Suicide is one of the leading causes of death among children and teenagers, particularly between the ages of 10 and 24. Many of these young individuals may struggle with depression, sometimes alongside other mental health conditions such as anxiety, ADHD, bipolar disorder, or early-onset psychosis. When a young person turns to suicide, the effects are devastating—not only for families, but also for friends, classmates, teachers, and the broader community.

While sadness and moodiness can be a normal part of growing up, persistent emotional distress that lasts more than a couple of weeks and interferes with daily life may be a sign of something more serious. Early recognition, open communication, and professional support can make a life-saving difference.

Recognizing Depression and Suicidal Thoughts in Youth

Children and teens who experience depression may show changes in behavior that extend beyond occasional sadness. These may include:

  • Withdrawing from family or friends

  • Losing interest in hobbies or favorite activities

  • Changes in eating or sleeping patterns

  • Constant fatigue or lack of energy

  • Increased irritability, anger, or emotional outbursts

  • Difficulty concentrating or making decisions

These behaviors may intensify after a significant loss or difficult life event. In some cases, these emotional shifts may be accompanied by suicidal thoughts or behaviors. If a child expresses a desire to die or talks about feeling hopeless or unwanted, it is essential to take those words seriously and seek immediate support.

Why Do Teens and Children Think About Suicide?

The adolescent years can be filled with major life changes—physically, emotionally, and socially. Many teens face overwhelming stress, pressure to succeed, fear of rejection, or difficulties with identity and self-worth. These emotions, especially when combined with family conflicts, bullying, trauma, or mental health struggles, can lead some to feel trapped or without options.

For younger children, confusion about emotions, struggles in school, or family changes (like divorce or moving) can feel just as intense. Some children may view suicide not as an end, but as a way to escape emotional pain they don't know how to cope with.

Risk Factors for Suicide in Children and Adolescents

Several factors can increase the likelihood that a young person may consider or attempt suicide. These include:

  • A personal or family history of depression or mental illness

  • Substance use or impulsive behavior

  • Recent trauma, abuse, or major life changes

  • Social isolation or feelings of rejection

  • History of being bullied or bullying others

  • Prior suicide attempts

  • Easy access to weapons or medications

  • Exposure to suicide through media or peers

It’s important to know that girls tend to attempt suicide more frequently, often through self-harm or overdose, while boys are more likely to die by suicide, often due to using more lethal means.

Warning Signs to Watch For

Behavioral or verbal indicators may point to suicidal thoughts. Some signs include:

Mood-related changes:

  • Persistent sadness or depression

  • Sudden mood swings, rage, or increased irritability

  • Feelings of guilt, shame, or being a burden

Verbal cues:

  • Expressing hopelessness: “I wish I could disappear”

  • Talking about death: “No one would miss me” or “I don’t want to live anymore”

  • Writing or drawing about dying or suicide

Behavioral cues:

  • Withdrawing from social activities

  • Giving away personal belongings

  • Risk-taking or reckless behavior

  • Obsession with weapons or death-related topics

These signs can appear gradually or suddenly and should always be taken seriously.

How Is Suicidal Behavior Treated?

Treatment varies depending on the child’s needs, age, and the severity of symptoms. It typically includes:

  • Individual counseling to help the child understand and manage emotions

  • Family therapy, where caregivers are actively involved in the healing process

  • Medication, when appropriate, for managing mental health conditions

  • Inpatient or intensive outpatient care when immediate supervision is needed

  • Safety planning to remove access to harmful items and create a plan of action in crisis situations

The first step is a full psychological evaluation, often exploring the days or weeks leading up to suicidal behavior, to guide treatment planning.

What to Do If Your Child Expresses Suicidal Thoughts

If your child talks about wanting to die or shows signs of suicide risk:

  • Stay with them and offer calm reassurance

  • Remove any dangerous items, such as firearms, sharp objects, or medications

  • Listen without judgment, and avoid minimizing their feelings

  • Seek immediate professional help through a mental health provider, crisis line, or emergency services

It’s critical not to ignore or assume a child’s comments are “just for attention.” Many children who express suicidal thoughts are serious and may act on them if not supported quickly.

Talking About Suicide Can Save Lives

Opening a conversation about mental health and suicide will not encourage harmful behavior—in fact, it can help a child feel understood and less alone. Ask open-ended and age-appropriate questions like:

  • “Have you ever felt so sad that you didn’t want to wake up?”

  • “Are you thinking about hurting yourself?”

  • “Is there something that’s been bothering you lately that feels too big to handle?”

These questions can help uncover hidden pain and offer a chance to intervene early.

If You or Your Child Need Help

There are confidential and accessible resources available 24/7:

  • National Suicide Prevention Lifeline (US): Call or text 988

  • Text Line for Youth: Text HOME to 741741 to connect with a trained crisis counselor

  • LGBTQ+ Support Line: Call 1-866-488-7386 or text START to 678678

If there is immediate danger, call 911 or go to the nearest emergency room.

Final Thoughts

Suicide among children and teens is heartbreaking—and preventable. By staying informed, recognizing the warning signs, creating safe environments, and encouraging open conversations, we can protect the emotional well-being of young people.

If you're ever unsure whether your child or someone you know is struggling, reach out and talk. One conversation could save a life.