Are suicidal thoughts always a sign of depression?

Suicidality strongly associates with depression but also occurs with anxiety, bipolar disorder, substance use, and chronic pain. It's a psychiatric emergency regardless.

What are warning signs of suicidal ideation?

Talking about death, giving away possessions, increased risk-taking, withdrawal, sudden mood improvement after depression, hopelessness, and explicit suicide plans.

Should I ask someone if they're suicidal?

Yes. Asking does not cause or increase suicide risk. Direct questions are essential to assess severity and urgency. Use crisis services if danger is present.

What's the difference between ideation and attempts?

Ideation is thinking about suicide; intent is considering acting; planning is specific method/timing; attempts are actions. Progression requires immediate emergency care.

Sciencedepression-screener

Suicidal Ideation: Warning Signs and Immediate Safety

Peter Kolomiets

|March 31, 2026|Updated Apr 13, 2026|7 min

Suicidal Ideation: Warning Signs and Immediate Safety

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References

Nock MK, Borges G, Bromet EJ (2008). Suicidal Ideation and Behavior: Risk Factors and Prevention
Posner K, Brown GK, Stanley B (2011). The Columbia-Suicide Severity Rating Scale: Assessment and Management