Hidden cries for help: How to spot overlooked suicide warning signs
Recognising hidden signs of suicidality for effective suicide prevention.
Image: Pexels
As South Africans mark World Suicide Prevention Day on 10 September, experts are warning that subtle signs of suicidality are often overlooked, costing lives that might otherwise have been saved.
While threats of self-harm and visible despair are widely recognised, mental-health professionals caution that many people show more discreet indicators.
The South African Depression and Anxiety Group (Sadag) says suicide is often misunderstood as a rare or sudden act, when in reality it is frequently preceded by warning signals.
"Behind every statistic is a person experiencing immense pain…Suicide is a desperate attempt to escape suffering that has become unbearable," said Sadag Operations Director Cassey Chambers.
She added that at least 75% of suicides can be prevented through early intervention, open conversations, and professional support.
Here are overlooked signs of suicidality to look out for according to the organisation:
- Sudden mood shifts
A person may appear unusually calm or even cheerful after a period of depression, which can signal they have resolved to act on suicidal thoughts.
- Subtle talk about death or hopelessness
Statements like 'I wish I weren't here' or 'It would all be easier if I weren't around' may seem casual but are warning signs.
- Preparatory behaviour
Giving away prized possessions, writing farewell notes, or organising personal affairs unexpectedly.
- Risky or self‑destructive actions
Reckless driving, substance abuse, or other dangerous behaviour that seems out of character.
- Excessive guilt or self-criticism
Persistent feelings of failure, shame, or being a burden to others.
- Indirect expressions of suicidal thoughts
Making statements like 'You'd be better off without me' or frequently discussing death in conversation.
Government data shows that an estimated 23 people die by suicide each day in South Africa, while hundreds more attempt to take their own lives.
Experts reiterate that suicides are preventable if society pays closer attention to less obvious warning signs.
The South African Federation for Mental Health (SAFMH) stresses that prevention requires coordinated, community‑based strategies.
"We need a systemic, community‑based and intersectoral approach to prevent teen suicide," said the SAFMH's Bharti Patel.
Anyone with thoughts of suicide can call Sadag 0800 567 567 or SMS 31393.
IOL News