Recognizing warning signs that a loved one is experiencing severe emotional distress may save a life. Suicide is preventable, and support and treatment can help people through periods of crisis.

To learn how to recognize the signs of emotional distress and suicidal thoughts, WellTuned spoke with Jordan Foster, a behavioral health peer support specialist at BlueCross BlueShield of Tennessee.

“Pay attention and ask questions,” Jordan says. “Being overly cautious about the situation is better than letting someone suffer in silence.”

Warning signs to watch for

Jordan Foster: Some indicators of emotional distress may be easy to miss. Some warning signs may include:

• Giving away prized belongings, such as cars or hobby items.
• A sudden 180-degree shift in mood, especially appearing unexpectedly happy or peaceful after a period of depression or struggling.
• Starting end-of-life planning, like updating a will or pre-planning a funeral if it seems oddly timed.

New, escalating or concerning changes are a reason to check in and seek guidance by calling or texting 988.

Behavioral indicators of severe distress

Jordan Foster: Severe emotional distress can show up in many ways.  Pay attention if someone begins:

• Withdrawing from loved ones and cancelling plans suddenly.
• Taking dangerous risks, like driving fast or increasing substance use.
• Displaying extreme mood swings that seem out of character.
• Expressing deep shame or guilt,or saying they feel like a burden.
• Changing sleep patterns, like sleeping constantly or staying awake all night.
• Talking about not wanting to be here anymore or discussing self-harm.

How warning signs differ across age groups

Jordan Foster: Warning signs do not always look the same in adults and youth.

Adults may display classic depressive symptoms. These may include ongoing low mood, fatigue and sleeping much more. Teenagers and youth may be more likely to show irritability and social isolation.

Younger people may struggle with school performance and social withdrawal. They may also act impulsively by running away or becoming physically destructive.

Teenagers face unique risk factors. Suicide is the second leading cause of death among those aged 10-14 and the third leading cause of death for those from 15 to 24. According to the CDC, 20% of high schoolers report serious thoughts about suicide. Peer pressure, social media and sleep disorders may all contribute to this risk.

How to start a supportive conversation

Jordan Foster: If you notice sudden changes in a loved one’s mood or behavior, take action. You can talk to them and encourage the person to seek help. There’s a myth that talking about suicide puts the idea into someone’s head, but that is not true. Talking about suicide may reduce, rather than increase, suicidal thoughts.

Don’t be afraid to ask direct questions like, “Are you thinking about harming yourself?” or “Do you have plans to take your own life?” Direct questions may lift heavy pressure off your loved ones and let them speak honestly.

When someone confides in you, avoid dismissing their feelings or writing off their behavior as a temporary phase. Suicidal thoughts and actions aren’t selfish or weak. Never undermine what someone is feeling. We all cope differently, and life can sometimes feel hard. You don’t have to fully understand someone’s feelings to offer kindness and support.

Connecting loved ones to professional resources

Jordan Foster: Listening and talking to a loved one and assisting them in getting professional care demonstrates compassion. If you or a loved one is experiencing suicidal thoughts or a mental health crisis, these resources are available:

• 988 Suicide & Crisis Lifeline: Call or text 988 for free, confidential crisis support available 24/7, or chat online at org.
• Tennessee Statewide Crisis Line: Call 855-274-7471 for 24/7 help from mental health professionals.
• State & Community Organizations: Reach out to groups like the Tennessee Suicide Prevention Network, National Alliance on Mental Illness Tennessee, or the Tennessee Association of Mental Health Organizations.

If there is an immediate physical danger or a suicide attempt is in progress, call 911.

Tennessee also has these additional resources online for mental health services.

“A person is not weak, selfish, broken or attention-seeking for feeling sad and or having thoughts about suicide,” Jordan says. “You or a loved one can seek help to feel better and to receive treatment that can help you be happy about living. Talk to someone you trust and remember there is always 988 to call.”

More from Jordan Foster on WellTuned

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