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Understanding Suicidal Thoughts

If you or someone you know is feeling suicidal, you might be scared, overwhelmed or confused. But you’re not alone. Support is available when you need it most and you don’t have to go through these difficult feelings on your own. 

If you feel like life isn’t worth living and you’re thinking about suicide, it’s important to reach out. This feeling won’t last forever and you can get the help you need to get back to a place where you feel secure and positive about your future. Visit our Guide Me section for more advice on what to do if you’re feeling suicidal.

What is suicide?

Suicide is the act of intentionally ending your own life, and right now, suicide is a public health priority affecting anyone at any age, of any gender or background. Close to 800,000 people around the world die by suicide every year. 

In Northern Ireland, more people have died by suicide than were killed during 30 years of conflict between the years of 1998-2016. In 2016, more than 4,400 suicide deaths were recorded compared to 3,600 killed in nearly a decade of war.  Research found about one in eight children and young people aged up to 19 years old have thought about or attempted suicide.

Worldwide nearly 800,00 people die by suicide every year

What does it feel like to be suicidal?

Feeling suicidal means having suicidal thoughts or suicidal ideation. Thoughts of killing yourself can range from making a detailed plan to having a passing consideration and it can also mean thinking about suicide methods. Suicidal thoughts are an indication of a wider mental health issue which may cause a person to feel low, worthless, hopeless, or to feel isolated and unable to escape difficult emotions.

Suicidal thoughts can develop over time, particularly if someone feels like they can’t continue living their life as they are. Every person’s experience of feeling suicidal is different and it’s common for someone not to understand why they feel this way or to struggle with stopping these feelings once they arrive.

If someone’s feeling suicidal, they might:

Feel worthless

Think people would be better off without them

Feel hopeless or despairing

Feel overwhelmed by negative thoughts

Feel socially isolated or cut off from friends and family

 Causes of suicidal feelings: mental health problems, financial stresses, housing issues, relationship problems, divorce, bereavement, abuse, addiction, work difficulties, discrimination, illness, trauma, depression.

A person’s behaviour may change and they might experience:

A desire to self harm 

A change to their sleeping and eating patterns

No desire to socialise

Avoiding other people 

A breakdown in communication

Less enjoyment in activities that brought them happiness

Less interest in their appearance 

Neglecting self-care, like showering or brushing their teeth

Self-loathing or a lack of self confidence

How long someone experiences suicidal feelings is different from person to person, but many feel as though they’ve lost hope or they’ll never feel like themselves again.

Who’s at risk of suicide?

There’s an established connection between suicide and mental health disorders, such as depression and alcohol or drug-use related disorders. But suicide can also happen impulsively in a crisis, when life’s hardships cause someone to feel unable to cope.

Communities most at risk of suicide are those experiencing violence, conflict, disaster, loss or isolation. Rates of suicides are high amongst vulnerable groups who experience discrimination because of their gender, race or background. Another indicator of the risk of suicide is a previous suicide attempt.

Community awareness and understanding of suicide can help people to reach out and get help when they feel suicidal.

Despite the prevalence of suicide on international, national and local levels, suicide remains a taboo topic for many people in society to comfortably and openly discuss. Stigmas around mental heath disorders and suicide mean people don’t seek help when they feel mentally unwell, which increases the risk of taking their own life because they aren’t receiving the support they need.

Due to this stigma, it’s important to raise community awareness so more people feel safe and supported in accessing help or talking to friends and family.

What causes suicidal feelings?

The causes of suicide are complex and often linked to other mental health problems. Suicidal thoughts tend to come from feelings of depression, desperation, hopelessness, low self-worth and isolation.

Life’s difficulties can instigate low feelings or suicidal thoughts because these problems may feel insurmountable.

Life experiences which trigger suicidal thoughts may include, but are not limited to:

Financial stresses

Relationship problems, divorce or a break-up

Housing issues, including homelessness or risk of homelessness

Chronic or long-term health issues or illnesses


Substance abuse or addiction


Mental health problems

Being in prison

Work difficulties, such as a job loss, stress or daily pressures

Pregnancy or postnatal depression

Sexual orientation or gender identity

Trauma or abuse

Anxiety disorders: Generalised anxiety disorder, panic disorders, phobias, obsessive compulsive disorders, social anxiety disorders, post-traumatic stress disorders.

What support is there?

Getting support is an important step towards feeling better. In 2019, more than 70% of people who died by suicide weren’t known to mental health services. For those going it alone – it doesn’t have to be this way.

The help you need is there, and like many others, you can make a recovery and continue living life in a way where you feel more content, secure and fulfilled. The earlier you get support or let someone know how you’re feeling, the sooner you will start to overcome these feelings and develop helpful coping techniques.

If you, or someone you know, is at risk of harm or you’re worried you can’t keep yourself or someone else safe until you get support, seek immediate help by calling 999 or going to A&E.

If you’re experiencing suicidal thoughts:

Call your GP or out-of-hours GP for an emergency appointment

Call NHS 111 for advice

Contact your mental health crisis team, who are available in all trust areas. They can carry out a mental health assessment and provide short-term help until another service or support option is available. You can also ask your GP or your out-of-hours GP about the mental health crisis team in your area.

Support options include seeking out mental health support service, speaking to someone on a helpline or getting one-to-one support , such as talking therapy, CBT, life coaching or creative therapies. Once you’ve decided on an option, it can help to prepare for getting the most out of your support so you can feel more empowered on your journey to greater wellbeing.

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