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Children's Hospital at Dartmouth Hitchcock (CHad)
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Suicide Prevention

Suicide is the second leading cause of death for New Hampshire kids and ninth for people of all ages.

Depression, substance abuse and other mental health problems are involved in 9 out of 10 suicide deaths and attempts. Most of the deaths are preventable. You can help.

Recognize the WARNING SIGNS for SUICIDE to Save Lives!

Sometimes it can be difficult to tell warning signs from "normal" behavior especially in adolescents. Ask yourself, Is the behavior I am seeing very different for this particular person? Also, recognize that sometimes those who are depressed can appear angry, irritable, and/or hostile in addition to withdrawn and quiet.

These warning signs can also be applied to adults

  • Talking about or threatening to hurt or kill oneself
  • Seeking firearms, drugs, or other lethal means for killing oneself
  • Talking or writing about death, dying, or suicide
  • Direct Statements or Less Direct Statements of Suicidal Intent: (Examples: "I'm just going to end it all" or "Everything would be easier if I wasn't around.")
  • Feeling hopeless
  • Feeling rage or uncontrollable anger or seeking revenge
  • Feeling trapped - like there's no way out
  • Dramatic mood changes
  • Seeing no reason for living or having no sense of purpose in life
  • Acting reckless or engaging in risky activities
  • Increasing alcohol or drug use
  • Withdrawing from friends, family, and society
  • Feeling anxious or agitated
  • Being unable to sleep, or sleeping all the time

For a more complete list of warning signs, as well as comprehensive lists of risk factors and protective factors, please consult the American Association of Suicidology website.

Connect with your loved one, connect them to help.

  • Ask directly about their suicidal feelings. Talking about suicide is the first step to preventing suicide!
  • Let them know you care.
  • Stay with them until a parent or professional is involved.
  • Offer a message of hope- Let them know you will assist them in getting help.
  • Connect them with help:

*National Suicide Lifeline (24/7) 1-800-273-TALK (8255)*

For more information on Suicide Prevention in NH Go to and click on Suicide Prevention

CALM: Counseling on Access to Lethal Means

CALM: Counseling on Access to Lethal Means is a 1.5 to 2 hour workshop designed to assist providers in implementing counseling strategies to help clients at risk for suicide and their families reduce access to lethal means, particularly but not exclusively firearms. For more information see the For Professionals section.

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