Need support now?

If you or someone you know is thinking about suicide or experiencing emotional distress, call, text, or chat with the 988 Suicide and Crisis Lifeline (formerly known as the National Suicide Prevention Lifeline). Trained counselors are available 24/7. 

Connect with 988 

Suicide can be prevented 

Suicide is the second leading cause of death for Vermont’s youth. It is higher than the national average. Suicide is not caused by a single factor. Instead, a combination of factors at the individual, relationship, community, and societal levels can increase or decrease the risk of suicide.  

Help is Available

Many people struggle with difficult feelings, and help is just a call, text, or chat away. If you need help for yourself or someone you know, connect with one of these resources. If you or someone you know is in a crisis, call 911. 

988 Suicide and Crisis Life Line

988 was formerly known as the National Suicide Prevention Lifeline. 988 provides free and confidential call, chat, or text support for people in distress and people seeking to support someone in distress. Dial, text, or chat at 988. 

The Trevor Project

Counselors support LGBTQ+ youth 24/7. For people younger than age 25 in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk. Call 1-866-488-7386, Text START to 678678, or chat online.

The Hope Line

Hope Coaches support students and young adults in crisis by offering sound advice and a safe place to connect 24/7. Choose from a list of topics, including sex, relationships, abuse, or self-harm; explore resources; and chat with a live Hope Coach.   

Trans Lifeline

A trans-led organization that connects trans people with community, peer support, and the resources they need to survive and thrive. Call 1-877-565-8860.

Vermont 2-1-1

Provides information and connections to treatment through the state's crisis services. Call 2-1-1

Designated Agencies

Find a Designated Agency for Mental Health in your Vermont county. 

Warning Signs

If you're a parent, caregiver, educator, coach, or anyone who works with or cares about young people, learning the warning signs of suicide can help you recognize when someone may need support. The resources below can help you understand the warning signs and know how to respond.

Many of the warning signs of suicide can be the same for youth and adults. However, because children, teens, and young adults are at different stages of development, some additional warning signs may apply. Not every young person struggling will show the same signs, but the following behaviors may indicate someone needs help.  

  • Physical changes in appearance or hygiene  
  • Increase in alcohol or other substance use and misuse  
  • Sudden drop in grades  
  • Social withdrawal  
  • Talking about suicide or preoccupation with death
  • Risky or reckless behaviors, such as driving too fast or wanting to run away from home
  • Self-harm behaviors such as cutting  
  • Researching suicide methods and/or acquiring methods for self-harm, such as weapons or large quantities of medication 

How to Help a Young Person or Friend

Parents

If you think a young person may be thinking about suicide, there are numerous ways to provide support.

  • If they are in immediate danger, call 911 or your local emergency services.  
  • Call or text 988 to reach the 988 Suicide & Crisis Lifeline. Support is available 24 hours a day, 7 days a week by phone, text, or chat. Services are free, confidential, and available in English and Spanish.  
  • Talk with them directly. It's okay to ask, "Are you thinking about suicide?" Research shows that asking about suicide does not increase the risk or put the idea in someone's head.  
  • Listen without judgment. Take their feelings seriously, let them know you care, and remind them they don't have to face this alone.  
  • Connect them with professional help. Schedule an appointment with their primary care provider or a mental health professional as soon as possible.  
    • Follow the recommendations of their care team. They may suggest counseling, therapy, medication, or other supports based on the young person's needs.  
    • If they cannot be kept safe at home, seek immediate help. Their care team may recommend evaluation at a hospital or treatment through an intensive outpatient or inpatient program.  
  • Encourage connection. Spending time with supportive family members, friends, and other trusted adults can help young people feel less alone. Make time to connect and encourage healthy relationships.  
  • Talk about social media. Check in regularly about your young person's online experiences. Social media can provide connection and support, but it can also expose youth to bullying, harassment, unrealistic comparisons, or harmful content.
  • Help them stay connected at home and at school. Feeling supported by family, friends, and trusted adults is an important protective factor that can reduce suicide risk and promote overall well-being. 
Friends or Peers

If you think your friend may be in immediate danger, call 9-1-1.  

Seize the Awkward:  

If you’re not sure how to be there at other times, being there is all it takes to be a real friend

You don't need the perfect words to be there for a friend. Just being yourself and being there can be deeply meaningful. Check out these resources to learn how to support a friend – or get help for yourself.

  • Find a moment to talk. Don’t worry if you’re at a loss for words. Conversation guides can help you get started.
  • Know when extra help is needed. You don’t need to be an expert to recognize when someone needs outside help- if you can tell a friend isn’t doing well, they might need a greater network of support. Learn the signs.
  • Take care of your own mental health. If you’re experiencing increased stress, anxiety, sadness, or other mental health concerns, you’re not alone. Learn self-care strategies and how to get additional help for yourself if you need it.   

Protective Factors for Young People

Many things can reduce the risk of suicide. These are individual, relationship, community, and societal characteristics that help protect people from suicide. Some protective factors include:

Individual Protective Factors
  • Effective coping and problem-solving skills
  • Social and emotional awareness skills
  • Strong sense of cultural identity  
  • Regular exercise  
Relationship Factors
  • Family acceptance and support  
  • At least one trusted adult for support  
  • Feeling connected to others and that they matter
Community Factors
  • Feelings of belonging at school and in their community
  • Availability of consistent and high-quality physical and behavioral healthcare 
Societal Factors
  • Reduced access to lethal means of suicide among people at risk.
  • Social determinants of health such as housing, food security, safe neighborhoods, and educational opportunity.   

Risk Factors for Young People

There are many factors that put individuals at risk for suicide, including individual, relationship, and community factors. 

Individual Factors
  • A mental or behavioral health condition such as depression, anxiety, or conduct disorders  
  • Substance Use and Misuse  
  • Engaging in bullying and being bullied
  • Violent Behavior  
  • Previous Attempts of Suicide  
  • Adverse Childhood Experiences  
  • Social Contagion of Suicidality 
Societal Factors
  • Discrimination based on race, sexual orientation, or gender identity  
  • Lack of access to quality health care, including gender affirming care   

Risk factors differ across groups. Some examples:

Risk factors differ by group. Some examples:  

Black youth may face increased suicide risk due to experiences of racial discrimination, exposure to trauma and violence, and barriers to accessing culturally responsive mental health care.  

Hispanic youth may face increased risk due to acculturation, mental health stigma, familismo, discrimination, higher rates of poverty, and lack of access to healthcare.  

Asian American youth may face increased risk due to the model minority myth, family stress, gender role stress, and mental health stigma.  

Queer youth may face increased risk due to discrimination, lack of family support, intersectionality of other risk factors such as race, lack of affirming spaces, and lack of appropriate healthcare.  

Female youth may face increased risk due to eating disorders, being a victim of dating violence, depressive symptoms, previous attempts and interpersonal problems.  

Male youth may face increased risk due to conduct problems, hopelessness, substance misuse, and using firearms during a suicide attempt.  

Relationship Factors
  • Access to means such as large quantities of medications or unsecured firearms  
  • A family member or friend dying by suicide  
  • Conflict with close friends or family members  
  • Emotional distress related to a breakup 

Suicide Data

Data guides Vermont's youth and young adult suicide prevention work. Studying trends in suicidal thoughts, attempts, and deaths helps experts focus on the groups most at risk.Visit the Vermont Department of Health’s Injury Data Page.   

Data Sources

The Health Department collects data from various sources that help inform what we know about suicide in Vermont. Vermont has data on youth suicide risk factors from the Youth Risk Behavior Survey, adult risk factors from the Behavioral Risk Factor Surveillance Survey, hospital visits for intentional self-harm and suicide-related outcomes from the Vermont Utilization Hospital Discharge Data System, detailed case reviews from the National Violent Death Reporting System and emergency medical services data from the Statewide Incident Reporting Network. 

Contact Us

If you have questions about suicide prevention programs or resources, please email the Injury and Violence Prevention program at AHS.VDHInjuryandViolencePreventionProgram@vermont.gov.  

The Vermont Department of Mental Health and the Vermont Department of Health support multiple evidence-based suicide prevention programs to help increase public awareness, train providers, develop treatment networks within schools and communities, and improve prevention outreach. Through continued collaboration with our partners, we can work to reduce the burden of intentional self-harm and suicide within Vermont’s communities.  

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