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September is suicide prevention month. Every year, more than 37, people die by suicide. There are many excellent books to help us understand suicide and why people kill themselves; two that I have found particularly helpful are The Suicidal Mind by Edwin S. Statistically, we know that certain demographic groups are more at risk to die by suicide.

These include being male, between the ages of and over 65 and being diagnosed with a mental disorder.

Despite these statistics, it is still impossible to predict if a person will make a suicide attempt. However, here are some warning signs that a person may be considering suicide.

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Always take someone seriously if they say they are feeling suicidal. Even if someone has made suicidal statements in the past and never followed through, there is always the possibility that this time they will try to kill themselves.

If you or someone you know is thinking about suicide, here are some recommendations. Any person who is thinking about suicide should be evaluated by a qualified mental health or suicide prevention professional.

Visit the Suicide Prevention Lifeline for more tips on how to help someone who is feeling suicidal.

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The National Alliance on Mental Illness NAMI has developed a fantastic suicide prevention program called The Connect Project that aims to train community partners in how to prevent suicide and intervene when someone has died by suicide. In New Hampshire there are several grief support groups for family and friends who have lost a loved one to suicide.

Please make a difference by learning more about suicide prevention and educating others. Contact your local or national crisis line or accompany the individual to your local emergency room.

Never leave someone alone who says they are seriously thinking about killing themselves.

Remove all firearms and ammunition from the home locking them up is not considered sufficient. Secure or remove any potential lethal medications or chemicals from the home.

Call if the person is actively making an attempt to kill him or herself or is refusing to seek help.

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