06/03/2026
Sometimes, the people around us that are suffering the most can look outwardly well. And other times, there are signs that they are struggling that we can all attune to recognise.
Many of us don’t know how to ask for help. And often, we feel uncomfortable asking people around us very personal questions about their wellbeing. Asking the right question can be like opening a door for someone you love. Suicidal ideation (fantasizing about dying) is very common especially when a person is struggling with anxiety or depression. Suicidal ideation can also be a side effect of some medicines, when we start anti depressant medicines, these can often cause more suicidal thoughts. Checking in with those that you care about and asking:
"Are you thinking about hurting yourself or dying?" can be a healing dialogue. When we name our pain, its easier to separate from it and find a way through or around.
Signs someone may be suicidal:
🗣 Listen for signs
Talking about feeling hopeless, trapped, or like a burden
Saying things like “I can’t do this anymore” or “Everyone would be better off without me”
Expressing no reason to live or no future to look forward to
Talking about death or wanting to disappear
⚠️ Look for behaviours
Withdrawing from friends, family, or usual activities
Noticeable changes in sleep, appetite, or energy
Increased use of alcohol or drugs
Giving away possessions or saying goodbye in unusual ways
Loss of interest in work, hobbies, or relationships
Taking unusual risks or showing reckless behaviour
💭 Observe feelings
Persistent sadness or depression
Intense loneliness or isolation
Anxiety, agitation, or feeling overwhelmed
Anger, shame, or humiliation
Emotional numbness or feeling “empty”
🚨 When to be especially concerned
Any mention of suicidal thoughts or self-harm
A sudden calm after a period of distress
Multiple signs occurring together
Noticing these signs doesn’t mean you have to have all the answers. Asking about su***de or self-harm does not put the idea into someone’s mind; it can open the door to relief, honesty, and support.
If someone mentions suicidal thoughts, they need an urgent mental health assessment and professional help. In South Africa, su***de remains a leading cause of unnatural death.
Trust your instincts. Listen without judgement. You don’t have to do this alone.
📞 24-Hour Su***de Crisis Helpline (SA): 0800 567 567
Awareness, compassion, and courage can save lives.
Read more: bit.ly/4aT3XBh
***dePrevention
