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What Causes Suicidal Ideation?

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Suicide is a preventable tragedy that claims too many lives in the United States every year. According to the National Institute of Mental Health (NIMH), suicide is among the leading cause of death in the country. Suicide does not discriminate; it affects people from all walks of life and is a major public health concern – not only in the United States but on a global scale.

What is Suicidal Ideation?

We all have those moments where we feel like giving up. We may feel so overwhelmed by circumstances that we become shrouded in a crowd of negative thoughts. But for some people, these feelings are more than just a momentary lapse in the mood. For them, this negative thinking pattern can culminate in thoughts of suicide or a persistent, disturbing preoccupation with death or suicide. This is known as suicidal ideation.

In other words, suicidal ideation can be defined as any thoughts about harming oneself or taking one’s own life. These can range from passing thoughts to a well-thought-out plan that may include having the means to commit suicide. Most people with suicidal ideation will never act on their thoughts, while others may go on to attempt suicide or die by suicide. To properly assess the level of risk, it is crucial to understand the difference between active, passive, and suicidal ideation and what each classification means for immediate safety.

Causes

While suicidal ideation can be triggered by a single event, such as the death of a loved one or the loss of a job, it’s usually the result of a combination of factors and stressors. When facing this complex combination of factors, a primary goal is to determine why suicidal ideation occurs in the first place, as the cause often guides the treatment approach. These may include:

  • Mental illnesses like depression and bipolar disorder
  • Substance abuse
  • Chronic pain/terminal illness
  • Dramatic life changes like divorce, death of a loved one, and disability
  • Relationship difficulties
  • Social isolation
  • Bullying
  • Lack of emotional support during difficult times
  • A family history of suicide
  • Low-stress tolerance
  • Negative self-image and low self-esteem
  • Childhood trauma or abuse
  • Guilt
  • Unresolved grief

What are the Warning Signs? 

There are different signs that may indicate someone is having suicidal thoughts or is considering suicide. It is important to remember that these warning signs may look different for each person. They include:

  • Talking about wanting to end one’s life
  • Becoming obsessed with death or suicide
  • Looking up suicide methods
  • Anxiety, agitation, or recklessness
  • If someone you know is exhibiting any of these
  • Having a negative outlook on life, or expressing feelings of hopelessness and being trapped
  • Talking about not wanting to be a burden to other people
  • Increasing alcohol or drug abuse
  • Becoming socially withdrawn and isolated
  • Being aggressive, irritable, or having outbursts of anger
  • Having abnormal mood swings
  • Preparing for death by writing a will or giving away prized possessions

These are warning signs that the person is in danger of harming themselves and should be taken seriously. If you or someone you think someone is in immediate danger of harming themselves, please call the 988 Suicide & Crisis Lifeline or 911 for emergency assistance. For situations that are not immediately life-threatening, recognizing the subtle behavioral changes is key to understanding how to determine if someone has suicidal ideation. This awareness can allow for early intervention and help the person learn how to deal with passive suicidal ideation before it escalates.

The Takeaway

Suicide is a preventable tragedy that can affect people of all ages, genders, races, and socioeconomic backgrounds. There are many potential causes of suicidal ideation, but it is usually due to a combination of stressors and other factors. Our specialized care provides comprehensive treatment plans for a wide range of complex conditions, including addiction, bipolar disorder, depression, anxiety, PTSD, OCD, chronic pain, and postpartum mental health challenges. We provide essential support for Suicidal Ideation treatment in Kettering, Centerville, Bellbrook, and Dayton, OH. If you see any of the above warning signs in yourself or someone close to you, please reach out for help immediately. Early intervention and treatment can help prevent suicide and save lives.

Picture of Ryan Chanatry
Ryan Chanatry

Ryan Chanatry is a Licensed Professional Counselor (LPC) in Ohio and partner at New Life Wellness and Ketamine Clinic, specializing in trauma-informed, IFS-based therapy including EMDR, KAP, DBT, and CBT. He holds a master's in Clinical Mental Health Counseling from Wright State University and brings 20+ years of leadership experience to his work with adults, couples, and teens.