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Current family legal or financial problems.

History of conflict with a spouse or romantic partner.

Known as a homicide-suicide or murder-suicide, some risk factors include: In rare cases, people who are suicidal are at risk of killing others and then themselves. If you have concerns about a friend or family member, asking about suicidal thoughts and intentions is the best way to identify risk.

Reading or hearing an account of suicide or knowing a peer who died by suicide.

Physical or medical issues, for example, becoming pregnant or having a sexually transmitted infection.

Loss or conflict with close friends or family members.

Having a psychiatric disorder, including depression.

In some cases, a child or teen may feel suicidal due to certain life circumstances that he or she may not want to talk about, such as:

What a young person sees as serious and insurmountable may seem minor to an adult - such as problems in school or the loss of a friendship. Suicide in children and teenagers can follow stressful life events.

Are lesbian, gay, bisexual or transgender with an unsupportive family or in a hostile environment.

Have a medical condition that can be linked to depression and suicidal thinking, such as chronic disease, chronic pain or terminal illness.

Have a family history of mental disorders, substance abuse, suicide, or violence, including physical or sexual abuse.

Have an underlying psychiatric disorder, such as major depression, post-traumatic stress disorder or bipolar disorder.

Have suicidal thoughts and have access to firearms in your home.

Have a substance abuse problem - alcohol and drug abuse can worsen thoughts of suicide and make you feel reckless or impulsive enough to act on your thoughts.

Experience a stressful life event, such as the loss of a loved one, military service, a breakup, or financial or legal problems.

Feel hopeless, worthless, agitated, socially isolated or lonely.

Risk factorsДЄlthough attempted suicide is more frequent for women, men are more likely than women to complete suicide because they typically use more-lethal methods, such as a firearm. People who complete suicide or who have suicidal thoughts or behavior are more likely to have a family history of suicide. There also may be a genetic link to suicide. You may experience a sort of tunnel vision, where in the middle of a crisis you believe suicide is the only way out. If you don't have hope for the future, you may mistakenly think suicide is a solution. Most often, suicidal thoughts are the result of feeling like you can't cope when you're faced with what seems to be an overwhelming life situation. Request an Appointment at Mayo Clinic Causes

Suicidal thinking doesn't get better on its own - so get help.

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Make an appointment with your doctor, other health care provider or a mental health professional.

Contact a minister, spiritual leader or someone in your faith community.

Reach out to a close friend or loved one - even though it may be hard to talk about your feelings.

If you're feeling suicidal, but you aren't immediately thinking of hurting yourself: Some people make their intentions clear, while others keep suicidal thoughts and feelings secret. Warning signs aren't always obvious, and they may vary from person to person.

Developing personality changes or being severely anxious or agitated, particularly when experiencing some of the warning signs listed above.

Saying goodbye to people as if they won't be seen again.

Giving away belongings or getting affairs in order when there's no other logical explanation for doing this.

Doing risky or self-destructive things, such as using drugs or driving recklessly.

Changing normal routine, including eating or sleeping patterns.

Feeling trapped or hopeless about a situation.

Being preoccupied with death, dying or violence.

Having mood swings, such as being emotionally high one day and deeply discouraged the next.

Withdrawing from social contact and wanting to be left alone.

Getting the means to take your own life, such as buying a gun or stockpiling pills.

Talking about suicide - for example, making statements such as 'I'm going to kill myself,' 'I wish I were dead' or 'I wish I hadn't been born'.

Suicide warning signs or suicidal thoughts include: