Suicide Prevention

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Are You or Someone You Know in Crisis?

You are not alone, and help is available. Contact the 988 Suicide and Crisis Lifeline if you are experiencing mental health-related distress or are worried about a loved one who may need crisis support. Connect with a trained crisis counselor. 988 is confidential, free, and available 24/7.

Suicide Facts

  • There are approximately 100–150 suicides each year in North Dakota. (ND Department of Health & Human Services)
  • Suicide is one of the leading causes of death in North Dakota, particularly among young and middle-aged adults. (ND HHS, CDC)
  • North Dakota has historically had suicide rates higher than the national average. (CDC)
  • Poisoning is one of the most common methods of suicide attempts, especially among females. (CDC)
  • Rural populations and agricultural communities may face higher suicide risk due to isolation, access to lethal means, and barriers to care. (CDC, ND HHS)

Population Groups Most Affected

  • Suicide among males is nearly four times higher than among females. Male deaths represent about 80% of all U.S. suicides. (CDC)
  • Suicide is a leading cause of death for people ages 15–34. (CDC)
  • The highest suicide rates in the U.S. are among White, American Indian, and Alaska Native populations. (SAVE)

Common Warning Signs

Sometimes suicide can seem sudden, but in many cases there are warning signs. These may appear in what a person says, how they act, or changes in mood. Recognizing these signs and knowing how to respond can help save lives.

Talking about:

  • Wanting to die
  • Great guilt or shame
  • Being a burden to others

Feeling:

  • Unbearable emotional or physical pain
  • Hopeless, trapped, or having no reason to live
  • Extremely sad, anxious, agitated, or angry
  • Like they are a burden to others

Changes in behavior or mood:

  • Searching for or planning ways to harm themselves (e.g., stockpiling pills, researching methods)
  • Withdrawing from family, friends, or community
  • Saying goodbye or giving away belongings
  • Putting affairs in order
  • Taking dangerous risks
  • Increased alcohol or drug use
  • Changes in eating or sleeping patterns

Five Action Steps for Helping Someone in Crisis

  1. Ask: Ask directly, “Are you thinking about suicide?”
  2. Be There: Listen and show support in a non-judgmental way.
  3. Keep Them Safe: Reduce access to medications, alcohol, or other dangerous items.
  4. Help Them Connect: Encourage contact with the 988 Lifeline or local resources.
  5. Follow Up: Stay connected and check in after the crisis.

Suicide Can Be Prevented

Simple steps can help reduce risk and save lives:

  1. Call the 988 Lifeline if you or someone else is experiencing emotional distress
  2. Keep medications locked and out of reach
  3. Know what medications are in your home and how much of each
  4. Limit access to large quantities of pills
  5. Talk with teens about safe medication use
  6. Dispose of unused medications safely: Find a disposal site
  7. Store alcohol and toxic products safely
  8. Be aware of hidden alcohols (mouthwash, hand sanitizer, etc.)

What is Depression?

Depression is a treatable medical condition that affects mood, thoughts, behavior, and physical health.

Unlike temporary sadness, depression lasts longer and does not go away on its own. Treatment can help people feel better and function more normally.

Treating depression is one of the most effective ways to prevent suicide.

If you have questions about medications, poisoning, or possible exposures, call Poison Help at 1-800-222-1222.