
Code Words for "I'm Suicidal"
TherapyRoute
Clinical Editorial
Cape Town, South Africa
❝People who are thinking about suicide often hint at it rather than say it. Here are the indirect things they tend to say, what usually sits underneath them, and how to ask.❞
People who are thinking about suicide often do not say so in plain words. They talk around it, in phrases that sound like tiredness, stress or a passing low mood, and they wait to see whether anyone picks it up. Saying it outright can make the thought feel too real, and many people fear how the person they tell will react: the panic, the anger, or the risk of being treated differently from then on.
If you are having thoughts of suicide, or are worried about someone who might be, you do not have to carry this alone: find a crisis line in your country, or contact your local emergency services if someone is in immediate danger.
In this Article
This page sets out the kinds of indirect statements people make, why they make them, and what you can do when you hear one. It is written for friends, family, partners and colleagues, and for anyone who recognises their own way of speaking here.
What gives a phrase its weight
One thing matters more than any single phrase. Nearly every example below is also something people say on an ordinary bad day. What gives a phrase weight is change: it is not how this person usually speaks, or several of them start turning up together, or they sit alongside withdrawing, giving things away, a recent loss, or a long low patch. Any one of them on its own is usually nothing. Read what follows as a reason to ask, never as a reason to start listening in on someone’s ordinary speech.
The examples are grouped by what they tend to carry underneath. The groups follow the warning signs that suicide-prevention bodies such as the US National Institute of Mental Health and the UK’s Zero Suicide Alliance describe, and the two research models most used to explain suicidal thinking.
If you're struggling with low mood or depression, talking to a professional can make a real difference. Find a therapist who understands.
Find a therapist for depressionHow people say it without saying it
Worn out, and wanting it to stop
“I’m so tired of all of it.” “I need it to stop for a while.” “I just want to switch off and not wake up to this.” These can sound like ordinary exhaustion. The difference is that the tiredness is with life itself rather than with a week of work, and the person sees no way out of what they are in. Psychologist Rory O’Connor’s research group calls this entrapment: the sense of being defeated and unable to escape, which their integrated motivational-volitional model places at the centre of how suicidal thoughts develop (O’Connor and Kirtley, Philosophical Transactions of the Royal Society B, 2018).
Feeling like a burden, or like nobody would notice
“You’d all manage fine without me.” “I only make things harder for you.” “Nobody would notice if I wasn’t around.” The interpersonal theory of suicide (Van Orden and colleagues, Psychological Review, 2010) names two states behind statements like these: perceived burdensomeness, the belief that one’s existence costs the people one loves more than it gives them, and thwarted belongingness, the sense of not truly belonging anywhere. The theory holds that the two together, with hopelessness that either will change, form the most dangerous kind of suicidal wish. Talk of being a burden also appears on the NIMH list of warning signs.
No sense of a future
“There’s no point planning that far ahead.” “It won’t matter by then.” “I can’t see myself getting older.” Some people stop mentioning next month, or they talk about the future as if it belongs to other people. Hopelessness, the conviction that nothing will improve, is one of the feelings NIMH names directly.
Wanting to disappear
“I wish I could vanish.” “I wish I’d never been born.” Wanting to be gone, to be somewhere nobody can reach, or never to have existed at all, can be a softer way of saying the same thing. The Zero Suicide Alliance gives “I wish I hadn’t been born” as one of its own examples.
Goodbyes and loose ends
“Thank you for everything, honestly.” “Will you look after the dog if I’m ever not around?” “I won’t be needing these.” Saying goodbye as if for the last time, giving away things they value, and making a will or putting affairs in order are on the warning-sign lists of both NIMH and the Zero Suicide Alliance. An unusually final thank-you, or a request to look after children or pets, can be the spoken form of the same thing. On their own they can be generosity or good organisation. Next to a long low patch, they deserve a question.
Starting to say something, then pulling back
“Can I tell you something? Actually, forget it.” “It’s nothing, I’m being silly.” Some people test the water. They open a door just enough to see what happens, and close it if the response feels rushed or uneasy. If someone does this, going back to it later is a kindness: “Earlier you started to tell me something. I’d like to hear it.”
A sudden calm
“Honestly, I’m fine now. I’ve sorted it out.” In someone who has been low for a long time, a sudden lift or an unexplained calm can mean a decision has been reached, and it can arrive before the mood itself has really shifted. The Zero Suicide Alliance lists “a sudden sense of calm and happiness after being extremely depressed” as a warning sign. It is worth asking about rather than taking as good news.
And one that is not a code word at all
“I should just kill myself.” People do say it outright, sometimes lightly, sometimes as a joke, and it is easy to hear it as a figure of speech. It is not code for anything. Take it at face value and ask.
Credit: this page began as a response to a 2017 article by The Mighty, which asked members of its community who had been suicidal what they had said at the time in place of “I’m suicidal”. The examples here are TherapyRoute’s own, grouped and explained with reference to the research above.
Ask directly
If someone makes a comment you are concerned about, the best thing you can do is ask them directly, “Are you feeling suicidal?”
Opening up the conversation without judgement can allow them to talk about it. Get them the professional help they need, or if it’s you, get medical help or speak to someone now.
What does science say?
Pompili and colleagues pooled 36 studies covering 14,601 deaths by suicide and found that, on average, about 44% of people had communicated their intentions beforehand, most often in words (Psychological Medicine, 2016). That pooled figure carries a 95% confidence interval of 35.4% to 53.8%. The studies behind it also differed greatly from one another, which is the honest shape of it: many people do say something first, and many people say nothing at all. That is the case for listening, and the case against treating any list as a screen.
The other thing worth knowing is that the question itself does no harm. A review of the evidence found no study in which asking about suicidal thoughts increased them (Dazzi and colleagues, Psychological Medicine, 2014), and crisis-line guidance says the same. If you are holding back because you are afraid of putting the idea into someone’s head, you can let that go.
What else is worth knowing
Why people speak indirectly
The World Health Organization put the number of deaths by suicide at around 727,000 in 2021, and 73% of them were in low- and middle-income countries. The reasons people speak indirectly are set out at the top of this page: fear of how it will be received, not wanting to frighten the people they love, and the way saying the words plainly can make the thought real. What is worth adding is that an indirect approach is still an approach. It is usually aimed at someone in particular, and it usually leaves room for that person to pick it up or let it go by. Picking it up is not an intrusion. There is more on the subject in our article on suicidality.
What you can actually do
Notice, ask, and stay. Listen without arguing them out of it. Then help them make the first call, to a crisis line or to a therapist or counsellor, or offer to sit with them while they do it. Reaching out early gives someone a better chance of finding help; it is not a guarantee, and no friend, parent or partner is the treatment. What you can do is close the distance between a person and the support they need. That is heavy to carry on your own, so make sure you have someone to talk to as well.
Signs of getting better
Recovery is usually gradual. Over weeks you might notice someone sleeping better, picking plans back up, coming into contact with people again, and holding steady when something goes wrong. That steadiness under pressure is the part that tells you most. It is different from a sudden lift after a long low period, which is the signal described further up: if the change is abrupt and you cannot account for it, that is a reason to check in gently rather than to stand down.
Taking care of yourself
If you are feeling suicidal, looking after yourself is not the place to start. Reach a crisis line or a professional first, and tell someone you trust what is going on. You can find a line in your country here. With that support in place, sleep, food, movement and a break from alcohol and drugs help protect your mood, and many people find that writing, mindfulness or something creative gives the day a shape. These sit alongside treatment rather than in place of it.
What happens if you tell a professional
What you say to a therapist is normally private. Every country places narrow limits on that, and the limits differ from one jurisdiction to the next; there is no single global rule, so a clinician will explain theirs, usually at the start. The principle underneath them is the same everywhere: a professional involves other people to keep you safe, not to take the decision out of your hands. Worrying about what might follow keeps some people quiet. It is worth asking the question rather than staying quiet on a guess.
Frequently asked questions
What are some common signs someone might be thinking about suicide?
People thinking about suicide often talk about feeling hopeless, being a burden, or having no reason to live. They might also start to act differently, like withdrawing from others or giving away prized possessions.
How can I talk to someone who might be suicidal?
Start by being calm and listening without judgement. Let them know you care and are there to help. Ask them directly about their feelings and encourage them to seek professional help.
What should I avoid saying to someone who’s suicidal?
Avoid saying things that dismiss their feelings, like “It’s not that bad” or “You have so much to live for.” It’s important to take their feelings seriously and show understanding.
Can talking about suicide make someone more likely to do it?
No. A review of the evidence found no study in which asking about suicidal thoughts increased them. Asking gives the person a chance to say what is happening, and to find help.
How does therapy help someone with suicidal thoughts?
Therapy provides a safe space to talk about feelings and thoughts. Therapists can help find the causes of these feelings and teach coping strategies to deal with them.
What if the person refuses to get professional help?
Keep supporting them and encourage them to talk. You can also seek advice from a mental health professional yourself on how to help them.
Are there any immediate actions I can take if I think someone is in danger?
If you think someone is in immediate danger, don’t leave them alone. Call emergency services or take them to a hospital.
How can I support a friend after they’ve started therapy for suicidal thoughts?
Keep being a good listener and offer practical help, like going to appointments with them. Respect their privacy and let them share what they’re comfortable with.
What can I do if I’m having suicidal thoughts?
It’s important to talk to someone you trust, like a friend or family member, and seek professional help. Remember, these feelings can be overcome with the right support.
Are there any lifestyle changes that can help with suicidal thoughts?
Lifestyle changes are not a treatment for suicidal thoughts, and they are not the place to start: reach out to a crisis line or a professional first. With support in place, regular exercise, a healthy diet, and good sleep can help protect your mood. Avoiding alcohol and drugs is also important. Finding activities that you enjoy and that give you a sense of achievement can be helpful too.
Crisis lines around the world
Important: TherapyRoute does not provide medical advice. All content is for informational purposes and cannot replace consulting a healthcare professional. If you face an emergency, please contact a local emergency service. For immediate emotional support, consider contacting a local helpline.
Find Therapists
Must Read
Creating Space for Growth: How Boundaries Strengthen Relationships
Setting healthy boundaries fosters respect, protects emotional well-being, and strengthens relationships by defining personal limits and maintaining self-care.
International Mutual Recognition Agreements for Mental Health Professionals
Mutual recognition agreements for mental health professions are rare and uneven, with major gaps in counselling, social work, and allied therapies. Read on to understand ...
Therapy for children and teenagers: statistics worldwide
How well psychological therapy works for children and teenagers, for which problems, with or without medication and parents, online or face to face, and in countries arou...
Cancer and mental health statistics worldwide
How common depression and anxiety are among people with cancer in six world regions, how measurement changes the figures, and how symptoms change over time.
Anger and intermittent explosive disorder statistics worldwide
How common intermittent explosive disorder is across six world regions, in adults and young people, what conditions come with it and how rarely anger is treated.
About The Author
TherapyRoute
Cape Town, South Africa
“Our in-house team, including world-class mental health professionals, publishes high-quality articles to raise awareness, guide your therapeutic journey, and help you find the right therapy and therapists. All articles are reviewed and written by or under the supervision of licensed mental health professionals.”
TherapyRoute is a mental health resource platform connecting individuals with qualified therapists. Our team curates valuable mental health information and provides resources to help you find the right professional support for your needs.
