend, teacher, counselor, or religious leader. You can also call 911. Talk to someone: Many people have experienced suicidal thoughts during their life. Talk about what you are feeling with someone that you trust. This might be a family member or friend, but you can also turn to your doctor, teachers, school counselor, or therapist. Experienced counselors are also available by calling a suicide helpline. Remember that your feelings are not permanent: While things seem hopeless in the moment, remind yourself that no feeling lasts forever. Promise yourself that you will give yourself time to seek help. Create a safety plan: Make a suicide safety plan that you can use if you find yourself experiencing active suicidal ideation. Your plan should include the steps you can take and people you can call to get help in an emergency. Care for yourself: Take steps to treat yourself with care and kindness. Make plans to do things you enjoy and give yourself things to look forward to. Reach out to people in your life to get social support. Self-care actions like spending time outside, getting regular physical exercise, and getting enough sleep can also help improve your state of mind. If you are having suicidal thoughts, you should take them seriously. Try to identify the things that trigger these thoughts, care for yourself, and talk to someone you trust who can assist you in getting the help and support that you need. Links & Resources The National Suicide Prevention Lifeline (1-800-273-8255) is available 24/7 to connect you to a trained supportive counselor. The Crisis Text Line (text 741741) offers crisis counseling via text and is available 24 hours a day. The Trevor Project (1-888-488-7386 or text "START" to 678678) offers phone, text, and chat crisis intervention to LGBTQ youth. 6 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Liu RT, Bettis AH, Burke TA. Characterizing the phenomenology of passive suicidal ideation: a systematic review and meta-analysis of its prevalence, psychiatric comorbidity, correlates, and comparisons with active suicidal ideation. Psychol Med. 2020;50(3):367-383. doi:10.1017/S003329171900391X Centers for Disease Control and Prevention, National Center for Health Statistics. Underlying cause of death, 1999-2020 results: Deaths occurring through 2020. Centers for Disease Control and Prevention. Risk and protective factors. Coon H, Darlington TM, DiBlasi E, et al. Genome-wide significant regions in 43 Utah high-risk families implicate multiple genes involved in risk for completed suicide. Mol Psychiatry. 2018. doi:10.1038/s41380-018-0282-3 American Association of Suicidology. Warning signs of acute suicide risk. Anderson J, Mitchell PB, Brodaty H. Suicidality: prevention, detection and intervention. Aust Prescr. 2017;40(5):162-166. doi:10.18773/austprescr.2017.058 By Kathryn Rudlin, LCSW Kathyrn Rudlin, LCSW, a writer and therapist in California specializes in counseling and education for teenagers with mothers who are emotionally disconnected. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for Depression Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.