2024 National Injury Prevention Day (NIPD)

Shining our light on Youth Suicide Prevention

Mental health is just as important as your physical health, yet many kids and teens between the ages of 10—17 may struggle to understand their emotions and feelings, how to deal with stress, or know how to ask for help. It’s natural to have questions—whether you’re experiencing difficult feelings yourself or concerned about a friend.  

This resource guide is designed to answer some of the most common questions that children and teens have about mental health and suicide, helping to break the silence and encourage open conversations. Parents and caregivers can also use this resource to better understand and learn how to support you during these challenging times. Remember, it’s okay to ask for help, talk to someone, and know that you’re not alone when you’re feeling stressed, sad, or any other emotion. 

Forefront Suicide Prevention and the HIRPC put these Frequently Asked Questions together with input from subject-matter experts, staff on Forefront’s school-based programming team, Forefront’s youth intern, and from a variety of our favorite resources about suicide prevention and having tough conversations. PLEASE NOTE: This website is intended for educational and informational purposes only and does not constitute providing medical advice or professional services. 

National Injury Prevention Day Resource Guide

Frequently Asked Questions about Suicide & Mental Health

For ages 10-17

It’s okay not to be okay, and it’s okay to talk about suicide. In fact, talking about how we feel and asking for help is a protective factor. Here’s a few things you can do to take action: 

  • Be the friend who listens. Check in with the people you care about.  
  • Take care of yourself! Building coping and problem-solving skills – we do this in so many ways, building skills to help you ride the waves of life is important.  
  • Ask for help, don’t do it alone. Use your connections to family, friends, culture, and community when you need support.  
  • Stop Stigma –Keep learning, talk about mental health openly, and get involved. C89.5 FM, in partnership with Seattle Children’s is producing monthly, student-led conversations covering a range of mental health topics from a teen’s perspective – check out the Coping 101 podcast.  
  • Advocate or volunteer – give back to your community by helping others. Service is a powerful way to connect and to combat isolation.  

Suicide isn’t always about wanting to die. People who are considering suicide often feel deeply alone and like a burden to those around them. They might also feel like they have a problem or emotion that is so big there is no way to solve it. Together, these feelings of hopelessness can lead people to conclude that the way to end their suffering is to die.  

Warning signs are clues that someone could be at risk for suicide. We can think of them as things that people are talking about or changes in their behavior or mood.  

Watch for changes in behavior or mood, like: 

  • Not wanting to do things they used to enjoy 
  • Struggling to handle everyday problems 
  • Taking more risks or acting recklessly 
  • Talking about wanting to hurt themselves or die 

Not everyone shows signs or talks about the pain they are in, and not all warning signs are cause for concern.  

Be concerned, if:  

  • There is a change in someone’s usual personality or behavior 
  • There’s been an increase or noticeable change in how someone expresses their mood  
  • Someone has recently experienced a painful event, loss, or change 

Show this person you care and start a conversation. How you do that will depend on your relationship and how receptive they are to opening up and being supported.  

Mental Health is Health suggests:  

  • Be relaxed and non-judgmental 
  • Be the first one to open up 
  • Don’t try to diagnose or fix it 
  • Help them find help 
  • Don’t give up 
  • Take care of yourself 

*If you are still not sure how to start the conversation, two of our favorite resources are here at Better off Said and Seize the Awkward.  

**If you don’t feel prepared to bring it up with them directly, be sure to let a trusted adult know about your concerns. You can also talk/text through a situation with TeenLink or the Crisis Text Line. 

***If you are worried about suicide, see the next question.  

People who talk about suicide / wanting to die are in pain and often feel very alone. You don’t have to understand their exact situation, but the first part of helping is giving them space to share. 

Use Forefront’s LEARN steps:

  • L: Look for Signs 
    • You already know the warning signs. If you’ve seen them, start a conversation.  
  • E: Empathize and Listen 
    • Show them you care, be there, listen, connect.  
  • A: Ask the Question 
    • Be direct. “Are you thinking about suicide?” Asking about suicide does not cause suicide.   
  • R: Reduce the Danger/Report the Concern 
    • Ask about their immediate safety. Don’t keep it a secret. Know that putting time and distance between thoughts of suicide and chosen method can save a life.  
  • N: Next steps  
    • Help them connect to ongoing support and resources in their community, follow up.  

Remember, your role is to be a good friend, someone who is there to support and not there to fix everything. There is only so much you can do to help, and someone else’s actions are never your fault.  

  • Call 911 immediately if your friend is in life-threatening danger. 
  • If your friend tells you that they have thought about how or when to act on thoughts of suicide, ask them if you can call /text a Crisis Line together. 988 is available 24/7 
  • Many organizations provide advice, support, and information about free and low-cost mental health services. Knowing what services are near you can make finding help feel more manageable. If you aren’t sure where to look, see some of the resources linked in this FAQ 

When you are struggling, what you are going through is Better Off Said. The fear of how your friends or parents might react can keep you from telling them how you’re feeling. But reaching out is how you can get the support you want or need. 

  • Ask for help whenever you need it. It is important to reach out and tell someone how you are feeling early on. Sharing with someone can help you feel better, so you don’t have to be alone with those feelings. 
  • Take a moment to think about the people who make you feel loved, safe, and comfortable. These are the people to ask for support. Trust your gut. If you don’t feel comfortable reaching out to someone you know — 988 is available 24/7. 

Remember, your role is to be a good friend, someone who is there to support and not there to fix everything. There is only so much you can do to help, and someone else’s actions are never your fault. 

Ask for help whenever you need it – you might turn to a trusted adult or call/text/chat with any of the resources below and/or listed in the “resources” tab. It’s okay to get support for yourself, to set boundaries, and to ask for others to step into a situation that feels too big.

These services are there to support folks in crisis and the people around them – 

  • TeenLink is answered 6-10pm every day by other teens who get it. Call, text 866-833-6546 or chat www.teenlink.org/ 

It’s important to remember that Mental health is Health; your experiences with your mental health are valid.  

  • Talking to a parent/guardian about mental health can be scary for several reasons. Mental Health America breaks down some of the most common concerns about talking to parents about mental health and some tips for overcoming them. Child Mind also has great advice.  
  • Everyone goes through a range of mental health experiences throughout our lives, but how that is talked about or understood can vary with values, attitudes, and cultural beliefs. Sometimes that means our families might talk about mental health and/or suicide in different ways than friends, school, and our larger communities. If you are looking for resources about mental health that are tailored to your community – here are a few that might resonate:  

Remember, there are so many supports out there – from crisis lines that can help you in a moment of need, to referral services to help link you to care, and even a new Psychiatric Urgent care in WA State. You don’t have to do this alone, even if you feel no-one in your family will get it.   

This is a painful and especially difficult loss. All your feelings are valid, and it is important to get support. 

The Dougy Center is one of our favorite experts on grief, they recommend “10 things to try when the grief tide rolls in.”

    • Remember to breathe, move your body, call or text a friend, write it out, get messy – draw, paint, collage, make room for whatever feelings are coming up, be kind – to yourself, be a good friend – to yourself, ask for help, and take time to celebrate whatever is going well.   

Check out the Journey of Grief with Charlene Ray on Coping 101.

  • Charlene Ray is a therapist, writer and educator who regularly consults with Forefront Suicide Prevention as a trainer and speaker. This podcast was presented by c89.5fm in partnership with Seattle Children’s, Coping 101 is an ongoing series led by students in Nathan Hale High School’s Podcast Club.  

Resources

For Teens

  • 9-8-8 Suicide Hotline: Call, text, or chat 988 to be connected to the National Suicide Prevention Lifeline (NSPL). It will be confidential, free, and available 24/7/365. Services are available in Spanish, along with interpretation services in over 250 languages. For people who are deaf, hard of hearing, and TTY users: Use your preferred relay service or dial 711 then 1-800-273-8255.
  • Crisis Text Line: Text HOME to 741741 from anywhere in the United States – 24/7, free, confidential. Crisis Text Line (CTL) is here for you. A live, trained volunteer Crisis Counselor receives the text and responds, all from our secure online platform. The volunteer Crisis Counselor will help you move from a hot moment to a cool calm. For international support, click here.
  • Hear Me WA: If you or a friend are experiencing stress, anxiety, violent threats, sexual abuse—or anything that makes life hard—HearMeWA can help. Get secure, free support any time from professionals who are ready to listen. Call us or send a tip now.
  • Kids Mental Health Washington Resources: The Health Care Authority (HCA) is partnering with Kids’ Mental Health Pierce County and Developmental Disabilities Administration (DDA) to stand up 3 regions per year for the next three years. The Youth Regional Behavioral Health Navigation teams will focus on improved collaborative communication, service connection processes, and the deployment of Multidisciplinary Teams (MDT), all of which are designed to improve access to and the coordination of services for children and youth experiencing behavioral health challenges.
  • Seattle Children’s Hotlines for Youth: A list of hotlines for young people who are bullied, depressed, anxious or suicidal.
  • Seattle Children’s Hospital Psychiatric Children’s Urgent Care:  SCH provide same-day in-person and video visits for urgent mental and behavioral health concerns not needing the care of an emergency department. We care for children and teens ages 4 through 17. Learn how to make an appointment. If in-person visits are full, please get in the virtual line for a video visit.
  • Seattle Children’s Teens, Depression and Firearms: Overviews the connection between teens, depression, and firearms, and the importance of reducing access to lethal means.
  • WA TeenLink:   Teen Link is a program of Crisis Connections that serves youth in Washington State. Our teen volunteers are trained to listen to your concerns and talk with you about whatever’s on your mind – bullying, drug and alcohol concerns, relationships, stress, depression or any other issues you’re facing. No issue is too big or too small! Calls and chats are confidential. Call & Text- 1-866-833-6546
  • WA Warm Line: WA Warm Line is a peer support help line for people living with emotional and mental health challenges. Calls are answered by specially-trained volunteers who have lived experience with mental health challenges. They have a deep understanding of what you are going through and are here to provide emotional support, comfort, and information. All calls are confidential- 1-866-427-4747

For Families/Parents/Caregivers

  • Seattle Children’s FIRST Approach Skills Training (FAST Skills):  Many families use these resources with the support of a mental health provider, but other families use them on their own. Sometimes families try out these resources while waiting for an appointment with a mental health provider.
  • Seattle Children’s Just Ask Video: This one-minute PSA helps encourage adults/caregivers to ask young people directly about suicide.
  • Seattle Children’s Mental Health Resource Hub: One in five children experience mental health disorders in a given year, yet half of those children do not receive the care they need. Learn how to recognize the signs of a mental health problem and what to do to help your child or teen.
  • Talk to your Teen: Say Suicide (KC): Start a conversation that could save your teen’s life. Your teen may or may not be struggling right now. But when you talk openly and honestly about suicide, you can help them feel supported and let them know that you are a safe, loving resource that they can always depend on.
  • UW Forefront Webinar – Fast Skills Workshop Series: The First Approach Skills Training (FAST) programs are designed to provide brief, evidence-based behavioral therapy for youth and families with common mental health concerns. These workshops, intended for parents/caregivers and/or school-based mental health providers will give an overview of the FAST approach and accompanying resources.

Suicide Specific Care in WA State

Talking about suicide//Resources to share with YOUTH:  

  • Do you know someone considering suicide (World Health Organization): Share this helpful flyer>>
  • Forefront Suicide Prevention LEARN® Skills: This information will help you recognize when someone may be at risk for suicide and how to connect them with immediate help. LEARN is an acronym for five steps. Everyone should learn how to recognize signs of suicide because it could help save someone’s life. 

National Injury Prevention Day 2020

For the inaugural National Injury Prevention Day, the HIPRC and UW Forefront Suicide Prevention worked together to “shine a light” on ways to prevent youth suicide and helped promote the importance of safe storage.

This partnership, together with the Injury Free Coalition for Kids, was part of the inaugural National Injury Prevention Day on Wednesday, November 18, 2020. Hospitals and trauma centers across the U.S. will be bathed in green light to  “Shine a Light” on opportunities to prevent serious childhood injury. Harborview Medical Center’s Tower roof and 9th Ave entrance was illuminated in green that day.

The HIPRC partnered with Forefront Suicide Prevention to share a digital suicide prevention and safe storage toolkit. The toolkit included videos, information, and resources on suicide prevention and safe storage. Please click on each of the resources below for access to the digital toolkit.

Please note, this content was last updated January 2021. Updated resources and information can be found under the other tabs on this webpage. 

2020 Suicide Prevention & Safe Storage Resource Guide:

Safely & securely storing medicines, firearms, and other dangerous items is an effective way to keep you & your family safe.

Find the Safe Storage Resource Guide >>

More than 1,000 Washington residents die by suicide every year- this guide shows how suicide can be prevented.

Access the Suicide Prevention Resource Guide >>

The Forefront ‘Suicide Prevention Safety Steps’ can help families reduce chances of suicide by following these five steps.

Access the Suicide Prevention Safety Steps >>

The Forefront ‘Parent and Family Guide’ is designed to help parents, primary caregivers, and families understand important things about depression and anxiety

To help those in crisis and considering suicide, we recommend using Forefront’s ‘LEARN Saves Lives’ tips. Most suicides are preventable. Together, we can save lives.

Videos from Forefront include information about suicide prevention, mental illnesses, and building connection for those touched by anxiety, depression, and suicide.

Suicide Prevention

Suicide is the second leading cause of death among young people 10 to 24 years of age, following unintentional injuries. There are many practical, effective interventions parents and others can undertake to decrease the risk of a child attempting or dying by suicide. 

Learn more about Suicide Prevention >>

Community Partners

  • Forefront Suicide Prevention is a Center of Excellence at the University of Washington’s School of Social Work, Forefront Suicide Prevention is focused on ending suicide by championing suicide prevention, leading systemic change, and advocating for the many family and community members affected. Their mission is to help people take action to prevent suicide in their communities. Their vision is to foster a world that openly addresses suicide and mental health with compassion, and where every individual acts on their capacity to prevent suicide. Learn more about UW Forefront here >>
  • Harborview Medical Center is a comprehensive healthcare facility dedicated to providing specialized care for a broad spectrum of patients from throughout the Pacific Northwest, including the most vulnerable residents of King County. As the only designated Level I adult and pediatric trauma and verified burn center in the state of Washington, Harborview serves as the regional trauma and burn referral center for Alaska, Montana, and Idaho and the disaster preparedness and disaster control hospital for Seattle and King County. Learn more about Harborview Medical Center here >>
  • Harborview Injury Prevention & Research Center (HIPRC) is a worldwide leader in injury prevention research. We are committed to public engagement and strive to partner with impacted communities in achieving injury prevention and health equity across the lifespan. HIPRC is a CDC-funded Injury Control Research Center (ICRC). The ICRC network is funded by the CDC’s National Center for Injury Prevention and Control to find ways to prevent injury and violence. HIPRC is the only ICRC in the western half of the United States. HIPRC is a joint initiative of the University of Washington School of Medicine and Harborview Medical Center. Learn more about the HIPRC here >>
  • The Injury Free Coalition for Kids is among the country’s most effective injury prevention programs. We are a national program developed with funding from the Robert Wood Johnson Foundation comprised of hospital-based, community-oriented programs whose efforts are anchored in research, education and advocacy. Learn more about Injury Free Coalition for Kids here>>

CAROUSEL GRAPHICS

Mental Health & Suicide Prevention FAQs (PDF

Did you Know…little things to help prevent Suicide (PDF

__

RESOURCE FLIERS

LEARN Saves Lives (for teens) Suicide Prevention — English (PDF)

LEARN Saves Lives (for teens) Suicide Prevention — Spanish (PDF)

 

Do you need help right now? Call or Text the National Suicide Prevention Lifeline at 9-8-8.  

This website is intended for educational and informational purposes only and does not constitute providing medical advice or professional services. The information provided should not be used for diagnosing or treating a health problem or disease, and those seeking personal medical advice should consult with a licensed physician. No physician-patient relationship is created by this website or its use. Neither HIPRC, the University of Washington, nor its employees, nor any contributor to this website, makes any representations, express or implied, with respect to the information provided herein or to its use. 

2024 Partners