A person struggling with thoughts of suicide may not always appear distressed. Behind moments of laughter, success, or a seemingly normal routine, some individuals may be silently dealing with overwhelming emotional pain.

Warning signs can include losing interest in activities they once enjoyed, isolating themselves from loved ones, changes in sleeping patterns, feelings of hopelessness, or expressing that they feel like a burden. However, mental health experts emphasize that recognizing these signs is only the first step — knowing how to respond can make a life-saving difference.

Suicide remains a serious public health concern in the Philippines. While the country’s suicide rate is lower compared with global estimates, cases continue to affect many families, with young people among those vulnerable to suicidal thoughts.

According to psychiatrist Dr. Carmina Charmaine G. Bernardo, a person’s decision to consider suicide can stem from various factors, including mental health conditions, personality disorders, traumatic experiences, relationship struggles, financial difficulties, abuse, severe illness, or intense feelings of loneliness and worthlessness.

“Certain triggers or stressors compel people to take action and free themselves from what they perceive to be unbearable and unending physical or emotional pain,” she explains.

Because people experiencing suicidal thoughts may hide what they are going through, loved ones need to pay attention to sudden changes in behavior.

“Some even appear suddenly calm and happy after experiencing severe depression. This could mean that they are resolved with their decision to end their life,” Dr. Bernardo says.

Among the warning signs to watch for are increased risk-taking behaviors, such as excessive drinking, reckless driving, neglecting health needs, or showing little concern for personal safety. These actions may indicate that a person no longer values their own well-being.

Major life events and significant dates may also become difficult periods for someone struggling emotionally. Birthdays, anniversaries, holidays, or other meaningful occasions can intensify feelings of loneliness or grief.

Some individuals may also attempt to reconnect with people, seek forgiveness, or give away valued belongings. These actions may be their way of creating closure or saying goodbye.

When concerned about someone, starting a conversation about suicide can feel uncomfortable — but avoiding the topic may prevent a person from receiving the support they need.

Dr. Bernardo encourages people to ask gently and directly, while approaching the conversation with compassion rather than judgment.

“Be prepared to listen — not judge, scold, or dismiss their feelings,” she says. Allowing someone to express their emotions can provide relief and remind them that they are not facing their struggles alone.

Support can begin with simple acts: checking in, spending time with the person, offering reassurance, and helping them seek professional assistance.

For those at immediate risk, urgent action is necessary. Warning signs of imminent danger include having a specific plan, access to the means to carry it out, a timeline, and the intention to act.

In these situations, experts advise removing possible tools for self-harm, ensuring the person is not left alone, and contacting emergency services or bringing them to a healthcare facility for professional support.

Recognizing the signs, opening a conversation, and offering help can become a crucial step in preventing a tragedy. Sometimes, knowing that someone cares can provide the hope a person needs to keep going.