Editor’s note: Translation assisted by artificial intelligence, edited by Owen McArdle

Mónica Grijalva Ruiz holds a Masters of Social Work and is a Licensed Clinical Social Worker.

September was Suicide Prevention Awareness Month, an opportunity to talk about a topic that often remains unspoken. In our communities, talking about mental health can be difficult. Many of us were taught to “be strong,” “keep pushing,” not worry our families, or to solve our problems at home. Although these ideas may come from a place of love and good intentions, they can also be the reason that a person hides their suffering.

Prevention begins when we understand that someone may be going through an emotional crisis without openly showing it.

When we think of a person experiencing suicidal thoughts, we may imagine someone directly saying that they want to die. Although talking about wanting to die or committing suicide is a warning sign that should always be taken seriously, there are other, less obvious signs.

Warning signs:

  • Feeling like a burden to others
  • Withdrawing or isolating themselves
  • Extreme mood changes
  • Sleeping too much or too little
  • Increased use of alcohol or drugs
  • Acting impulsively
  • Losing interest in activities they once enjoyed

However, some people continue with their day-to-day lives while experiencing deep emotional pain.

That’s why it is also important to recognize the silent signs: gradually distancing themselves from family and friends, neglecting personal care or losing motivation. We should also listen to comments that may seem casual, such as, “I can’t do this anymore,” “No one would miss me,” or “Everyone would be better off without me.” These statements do not necessarily mean that a person will attempt suicide, but they should never be ignored.

Another warning sign can be a change after a period of deep sadness or hopelessness. For example, a person may unexpectedly begin saying goodbye, giving away important belongings, getting their affairs in order or reaching out to loved ones as though they are closing a chapter of their life. When these behaviors appear alongside other risk factors, it is important to reach out and ask what’s going on.

Many people hesitate to ask directly, “Have you thought about suicide?” because they believe that mentioning the action could cause someone to have suicidal thoughts. However, asking directly and without judgment can give someone an opportunity to talk about something they have been silently struggling with. We don’t need to be mental health professionals to start a conversation.

After asking, we should listen and avoid phrases such as, “You have to be strong,” “Think about your children,” or “Just keep pushing.” These statements can make someone feel guilty or misunderstood.

Instead, we can say, “Thank you for telling me,” “I’m here with you,” or “Let’s find help together.” Asking for help is also a sign of strength.

Within some Latino communities there are barriers to seeking mental health care, including language, cost, stigma and difficulty finding culturally sensitive professionals. Family, faith and community can be important sources of support. Seeking professional help does not mean abandoning those resources; both can coexist.

Talking with a therapist, doctor, school counselor or other mental health professional does not mean that someone is weak. Taking care of our emotional health is part of taking care of our overall health.

Suicide prevention is not just the responsibility of therapists and doctors. As families and communities, we can learn to listen, ask questions and talk about mental health without shame.

From Suicide Prevention Awareness Month onward, let’s pay attention beyond the words, “I’m fine.” Let’s ask again when something doesn’t seem right. Let’s listen without trying to solve the problem immediately and let’s remind those who are suffering that they do not have to face it alone.

If you or someone you know is experiencing an emotional crisis, suicidal thoughts or needs support, in the United States you can call or text 988, the Suicide & Crisis Lifeline. You can also text the word HELP.

The service is free, confidential and available 24 hours a day, seven days a week. You do not need to be experiencing suicidal thoughts to contact 988; you can also seek support for emotional distress or when you are concerned about someone else.

If there is immediate danger or a medical emergency, call 911 or go to the nearest emergency room.