Six years ago, Jason survived an attempt to kill himself.
He shared his experience on Facebook in an effort to help anyone else who might be silently suffering.
"I won't bother you with what happened Jan. 7, 2017, that led me to wash down 13 (or maybe it was 14) pills with a Budweiser tallboy," wrote Jason (last name withheld). "I had reached a destination I was headed toward for more than three decades. Since my freshman year in high school, I often believed death served as the only antidote for the pain I felt."
Soon after his attempt, he checked himself into a behavioral health hospital where he stayed for 10 days. There, he got a diagnosis, medication and therapy to begin to manage his condition. Even though he had supportive friends, co-workers and family who cared about him, Jason said he felt too embarrassed, sad and lost to ask for help.
Jason, now 52, reflected on what might have helped him when he was in crisis.
"It's hard for me to know for certain if there could have been any magical words that would have convinced me to seek help or to feel heard and loved, but looking back, I believe if someone I trusted had said, 'Jason, I know something is wrong. Your behavior isn't normal. How can I help?' I might have felt accepted and cared for and more inclined to open up," he said.
Advocates who work in suicide prevention say being aware of potential warning signs of suicide can be lifesaving, along with being present for those who might be having suicidal thoughts.
Research shows that rates of suicidal behavior have increased disproportionately among young people of color over the last few decades. Rates are highest among Black Americans 25 to 34 years of age, predominantly affecting young men. Black girls have the highest rates of suicide attempts, and young Black children between 5 and 12 have almost twice the suicide rate of their white counterparts.
The majority of people who die from suicide exhibit some signs beforehand. Whitney Boyer Shumway, president of the board of directors for the Missouri chapter of the American Foundation for Suicide Prevention, is also a suicide attempt survivor. She says to watch for cues like out-of-character behavior or significant changes in a person's mood. They may even say phrases like: "It's so pointless," "I wish I could go to bed and not wake up anymore" or "I hate my life."
One way to start a conversation is by noting specific changes in the person's behavior or mood, saying you are concerned and that you want to help. It's critical to be nonjudgmental and to ask directly if the person has had thoughts of hurting themselves, Shumway said.
If the answer is yes, ask if they have a plan.
"The goal is to keep them safe for now and connect them with resources to keep them safe (going forward)," she said. "Ultimately, you're only going to be able to provide that immediate assistance, like first aid. Your goal is to get them help."
Keeping a person safe in the short term may involve removing any lethal means to which they have access. If they have access to a gun, for example, consider asking: "Would you be OK with me holding on to that firearm to keep you safe for now?" You can also ask if the gun can be locked in a safe, with the key provided to you temporarily, or if a gun lock can be placed on the firearm itself.
It's also helpful to ask if the person has a friend or family member who can stay the night with them, or a place they can stay with others if they live alone.
As important as what you say is knowing what not to say:
-- Avoid trying to "fix it" if someone is sharing feelings of suicidal ideation.
-- Avoid debating the value of life or minimizing the person's feelings or problems.
-- Avoid passing judgment on a person's feelings.
"Individuals (who are suicidal) are experiencing intense tunnel vision," Shumway said. "Their logical mind is not processing or thinking of another way out of the pain they are enduring."
Tom (last name withheld), 45, has struggled with post-traumatic stress disorder and suicidal thoughts since he was a teenager. He's tried exercise, meditation, medicine and therapy to keep those thoughts at bay. In his darkest moments, he describes feeling like a balloon that might float away. At those times, it's helpful when close friends ask how they can help and tell him that they care.
"It shows you that there's a person in your life who is trying to ground you to the here and now instead of letting you float away," he said.
Conversations that shift him away from the temptation to die are also helpful.
Being empathetic, supportive and present -- without freaking out -- makes a difference, he said.
Jason shared similar sentiments and encouraged others to talk to their children, especially teens and young adults, about their emotions.
"The more open you are about feelings and emotions -- both yours and theirs -- the more comfortable they will be," he wrote.
If you or someone you know is in crisis, please call 988 to be connected to the National Suicide Prevention Lifeline or 911 if a person is in immediate danger.