You may never fully grasp the profound impact of simply asking, “Are you okay?” but for someone in crisis, that question could mean everything.
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September is Suicide Prevention Month.
In South Africa, talking about mental health is more important than ever. Every year, about 14,000 South Africans die by suicide, according to the South African Depression and Anxiety Group (SADAG).
Behind every number are families, friends, and communities deeply affected by these losses.
On World Suicide Prevention Day (September 10), SADAG launched its annual campaign with a theme that feels both simple and profound: “Hope Starts with Talking”.
Talking openly about mental health and suicide can feel uncomfortable, but it’s often the first step toward saving a life.
“Suicide prevention is a collective responsibility,” says Zamo Mbele, clinical psychologist and SADAG board member. “A simple conversation can be the difference between life and death.”
Stigma is one of the biggest barriers to getting help. Many people struggling with suicidal thoughts fear being judged, dismissed, or misunderstood. SADAG, which runs the only 24-hour Suicide Crisis Helpline in South Africa, reports that 1 in 4 of their calls are suicide-related.
This reminds us that many people face silent struggles every day.
You don’t need special training to start a conversation, just compassion and courage.
If you are the one struggling, remember that saying “I’m not okay and I need help” shows strength, not weakness. Consider simple self-care actions like taking a walk to clear your mind, engaging in a hobby that brings you joy or practising deep breathing exercises.
Don't hesitate to reach out to support networks, whether it's friends, family, or community groups. Remember that reaching out for help and taking care of yourself are important steps toward healing.
This September, join the movement to end the silence surrounding mental health
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Warning signs that someone may be in crisis
Suicide doesn’t always come with obvious warning signs, but there are red flags we should never ignore. Experts highlight the following:
Talking about death or hopelessness: Even offhand comments like “No one would care if I died” should be taken seriously. Research shows that most people who die by suicide have shared warning signs beforehand. Asking directly if they’re thinking about suicide does not put the idea in their head; it shows you care.
Major behavioural changes: Notice sudden shifts such as withdrawal from friends or family, changes in mood, or drastic differences in behaviour (e.g., becoming unusually angry, sad, or quiet).
Giving away possessions: If someone starts giving away prized possessions or settling unfinished business, this could indicate they are preparing for the possibility of suicide.
Expressions of hopelessness or burden: Phrases like "Life isn’t worth living" or "I’m a burden to everyone" reflect feelings of despair that should not be ignored.
Difficulty coping with life events: Loss of a loved one, job, or significant life disruption can lead to overwhelming feelings of hopelessness.
Establish supportive atmospheres at home and in social circles, prompting regular, sincere check-ins such as, “How are you, really?”
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How you can help
Knowing what to do when someone may be suicidal is powerful. Here’s how to offer support:
Ask directly: “Are you thinking about suicide?” Research from the American Foundation for Suicide Prevention shows that asking directly does not plant the idea; it opens a door.
Listen without Judgement: Be present and allow the person to express their feelings without rushing to provide solutions. Simply listening can bring comfort and encourage them to open up.
Encourage professional help: If someone is in crisis, guide them toward professional support or resources. If the situation is immediate, contact emergency services. Suggest counselling, therapy, or calling helplines like SADAG’s 24-hour line (0800 567 567).
Environmental safety measures: Limit access to lethal means. Remove or secure firearms, medications, and other potentially harmful items in the home. This creates a barrier and provides time for intervention. For example, use locked safes for guns or participate in drug take-back programs to dispose of unused medications.
Create safe spaces: Suicide prevention isn’t only about crisis moments. It’s also about fostering a culture where mental health is openly discussed and supported. At home, with friends, or at work, try normalising check-ins like: “How are you, really?”
Parents of teens should be especially alert. Adolescence is a vulnerable stage, with social pressures, bullying, and academic stress compounding emotional struggles. Regular, non-judgmental conversations can make a critical difference.
Stories of hope: One of the most powerful tools in suicide prevention is hearing from survivors. Many people who have come close to ending their lives later share that they are grateful they didn’t. With support, therapy, and community, they’ve found meaning and joy again.
If you’re worried about yourself or someone you love, don’t wait. Free, anonymous mental health screenings are available online, and SADAG can connect you with local resources.
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