Recognizing the Signs: Supporting Children and Teens at Risk of Suicide

Suicide among children and teens is a growing concern that can feel overwhelming for caregivers, but recognizing the warning signs and knowing how to respond can make a life-saving difference. Young people often communicate their pain through changes in behavior, mood, or daily habits, and these signals, though sometimes subtle, should never be overlooked.

Kate McGevna, Five Acres director of training and organizational development, provides signs that parents can recognize and how they can help. By understanding what to look for and how to respond with compassion and calm, caregivers can create a safe space that encourages open dialogue and connection.

Warning Signs to Watch For

Children and teens may not always directly express when they are struggling with thoughts of suicide. Instead, they may show signs through shifts in behavior, mood, or physical health. Some important indicators include:

  • Withdrawal from friends, family, or activities: A sudden loss of interest in things they once enjoyed can signal emotional distress.
  • Changes in sleep or eating habits: Sleeping too much or too little, or noticeable changes in appetite, may be a red flag.
  • Expressions of hopelessness or worthlessness: Phrases like “I’m a burden” or “Nothing matters” should always be taken seriously.
  • Talking, writing, or drawing about death or suicide: This may show up in conversations, journal entries, or even social media posts.
  • Giving away possessions: A child may believe they won’t need their belongings anymore.
  • Sudden mood changes: A rapid shift from sadness to unusual calmness or cheerfulness may indicate a decision to act on suicidal thoughts.
  • Declining school performance: Falling grades or loss of interest in academics can reflect underlying mental health struggles.
  • Risky or self-harming behaviors: Using drugs or alcohol, engaging in dangerous activities, or physically harming themselves are strong signals of distress.
  • Unexplained physical complaints: Frequent headaches, stomachaches, or other symptoms can sometimes mask emotional pain.

How Caregivers Can Help

If you notice these signs, staying calm and supportive is the most important first step. Here are practical ways to respond:

  • Stay calm and present: Your steady demeanor helps your child feel safe. Avoid reacting with panic or anger.
  • Ask directly and compassionately: It is okay to ask, “Are you thinking about hurting yourself?” Direct questions show you care and do not increase the risk.
  • Listen without judgment: Let your child express their feelings without interruption. Acknowledge their emotions by saying things like, “That sounds really hard. I’m here for you.”
  • Remove access to harmful items: Secure medications, firearms, sharp objects, or anything that could be used for self-harm.
  • Seek professional help: Contact a pediatrician, school counselor, or mental health provider. In emergencies, call or text 988 or go to the nearest emergency room.
  • Educate yourself: Learn about depression, anxiety, and suicide risk factors to better understand what your child may be experiencing.
  • Monitor digital activity: Be aware of online interactions, cyberbullying, and exposure to harmful content. Encourage safe and positive online use.
  • Promote healthy coping skills: Model and encourage journaling, exercise, creative outlets, or other stress-relieving activities.

Supporting a child or teen who may be thinking about suicide requires patience, awareness, and action. Caregivers play a crucial role in listening without judgment, asking direct but caring questions, and seeking professional help when needed. Most importantly, showing consistent love and presence can remind young people that they are not alone and that hope and help are within reach.

Together, through awareness and proactive support, we can protect our children’s well-being and guide them toward healing and resilience. With this knowledge, individuals can become more comfortable with the S word.

If you or someone you know needs mental health support, email at HOPE@5acres.org or text Five Acres at 1-800-696-6793, or if you or someone you know is in crisis, text 988 to connect with the Suicide & Crisis Lifeline right away.