Medically reviewed by Gabriela Asturias, MD on May 23, 2025If you’re struggling with suicidal thoughts, it can feel overwhelming, isolating, and terrifying. But you are not alone—and more importantly, you do not have to suffer in silence. Support is available. Therapy can help you find relief, develop coping strategies, and reconnect with hope.
Psychiatric Nurse Practitioner
486 W Boughton Rd, Bolingbrook, Illinois 60440
Ada Wang is a Psychiatric Nurse Practitioner in Bolingbrook, Illinois. They treat Suicidal Thoughts, Trauma, Attention Deficit Hyperactivity Disorder (ADHD).
The best of mental healthcare in one place. At Geode, we combine full-spectrum psychiatry and talk therapy to better meet changing patient needs.
Psychiatric Nurse Practitioner, Education Specialist (EdS), Licensed Mental Health Practitioner (LMHP), Advanced Practice Registered Nurse (APRN)
Remote only
Solace Healthcare Services PLLC is a Psychiatric Nurse Practitioner in undefined, undefined and has been in practice for 15 years. They treat Suicidal Thoughts, Personality Disorders, Posttraumatic Stress Disorder (PTSD).
Our mission is to support each individual in achieving optimal mental wellness through evidence-based & patient-centered integrative psychiatric practices
Licensed Clinical Social Worker (LCSW)
2802 Coho Street, Madison, Wisconsin 53713
Rachel Kleibor is a Licensed Clinical Social Worker (LCSW) in Madison, Wisconsin and has been in practice for 24 years. They treat Suicidal Thoughts, Social Anxiety, Peer Difficulties.
I create a non-judgmental space to talk about what is really going on for you.
Licensed Professional Counselor (LPC)
215 North East Avenue, Fayetteville, Arkansas 72701
Becky Gonelli is a Licensed Professional Counselor (LPC) in Fayetteville, Arkansas and has been in practice for 15 years. They treat Suicidal Thoughts, Work/Life Balance, Self-Harm.
I really enjoy working with college students. I find that they are motivated to become the best they can be and welcome encouragement.
Licensed Clinical Social Worker (LCSW)
Remote only
Kateryna Chorna is a Licensed Clinical Social Worker (LCSW) in undefined, undefined and has been in practice for 10 years. They treat Suicidal Thoughts, Bullying, Relationship(s) with Partner/Husband/Wife.
Supporting in healing from anxiety, depression, and trauma with EMDR, DBT, and trauma-informed care for calm, balance, and resilience.
Advanced Practice Registered Nurse (APRN), Psychiatric Nurse Practitioner, Psychiatric Nurse
2000 South Dixie Highway, Miami, Florida 33133
Yi Duan Low is a Advanced Practice Registered Nurse (APRN) in Miami, Florida and has been in practice for 12 years. They treat Suicidal Thoughts, Academic Concerns, Depression.
Peace of Mind is your Birthright! You do not have to suffer alone.
Even when hope feels distant, you don't have to go through it alone. There is help. There is healing. You matter.
— Gabriela Asturias, MD
Suicidal thoughts, also known as suicidal ideation, are thoughts about ending your own life. These thoughts can range from vague feelings of not wanting to exist to more specific plans or desires to die. Some people have fleeting suicidal thoughts during stressful times, while others experience them chronically.
Suicidal ideation is not a character flaw or a failure—it's often a symptom of profound emotional pain, trauma, or mental health challenges. And it can happen to anyone, regardless of background, age, or success level.
Experiencing suicidal thoughts is a sign that something deep inside you is hurting—not that you actually want to die. That pain deserves attention, not judgment.
Understanding the difference between passive and active suicidal ideation helps clarify the level of risk and need for immediate support.
Both types are serious and deserve compassionate support. You don’t need to reach a crisis point to seek help. A suicidal ideation therapist can help you explore your feelings safely and without judgment.
Not necessarily. In many cases, suicidal thoughts are less about wanting to die and more about wanting the pain to stop. You may feel trapped, hopeless, or exhausted by emotional distress, and suicide may seem like the only option left.
But there are always other options—even if you can't see them right now.
Therapists trained in therapy for suicidal thoughts can help you:
Wanting relief is not the same as wanting death. A suicidal ideation therapist can help you find that relief safely.
If you are currently struggling, know that there are things you can do right now to reduce the intensity of suicidal thoughts and keep yourself safe:
Remember, suicidal thoughts can pass. With the right support, you can survive this moment and find your way forward. Coping with suicidal thoughts starts with not facing them alone.
Yes—therapy and, in some cases, medication can significantly reduce or eliminate suicidal ideation. Evidence-based treatments not only help address symptoms but also target the underlying emotional pain driving them.
Cognitive Behavioral Therapy (CBT) for Suicidal Ideation
CBT for suicidal ideation helps individuals identify and challenge negative thought patterns, build problem-solving skills, and increase emotional regulation. It’s one of the most studied and effective treatments for reducing suicidal thoughts and behaviors.
Dialectical Behavior Therapy (DBT) for Suicidal Ideation
DBT for suicidal ideation was specifically developed to help people with chronic suicidal thoughts and self-harming behaviors. It focuses on:
Many individuals who’ve tried everything else find DBT life-changing.
Medication
If suicidal thoughts are linked to conditions like depression, bipolar disorder, or anxiety, medication may help reduce symptoms enough to regain clarity and hope. These may include:
A psychiatrist or suicide prevention therapist can determine the best approach for your needs.
If someone opens up to you about suicidal thoughts, it can be frightening—but your support can make all the difference. Here’s how to respond:
1. Stay calm and present.
Your job isn’t to fix the problem. Just being there—fully listening—is incredibly powerful.
2. Take them seriously.
Even if they say “it’s not that bad,” always err on the side of caution. Don't dismiss it as attention-seeking or drama.
3. Ask direct questions.
It’s okay to ask, “Are you thinking about killing yourself?” This will not put the idea in their head—it may actually provide relief and open the door to deeper conversation.
4. Help them find support.
Encourage them to talk to a therapist for suicidal thoughts, call a crisis line, or go to a hospital if needed. Offer to sit with them or help them make the call.
5. Don’t promise secrecy.
If you believe they’re at immediate risk, it’s okay to involve professionals or trusted adults, even if they ask you not to. Safety comes first.
If you come across someone in the middle of a suicide attempt:
After the crisis, both you and the person may need support. Encourage them to connect with a suicide prevention therapist, and consider seeking counseling for suicidal thoughts yourself to process the experience.
No. This is a common myth. Research consistently shows that asking someone directly about suicide does not increase risk—in fact, it often reduces it.
Asking someone, “Are you thinking about suicide?” demonstrates care and opens a door for honest conversation. It may be the first time someone feels safe enough to speak the truth.
No. While mental health conditions like depression, bipolar disorder, PTSD, and anxiety can increase suicide risk, anyone can experience suicidal thoughts. They may also be triggered by:
Mental illness is just one factor. The bottom line: suicidal thoughts signal deep distress—not weakness or instability.
No. When someone talks about suicide, they are asking for help. It takes courage to speak those thoughts aloud, and they should always be taken seriously.
Labeling someone as “attention-seeking” dismisses their pain and increases the risk of silence, isolation, and harm. Instead, respond with empathy, listen without judgment, and help connect them to a suicidal ideation therapist.
Yes. People contemplating suicide don’t always “look” depressed. Some may appear cheerful, high-functioning, or even successful on the outside while hiding immense internal suffering.
That’s why it’s so important to check in regularly and listen deeply—especially when something seems “off.” Sudden changes in behavior, giving away belongings, or expressing hopelessness can all be signs.
Not always. While some suicides occur impulsively, many people show warning signs—though they may be subtle or misunderstood. These may include:
Learning to recognize these signs can literally save lives.
Not necessarily. Surviving an attempt is a critical opportunity for intervention, but the emotional pain that led to the attempt may still be present. Continued support is essential.
Therapy, especially CBT or DBT for suicidal ideation, can provide the tools needed to process trauma, rebuild trust, and reduce future risk.
Yes—absolutely. Suicidal ideation affects people of all backgrounds, including:
Success does not protect anyone from emotional pain. In fact, high-achievers often feel intense pressure to appear perfect, which can increase isolation.
Many successful people hide their struggles until it becomes overwhelming. Seeking help—like therapy for suicidal thoughts—is not a sign of weakness. It’s a step toward staying alive and thriving, regardless of your public image.
You are not alone. You are not broken. You are not beyond help.
If you’re experiencing suicidal thoughts—or know someone who is—reach out. A suicide prevention therapist, online therapist for suicidal thoughts, or mental health crisis service can offer the support you need.
Your life matters. And help is here.
Recovery is possible. With early intervention, a supportive community, and the right professional care, you can overcome challenges and build a fulfilling life. We’re here to help you find the support you need.
